Through the history of humanity, every culture has made use of psychoactive substances. While smoking, eating and injecting have generated most interest, taking drugs through the nether regions has a remarkably long history.

Firstly, let’s get your burning question out of the way. The reason someone might want to administer drugs through the vagina or anus is because these areas have two properties that make them excellent drug delivery systems: they are moist and they have an excellent blood supply.

This means drugs will be absorbed into the bloodstream and reach the brain very quickly – often more quickly than if you drank the substance.

We know why this works due to medical research, but as we wander through the history of downstairs doping, you may wish to take a moment to reflect on how this remarkable fact was first discovered.

The earliest accounts of rectal administration of psychoactive drugs come from the Ancient Mayan civilization where ritual enemas were commonly used to induce states of trance and were widely depicted on carvings and pottery.

The image above is a Mayan carving depicting a priest giving reclining man a large ritual enema to the point where he sees winged reptile Gods flying overhead. Sorry hipsters, your parties suck.

It wasn’t just the Mayans, though. The historical use of psychoactive enemas was known throughout the Americas and is still used by traditional societies today.

Unfortunately, we know little about the history of similar practices in Africa but they are certainly present in traditional societies today – and largely known to mainstream science through documented medical emergencies.

In contrast, while it seems that enemas and douching were often used in Ancient Europe (for example, Aristides writes in his Sacred Tales that the goddess Athena appeared to him in a dream and recommended a honey enema – thanks your holiness), they do not seem to have been used for bottom-up drug taking.

However, there is some evidence that in medieval Europe, hallucinogenic ointments were applied to the vagina with some speculation that the ‘witch on a flying broomstick’ cliché arose due to the use of a broomstick-like applicator for strongly psychoactive drugs.

As the first synthesised psychoactive drugs became available in the 19th and early 20th Centuries, specialised delivery devices were quickly developed.

Cocaine was especially likely to be applied down-below because, although it makes you high, it is also an excellent local anaesthetic useful for discomfort and minor surgery. The development of cocaine tampons was considered a medical innovation that was “regarded as an especially effective treatment for gynecological diseases”.

The application of psychoactive drugs into the anus is a small but essential part of modern medicine. Status epilepticus is a medical emergency where someone has an epileptic seizure that doesn’t end by itself. It is potentially fatal.

The single best way of ending the seizure is through the use of drugs like lorazepam or diazepam (better known as Vallium). But if someone is unconscious and possibly shaking, trying to get them to swallow a pill could be very dangerous. Hence, the drug is often put straight into the back passage. This has saved countless lives and may, one day, save yours.

Recreationally, both vaginal and anal cocaine use have been reported in the medical literature and popular culture. Unfortunately though, most cases of cavity cocaine highs are not from recreational users but smugglers who have hidden drugs in their body and had the packets burst – sending them to hospital with drug toxicity.

For those wondering whether the modern world has truly mastered the art of the half-height high, you need look no further than ‘butt chugging’ – the frat boy practice of absorbing alcohol through the anus either via a tube or via a booze-soaked tampon.

Police reports suggested that the University of Tennessee chapter of the Pi Kappa Alpha fraternity decided to have a butt chugging party which promptly sent fraternity member Alexander Brougthon to the emergency room with alcohol poisoning.

This led to quite possibly one of the oddest incidents in the history of derrière drug taking: a live press conference where the entire fraternity and their lawyer addressed the media to deny the incident ever happened.

After the lawyer gives a strongly worded denial, Brougthon reads his statement. “The scandalous accusations surrounding that event never happened and I completely deny them,” he says. “At this point,” he continues, “my intent is to clear my name”.

One of the press pack asks a question. “Alexander, can you clarify what did happen that day?”

He looks distraught. “It’s a long story” he says.