
Betel nut chewing, also called betel quid chewing or areca nut chewing, is a practice in which
areca nut
The areca nut ( or ) or betel nut () is the fruit of the areca palm (''Areca catechu''). The palm is originally native to the Philippines, but was carried widely through the tropics by the Austronesian migrations and trade since at least 15 ...
s (also called "betel nuts") are chewed together with
slaked lime
Calcium hydroxide (traditionally called slaked lime) is an inorganic compound with the chemical formula Ca( OH)2. It is a colorless crystal or white powder and is produced when quicklime ( calcium oxide) is mixed with water. Annually, approxim ...
and
betel leaves for their
stimulant
Stimulants (also known as central nervous system stimulants, or psychostimulants, or colloquially as uppers) are a class of drugs that increase alertness. They are used for various purposes, such as enhancing attention, motivation, cognition, ...
and
narcotic
The term narcotic (, from ancient Greek ναρκῶ ''narkō'', "I make numb") originally referred medically to any psychoactive compound with numbing or paralyzing properties. In the United States, it has since become associated with opiates ...
effects, the primary psychoactive compound being
arecoline
Arecoline is a cholinergic agent, stimulant, and natural product, naturally occurring alkaloid found in areca nut, areca (betel) nuts of the areca palm (''Areca catechu'') found in South Asia, South and Southeast Asia. Its effects, depending on ...
. The practice is widespread in
Southeast Asia
Southeast Asia is the geographical United Nations geoscheme for Asia#South-eastern Asia, southeastern region of Asia, consisting of the regions that are situated south of China, east of the Indian subcontinent, and northwest of the Mainland Au ...
,
Micronesia
Micronesia (, ) is a subregion of Oceania, consisting of approximately 2,000 small islands in the Northwestern Pacific Ocean. It has a close shared cultural history with three other island regions: Maritime Southeast Asia to the west, Poly ...
,
Island Melanesia
Island Melanesia is a subregion of Melanesia in Oceania.
It is located east of New Guinea island, from the Bismarck Archipelago to New Caledonia.Steadman, 2006. ''Extinction & biogeography of tropical Pacific birds''
See also Archaeology a ...
, and
South Asia
South Asia is the southern Subregion#Asia, subregion of Asia that is defined in both geographical and Ethnicity, ethnic-Culture, cultural terms. South Asia, with a population of 2.04 billion, contains a quarter (25%) of the world's populatio ...
. It is also found among both
Han Chinese
The Han Chinese, alternatively the Han people, are an East Asian people, East Asian ethnic group native to Greater China. With a global population of over 1.4 billion, the Han Chinese are the list of contemporary ethnic groups, world's la ...
immigrants and indigenous peoples of
Taiwan
Taiwan, officially the Republic of China (ROC), is a country in East Asia. The main geography of Taiwan, island of Taiwan, also known as ''Formosa'', lies between the East China Sea, East and South China Seas in the northwestern Pacific Ocea ...
,
Madagascar
Madagascar, officially the Republic of Madagascar, is an island country that includes the island of Madagascar and numerous smaller peripheral islands. Lying off the southeastern coast of Africa, it is the world's List of islands by area, f ...
, and parts of southern China. It was introduced to the
Caribbean
The Caribbean ( , ; ; ; ) is a region in the middle of the Americas centered around the Caribbean Sea in the Atlantic Ocean, North Atlantic Ocean, mostly overlapping with the West Indies. Bordered by North America to the north, Central America ...
in colonial times.
The preparation combining the areca nut,
slaked lime
Calcium hydroxide (traditionally called slaked lime) is an inorganic compound with the chemical formula Ca( OH)2. It is a colorless crystal or white powder and is produced when quicklime ( calcium oxide) is mixed with water. Annually, approxim ...
, and betel (Piper betle) leaves is known as a betel quid (also called ''paan'' or ''pan'' in South Asia), but the exact composition of the mixture varies geographically. It can sometimes include other substances for flavoring and to freshen the breath, like
coconut
The coconut tree (''Cocos nucifera'') is a member of the palm tree family (biology), family (Arecaceae) and the only living species of the genus ''Cocos''. The term "coconut" (or the archaic "cocoanut") can refer to the whole coconut palm, ...
,
dates
Date or dates may refer to:
* Date, the fruit of the date palm (''Phoenix dactylifera'')
* Jujube, also known as red date or Chinese date, the fruit of ''Ziziphus jujuba''
Social activity
*Dating, a form of courtship involving social activit ...
, sugar,
menthol
Menthol is an organic compound, specifically a Monoterpene, monoterpenoid, that occurs naturally in the oils of several plants in the Mentha, mint family, such as Mentha arvensis, corn mint and peppermint. It is a white or clear waxy crystallin ...
,
saffron
Saffron () is a spice derived from the flower of '' Crocus sativus'', commonly known as the "saffron crocus". The vivid crimson stigma and styles, called threads, are collected and dried for use mainly as a seasoning and colouring agent ...
,
cloves
Cloves are the aromatic flower buds of a tree in the family Myrtaceae, ''Syzygium aromaticum'' (). They are native to the Maluku Islands, or Moluccas, in Indonesia, and are commonly used as a spice, flavoring, or fragrance in consumer products, ...
,
aniseed
Anise (; '), also called aniseed or rarely anix, is a flowering plant in the family Apiaceae native to the eastern Mediterranean region and Southwest Asia.
The flavor and aroma of its seeds have similarities with some other spices and herbs, ...
,
cardamom
Cardamom (), sometimes cardamon or cardamum, is a spice made from the seeds of several plants in the genus (biology), genera ''Elettaria'' and ''Amomum'' in the family Zingiberaceae. Both genera are native to the Indian subcontinent and Indon ...
, and many others. The areca nut can be replaced with tobacco or the two chewed together, and the
betel leaves can be excluded. In
West Papua, the leaf may be replaced with stem and inflorescence of the ''Piper betle'' plant. The preparation is not swallowed but is spat out after chewing. Chewing results in permanent red stains on the teeth after prolonged use. The spit from chewing betel nuts, which also results in red stains, is often regarded as unhygienic and an eyesore in public facilities in certain countries.
Betel nut chewing is addictive and causes adverse health effects, mainly oral
The word oral may refer to:
Relating to the mouth
* Relating to the mouth, the first portion of the alimentary canal that primarily receives food and liquid
**Oral administration of medicines
** Oral examination (also known as an oral exam or ora ...
and esophageal cancer
Esophageal cancer (American English) or oesophageal cancer (British English) is cancer arising from the esophagus—the food pipe that runs between the throat and the stomach. Symptoms often include dysphagia, difficulty in swallowing and weigh ...
s, and cardiovascular disease. When chewed with additional tobacco in its preparation (like in gutka
Gutka, ghutka, or guṭkha () is a type of betel quid and chewing tobacco preparation made of crushed areca nut (also called betel nut), tobacco, catechu, paraffin wax, slaked lime (calcium hydroxide) and sweet or savory flavourings, in India ...
), there is an even higher risk, especially for oral and oropharyngeal cancer
Oropharyngeal cancer, also known as oropharyngeal squamous cell carcinoma and tonsil cancer, is a disease in which abnormal cells with the potential to both grow locally and spread to other parts of the body are found in the oral cavity, in the t ...
s. With tobacco it also raises the risk of fatal coronary artery disease
Coronary artery disease (CAD), also called coronary heart disease (CHD), or ischemic heart disease (IHD), is a type of cardiovascular disease, heart disease involving Ischemia, the reduction of blood flow to the cardiac muscle due to a build-up ...
, fatal stroke, and adverse reproductive effects including stillbirth
Stillbirth is typically defined as fetus, fetal death at or after 20 or 28 weeks of pregnancy, depending on the source. It results in a baby born without vital signs, signs of life. A stillbirth can often result in the feeling of guilt (emotio ...
, premature birth
Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is betwee ...
and low birth weight
Low birth weight (LBW) is defined by the World Health Organization as a birth weight of an infant of or less, regardless of gestational age. Infants born with LBW have added health risks which require close management, often in a neonatal inten ...
.
The practice of betel nut chewing originates from Southeast Asia where the plant ingredients are native. The oldest evidence of betel nut chewing is found in a burial pit in the Duyong Cave site of the Philippines
The Philippines, officially the Republic of the Philippines, is an Archipelagic state, archipelagic country in Southeast Asia. Located in the western Pacific Ocean, it consists of List of islands of the Philippines, 7,641 islands, with a tot ...
, an area where areca palm Areca palm is a common name for several plants and may refer to:
*''Areca'', a genus of palms
*''Dypsis lutescens'', a palm which is a popular houseplant
*''Areca catechu
''Areca catechu'' is a species of palm native to the Philippines culti ...
s were native, dated to around 4,630±250 BP. Its diffusion is closely tied to the Neolithic
The Neolithic or New Stone Age (from Ancient Greek, Greek 'new' and 'stone') is an archaeological period, the final division of the Stone Age in Mesopotamia, Asia, Europe and Africa (c. 10,000 BCE to c. 2,000 BCE). It saw the Neolithic Revo ...
expansion of the Austronesian peoples
The Austronesian people, sometimes referred to as Austronesian-speaking peoples, are a large group of peoples who have settled in Taiwan, maritime Southeast Asia, parts of mainland Southeast Asia, Micronesia, coastal New Guinea, Island Melan ...
