Brugmansia have been used traditionally in many South American indigenous cultures in medical preparations and as an entheogen in religious or spiritual ceremonies. Medicinally, they have mostly been used externally as part of a poultice, tincture, ointment, or where the leaves are directly applied transdermally to the skin. Traditional external uses have included the treating of aches and pains, dermatitis, orchitis, arthritis, rheumatism, headaches, infections, and as an anti-inflammatory.