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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5515_Библиотеки_им_академика_М_И_Перельмана.pdf
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Gravity bongs and waterfall bongs can be constructed from simple materials (such as used soda bottles and buckets), as shown in figure 7.3. Both devices operate on the idea of controlling the pressure on the lit cannabis without the user dragging on it. Gravity and suction pressure do the work of getting the smoke from the lit bowl. The result in both designs is to cool the smoke being drawn into the chamber and to disperse it a bit. In both designs the user simply inhales the cooled smoke from the top of the device after it has been drawn into the chamber.
There are thousands of makes and models of bongs; a well-established head shop may carry hundreds. To the untrained eye they look aesthetically pleasing, but the shapes and devices in bongs determine the smoking experience. The basic principle of a bong is simple (fig. 7.4).
A bong can be accessorized by several add-ons. Ice can be added to the bong water, but because it can easily move around a pinch is introduced in the chamber to catch or prevent the ice from going too high. Adding ice to the bong cools the smoke coming through from the bowl and downstem. An ash catcher can be attached to the downstem to prevent particulate matter from entering the water. Diffusers are alterations to the downstem that further cool the smoke coming into the chamber: small holes are placed along the downstem to allow smoke to escape at many points in the bong water. These alterations will increase the contact of the smoke with the water, which helps to cool the smoke and make it thicker and smoother to inhale, but they can also increase drag (the amount of effort the user has to put into inhaling).
Figure 7.3. Gravity bong on the top, and waterfall bong on the bottom.
Figure 7.4. A lateral view of a typical bong. The flask itself can be of any shape that can hold a reasonable layer of water. A bowl is connected to a pipestem, with the nonbowl end submerged into the water. Some bongs have a small release hole above the water level called a carb or a shotgun hole. When this hole is blocked (usually by a thumb or finger), the smoke will well up in the stem. Another way to deliver the smoke to the user without a shotgun hole is to build in a removable downstem that when removed releases the smoke in the chamber by suction pressure. When the downstem is in place, the system is sealed; but when removed, the user’s inhaling takes over, and the smoke pours out of the mouthpiece into the user.
There are more complex percolator devices (commonly called percs) that can be added to the stem of a bong to cool, smooth, and expand the smoke being inhaled into the bong. Tree percs are the most common, and basic kinds of perc can have a series of vertically arranged tubes through which the smoke is drawn and then released to the bong water through slits that allow smoke to percolate through the water. Table 7.1 presents a list of such percs and what they can do.
Ultimately, bong technology has progressed to the point where the smoke making its way to the lungs of the user is more concentrated with THC and CBD and physically smoother than smoke inhaled from a regular pipe or a spliff, making the sweet spot even easier to maintain. But perhaps the best way to inhale cannabis is by vaporizing, or vaping. Vaporizers can maintain a steadier and more appropriate temperature of inhalant than spliffs, pipes, or bongs.
Table 7.1. TYPE OF PERCOLATORS (PERCS)
Kinds of percolators or “percs” Comment
Tree One to eight vertical “arms”; slits in arms; increased flow paths to water
Dome Large single dome; smoke forced out of dome via hole in bottom
Dewar A specialized dome perc; eliminates back pressure
Coil Similar to a tree perc, but arms coiled
Ring Also known as halo or disc perc; round glass tube
Pinwheel Extremely rare; a variation on the tree perc
Inline A combination of tree and dewar perc characteristics, but in series
Honeycomb Submerged horizontal disc with multiple holes like a honeycomb
Fritted disc Highest producer of bubbles; similar to honeycomb
Tornado/cyclone Produces a tornado/cyclone effect in bong water
Showerhead Acts like a showerhead, but pointing up to release bubbles
Filter disc An extreme kind of honeycomb perc; superfine holes and several discs
I previously explained that THCA and CBDA decarboxylate by heating to about 160 degrees C (320 degrees F). Part of the problem with all the approaches to creating smoke for inhalation is that they require fire that is much hotter. If one can heat marijuana up to just 160 degrees C (320 degrees F) without burning it, then the loss of THC and CBD will be minimized. THCA and CBDA will vaporize around this temperature, and the vapor can be collected and then inhaled. The easiest way to do this is with a commercial vaping device, but to the casual user they are black boxes. Figure
7.5 shows a diagram of a homemade vaporizer using a heat gun. Other homemade
vaporizers can be made from light bulbs (rather like the original Easy-Bake Ovens made for children) or by using a candle and indirectly heating the cannabis in a metal tray to the vapor point. A vaping pen is simply a miniaturized heat gun and collection device.