. It was spread to the Indo-Pacific during prehistoric times, reaching Micronesia
Micronesia (, ) is a subregion of Oceania, consisting of approximately 2,000 small islands in the Northwestern Pacific Ocean. It has a close shared cultural history with three other island regions: Maritime Southeast Asia to the west, Poly ...
at 3,500 to 3,000 BP, Near Oceania
Near Oceania is the part of Oceania that features greater biodiversity, due to the islands and atolls being closer to each other. The distinction of Near Oceania and Remote Oceania was first suggested by Pawley & Green (1973) and was further el ...
at 3,400 to 3,000 BP; South India
South India, also known as Southern India or Peninsular India, is the southern part of the Deccan Peninsula in India encompassing the states of Andhra Pradesh, Karnataka, Kerala, Tamil Nadu and Telangana as well as the union territories of ...
and Sri Lanka
Sri Lanka, officially the Democratic Socialist Republic of Sri Lanka, also known historically as Ceylon, is an island country in South Asia. It lies in the Indian Ocean, southwest of the Bay of Bengal, separated from the Indian subcontinent, ...
by 3,500 BP; Mainland Southeast Asia
Mainland Southeast Asia (historically known as Indochina and the Indochinese Peninsula) is the continental portion of Southeast Asia. It lies east of the Indian subcontinent and south of Mainland China and is bordered by the Indian Ocean to th ...
by 3,000 to 2,500 BP; Northern India
North India is a geographical region, loosely defined as a cultural region comprising the northern part of India (or historically, the Indian subcontinent) wherein Indo-Aryans (speaking Indo-Aryan languages) form the prominent majority populati ...
by 1500 BP; and Madagascar
Madagascar, officially the Republic of Madagascar, is an island country that includes the island of Madagascar and numerous smaller peripheral islands. Lying off the southeastern coast of Africa, it is the world's List of islands by area, f ...
by 600 BP. From India it spread westwards to Persia
Iran, officially the Islamic Republic of Iran (IRI) and also known as Persia, is a country in West Asia. It borders Iraq to the west, Turkey, Azerbaijan, and Armenia to the northwest, the Caspian Sea to the north, Turkmenistan to the nort ...
and the Mediterranean
The Mediterranean Sea ( ) is a sea connected to the Atlantic Ocean, surrounded by the Mediterranean basin and almost completely enclosed by land: on the east by the Levant in West Asia, on the north by Anatolia in West Asia and Southern ...
. It was present in the Lapita culture
The Lapita culture is the name given to a Neolithic Austronesian peoples, Austronesian people and their distinct material culture, who settled Island Melanesia via a seaborne migration at around 1600 to 500 BCE. The Lapita people are believed t ...
, based on archaeological remains dated from 3,600 to 2,500 BP, but it was not carried into Polynesia
Polynesia ( , ) is a subregion of Oceania, made up of more than 1,000 islands scattered over the central and southern Pacific Ocean. The indigenous people who inhabit the islands of Polynesia are called Polynesians. They have many things in ...
.
Culture
One of the earliest firsthand accounts of betel nut chewing by western authors was from Ibn Battuta
Ibn Battuta (; 24 February 13041368/1369), was a Maghrebi traveller, explorer and scholar. Over a period of 30 years from 1325 to 1354, he visited much of Africa, the Middle East, Asia and the Iberian Peninsula. Near the end of his life, Ibn ...
. He describes this practice as follows:
An early European description of betel chewing is from the Magellan Expedition
The Magellan expedition, sometimes termed the MagellanElcano expedition, was a 16th-century Spanish Empire, Spanish expedition planned and led by Portuguese Empire, Portuguese explorer Ferdinand Magellan. One of the most important voyages in th ...
to the Philippines
The Philippines, officially the Republic of the Philippines, is an Archipelagic state, archipelagic country in Southeast Asia. Located in the western Pacific Ocean, it consists of List of islands of the Philippines, 7,641 islands, with a tot ...
in 1521. Antonio Pigafetta
Antonio Pigafetta (; – c. 1531) was a Venetian scholar and explorer. In 1519, he joined the Spanish expedition to the Spice Islands led by Portuguese explorer Ferdinand Magellan, the world's first Magellan's circumnavigation, circumnavigation, ...
describes the practice of betel nut chewing among the natives of the Rajahnate of Butuan
Butuan, sometimes referred to as the Kingdom of Butuan (; Butuanon: ; ; ), was a precolonial Bisaya Hindu polity (''lungsod'') centered around northeastern Mindanao island in present-day Butuan, Philippines. It was known for its gold mining, ...
.
Betel quid chewing constitutes an important and popular cultural activity in many Asian and Oceanic countries, including India
India, officially the Republic of India, is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area; the List of countries by population (United Nations), most populous country since ...
, Bangladesh
Bangladesh, officially the People's Republic of Bangladesh, is a country in South Asia. It is the List of countries and dependencies by population, eighth-most populous country in the world and among the List of countries and dependencies by ...
, Myanmar
Myanmar, officially the Republic of the Union of Myanmar; and also referred to as Burma (the official English name until 1989), is a country in northwest Southeast Asia. It is the largest country by area in Mainland Southeast Asia and has ...
, Cambodia
Cambodia, officially the Kingdom of Cambodia, is a country in Southeast Asia on the Mainland Southeast Asia, Indochinese Peninsula. It is bordered by Thailand to the northwest, Laos to the north, and Vietnam to the east, and has a coastline ...
, the Solomon Islands
Solomon Islands, also known simply as the Solomons,John Prados, ''Islands of Destiny'', Dutton Caliber, 2012, p,20 and passim is an island country consisting of six major islands and over 1000 smaller islands in Melanesia, part of Oceania, t ...
, Thailand
Thailand, officially the Kingdom of Thailand and historically known as Siam (the official name until 1939), is a country in Southeast Asia on the Mainland Southeast Asia, Indochinese Peninsula. With a population of almost 66 million, it spa ...
, the Philippines
The Philippines, officially the Republic of the Philippines, is an Archipelagic state, archipelagic country in Southeast Asia. Located in the western Pacific Ocean, it consists of List of islands of the Philippines, 7,641 islands, with a tot ...
, Laos
Laos, officially the Lao People's Democratic Republic (LPDR), is the only landlocked country in Southeast Asia. It is bordered by Myanmar and China to the northwest, Vietnam to the east, Cambodia to the southeast, and Thailand to the west and ...
, and Vietnam
Vietnam, officially the Socialist Republic of Vietnam (SRV), is a country at the eastern edge of mainland Southeast Asia, with an area of about and a population of over 100 million, making it the world's List of countries and depende ...
. Chewing betel was once common in Malaysia
Malaysia is a country in Southeast Asia. Featuring the Tanjung Piai, southernmost point of continental Eurasia, it is a federation, federal constitutional monarchy consisting of States and federal territories of Malaysia, 13 states and thre ...
, but the practice has long since died out. Betel nut kits (''tepak sirih'') made of silver and other precious metals, once featured in royal regalia and presented as wedding gifts, have become collectors' items, and a ''tepak sirih'' set is featured on the 1989–2012 series Malaysian 20-sen coin.
In urban areas, chewing betel quid is generally considered a nuisance because some chewers spit the betel quid juice out in public areas – compare chewing gum ban in Singapore and smoking ban
Smoking bans, or smoke-free laws, are public policies, including criminal laws and occupational safety and health regulations, that prohibit tobacco smoking in certain spaces. The spaces most commonly affected by smoking bans are indoor employ ...
. The red stain generated by the combination of ingredients when chewed are known to make a colourful stain on the ground. This is becoming an unwanted eyesore in Indian cities such as Mumbai, although many see it as an integral part of Indian culture. This is also common in some of the Persian Gulf countries, such as the UAE and Qatar, where many Indians live. Recently, the Dubai government has banned the import and sale of betel quid and the like.
According to traditional Ayurvedic medicine
Ayurveda (; ) is an alternative medicine system with historical roots in the Indian subcontinent. It is heavily practised throughout India and Nepal, where as much as 80% of the population report using ayurveda. The theory and practice of ayur ...
, chewing betel leaf is a remedy against bad breath (halitosis
Bad breath, also known as halitosis, is a symptom in which a noticeably unpleasant breath odour is present. It can result in anxiety among those affected. It is also associated with depression and symptoms of obsessive compulsive disorder.
Th ...
).
Cambodia, Laos and Thailand
The chewing of the product is part of the culture of Cambodia
Throughout Cambodia's long history, religion has been a major source of cultural inspiration. Over nearly two millennia, Cambodians have developed a unique Cambodian culture and belief system from the syncreticism of indigenous animistic belie ...
, Laos
Laos, officially the Lao People's Democratic Republic (LPDR), is the only landlocked country in Southeast Asia. It is bordered by Myanmar and China to the northwest, Vietnam to the east, Cambodia to the southeast, and Thailand to the west and ...
, and Thailand
Thailand, officially the Kingdom of Thailand and historically known as Siam (the official name until 1939), is a country in Southeast Asia on the Mainland Southeast Asia, Indochinese Peninsula. With a population of almost 66 million, it spa ...
. Cultivation of areca nut palm and betel leaves is common in rural areas of these countries, being a traditional cash crop
A cash crop, also called profit crop, is an Agriculture, agricultural crop which is grown to sell for profit. It is typically purchased by parties separate from a farm. The term is used to differentiate a marketed crop from a staple crop ("subsi ...
, and the utensils used for preparation are often treasured. Now, many young people have given up the habit, especially in urban areas, but many, especially older people, still keep to the tradition.
