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Family Piperaceae
Ikmo
Piper betle
BETEL PEPPER
Ch'ing Chu

Other scientific names  Common names 
P. anisodorum  Buyo (Bik.) 
P. anisumolens  Buyo-anis (Tag.) 
P. bathycarpum  Buyo-buyo (Bik.) 
P. blancoi  Buyog (Mbo.) 
P. canaliculatum  Buyok (C.Bis.) 
P. carnistylum  Buyu (Sul.) 
P. chavica  Gawed (Pang., It.) 
P. philippinense  Gaued (Ilk.) 
P. puberulinodum  Gok (Ibn.) 
Chavica betle  Ikmo (Tag.) 
Chavica siriboa  ikmong Iloko (Tag.) 
  Itmo  (Tag.)
  Kanisi (Bis.) 
  Mamin (Bis., Tag.) 
  Mamon (Bis.) 
  Samat (Pamp.) 
  Ch'ing Chu (Chin.)
  Betel leaf pepper (Engl.)
  Betel pepper (Engl.)

Gen info
There is an estimated total of 1200 species of Piper in the pantropical and neotropical regions. Works on Philippine wild Piperaceae have been extensive. Candole (1910) reported 133 species of Piper and 26 of Peperomia; Merill (1923), 115 Piper, 25 Peperomia, and Quisumbing (1930), documented 87 Piper and 21 Peperomia.

Botany
Ikmo is a dioecious, smooth climbing vine reaching a height of 2 to 4 meters. Upper leaves are usually oblong-elliptic, oblong-ovate or ovate, 6 to 17.5 cm long, 3.5 to 10 cm wide, mostly 7-plinerved, smooth on both surfaces. Male spikes are subpendulous, slender, 7 to 13.5 cm long, and 2 to 3.5 mm in diameter. Rachis is hairy. Stamens are two, stalked, 0.75 to 1 mm long; and the anthers reniform. Female spikes, when mature, are red, fleshy, oblong to elongated oblong, 3 to 8 cm long, and 0.5 to 1 cm thick. Rachis is hairy, and the bracts stalkless, peltate, with a smooth disk, transversely oblong to suborbicular, and about 1 cm wide. Fruit is coalescing, fully embeded in the pulp and concrescent with the rachis. Seeds are smooth, oblong to globose-obovoid, 2.25 to 2.6 mm long, and about 2 mm in diameter. Stigmas are 4 to 6, and rarely, 3.

Distribution
- Cultivated throughout the Philippines.
- Wild in most provinces of Luzon.

- Found in India to Malaya.

Parts utilized and preparation
Vines and leaves.
May be collected throughout the year.
Rinse, cut into pieces, sun-dry.


Constituents
- Chief constituent of the leaves is the volatile oil, Betel oil.
- Contains two phenols, betelphenol (chavibetol) and chavhicol.
- Leaves reported to yield an alkaloid: arakene, with properties similar to cocaine.
- Volatile oil, 0.8 - 1.8% - chavicol, betelphenol, eugenol, allyl pyrocatechin, terpene, cineol, caryophyllene, cadinene, menthone.
- Chemical compositions of essential oil differ: safrole in the leaf, stalk, stem and root, ß-phellandrene in the fruit.
- Younger leaves reported to yield more essential oil.
- Leaf and other plant parts have yielded active compounds: hydroxychavicol, hydroxychavicol acetate, allypyrocatechol, chavibetol, piperbetol, methylpiperbetol, piperol A and piperol B.

Properties
- Pungent tasting and warming.
- Leaves considered antitussive, carminative, astringent (juice of leaves with oil), stimulant, expectorant, antiseptic, sialagogue, stomachic, febrifuge and aphrodisiac.
- Chavicol considered an antiseptic, twice as strong and isometric with eugenol.
- Characteristic odor of leaves and oil is due to chavicol.
- Relieves gastrointestinal disorders.
- Betel oil is a light-yellow to dark-brown liquid, often aromatic, somewhat creosotelike in odor, with a sharp burning taste.
- As a masticatory, leaves described as warm, aromatic and bitter.


