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They consist of a bowl for packing material into, stem for inhaling, and a carbureter (carb) for controlling suction and airflow into the pipe. First, the user inhales while lighting the smoking material and holding down the carb, allowing smoke to fill the stem.
Then, the user releases the carb while inhaling to allow air to enter the stem and smoke to be pulled into the user's mouth.
A number of Native American cultures have pipe-smoking traditions, which have been part of their cultures since long before the arrival of Europeans.
Tobacco is often smoked, generally for ceremonial purposes, though other mixtures of sacred herbs are also common.
Various types of ceremonial pipes have been smoked in ceremony to seal covenants and treaties, most notably treaties of peace (hence the misnomer, "peace pipe").
Madak (the mixture of opium and tobacco) turned out to be far more addictive than orally-ingested opium, leading to social problems in China which culminated in the First (1839–1842) and Second Opium War (1856–1860).
Cannabis culture has its own pipe smoking traditions which differ from tobacco pipe smoking.
For example, unlike tobacco smokers, cannabis users frequently pass a single pipe among two or more partners.
However, all tobacco products deliver nicotine to the central nervous system, and there is a confirmed risk of dependence.
Many forms of tobacco use are associated with a significantly increased risk of morbidity and premature mortality due to tobacco-related diseases.The ceremonial smoking of tobacco or other herbs, as a form of prayer, is still practiced in a number of Native American religious traditions.