Bangladesh
In Bangladesh
Bangladesh, officially the People's Republic of Bangladesh, is a country in South Asia. It is the List of countries and dependencies by population, eighth-most populous country in the world and among the List of countries and dependencies by ...
, ''paan'' is chewed throughout the country by all classes and is an important element of Bangladeshi culture. It is the Bengali 'chewing gum', and usually for chewing, a few slices of the betel nut are wrapped in a betel leaf, almost always with sliced areca nuts and often with calcium hydroxide (slaked lime), and may include cinnamon, clove, cardamom, catechu (khoyer), grated coconut and other spices for extra flavouring. As it is chewed, the peppery taste is savoured, along with the warm feeling and alertness it gives, similar to drinking a fresh cup of coffee.
Paan-shupari (shupari being Bengali for areca nut) is a veritable Bangladeshi archetypal imagery, employed in wide-ranging contexts. Prior to British rule, it was chewed without tobacco, and it is still rarely chewed with tobacco. Betel leaves are arranged aesthetically on a decorated plate called paandani. During the zamindari
A zamindar in the Indian subcontinent was an autonomous or semi-autonomous Indian feudalism, feudal lord of a ''zamindari'' (feudal estate). The term itself came into use during the Mughal Empire, when Persian language, Persian was the offi ...
age, paan preparation and the style of garnishing it on a plate (paandani) was indeed a recognised folk art.
In Bangladesh paan is traditionally chewed not only as a habit but also as an item of rituals, etiquette and manners. On formal occasions offering paan symbolized the time for departure. In festivals and dinners, in pujas and punyas paan is an indispensable item. Hindus make use of paans as offerings in worship.
Dhakai Khilipan, a ready pack of betel leaf processed in Dhaka is famous in the sub-continent. Old Dhakaites have a rich heritage of creating the best khili paan with many complexes, colourful, aromatic and flavorful ingredients. Although 'paan' has been a staple Bengali custom for ages, a number of high-end stores with premium quality paan has become available in recent times. Paan Supari is perhaps the first such brand, which offers a wide range of khili paan. They also offer a khili paan for diabetic patients called the "paan afsana".
The sweet paan of the Khasi tribe is famous for its special quality. Paan is also used in Hindu
Hindus (; ; also known as Sanātanīs) are people who religiously adhere to Hinduism, also known by its endonym Sanātana Dharma. Jeffery D. Long (2007), A Vision for Hinduism, IB Tauris, , pp. 35–37 Historically, the term has also be ...
puja and wedding festivals and to visit relatives. It has become a ritual, tradition and culture of Bangladeshi society. Adult women gather with paandani along with friends and relatives in leisure time.
Total cultivated area under the crop in Bangladesh is about 14,175 ha and the total annual production is about 72,500 tons. The average yield per acre is 2.27 tons. There are usually three crops during the twelve months, and they are locally called by the name of the respective months in which they are harvested. Paan leaf is usually plucked in Kartik, Phalgun and Ashad. The Kartik paan is considered by consumers to be the best and Ashad paan the worst. When plucking, it is a rule to leave at least sixteen leaves on the vine.
Different varieties of betel leaf are grown, and the quality differs in shape, bleaching quality, softness, pungency and aroma of leaf. Tamakh paan, a betel leaf blended with tobacco and spices. Supari paan, another variety of white leaf, Mitha paan, a sweet variety, and Sanchi paan are common varieties of betel leaves. Almost every paan-producing district has its own special variety of betel leaf of which consumers are well acquainted. In the past, the best quality of elegant camphor-scented betel leaf named Kafuri paan was produced in the Sonargaon area of Narayangonj district. It was exported to Calcutta and Middle Eastern countries.
The next best is the Sanchi paan grown in Chittagong hill tracts. This variety is not very popular among Bangali people. It is exported to Pakistan for the consumers of Karachi. The commoner varieties are called Desi, Bangla, Bhatial, Dhaldoga, Ghas paan. Bangla paan, is also known as Mitha paan, Jhal paan or paan of Rajshahi. At present, this variety is becoming extinct, due to emergence of more profitable and lucrative fast-growing varieties of paan crops. Normally, betel leaves are consumed with chun, seed cinnamon, cardamoms and other flavored elements.
China
India
In a 16th-century cookbook, ''Nimatnama-i Nasiruddin-Shahi'', describes Ghiyas-ud-din Khalji, the Sultan of Mandu
Mandu may refer to:
Geographic toponyms
* Mandu River, a river in Minas Gerais, Brazil
* Mandu, Democratic Republic of the Congo, a village
* Mandu, Madhya Pradesh, a ruined city in Dhar district, Madhya Pradesh, India
* Mandu, Jharkhand, ...
(r. 1469–1500), watches as tender betel leaves of the finest quality are spread out and rosewater is sprinkled on them, while saffron is also added. An elaborate betel chew or paan would contain fragrant spices and rose preserves with chopped areca nuts.
It is a tradition in South India and nearby regions to give two Betel leaves, areca nut (pieces or whole) and Coconut to the guests (both male and female) at any auspicious occasion. Even on a regular day, it is the tradition to give a married woman, who visits the house, two Betel leaves, areca nut and coconut or some fruits along with a string of threaded flowers. This is referred to as ''thamboolam''. Paan is symbol of Prosperity in indian tradition and part of most of rituals followed.
Betel leaf used to make paan is produced in different parts of India. Some states that produce betel leaf for paan include West Bengal, Bihar, Assam, Andhra Pradesh, Uttar Pradesh. In West Bengal
West Bengal (; Bengali language, Bengali: , , abbr. WB) is a States and union territories of India, state in the East India, eastern portion of India. It is situated along the Bay of Bengal, along with a population of over 91 million inhabi ...
, two types of betel leaves are produced. These are "Bangla Patta (Country Leaf)" and Mitha Patta (Sweet Leaf)". In West Bengal, ''Bangla patta'' is produced mainly in district of Dinajpur, Malda, Jalpaiguri, and Nadia. ''Mitha patta'' is produced in places such as Midnapur and South 24 Parganas.
The skilled paan maker is known as a ''paanwala'' in North India. In other parts, ''paanwalas'' are also known as ''panwaris'' or ''panwadis''. At North India, there is a tradition to chew paan after Deepawali puja for blessings.
In the Indian state of Maharashtra, the paan culture is widely criticised due to the cleanliness problems created by people who spit in public places. In Mumbai, there have been attempts to paint pictures of Hindu gods in places where people commonly tend to spit, in the hope that this would discourage spitting, but success has been limited and there is need a solution at root to avoid peek. One of the great Marathi artists P L Deshpande wrote a comic story on the subject of ''paanwala'' (paan vendor) and performed a televised reading session on Doordarshan
Doordarshan (), abbreviated as DD, is India's State-owned enterprise, state-owned public broadcasting, public television broadcaster. Established by the Government of India on 15 September 1959, it is owned by the Ministry of Information and B ...
during the 1980s in his unique style.
Paan is losing its appeal to farmers because of falling demand. Consumers prefer chewing tobacco formulations such as gutka
Gutka, ghutka, or guṭkha () is a type of betel quid and chewing tobacco preparation made of crushed areca nut (also called betel nut), tobacco, catechu, paraffin wax, slaked lime (calcium hydroxide) and sweet or savory flavourings, in India ...
over paan. Higher costs, water scarcity
Water scarcity (closely related to water stress or water crisis) is the lack of fresh water resources to meet the standard water demand. There are two types of water scarcity. One is ''physical.'' The other is ''economic water scarcity''. Physic ...
and unpredictable weather have made betel gardens less lucrative.
According to StraitsResearch, The India pan masala market is expected to reach US$10,365 million by 2026 at the CAGR of 10.4% during the forecast period 2019–2026. The India pan masala market is driven by significant switching of consumers from tobacco products to pan masala, aggressive advertising and convenient packaging, and Maharashtra State's revocation of the ban over pan masala products.
Assam
In Assam, India
Assam (, , ) is a state in Northeast India, northeastern India, south of the eastern Himalayas along the Brahmaputra Valley, Brahmaputra and Barak River valleys. Assam covers an area of . It is the second largest state in Northeast India, nor ...
, betel nut is traditionally offered as a mark of respect and auspicious beginnings. ''Paan-tamul'' (betel leaves and raw areca nut) may be offered to guests after tea or meals, served in a brass plate with stands called bota. The areca nut also appears as a fertility symbol in religious and marriage ceremonies. When showing respect to elders or asking for forgiveness, people, especially newlyweds place a pair of ''paan-tamul'' on a xorai
The ''Xorai'' (), a manufactured bell metal product is one of the traditional symbols of Assam, which is considered as an article of great respect by the people of Assam. In simplistic terms it is an offering tray with a stand at the bottom which ...
, place it in front of the ''elder'' and bow to show respect.
Guests may be invited to a wedding reception by offering a few areca nuts with betel leaves. During Bihu
Bihu is an important cultural festival unique to the Indian state of Assam and is of three types – 'Rongali' or ' Bohag Bihu' observed in April, 'Kongali' or ' Kati Bihu' observed in October or November, and 'Bhogali' or ' Magh Bihu' observe ...
, the husori players are offered areca nuts and betel leaves by each household while their blessings are solicited.
''Paan-tamul'' is also offered to guests after the end of every feast, usually the ''paan-tamul-soon'', or slaked lime with cardamom pods in it to freshen the breath.
Banarasi Pan
''Banarasi'' ''Pan'' of Banaras (Varanasi) is widely famous among Indians and tourists visiting India.