Uses
Folkloric
· In the Philippines, fresh, crushed leaves used as antiseptic for cuts and wounds.
· Leaves, together with lime and betel nut, constitute the Filipino's masticatory. Its use believed to help preserve the teeth and a prophylactic against stomach complaints.
· Leaves greased with with lard or sesame oil, used by Filipinos as carminative; applied to the abdomen of childre suffering from gastric disorders.
· Juice of leaves used as stomachic.
· In China, roots, leaves and fruits considered carminative, stimulant, corrective, and prophylactic; used for the prevention and treatment of malaria.
· Used for rheumatic bone pains
· Gastric pain due to exposure to wind, indigestion.
· Flatulence or tympanism: Spread oil on leaf, warm, and apply on abdomen.
· Warm poultice of leaves and oil (coconut) applied to chest of children for catarrhal and pulmonary affections, congestion and other affections of the liver.
· Leaves used as resolvent for glandular swellings.
· Oil used as gargle or as inhalant in diphtheria.
· In India, leaves are warmed and applied in layers to arrest secretion of milk.
· Leaves applied to the temples to relieve headache.
· Chewing betel leaves early in the morning done to remove foulness of the mouth, sweeten the breath and improve the voice.
· In China, oil used as counterirritant in swellings, bruises, painful sores and enlarged glands.
· Used for bronchial asthma.
· Dosage: use 9 to 15 gms dried material or 30 to 60 gms fresh material in decoction.
· Juice of leaves used as stomachic and febrifuge.
· Applied as a poultice (dikdik-tapal) on the stomach of infants for colic; for skin inflammation.
· In India, leaves used for treating eczema, lymphangitis, asthma and rheumatism.
· Paste of crushed leaves applied to cuts and wounds.
· Roots with black pepper used to produce sterility in women.
· Oil used for inflammation of the throat, larynx and bronchi; also, used as a gargle and inhalation in diphtheria.
Others
- A ritual masticatory – The Filipinos, Hindus, Malays, Siamese, Cambodians, Annamites and Chinese use the leaves as a masticatory. In the Philippines, it is dabbed with small amounts of apog (lime) and wrapped around a (scraped) betel nut, chewed as "nga-nga."
Also known as buyo or hitsu.

Studies
•Anti-Platelet Aggravating Factory:
Evaluation of Piper betle on Platelet Activating Factor (PAF) Receptor Binding Activities: Results showed antagonistc activity towards the PAF (platelet activating factor) in rabbit platelet receptor binding studies.
Phenolics / Anti-Photosensitizer: Inhibitory property of the Piper betel phenolics against photosensitization-induced biological damages: PB phenolics, allylpyrocatechol (APC) may play a role in protecting biological systems against damage by eliminating O2 generated from certain endogenous photosensitizers.
Antioxidant / Hepatoprotective: Influence of Piper betle on Hepatic Marker Enzymes and Tissue Antioxidant Status in Ethanol-Treated Wistar Rats: Results indicate P. betle provide a significant hepatoprotective and antioxidant effect.
Antibacterial: Study showed PB had a broad spectrum of antibacterial activity against all test pathogens, including Rastonia, Xanthomonas and Erwinia. Test also showed that PB solvent extract had an action superior to streptomycin.
Hepatoprotective / Chemopreventive / Anti-Liver Fibrosis: Protection effect of piper betel leaf extract against carbon tetrachloride-induced liver fibrosis in rats: Study supports a chemopreventive potential of PB leaves against liver fibrosis.
Antioxidant: (1) Study showed the extract to inhibit the radiation-induced lipid peroxidation process effectiviely with elevation of the antioxidant status in the study animals. (2) The frequent blood transfusions in HbE-beta thalassemia cause an iron overload that triggers an enhanced generation of free radicals. The study showed the ethanolic extract of Piper betle has promising antioxidant activity against erythrocytes from patients with HbE-beta thalassemia.
Chemical Constituents / Insect Attractant Property: Study yielded chavibetol and B-sitosterol from the petroleum ether extract and allylpyrocatechol from the methanol extract. Field tests in a cornfield using traps containing the extracts did not detech adult moths of Ostrinia salentialis.
Pro-apoptoti Effect / Anti-Leishmaniasis: In a comparative in vitro anti-leishmanial activity of methanolic extracts from two landraces of Piper betle. The PB-BM (P betle landrace Bangla Mahoba) selectively inhibited both stages of Leishmania parasites without macrophage cytotoxicity. The efficacy mediated through apoptosis is probably due to higher content of eugenol.
Bacteriostatic / Dental Plaque: (1) A study investigating the bacteriostatic effect of Piper betle and P guajava showed both extracts have bacteriostatic effect on the plaque bacteria through suppression of growth and propagation of cells. Results suggest the decoction of plants would be a suitable if used in the control of dental plaque. (2) Results of study showed the crude extract of P betle leaves may exert anticariogenic activities related to a decrease in acid production and changes to the ultrastructure of S mutans.
Antihyperglycemic / Diabetes: Study evaluated the effect of P betle on glucose metabolish since it is consumed as betel-quid after meals. Results showed that P betle intake infuences glucose metabolism beneficially.
Antioxidant in STZ-Diabetic Rats: Study showed the leaf suspension of P betle showed significant antioxidant effects in STZ diabetic rats.