Figure 7.5. A homemade vaporizing device. A holder for the cannabis is constructed with a small glass bowl and a mesh cap (to allow the vaped cannabis to escape the bowl) between two short columns. A collection bag is placed at the top of the device and a heat gun at the bottom. The heat gun is then turned on to force heat up to the glass bowl. The bowl is slowly heated without any flame touching the cannabis. The heat gun is kept at a steady temperature to force decarboxylation, but not breakdown to CBN and other unwanted cannabinoid byproducts.
Eating Cannabis
We eat many plants for nutrition, and some of us eat plants for molecules that have psychoactive effects. Two specific examples should come to mind: chewing tobacco and “chewing” coca (cocaine) leaves. As with cannabis, the most efficient way of delivering nicotine (the active chemical we desire in tobacco) is through smoking it. But some prefer to chew it. When it is chewed, the salivary proteins of the mouth— specifically one called salivary amylase—digest the materials in the tobacco leaf.
Another fluid secreted by the mouth called mucin lubricates the chewed matter. When a tobacco plug or a coca leaf is chewed, therefore, the leaf is partially digested, releasing any chemical that was produced by the plant; this includes nicotine. Some chewers swallow the salivary juice produced when chewing tobacco. Others find such swallowing quite unpleasant. Either way, the saliva with nicotine in it is absorbed by the body, and the nicotine eventually is delivered to the brain.
“Chewing” coca leaves is another matter, though. This way of ingesting the psychoactive compound of these leaves—cocaine—is endemic to the native peoples of the Andes. In fact, La Paz, Bolivia, houses the Museo de la Coca, a museum dedicated to the understanding of cocaine, the plant that produces coca, and the sociocultural aspects of coca use by native peoples. It is well known that the people of the Andes used and continue to use coca leaves to alleviate pain, headaches, stomach ailments, cramps, and a slew of other sources of human pain. Calling this “chewing” coca leaves is actually inaccurate, however, because the native people who ingest cocaine orally are really sucking on the leaves. The practice is old, certainly hundreds of years. The veins of a coca leaf are tough and can irritate the mouth, so they are usually carefully removed before placing the leaves in the mouth. The leaves are massaged in the mouth and bathed with saliva, and the person “chewing” will gently try to massage the leaves with the inside of the mouth, just enough to disrupt the leaves’ cell membranes but not enough to macerate them.
About ten grams are gently digested like this at a time, and often a bolus of leaves is left in the mouth between the gums and the cheek. The natives know the precise spot in the mouth where saliva is emitted (called the parotid salivary gland), and so the bolus can sit there over this gland. The plant material is left in the mouth for ten to fifteen minutes when the user adds a solution called llijta, which is alkaline in pH. Llijta consists of vegetal ashes from quinoa or plantain plants. A more modern method is to simply ingest some baking soda (sodium bicarbonate) with the leaves. Such alkaline solutions added to the chewed coca leaves facilitate the activation of alkaloids. Cocaine, the targeted substance from chewing coca leaves, is a tropane alkaloid, and it too is activated. Shortly after the administration of the llijta or baking soda, the cocaine kicks in and the mouth, cheek, tongue, and throat numb up as the drug is absorbed into those tissues. The juice is also sometimes swallowed, which can be useful for alleviating pain in the digestive tract. The cocaine absorbed via the mouth and or the digestive tract enters the blood system and is transported to the rest of the body.
Chewing coca leaves is not the most efficient way to get cocaine into the body. It shouldn’t be too surprising to many readers that the most common way of getting cocaine into the blood system is to snort it. The snorted cocaine gets into the nasal passageway, where the drug can enter the blood system via a fine network of blood vessels.
Can you snort marijuana? Yes, but any marijuana that is snorted needs to be decarboxylated and powdered, so that the fragments coming into the nose are not so big as to irritate the nasal passages. A California company created a powder product called Canna Bumps. Apparently, the white powder product and name (bumps) conjured up snorting cocaine, a huge marketing mistake. Most marijuana users are not cocaine users, so consumer demand was very low, and the company dropped the product quickly. More palatable to users are nasal mists. These products infuse THC and CBD into nasal sprays.