Indonesia and Malaysia
''Bersirih'', ''nyirih'', or ''menginang'' is a historical Malayonesian tradition of chewing materials such as nut
Nut often refers to:
* Nut (fruit), fruit composed of a hard shell and a seed
* Nut (food), a dry and edible fruit or seed, including but not limited to true nuts
* Nut (hardware), fastener used with a bolt
Nut, NUT or Nuts may also refer to:
A ...
, betel
Betel (''Piper betle'') is a species of flowering plant in the pepper family Piperaceae, native to Southeast Asia. It is an evergreen, dioecious vine, with glossy heart-shaped leaves and white catkins. Betel plants are cultivated for their lea ...
, gambier, tobacco, clove
Cloves are the aromatic flower buds of a tree in the family Myrtaceae, ''Syzygium aromaticum'' (). They are native to the Maluku Islands, or Moluccas, in Indonesia, and are commonly used as a spice, flavoring, or Aroma compound, fragrance in fin ...
, and limestone
Limestone is a type of carbonate rock, carbonate sedimentary rock which is the main source of the material Lime (material), lime. It is composed mostly of the minerals calcite and aragonite, which are different Polymorphism (materials science) ...
.
In the Malay Archipelago
The Malay Archipelago is the archipelago between Mainland Southeast Asia and Australia, and is also called Insulindia or the Indo-Australian Archipelago. The name was taken from the 19th-century European concept of a Malay race, later based ...
, the ''menginang'' or betel nut chewing has become a revered activity in local tradition; being a ceremoniously conducted gesture to honour guests. A complete and elaborate set of ''sirih pinang'' equipment is called '' tepak'', ''puan'', ''pekinangan'', or ''cerana''. The set is usually made of wooden lacquerware, brass or silverwares; and it consists of the ''combol'' (containers), ''bekas sirih'' (leaf container), ''kacip'' (press-knife to cut areca nut), ''gobek'' (small pestle and mortar), and ''ketur'' (spit container).
Micronesia
Betel nut chewing is common among the native ethnic groups of Micronesia
Micronesia (, ) is a subregion of Oceania, consisting of approximately 2,000 small islands in the Northwestern Pacific Ocean. It has a close shared cultural history with three other island regions: Maritime Southeast Asia to the west, Poly ...
. They can be grouped into two different traditions. The betel nut chewing tradition of the Chamorro people
The Chamorro people (; also Chamoru) are the Indigenous peoples of Oceania, Indigenous people of the Mariana Islands, politically divided between the Territories of the United States, United States territory of Guam and the encompassing Norther ...
of the Mariana Islands
The Mariana Islands ( ; ), also simply the Marianas, are a crescent-shaped archipelago comprising the summits of fifteen longitudinally oriented, mostly dormant volcanic mountains in the northwestern Pacific Ocean, between the 12th and 21st pa ...
( Chamorro: ''pugua) prefer ripe (red) areca nuts. The betel nut chewing tradition of the Chuukese, Palauan, and Yapese people
The Yapese are a Micronesian ethnic group indigenous to the main island of Yap. Yapese culture is based on the maxims of respect and responsibility. Aspects of traditional Yapese culture are still important in modern Yapese culture.
History
Be ...
, on the other hand, prefer unripe (green) areca nuts. Betel leaf and lime are included in the quid, and commonly tobacco. Flavoring ingredients like ginger
Ginger (''Zingiber officinale'') is a flowering plant whose rhizome, ginger root or ginger, is widely used as a spice and a folk medicine. It is an herbaceous perennial that grows annual pseudostems (false stems made of the rolled bases of l ...
, cardamom
Cardamom (), sometimes cardamon or cardamum, is a spice made from the seeds of several plants in the genus (biology), genera ''Elettaria'' and ''Amomum'' in the family Zingiberaceae. Both genera are native to the Indian subcontinent and Indon ...
, and vodka
Vodka ( ; is a clear distilled beverage, distilled alcoholic beverage. Its varieties originated in Poland and Russia. Vodka is composed mainly of water and ethanol but sometimes with traces of impurities and flavourings. Traditionally, it is ...
are also sometimes added.
Areca palms have been grown traditionally in Guam
Guam ( ; ) is an island that is an Territories of the United States, organized, unincorporated territory of the United States in the Micronesia subregion of the western Pacific Ocean. Guam's capital is Hagåtña, Guam, Hagåtña, and the most ...
, Palau
Palau, officially the Republic of Palau, is an island country in the Micronesia subregion of Oceania in the western Pacific Ocean. The Republic of Palau consists of approximately 340 islands and is the western part of the Caroline Islands ...
, and Yap
Yap (, sometimes written as , or ) traditionally refers to an island group located in the Caroline Islands of the western Pacific Ocean, a part of Yap State. The name "Yap" in recent years has come to also refer to the state within the Federate ...
since ancient times. It spread to Chuuk in modern times. Betel nut stains have been found in ancient remains of the Chamorro people, indicating that the practice was carried into Micronesia by their Austronesian ancestors in Island Southeast Asia.
Myanmar
''Kwun-ya'' ( óːn.jà is the word for betel quid in Myanmar
Myanmar, officially the Republic of the Union of Myanmar; and also referred to as Burma (the official English name until 1989), is a country in northwest Southeast Asia. It is the largest country by area in Mainland Southeast Asia and has ...
, formerly Burma, where the most common configuration for chewing is a betel vine leaf ('' Piper betel''), areca nut (from ''Areca catechu
''Areca catechu'' is a species of palm native to the Philippines cultivated for areca nuts. It was carried widely through the tropics by the Austronesian migrations and trade since at least 1500 BCE due to its use in betel nut chewing. ...
''), slaked lime (calcium hydroxide) and some spices, although many betel chewers also use tobacco.
Betel chewing has very long tradition in Burma, having been practised since before the beginning of recorded history. Until the 1960s, both men and women loved it and every household used to have a special lacquerware
Lacquerware are objects decoratively covered with lacquer. Lacquerware includes small or large containers, tableware, a variety of small objects carried by people, and larger objects such as furniture and even coffins painted with lacquer. Before ...
box for betel quid, called ''kun-it'' (), which would be offered to any visitor together with cheroot
The cheroot is a filterless cylindrical cigar with both ends clipped during manufacture. Since cheroots do not taper, they are inexpensive to roll mechanically, and their low cost makes them popular.
The word 'cheroot' probably comes via Portug ...
s to smoke and green tea
Green tea is a type of tea made from the leaves and buds of the '' Camellia sinensis'' that have not undergone the withering and oxidation process that creates oolong teas and black teas. Green tea originated in China in the late 1st millenn ...
to drink. The leaves are kept inside the bottom of the box, which looks like a small hat box, but with a top tray for small tins, silver in well-to-do homes, of various other ingredients such as the betel nuts, slaked lime
Calcium hydroxide (traditionally called slaked lime) is an inorganic compound with the chemical formula Ca( OH)2. It is a colorless crystal or white powder and is produced when quicklime ( calcium oxide) is mixed with water. Annually, approxim ...
, cutch, anise
Anise (; '), also called aniseed or rarely anix, is a flowering plant in the family Apiaceae native to the eastern Mediterranean region and Southwest Asia.
The flavor and aroma of its seeds have similarities with some other spices and herbs, ...
seed and a nut cutter.
The sweet form (''acho'') is popular with the young, but grownups tend to prefer it with cardamom, cloves and tobacco. Spittoons, therefore, are still ubiquitous, and signs saying "No betel quid-spitting" are commonplace, as it makes a messy red splodge on floors and walls; many people display betel-stained teeth from the habit. Betel quid stalls and kiosks used to be run mainly by people of Indian origin in towns and cities. Smokers who want to quit would also use betel nut to wean themselves off tobacco.
Taungoo
Taungoo (, ''Tauñngu myoú''; ), also spelled Toungoo and formerly Toung-ngú, is a district-level city in the Bago Region of Myanmar, 220 km from Yangon, towards the north-eastern end of the division, with mountain ranges to the east a ...
in Lower Burma
Lower Myanmar (, also called Lower Burma) is a geographic region of Myanmar and includes the low-lying Irrawaddy Delta ( Ayeyarwady, Bago and Yangon Regions), as well as coastal regions of the country ( Rakhine and Mon States and Tanintharyi ...
is where the best areca palms are grown indicated by the popular expression "like a betel lover taken to Taungoo". Other parts of the country contribute to the best betel quid according to another saying "Tada-U
Tada-U () is a town in central Myanmar about from the provincial capital of Mandalay and is the principal town of Tada-U Township and Tada-U District.
There is an air force
An air force in the broadest sense is the national military ...
for the leaves, Ngamyagyi for the tobacco, Taungoo for the nuts, Sagaing
Sagaing (, ) is a town in the Sagaing Region of Myanmar. It is located on the Irrawaddy River, to the south-west of Mandalay on the opposite bank of the river. Sagaing, with its numerous Buddhist monasteries, is an important religious and ...
for the slaked lime, Pyay
Pyay, and formerly anglicised as Prome, is the principal town of Pyay Township in the Bago Region in Myanmar. Pyay is located on the bank of the Irrawaddy River, north-west of Yangon. It is an important trade center for the Ayeyarwady Delta, Centr ...
for the cutch". ''Kun, hsay, lahpet
Lahpet, also spelled laphet, laphat, lephet, leppet, or letpet in English (, ), is Burmese for fermented or pickled tea. Myanmar is one of the few countries where tea is consumed both as a drink and as an eaten delicacy, in the form of pickled ...
