Needle therapy
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Heroin is more an American traditional medicine since it gained the most popularity there (though it was invented in Germany),
Considering the snake oil days of the American west it's not surprising everyone was drugged up and addicted to something.
"Slight cough? Here's some heroin mixed with morphine! Because you can't cough if you're unconscious!"
Nah the traditional American medicine is basically a shot of vodka used as the solvent to hold a mixture of cannabis, morphine, cocaine, and placebo. Its advertised by a traveling cowboy themed circus and it’s why we regulate medicine now