The nasal passage is an interesting way to ingest cannabinoids, but most users of marijuana ingest it through foodstuffs. Cooking cannabis-laced food items requires a decarboxylation step before infusing the cannabis material into a substrate such as butter, and usually consists of simply controlled baking of the spread-out buds in an oven. Another method is to place the buds in a plastic bag and then immerse the bag in a precisely calibrated pot of boiling water, so the decarboxylation temperature is controlled. Still another way to decarboxylate is to use a precisely calibrated crock pot. Some kinds of butter are better at maintaining and delivering active THC than others. Cocoa butter is preferred over normal dairy butter, and coconut oil over both. This is because coconut oil has more saturated fats in it than either butter or cocoa butter, and these fats assist in the degradation of cannabis glandular material. More important is that coconut oil has a high concentration of medium-chain triglycerides, which accelerate the absorption of the THC and CBD into the bloodstream. It is critical that this absorption occurs in the portal vein and liver, where the active form of THC is converted to the much more powerful and psychoactive 11-OH-THC that eventually will make it to the brain.
Purveyors of edible marijuana have been clever in how they make their products, and the practice is thousands of years old. According to Ram Nath Chopra, considered the “father of Indian pharmacology,” cannabis preparation is known from the Atharva Veda, a Hindu scriptural text of procedures for everyday life. The most common edible (actually, drinkable) product from that time about 3,000 years ago is called bhang. Chopra offered a veritable cookbook of bhang recipes, prepared with cannabis leaves and flowers, milk, and a variety of other ingredients such as almonds, pistachios, rose petals, mint leaves, garam masala, ginger, fennel, anise, cardamom, rosewater, and honey.
Figure 7.6. Advertisement for Hasheesh Candy in Vanity Fair from 1862.
The more recent history of edible cannabis started 150 years ago and has led to highly creative culinary developments more recently, with clandestine cooking in between. Lacking candy with marijuana cannabinoids has a bit of history. In the 1860s candy lovers were treated to a product offered by the Gunjah Wallah Company in New York called Hasheesh Candy (fig. 7.6). This maple-flavored sugar candy was sold legally for over forty years and was even advertised in the proto-Amazon Sears, Roebuck catalog. It was marketed as fun, sweet, and perfectly harmless. In fact, several other products with psychoactive compounds were offered during this time, including opium- and cocaine-infused tonics that were used medicinally.
The advertisement for Hasheesh Candy (see fig. 7.6) offered it as a medicinal product. In 1906 the United States passed the Pure Food and Drug Act. Although this law was initially ineffective in curbing quack remedies containing psychoactives, it eventually drove most edible marijuana products underground. In 1954 Alice B. Toklas included a recipe for hashish fudge in her famous eponymous cookbook. Needless to say, the publication of this recipe was controversial at the time, and for the most part underground cooking of edible marijuana remained the only way to make it available in this form.
Marijuana-laced food (especially brownies) was produced by users of cannabis during the latter half of the twentieth century as an alternative to smoking. Today cooking with marijuana has become an art and an industry. Even cable channel
streaming services have created cannabis cooking reality shows such as Cooking on High and Bong Appetite. Laced candies are particularly popular, with gummy bears being one of the more popular ways of consuming THC. Hasheesh Candy, in other words, is back in vogue.
8

THC and CBD in the Body

Through decarboxylation, we now have the THC and CBD in either smoke or edible form ready for the body. Where do they go from there? First let’s follow a molecule of THC emanating from a hit on a joint, and then do the same for a molecule of THC in a piece of white chocolate. We need to consider how smoke egresses to the body differently than food does for one simple reason: inhaling THC and CBD delivers it to the lungs, while ingesting these compounds in food delivers it to the stomach.
If you take a drag of cannabis from a joint and inhale the smoke, most of it goes into your mouth and down your trachea. While the smoke is in your mouth, there are a large number of volatile chemicals entering it with which your taste buds will interact. Your olfactory system will also detect quite a few odors. This is because your gustatory- and olfactory-sensing systems both work by reacting with chemicals. Your sense of taste is bombarded with a lot of the volatilized terpenes that are wafting into your mouth. The tastes are sometimes overwhelming and are accentuated by your olfactory system, because a good deal of taste is actually smell.
For a comparison, try this simple experiment: Find a cherry- or strawberry­flavored jelly bean. Hold your nose closed, pop the jelly bean into your mouth, and chew. Because the jelly bean is mostly sugar, your taste buds will immediately detect sweetness, but recognizing the taste as cherry or strawberry is not entirely complete