'' (betel quid, tobacco and pickled tea) are deemed essential items to offer monks and elders particularly in the old days. Young maidens traditionally carry ornamental betel boxes on a stand called ''kundaung
''Kundaung'' (, ;"betel leaf holder") is an offertory commonly carried in Burmese celebrations, such as shinbyu (novitiation) and ear-boring procession ceremonies. The bearers are known as ''kundaungkaing'' (ကွမ်းတောင်ကိ� ...
'' and gilded flowers (''pandaung'') in a ''shinbyu
Shinbyu (; , also spelt shinpyu) is the Burmese term for a novitiate, novitiation ceremony (pabbajja) in the tradition of Theravada, Theravada Buddhism, referring to the celebrations marking the Śrāmaṇera, sāmaṇera (novitiate) monastic or ...
'' (novitiation) procession. Burmese history also mentions an ancient custom of a condemned enemy asking for "a betel quid and a drink of water" before being executed.
An anecdotal government survey indicated that 40% of men and 20% of women in Myanmar chew betel. An aggregate study of cancer registries (2002 to 2007) at the Yangon
Yangon, formerly romanized as Rangoon, is the capital of the Yangon Region and the largest city of Myanmar. Yangon was the List of capitals of Myanmar, capital of Myanmar until 2005 and served as such until 2006, when the State Peace and Dev ...
and Mandalay General Hospital
Mandalay General Hospital (; abbreviated MGH) is a major teaching hospital in Mandalay, Myanmar, with a bed capacity of 1,500. It serves as the primary teaching institution for University of Medicine, Mandalay, alongside Mandalay Workers' Hospita ...
s, the largest hospitals in the country, found that oral cancer
Oral cancer, also known as oral cavity cancer, tongue cancer or mouth cancer, is a cancer of the lining of the lips, mouth, or upper throat. In the mouth, it most commonly starts as a painless red or white patch, that thickens, gets ulcerated ...
was the 6th most common cancer among males, and 10th among females. Of these oral carcinoma patients, 36% were regular betel quid chewers. University of Dental Medicine, Yangon
The University of Dental Medicine, Yangon ( ), is the leading university of dental medicine, located in Yangon, Myanmar. The university, along with the University of Dental Medicine, Mandalay, is one of only two universities of dental medicine i ...
records from 1985 to 1988 showed that 58.6% of oral carcinoma patients were regular betel chewers.
Since the 1990s, betel chewing has been actively discouraged by successive governments, from the State Law and Order Restoration Council
State most commonly refers to:
* State (polity), a centralized political organization that regulates law and society within a territory
**Sovereign state, a sovereign polity in international law, commonly referred to as a country
**Nation state, a ...
(SLORC) onward, on the grounds of health and tidiness. In April 1995, the Yangon City Development Committee
Yangon City Development Committee (, abbreviated YCDC) is the administrative body of Yangon, the largest city and former capital of Myanmar (Burma). It consists of 18 departments, with headquarters in the Yangon City Hall. The committee's chairman ...
banned betel in Yangon
Yangon, formerly romanized as Rangoon, is the capital of the Yangon Region and the largest city of Myanmar. Yangon was the List of capitals of Myanmar, capital of Myanmar until 2005 and served as such until 2006, when the State Peace and Dev ...
(Rangoon), in anticipation of Visit Myanmar Year 1996, a massive effort to promote the country as a tourist destination. Effective 29 July 2007, betel chewing, along with smoking, has been banned from the Shwedagon Pagoda
The Shwedagon Pagoda (, ; ), officially named ''Shwedagon Zedi Daw'' (, , ), and also known as the Great Dagon Pagoda and the Golden Pagoda, is a gilded stupa located in Yangon, Myanmar.
The Shwedagon is the most sacred Buddhist pagoda in Myanma ...
, the country's most important religious site. In 2010, the Ministry of Education
An education ministry is a national or subnational government agency politically responsible for education. Various other names are commonly used to identify such agencies, such as Ministry of Education, Department of Education, and Ministry of Pub ...
's Department of Basic Education and Burma's Anti-Narcotics Task Force collaborated to prohibit betel shops from operating within of any school.
Nepal
Paan is chewed mainly by Terai
The Terai or Tarai is a lowland region in parts of southern Nepal and northern India that lies to the south of the outer foothills of the Himalayas, the Sivalik Hills and north of the Indo-Gangetic Plain.
This lowland belt is characterised by ...
people, although migrants in Terai have also taken up chewing paan in recent times. Throughout Terai, paan is as common as anywhere in northern India. There is some local production, generally not commercial, but most leaves are imported from India. Although not as ubiquitous as in the Terai, most residents of Kathmandu occasionally enjoy paan. A sweet version of paan called ''meetha paan'' is popular amongst many who do not like the strong taste of plain (''sada'') paan. Some parents allow their children to consume meetha on special occasions because it is tobacco-free.
Pakistan
The consumption of ''paan'' has long been a very popular cultural tradition in Pakistan
Pakistan, officially the Islamic Republic of Pakistan, is a country in South Asia. It is the List of countries and dependencies by population, fifth-most populous country, with a population of over 241.5 million, having the Islam by country# ...
, especially in the port city of Karachi, although the tradition is dying among the younger generation. In general, though, ''paan'' is an occasional delicacy thoroughly enjoyed by many, and almost exclusively bought from street vendors instead of any preparations at home. Pakistan grows a large variety of betel leaf, specifically in the coastal areas of Sindh
Sindh ( ; ; , ; abbr. SD, historically romanized as Sind (caliphal province), Sind or Scinde) is a Administrative units of Pakistan, province of Pakistan. Located in the Geography of Pakistan, southeastern region of the country, Sindh is t ...
, although ''paan'' is also imported in large quantities from Bangladesh
Bangladesh, officially the People's Republic of Bangladesh, is a country in South Asia. It is the List of countries and dependencies by population, eighth-most populous country in the world and among the List of countries and dependencies by ...
and Sri Lanka
Sri Lanka, officially the Democratic Socialist Republic of Sri Lanka, also known historically as Ceylon, is an island country in South Asia. It lies in the Indian Ocean, southwest of the Bay of Bengal, separated from the Indian subcontinent, ...
.
The culture of chewing ''paan'' has also spread in Punjab
Punjab (; ; also romanised as Panjāb or Panj-Āb) is a geopolitical, cultural, and historical region in South Asia. It is located in the northwestern part of the Indian subcontinent, comprising areas of modern-day eastern Pakistan and no ...
, where a ''paan'' shop can be found in almost every street and market. In the famous '' Anarkali Bazar'' in Lahore
Lahore ( ; ; ) is the capital and largest city of the Administrative units of Pakistan, Pakistani province of Punjab, Pakistan, Punjab. It is the List of cities in Pakistan by population, second-largest city in Pakistan, after Karachi, and ...
a street called ''paan gali'' is dedicated for ''paan'' and other Pakistani products.
The rate of oral cancer
Oral cancer, also known as oral cavity cancer, tongue cancer or mouth cancer, is a cancer of the lining of the lips, mouth, or upper throat. In the mouth, it most commonly starts as a painless red or white patch, that thickens, gets ulcerated ...
has grown substantially in Pakistan due to chewing of ''paan''.
Philippines
Betel nut chewing was formerly widespread among the ethnic groups of the Philippines
The Philippines is inhabited by more than 182 Ethnolinguistic group, ethnolinguistic groups, many of which are classified as "Indigenous Peoples" under the country's Indigenous Peoples' Rights Act of 1997. Traditionally-Muslim minorities from ...
. The country is where the areca palm (''Areca catechu
''Areca catechu'' is a species of palm native to the Philippines cultivated for areca nuts. It was carried widely through the tropics by the Austronesian migrations and trade since at least 1500 BCE due to its use in betel nut chewing. ...
'') is originally native to and where the tradition started before being spread via the Austronesian expansion
The Austronesian people, sometimes referred to as Austronesian-speaking peoples, are a large group of peoples who have settled in Taiwan, maritime Southeast Asia, parts of mainland Southeast Asia, Micronesia, coastal New Guinea, Island Melanesi ...
(see history section). The Philippines also has the highest genetic diversity in ''Areca catechu
''Areca catechu'' is a species of palm native to the Philippines cultivated for areca nuts. It was carried widely through the tropics by the Austronesian migrations and trade since at least 1500 BCE due to its use in betel nut chewing. ...
'' populations and is home to several closely related ''Areca
''Areca'' is a genus of 51 species of Arecaceae, palms in the family (biology), family Arecaceae, found in humid tropical forests from the islands of the Philippines and Malaysia, India, and across Southeast Asia to Melanesia. The generic name ' ...
'' palm species, including a couple of endemic species
Endemism is the state of a species being found only in a single defined geographic location, such as an island, state, nation, country or other defined zone; organisms that are indigenous to a place are not endemic to it if they are also foun ...
that are used as (inferior) substitutes for ''Areca catechu'', these are ''Areca caliso'' (known as ''kaliso'' or ''sakolon'') and ''Areca ipot
''Areca ipot'', the Ipot palm, is a species of flowering plant in the family Arecaceae. It is endemic to the Philippines. It is threatened by habitat loss
Habitat destruction (also termed habitat loss or habitat reduction) occurs when a nat ...
'' (known as ''ipot'' or ''saksik''). Several varieties of ''Areca catechu'' nuts were also known in the Philippines, distinguished chiefly by the shape of the fruits.
