The coca plant (Erythroxylum coca) has been a cornerstone of Andean culture and tradition for over 8,000 years, used for medicinal, religious, and social purposes. The practice of chewing the leaves, known as acullico or chacchado, has helped generations of indigenous peoples endure the harsh conditions of high altitudes, but it remains controversial due to its link to the illegal drug, cocaine. Understanding the traditional benefits requires separating the plant's natural state from its processed, refined counterpart and acknowledging the complex legal landscape that governs its use globally. While deeply embedded in the cultural identity of regions like Peru and Bolivia, the coca leaf and its reported effects are subject to modern scientific scrutiny and international drug control treaties.
Traditional and Anecdotal Benefits of Chewing Coca Leaves
For those in the Andes, chewing coca leaves is a daily ritual with a wide array of reported advantages. These benefits, passed down through generations, address the very real physical challenges of life at high altitudes, where lower oxygen levels and demanding physical labor are common.
- Relief from Altitude Sickness (Soroche): One of the most common and sought-after benefits, particularly by tourists, is its ability to help acclimatize to high altitudes. The leaves are believed to improve oxygen uptake and circulation, reducing symptoms like headaches, dizziness, and nausea. While the exact scientific mechanism is not fully understood, the reported relief is significant enough for it to be widely offered in hotels and markets in cities like Cusco.
- Energy and Stamina Boost: As a mild stimulant, chewing coca leaves helps combat fatigue and increases physical endurance, enabling laborers in fields and mines to work for extended periods. The gentle, sustained boost is often compared to coffee, but without the intense jitters or crash associated with stronger stimulants.
- Suppresses Hunger and Thirst: For those with limited food resources or engaged in strenuous activity, the leaves' appetite-suppressing qualities are a significant advantage. This was historically vital for Incan messengers and remains beneficial for modern-day hikers and farmers.
- Digestive and Analgesic Properties: The leaf has traditionally been used to aid digestion, treat stomach pains, and act as a mild anesthetic and painkiller. Its numbing properties can be used for dental pain or rheumatism when applied as a poultice.
- Rich in Nutrients: Traditional knowledge attributes a high nutritional value to the leaf, packed with vitamins and minerals. However, modern scientific studies have challenged this, noting that the quantities consumed traditionally provide negligible dietary benefits.
Coca Leaf vs. Refined Cocaine: A Critical Distinction
This is perhaps the most important aspect to clarify. While refined, illegal cocaine is derived from the coca plant, the effects of chewing the raw leaf are fundamentally different. The legal and health implications are driven by this misunderstanding.
Key Differences Between Traditional Coca Leaf and Refined Cocaine
| Feature | Traditional Coca Leaf Chewing | Refined Cocaine Use | 
|---|---|---|
| Preparation | Raw, dried leaves, often chewed with an alkaline substance like llipta. | Extracted and chemically processed to isolate and concentrate the cocaine alkaloid. | 
| Absorption | Slow, gradual, and incomplete absorption through the buccal membranes over several hours. | Rapid and complete absorption (nasal, injection, smoking) leading to intense effects within minutes. | 
| Intensity of Effect | Mild, gentle stimulant effect, similar to strong coffee. | Powerful, neuroexcitatory stimulant, causing euphoria and intense agitation. | 
| Addiction Potential | Not considered physiologically or psychologically addictive in its natural, traditional form. | Highly addictive with severe withdrawal symptoms and physiological dependence. | 
| Health Risks | Potential for dental issues, some chronic health concerns debated. | Severe health risks including cardiac events, stroke, seizures, and organ failure. | 
| Legality | Illegal internationally under UN treaties, though traditionally tolerated in some regions. | Illegal and strictly controlled worldwide. | 
The Complicated Legal Landscape of the Coca Leaf
The coca leaf's legal status is a point of contention, particularly between the Andean nations where it is culturally significant and the international community influenced by drug control treaties. The 1961 UN Single Convention on Narcotic Drugs listed the coca leaf alongside cocaine, requiring signatory nations to prohibit traditional use. This has criminalized an ancestral practice and led to conflict between international law and indigenous rights.
In recent years, countries like Bolivia have actively challenged this classification, requesting a critical review from the World Health Organization (WHO) to differentiate the traditional use of the leaf from illegal cocaine production. This has ignited debate about decolonizing drug policy and respecting indigenous traditions. However, the reality remains that for most of the world, possession and importation of coca leaves are illegal. This presents a significant challenge for travelers to the Andes, who must be aware that consuming coca products, even as a cultural experience, can lead to legal issues in their home countries.
Risks, Side Effects, and Drug Testing
While traditional consumption is not considered addictive, it is not without its risks and side effects. For habitual chewers, long-term use has been linked to potential dental problems. The alkaline substance (llipta) used to enhance alkaloid extraction can irritate the gums and oral mucosa, and a high correlation between chewing and periodontal damage has been observed. Additionally, historical studies, though contested, suggested chronic heavy chewing could reinforce social stagnation by affecting cognitive functions.
For modern travelers, a major risk is testing positive for cocaine metabolites on a drug test. This is a critical consideration for athletes, professionals, or anyone subject to drug screening. Even the small amounts of alkaloids absorbed through chewing or drinking coca tea are sufficient to trigger a positive result.
Conclusion: A Delicate Balance of Tradition and Modernity
The question of what are the benefits of chewing coca leaves is not a simple one. The practice offers genuine, if largely anecdotal, relief for those facing the rigors of high-altitude life and is deeply ingrained in Andean cultural identity. The distinction between chewing the natural leaf and abusing refined cocaine is paramount, as the effects and health consequences are vastly different. However, the international legal framework and the potential for adverse health effects, such as dental issues and failed drug tests, necessitate caution. While efforts continue to re-evaluate the coca leaf's classification to honor traditional use, visitors to the Andes must navigate these complexities with a full understanding of the historical, legal, and health factors involved. Respect for indigenous tradition must be balanced with the practical realities of international drug laws and potential personal consequences.