Native Americans use bearberry leaves with tobacco and other herbs in religious ceremonies, both as a smudge (type of incense) or smoked in a sacred pipe carrying the smoker's prayers to the Great Spirit. When mixed with tobacco or other herbs, it is referred to as kinnikinnick, from an Algonquian (probably Delaware) word for "mixture". Among the ingredients in kinnikinnick were non-poisonous sumac leaves, and the inner bark of certain bushes such as red osier dogwood (silky cornell), chokecherry, and alder, to improve the taste of the bearberry leaf.