Betel nut chewing was described as being a "universal" practice among older people in the early 1900s. The most common configuration of the quid combines areca nut with slaked lime (usually made from heating crushed sea-shells) and betel leaves (''tambul'' or ''siri''). Tobacco may or may not be added. In modern times, it has grown out of favor and has been replaced by cigarettes and chewing gum
Chewing gum is a soft, cohesive substance designed to be chewed without being swallowed. Modern chewing gum is composed of gum base, sweeteners, softeners/plasticizers, flavors, colors, and, typically, a hard or powdered polyol coating. Its tex ...
. The practice only survives among more remote ethnic groups like the Cordillerans of Luzon
Luzon ( , ) is the largest and most populous List of islands in the Philippines, island in the Philippines. Located in the northern portion of the List of islands of the Philippines, Philippine archipelago, it is the economic and political ce ...
, and the Lumad
The Lumad are a group of Austronesian indigenous peoples in the southern Philippines. It is a Cebuano term meaning "native" or "indigenous". The term is short for Katawhang Lumad (Literally: "indigenous people"), the autonym officially ado ...
and Moro people
The Moro people or Bangsamoro people are the 13 Muslim-majority ethnolinguistic Austronesian groups of Mindanao, Sulu, and Palawan, native to the region known as the Bangsamoro (lit. ''Moro nation'' or ''Moro country''). As Muslim-majority ...
of Mindanao
Mindanao ( ) is the List of islands of the Philippines, second-largest island in the Philippines, after Luzon, and List of islands by population, seventh-most populous island in the world. Located in the southern region of the archipelago, the ...
.
In the native languages of the Philippines, betel nut chewing is known variously as ''buyo'', ''bunga'', ''hitso'', or ''ngangà'' in Tagalog
Tagalog may refer to:
Language
* Tagalog language, a language spoken in the Philippines
** Old Tagalog, an archaic form of the language
** Batangas Tagalog, a dialect of the language
* Tagalog script, the writing system historically used for Tagal ...
, Bikol, and the Visayan languages
The Bisayan languages or Visayan languages are a subgroup of the Austronesian languages spoken in the Philippines. They are most closely related to Tagalog and the Bikol languages, all of which are part of the Central Philippine languages. Mo ...
; ''dapiau'' in Ivatan; and ''bua'', ''mama'' or ''maman'' in Ilocano; ''luyos'' in Kapampangan
Kapampangan, Capampañgan or Pampangan may refer to:
*Kapampangan people, of the Philippines
*Kapampangan language
Kapampangan, Capampáñgan, or Pampangan, is an Austronesian language, and one of the eight major languages of the Philippines. ...
; ''pasa'' in Basilan
Basilan, officially the Province of Basilan (; ; ; ), is an island province of the Philippines located primarily in the Bangsamoro Autonomous Region. Basilan Island is the largest and northernmost of the major islands of the Sulu Archipelago ...
; and ''lugos'' in Zamboanga; among other names.
Taiwan
In Taiwan betel quid is sold from roadside kiosks, often by the so-called betelnut beauties although these are becoming fewer and fewer () – scantily clad girls selling a quid preparation of betel leaf, betel nuts, tobacco and lime. It is a controversial business, with critics questioning entrapment, exploitation, health, class and culture.
Vietnam
In Vietnam, the areca nut and the betel leaf are such important symbols of love and marriage that in Vietnamese the phrase "matters of betel and areca" (''chuyện trầu cau'') were historically synonymous with marriage. Areca nut chewing starts the talk between the groom's parents and the bride's parents about the young couple's marriage. Therefore, the leaves and juices are used ceremonially in Vietnamese weddings.
Health effects
Chewing betel quids and areca nut causes multiple forms of cancer and cardiovascular disease, with or without tobacco.
Betel nut chewing causes an increased risk of head and neck cancer
Head and neck cancer is a general term encompassing multiple cancers that can develop in the head and neck region. These include cancers of the mouth, tongue, gums and lips (oral cancer), voice box ( laryngeal), throat ( nasopharyngeal, orophary ...
s and esophageal cancer
Esophageal cancer (American English) or oesophageal cancer (British English) is cancer arising from the esophagus—the food pipe that runs between the throat and the stomach. Symptoms often include dysphagia, difficulty in swallowing and weigh ...
. Betel quid affects almost all parts of the human body, including the brain, heart, lungs, gastrointestinal tract
The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the Digestion, digestive system that leads from the mouth to the anus. The tract is the largest of the body's systems, after the cardiovascula ...
and reproductive organs. It can cause myocardial infarction
A myocardial infarction (MI), commonly known as a heart attack, occurs when Ischemia, blood flow decreases or stops in one of the coronary arteries of the heart, causing infarction (tissue death) to the heart muscle. The most common symptom ...
, cardiac arrhythmia
Arrhythmias, also known as cardiac arrhythmias, are irregularities in the heartbeat, including when it is too fast or too slow. Essentially, this is anything but normal sinus rhythm. A resting heart rate that is too fast – above 100 beat ...
s, liver damage
Liver disease, or hepatic disease, is any of many diseases of the liver. If long-lasting it is termed chronic liver disease. Although the diseases differ in detail, liver diseases often have features in common.
Liver diseases
File:Ground glas ...
, asthma
Asthma is a common long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wh ...
, type II diabetes
Type 2 diabetes (T2D), formerly known as adult-onset diabetes, is a form of diabetes mellitus that is characterized by high blood sugar, insulin resistance, and relative lack of insulin. Common symptoms include increased thirst, frequent ...
, hyperlipidemia
Hyperlipidemia is abnormally high levels of any or all lipids (e.g. fats, triglycerides, cholesterol, phospholipids) or lipoproteins in the blood. citing: and The term ''hyperlipidemia'' refers to the laboratory finding itself and is also use ...
, metabolic syndrome
Metabolic syndrome is a clustering of at least three of the following five medical conditions: abdominal obesity, high blood pressure, high blood sugar, high serum triglycerides, and low serum high-density lipoprotein (HDL).
Metabolic syndro ...
, hypothyroidism
Hypothyroidism is an endocrine disease in which the thyroid gland does not produce enough thyroid hormones. It can cause a number of symptoms, such as cold intolerance, poor ability to tolerate cold, fatigue, extreme fatigue, muscle aches, co ...
, prostate hyperplasia and infertility
In biology, infertility is the inability of a male and female organism to Sexual reproduction, reproduce. It is usually not the natural state of a healthy organism that has reached sexual maturity, so children who have not undergone puberty, whi ...
.
When chewed with additional tobacco in its preparation (like in gutka
Gutka, ghutka, or guṭkha () is a type of betel quid and chewing tobacco preparation made of crushed areca nut (also called betel nut), tobacco, catechu, paraffin wax, slaked lime (calcium hydroxide) and sweet or savory flavourings, in India ...
), there is an even higher risk for cancer, especially for oral
The word oral may refer to:
Relating to the mouth
* Relating to the mouth, the first portion of the alimentary canal that primarily receives food and liquid
**Oral administration of medicines
** Oral examination (also known as an oral exam or ora ...
and oropharyngeal cancer
Oropharyngeal cancer, also known as oropharyngeal squamous cell carcinoma and tonsil cancer, is a disease in which abnormal cells with the potential to both grow locally and spread to other parts of the body are found in the oral cavity, in the t ...
s. With tobacco it also raises the risk of fatal coronary artery disease
Coronary artery disease (CAD), also called coronary heart disease (CHD), or ischemic heart disease (IHD), is a type of cardiovascular disease, heart disease involving Ischemia, the reduction of blood flow to the cardiac muscle due to a build-up ...
, fatal stroke and non-fatal ischaemic heart disease
Women who chew areca nut formulations, such as ''paan'', during pregnancy significantly increase adverse outcomes for the baby. Betel quid chewing can cause stillbirth
Stillbirth is typically defined as fetus, fetal death at or after 20 or 28 weeks of pregnancy, depending on the source. It results in a baby born without vital signs, signs of life. A stillbirth can often result in the feeling of guilt (emotio ...
, premature birth
Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is betwee ...
, low birth weight
Low birth weight (LBW) is defined by the World Health Organization as a birth weight of an infant of or less, regardless of gestational age. Infants born with LBW have added health risks which require close management, often in a neonatal inten ...
.
It is estimated that around 600 million people worldwide regularly use this drug preparation. Attempts by the World Health Organization
The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
to control betel nut chewing remain problematic, as the custom is deeply rooted in many cultures, including possessing religious connotations in some parts of Southeast Asia and India. Despite being associated with adverse health outcomes, this practice is not included in the list of risk factors examined by the Global Burden of Diseases, Injuries, and Risk Factors (GBD).
A recent study introduced the "betel year," a novel metric designed to quantify lifetime exposure to betel quid chewing and enhance oral cancer risk prediction through personalized assessment. This tool helps identify high-risk individuals and supports targeted public health initiatives, including awareness campaigns and early detection programs. It may also inform policy development and ongoing epidemiological research. As an initial pilot effort, the betel year is a starting point, with further studies needed to explore the carcinogenic potential of other additives globally and refine the metric for wider use.
History
Based on archaeological, linguistic, and botanical evidence, betel chewing is most strongly associated with the Austronesian peoples
The Austronesian people, sometimes referred to as Austronesian-speaking peoples, are a large group of peoples who have settled in Taiwan, maritime Southeast Asia, parts of mainland Southeast Asia, Micronesia, coastal New Guinea, Island Melan ...