Potential Natural Antioxidant: Study was carried out on CEE (cold ethanolic extract), HWE (hot water extract) and EO (essential oil) of the leaves of P betle grown in Sri Lanka. The initial free radical scavenging activity was higher in CEE. There were no deviation sin the the antioxidant activity of the 3 extracts up to 12 months. CEE extended the shelf-life of potato chips and increased the stability of Aloe gel.
Carcinogenicity: Study of rats on rats fed a dry powder of betel nuts, leaves and lime showed epidermal thickening in the upper digestive tracts in rats fed the betel nut mixed with lime and the betel leaves diet. A forestomach papilloma was seen in one rat on betel leaves diet. The epidermal changes were scarcely seen in rats on either betel nut or normal diet alone.
Allypyrocatechol / Gastroprotective / Anti-Ulcer: The piper betel phenol, allypyrocatechol, its major antioxidant constituent, showed it can protect against indomethacin-induced gastric ulceration due to its antioxidant and mucin protecting properties.
Neuroprotective in Brain Alcohol Toxicity: The brain of ethanol-treated rats exhibited increased levels of lipids, lipid peroxidation and disturbances in antioxidant defenses. Study showed neuroprotective effects of P betle in experimetally induced alcohol toxicity.
Antibacterial / Antifungal / Essential Oil: Essential oil from common betel was against against E coli, Pseudomonas aeruginosa, Staph aureus and Strep pyogenes. The major compound in the oil from the leaf, stem, stalk and root was saffrole; from the fruit, ß-phellandrene. Antifungal activity against Clodosporium sp. indicate the essential oil possesses at least one fungicidal compound.
Antihistaminic / Essential Oil: Study was done of P. betel ethanolic extract and essential oil on its effects on histamine aerosol-induced bronchoconstriction in whole guinea pig. Results conclude the ethanolic extract and essential oil possess antihistaminic activity.
Skin Antiseptic: Study evaluated the effectiveness of a 20% Piper betle leaf infusion as an antiseptic solution in pre-surgery cataract patients. Results showed the infusion to have an antiseptic potential. However, the 10% povidone-iodine solution was more effective antiseptic capability.
Anti-Ulcer / Wound Healing / Antioxidant: Study showed a significant healing effect on NSAID-induced peptic ulcer in albino rats. The healing action was attributed to the free radical scavenging activity of the plant extract. APC, one of the phenol constituents showed significant protection against indomethacin-induced ulcers in Sprague-Dawley rats. The protection was correlated with antioxidative and mucin-protecting properties.

Concerns
Contact Dermatitis: Betel quid assembly is commonly causes contact dermatitis, most of it is irritant caused by alkaline slaked lime (apog). Occasional cases are caused by the P betle inflorescence.
Betel Chewer's Cancer: Chronic users have been warned on observed cases of buccal cancer.

Availability
Wild-crafted. 


Last Update May 2011

Photos © Godofredo Stuart / StuartXchange
OTHER IMAGE SOURCE: Public Domain / File:Piper betle Blanco1.12.png / Flora de Filipinas / 1880 - 1883 / Francisco Manuel Blanco (O.S.A) / Wikimedia Commons

Additional Sources and Suggested Readings
(1)
Evaluation of Piper betle on Platelet Activating Factor (PAF) Receptor Binding Activities
(2)
Inhibitory property of the Piper betel phenolics against photosensitization-induced biological damages / Soumyaditya Mulaa et al / Bioorganic & Medicinal Chemistry, Vol 16, Issue 6, 15 March 2008, Pages 2932-2938 / doi:10.1016/j.bmc.2007.12.052
(3)
Influence of Piper betle on Hepatic Marker Enzymes and Tissue Antioxidant Status in Ethanol-Treated Wistar Rats / R Saravanan et al / Journal of Medicinal Food. December 2002, 5(4): 197-204. doi:10.1089/109662002763003348.
(4)
Antibacterial Property of Piper Betle L. / Lirio L G / La Trinidad, Benguet / Benguet State University, 2001
(5)