. Chewing betel requires the combination of areca nut ('' Areca catechu'') and betel leaf (''Piper betle
Betel (''Piper betle'') is a species of flowering plant in the pepper family Piperaceae, native to Southeast Asia. It is an evergreen, dioecious vine, with glossy heart-shaped leaves and white catkins. Betel plants are cultivated for their leav ...
''). Both plants are native from the region between Island Southeast Asia
Maritime Southeast Asia comprises the Southeast Asian countries of Brunei, Indonesia, Malaysia, the Philippines, Singapore, and East Timor.
The terms Island Southeast Asia and Insular Southeast Asia are sometimes given the same meaning as Mari ...
to Australasia
Australasia is a subregion of Oceania, comprising Australia, New Zealand (overlapping with Polynesia), and sometimes including New Guinea and surrounding islands (overlapping with Melanesia). The term is used in a number of different context ...
. ''A. catechu'' is believed to be originally native to the Philippines
The Philippines, officially the Republic of the Philippines, is an Archipelagic state, archipelagic country in Southeast Asia. Located in the western Pacific Ocean, it consists of List of islands of the Philippines, 7,641 islands, with a tot ...
, where it has the greatest morphological diversity as well as the most closely related endemic
Endemism is the state of a species being found only in a single defined geographic location, such as an island, state, nation, country or other defined zone; organisms that are indigenous to a place are not endemic to it if they are also foun ...
species. The origin of the domestication of ''Piper betle
Betel (''Piper betle'') is a species of flowering plant in the pepper family Piperaceae, native to Southeast Asia. It is an evergreen, dioecious vine, with glossy heart-shaped leaves and white catkins. Betel plants are cultivated for their leav ...
'', however, is unknown, although it is also native to the Philippines
The Philippines, officially the Republic of the Philippines, is an Archipelagic state, archipelagic country in Southeast Asia. Located in the western Pacific Ocean, it consists of List of islands of the Philippines, 7,641 islands, with a tot ...
, the Lesser Sunda Islands
The Lesser Sunda Islands (, , ), now known as Nusa Tenggara Islands (, or "Southeast Islands"), are an archipelago in the Indonesian archipelago. Most of the Lesser Sunda Islands are located within the Wallacea region, except for the Bali pro ...
, and Indochina
Mainland Southeast Asia (historically known as Indochina and the Indochinese Peninsula) is the continental portion of Southeast Asia. It lies east of the Indian subcontinent and south of Mainland China and is bordered by the Indian Ocean to th ...
. It is also unknown when or why the two plant products were combined, as areca nut alone can be chewed as a stimulant. In eastern Indonesia
Indonesia, officially the Republic of Indonesia, is a country in Southeast Asia and Oceania, between the Indian Ocean, Indian and Pacific Ocean, Pacific oceans. Comprising over List of islands of Indonesia, 17,000 islands, including Sumatra, ...
, leaves from other ''Piper'' species are sometimes used in place of betel leaves.
The oldest unequivocal evidence of betel chewing is from the Philippines. Specifically that of several individuals found in a burial pit in the Duyong Cave site of Palawan
Palawan (, ), officially the Province of Palawan (; ), is an archipelagic province of the Philippines that is located in the region of Mimaropa. It is the largest province in the country in terms of total area of . The capital and largest c ...
island dated to around 4,630±250 BP. The dentition of the skeletons is stained, typical of betel chewers. The grave also includes ''Anadara
''Anadara'' is a genus of seawater, saltwater bivalves, ark clams, in the family (biology), family Arcidae. It is also called ''Scapharca''.
This genus is known in the fossil record from the Cretaceous period to the Quaternary period (age range ...
'' shells used as containers of lime, one of which still contained lime. Burial sites in Bohol
Bohol (), officially the Province of Bohol (; ), is an island province of the Philippines located in the Central Visayas Regions of the Philippines, region, consisting of the island itself and 75 minor surrounding islands. It is home to Bohola ...
dated to the first millennium CE also show the distinctive reddish stains characteristic of betel chewing. Based on linguistic evidence of how the reconstructed Proto-Austronesian
Proto-Austronesian (commonly abbreviated as PAN or PAn) is a proto-language. It is the reconstructed ancestor of the Austronesian languages, one of the world's major language families. Proto-Austronesian is assumed to have begun to diversify in ...
term ''*buaq'' originally meaning "fruit" came to refer to "areca nut" in Proto-Malayo-Polynesian
Proto-Malayo-Polynesian (PMP) is the reconstructed ancestor of the Malayo-Polynesian languages, which is by far the largest branch (by current speakers) of the Austronesian language family. Proto-Malayo-Polynesian is ancestral to all Austronesia ...
, it is believed that betel chewing originally developed somewhere within the Philippines shortly after the beginning of the Austronesian expansion
The Austronesian people, sometimes referred to as Austronesian-speaking peoples, are a large group of peoples who have settled in Taiwan, maritime Southeast Asia, parts of mainland Southeast Asia, Micronesia, coastal New Guinea, Island Melanesi ...
(~5,000 BP). From the Philippines, it spread back to Taiwan
Taiwan, officially the Republic of China (ROC), is a country in East Asia. The main geography of Taiwan, island of Taiwan, also known as ''Formosa'', lies between the East China Sea, East and South China Seas in the northwestern Pacific Ocea ...
, as well as onwards to the rest of Austronesia
The Austronesian people, sometimes referred to as Austronesian-speaking peoples, are a large group of peoples who have settled in Taiwan, maritime Southeast Asia, parts of mainland Southeast Asia, Micronesia, coastal New Guinea, Island Melanesi ...
.
There are very old claims of betel chewing dating to at least 13,000 BP at the Kuk Swamp
Kuk Swamp is an archaeological site in Papua New Guinea, that lies in the Wahgi Valley of the highlands at an altitude of about 1550 m some 12–13 km northeast of Mount Hagen, the capital of Western Highlands Province. The swamp developed in a ...
site in New Guinea
New Guinea (; Hiri Motu: ''Niu Gini''; , fossilized , also known as Papua or historically ) is the List of islands by area, world's second-largest island, with an area of . Located in Melanesia in the southwestern Pacific Ocean, the island is ...
, based on probable ''Areca'' sp. recovered. However, it is now known that these might have been due to modern contamination of sample materials. Similar claims have also been made at other older sites with ''Areca'' sp. remains, but none can be conclusively identified as ''A. catechu'' and their association with betel peppers is tenuous or nonexistent.
It reached Micronesia
Micronesia (, ) is a subregion of Oceania, consisting of approximately 2,000 small islands in the Northwestern Pacific Ocean. It has a close shared cultural history with three other island regions: Maritime Southeast Asia to the west, Poly ...
at around 3,500 to 3,000 BP with the Austronesian voyagers, based on both linguistic and archaeological evidence. It was also previously present in the Lapita culture
The Lapita culture is the name given to a Neolithic Austronesian peoples, Austronesian people and their distinct material culture, who settled Island Melanesia via a seaborne migration at around 1600 to 500 BCE. The Lapita people are believed t ...
, based on archaeological remains from Mussau
Mussau Island is the largest island of St Matthias Islands, Papua New Guinea,Müller, Chris J. "Butterflies of Mussau Island (Lepidoptera: Rhopalocera)." ''A Rapid Biodiversity Survey of Papua New Guinea’s Manus and Mussau Islands'' (2015): 21. ...
dated to around 3,600 to 2,500 BP. But it did not reach Polynesia
Polynesia ( , ) is a subregion of Oceania, made up of more than 1,000 islands scattered over the central and southern Pacific Ocean. The indigenous people who inhabit the islands of Polynesia are called Polynesians. They have many things in ...
further east. It is believed that it stopped in the Solomon Islands
Solomon Islands, also known simply as the Solomons,John Prados, ''Islands of Destiny'', Dutton Caliber, 2012, p,20 and passim is an island country consisting of six major islands and over 1000 smaller islands in Melanesia, part of Oceania, t ...
due to the replacement of betel chewing with the tradition of kava
Kava or kava kava (''Piper methysticum'': Latin 'pepper' and Latinized Ancient Greek, Greek 'intoxicating') is a plant in the Piperaceae, pepper family, native to the Pacific Islands. The name ''kava'' is from Tongan language, Tongan and Marqu ...
drinking prepared from the related ''Piper methysticum
Kava or kava kava (''Piper methysticum'': Latin 'pepper' and Latinized Greek 'intoxicating') is a plant in the pepper family, native to the Pacific Islands. The name ''kava'' is from Tongan and Marquesan, meaning 'bitter'. Kava can refer to ...
''. It was also diffused into East Africa via the Austronesian settlement of Madagascar
Madagascar, officially the Republic of Madagascar, is an island country that includes the island of Madagascar and numerous smaller peripheral islands. Lying off the southeastern coast of Africa, it is the world's List of islands by area, f ...
and the Comoros
The Comoros, officially the Union of the Comoros, is an archipelagic country made up of three islands in Southeastern Africa, located at the northern end of the Mozambique Channel in the Indian Ocean. Its capital and largest city is Moroni, ...
by around the 7th century.
The practice also diffused to the cultures the Austronesians had historical contact with. It reached the Dong Son culture
Dong or DONG may refer to:
Places
* Dong Lake, or East Lake, a lake in China
* Dong, Arunachal Pradesh, a village in India
* Dong (administrative division) (동 or 洞), a neighborhood division in Korea
Person names
Surnames
* Dǒng (surnam ...
via the Austronesian Sa Huỳnh culture
The Sa Huỳnh culture was a culture in what is now central and southern Vietnam that flourished between 1000 BC and 200 AD. Archaeological sites from the culture have been discovered from the Mekong Delta to Quảng Bình province in central ...
of Vietnam at around 3,000 to 2,500 BP through trade contacts with Borneo
Borneo () is the List of islands by area, third-largest island in the world, with an area of , and population of 23,053,723 (2020 national censuses). Situated at the geographic centre of Maritime Southeast Asia, it is one of the Greater Sunda ...
. It is from this period that skeletons with characteristic red-stained teeth start to appear in Mainland Southeast Asia
Mainland Southeast Asia (historically known as Indochina and the Indochinese Peninsula) is the continental portion of Southeast Asia. It lies east of the Indian subcontinent and south of Mainland China and is bordered by the Indian Ocean to th ...
. It is assumed that it reached South China and Hainan
Hainan is an island provinces of China, province and the southernmost province of China. It consists of the eponymous Hainan Island and various smaller islands in the South China Sea under the province's administration. The name literally mean ...
at around the same time, though no archaeological evidence for this can be found as of yet. In Cambodia
Cambodia, officially the Kingdom of Cambodia, is a country in Southeast Asia on the Mainland Southeast Asia, Indochinese Peninsula. It is bordered by Thailand to the northwest, Laos to the north, and Vietnam to the east, and has a coastline ...
, the earliest evidence of betel nut chewing is from around 2,400 to 2,200 BP. It also spread to Thailand
Thailand, officially the Kingdom of Thailand and historically known as Siam (the official name until 1939), is a country in Southeast Asia on the Mainland Southeast Asia, Indochinese Peninsula. With a population of almost 66 million, it spa ...
at 1,500 BP, based on archaeobotanical evidence.
In the Indian subcontinent, betel chewing was introduced through early contact of Austronesian traders from Sumatra
Sumatra () is one of the Sunda Islands of western Indonesia. It is the largest island that is fully within Indonesian territory, as well as the list of islands by area, sixth-largest island in the world at 482,286.55 km2 (182,812 mi. ...
, Java
Java is one of the Greater Sunda Islands in Indonesia. It is bordered by the Indian Ocean to the south and the Java Sea (a part of Pacific Ocean) to the north. With a population of 156.9 million people (including Madura) in mid 2024, proje ...
, and the Malay Peninsula
The Malay Peninsula is located in Mainland Southeast Asia. The landmass runs approximately north–south, and at its terminus, it is the southernmost point of the Asian continental mainland. The area contains Peninsular Malaysia, Southern Tha ...
with the Dravidian-speakers of Sri Lanka
Sri Lanka, officially the Democratic Socialist Republic of Sri Lanka, also known historically as Ceylon, is an island country in South Asia. It lies in the Indian Ocean, southwest of the Bay of Bengal, separated from the Indian subcontinent, ...
and southern India at around 3,500 BP. This also coincides with the introduction of Southeast Asian plants like ''Santalum album
''Santalum album'' is a small tropical tree, and the traditional source of sandalwood oil. It is native to Indonesia (Java and the Lesser Sunda Islands), the Philippines, and Western Australia. It is commonly known as the true sandalwood, white ...
'' and ''Cocos nucifera
The coconut tree (''Cocos nucifera'') is a member of the palm tree family (Arecaceae) and the only living species of the genus ''Cocos''. The term "coconut" (or the archaic "cocoanut") can refer to the whole coconut palm, the seed, or the f ...
'', as well as the adoption of the Austronesian outrigger ship
Outrigger boats are various watercraft featuring one or more lateral support floats known as outriggers, which are fastened to one or both sides of the main hull (watercraft), hull. They can range from small dugout (boat), dugout canoes to large ...
and crab-claw sail
The crab claw sail is a fore-and-aft triangular sail with spars along upper and lower edges. The crab claw sail was first developed by the Austronesian peoples by at least 2000 BCE. It is sometimes known as the Oceanic lateen or the Oceanic sp ...
technologies by Dravidian-speakers. Unequivocal literary references to betel only start appearing after the Vedic period
The Vedic period, or the Vedic age (), is the period in the late Bronze Age and early Iron Age of the history of India when the Vedic literature, including the Vedas (–900 BCE), was composed in the northern Indian subcontinent, between the e ...
, in works like '' Dipavaṃsa'' (c. 3rd century CE
The 3rd century was the period from AD 201 (represented by the Roman numerals CCI) to AD 300 (CCC) in accordance with the Julian calendar.
In this century, the Roman Empire saw a crisis, starting with the assassination of the Roman Emperor S ...
) and ''Mahāvaṃsa
''Mahāvaṃsa'' (Sinhala: මහාවංශ (Mahāvansha), Pali: ''මහාවංස (Mahāvaṃsa)'') is the meticulously kept historical chronicle of Sri Lanka until the period of Mahasena of Anuradhapura. It was written in the style of ...
'' (c. 5th century). Betel chewing only reached northern India
North India is a geographical region, loosely defined as a cultural region comprising the northern part of India (or historically, the Indian subcontinent) wherein Indo-Aryans (speaking Indo-Aryan languages) form the prominent majority populati ...
and Kashmir
Kashmir ( or ) is the Northwestern Indian subcontinent, northernmost geographical region of the Indian subcontinent. Until the mid-19th century, the term ''Kashmir'' denoted only the Kashmir Valley between the Great Himalayas and the Pir P ...
after 500 CE through trade with Mon-Khmer
The Austroasiatic languages ( ) are a large language family spoken throughout Mainland Southeast Asia, South Asia and East Asia. These languages are natively spoken by the majority of the population in Vietnam and Cambodia, and by minority popu ...
-speaking peoples in the Bay of Bengal
The Bay of Bengal is the northeastern part of the Indian Ocean. Geographically it is positioned between the Indian subcontinent and the Mainland Southeast Asia, Indochinese peninsula, located below the Bengal region.
Many South Asian and Southe ...
. From there it followed the Silk Road
The Silk Road was a network of Asian trade routes active from the second century BCE until the mid-15th century. Spanning over , it played a central role in facilitating economic, cultural, political, and religious interactions between the ...
to Persia
Iran, officially the Islamic Republic of Iran (IRI) and also known as Persia, is a country in West Asia. It borders Iraq to the west, Turkey, Azerbaijan, and Armenia to the northwest, the Caspian Sea to the north, Turkmenistan to the nort ...
and into the Mediterranean
The Mediterranean Sea ( ) is a sea connected to the Atlantic Ocean, surrounded by the Mediterranean basin and almost completely enclosed by land: on the east by the Levant in West Asia, on the north by Anatolia in West Asia and Southern ...
.
Chinese records, specifically ''Linyi Ji'' by Dongfang Shuo
Dongfang Shuo (, c. 160 BCE – c. 93 BCE) was a Han dynasty scholar-official, '' fangshi'' ("master of esoterica"), author, and court jester to Emperor Wu (r. 141 – 87 BCE). In Chinese mythology, Dongfang is considered a Daoist ''xian'' ...
associate the growing of areca palms with the first settlers of the Austronesian Champa
Champa (Cham language, Cham: ꨌꩌꨛꨩ, چمڤا; ; 占城 or 占婆) was a collection of independent Chams, Cham Polity, polities that extended across the coast of what is present-day Central Vietnam, central and southern Vietnam from ...
polities in southern Vietnam at around 2,100 to 1,900 BP. This association is echoed in ''Nanfang Cao Mu Zhuang'' by Ji Han
The (c. 304 CE) ''Nanfang caomu zhuang'' (南方草木狀 ''Plants of the Southern Regions''), attributed to the Western Jin dynasty scholar and botanist Ji Han (嵇含, 263-307), is a Flora describing the plants of Nanyue and Jiaozhi, present ...
(c. 304 CE) who also describes its importance in Champa culture, specifically in the way Cham hosts traditionally offer it to guests. Betel chewing entered China through trade with Champa, borrowing the Proto-Malayo-Chamic name ''*pinaŋ'' resulting in Chinese ''bin lang'' for "areca nut", with the meaning of "honored guest", reflecting Chamic traditions. The same for the alternate term ''bin men yao jian'', literally meaning "guest t the doormedicinal sweetmeat".
See also
* Domesticated plants and animals of Austronesia
One of the major human migration events was the maritime settlement of the islands of the Indo-Pacific by the Austronesian peoples, believed to have started from at least 5,500 to 4,000 BP (3500 to 2000 BCE). These migrations were accompani ...
* Betel container (Victoria & Albert Museum)
* Betel chewing in Thailand
* Betel chewing in China
Betel chewing in China has a long history, particularly in the southern provinces. In modern times, betel nut chewing is popular nationwide. The social debate over betel nut chewing has led the authorities to introduce some restriction policies, t ...
References
External links
Nutritional composition of paan
(archived 1 April 2011)
*
{{Geographical indications in Uttar Pradesh
Culture of Asia
Bangladeshi cuisine
Culture of Myanmar
Culture of Cambodia
Herbal and fungal stimulants
IARC Group 1 carcinogens
Culture of India
Indian inventions
Culture of Indonesia
Culture of Laos
Culture of Malaysia
Muhajir cuisine
Culture of Pakistan
Culture of the Philippines
Sindhi cuisine
Culture of Sri Lanka
Culture of Thailand
Uttar Pradeshi cuisine
Culture of Vietnam
Articles containing video clips
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Palm trees in culture
Cultural history of Thailand
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