Protection effect of piper betel leaf extract against carbon tetrachloride-induced liver fibrosis in rats /
Shun-Chieh Young et al / Archives of Toxicology, Volume 81, Number 1 / January, 2007 / DOI 10.1007/s00204-006-0106-0
(6)
Ethnoveterinary study for antidermatophytic activity of Piper betle, Alpinia galanga and Allium ascalonicum extracts in vitro / N. Trakrangungsle et al / Research in Veterinary Science Volume 84, Issue 1, February 2008, Pages 80-84 / doi:10.1016/j.rvsc.2007.03.006
(7)
Antioxidant and non-toxic properties of piper betle leaf extract: In vitro and in vivo studies / CHOUDHARY Dharamainder and KALE Raosaheb K. / PTR. Phytotherapy research • 2002, vol. 16, no5, pp. 461-466 /
(8)
Study on the Chemical Constituents of Piper betle L. in Relation to their Possible Insect Attractant Property / Yusoff Z et al / Journal of Science, 24 (1). pp. 143-147. ISSN 13943065
(9)
Pro-apoptotic effect of the landrace Bangla Mahoba of Piper betle on Leishmania donovani may be due to the high content of eugenol / Pragya Misra et al / J Med Microbiol 58 (2009), 1058-1066; DOI: 10.1099/jmm.0.009290-0
(10)
Bacteriostatic Effect of Piper betle and Psidium guajava Extracts on Dental Plaque Bacteria / A.R. Fathilah, Z.H.A. Rahim et al / Pakistan Journal of Biological Sciences Year: 2009 | Volume: 12 • Issue: 6 • Page No.: 518-521 / DOI: 10.3923/pjbs.2009.518.521
(11)
Antihyperglycemic activity of Piper betle leaf on streptozotocin-induced diabetic rats / Santhaikumari P et al / J Med Food. 2006 Spring;9(1):108-12.
(12)
Piper betle L. inflorescence causes allergic contact dermatitis during betel quid assembly / Bour-Jr Wang et al / Contact Dermatitis 2008:58; 368-370
(13)
Antioxidant Effect of Ethanolic Extract of Piper betle Linn. on erythrocytes from patients with HbE-beta thalassemia / Indian Journal of Biochem & Biophysics, Vol 46, June 2009, pp 241-246
(14)
MODULATION OF OXIDATIVE STRESS PARAMETERS BY TREATMENT WITH PIPER BETLE LEAF IN STREPTOZOTOCIN INDUCED DIABETIC RATS / P Santhakumari et al / Indian Journal of Pharmacology 2003; 35: 373-378
(15)
Piper betle: a potential natural antioxidant / Lakshmi Arambewela et al / International Journal of Food Science & Technology, Volume 41 Issue s1, Pages 10 - 14 / DOI 10.1111/j.1365-2621.2006.01227.x
(16)
Carcinogenicity examination of betel nuts and piper betel leaves / H Mori et al / Cellular and Molecular Life Sciences, Vol 35, No 3, March 1979
(17)
Healing property of the Piper betel phenol, allylpyrocatecholagainst indomethacin-induced stomach ulceration andmechanism of action / S Bhattacharya et al / World J Gastroenterol 2007 July 21; 13(27): 3705-3713
(18)
Effect of Piper betle Leaf Extract on Alcoholic Toxicity in the Rat Brain / R Saravanan et al / Journal of Medicinal Food. October 2003, 6(3): 261-265. doi:10.1089/10966200360716689.
(19)
The Crude Aqueous Extract of Piper betle L. and its Antibacterial Effect Towards Streptococcus mutans / T Nalina et al / American Journal of Biotechnology and Biochemistry 3 (1): 10-15, 2007
(20)
Studies on Piper betle of Sri Lanka / Lakshmi Arambewela, K G A Kumaratunga and Kalyani Dias / J. Natn. Sci. Foundation Sri Lanka, 2005, 33(2):133-139.
(21)
Evaluation of antihistaminic activity of Piper betel leaf in guinea pig / Rahul Hajare, V M Darvhekar et al / African Journal of Pharmacy and Pharmacology Vol. 5(2), pp. 113-117, February 2011
(22)
Effectiveness of Piper betle leaf infusion as a palpebral skin antiseptic / Husnun Amallia, Ratna Sitompul, Johan Hutauruk et al / Universa Medicina, May-Aug 2009, Vol 28, No 2.
(23)
Piper betle Linn. a maligned Pan-Asiatic plant with an array of pharmacological activities and prospects for drug discovery / Nikhil Kumar, Pragya Misra, Anuradha Dube et al / CURRENT SCIENCE, VOL. 99, NO. 7, 10 OCTOBER 2010


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