Puga – The Double-Edged Sword of the Herbal World

Introduction

Puga which is famous as betel nut or Supari, is known as Areca catechu botanically and belongs to the Palmae family. The fruit of Puga carries various medicinal properties and is also used for religious purposes by Hindus of India. Supari/ Puga chewing has various detrimental or beneficial effects on health thereby acting as a double edge sword. As per a recent survey, approximately 600 million people worldwide chew Supari/ betel nut/ Puga. Puga is considered the fourth most popular substance of abThein the world. The chewing of the Puga or Supari is an ancient tradition of Southeast Asian countries including India. In Ayurvedic classical texts, its fruit is known as Pugiphala and Udvega. Guvaka is astringent, heavy, cold in potency, drying, causes stupor, appetizer, promotes taste, and gives relief from Kapha, Pitta, and distaste. Puga afresh and in a wet state is heavy, obstructs the channels, and diminishes digestive fire and vision. After preparing it in boiling water or steam, it can eradicate all three Doshas. A hard nut of Puga is considered the best. Recent research revealed that it consists of various medicinal properties due to its chemical constituents like arecoline, acridine, guvacine, etc. Due to these active ingredients, it exhibits anti-depressant, anti-inflammatory, anti-viral properties, etc.

Basonym of Puga

पवते पुनाति इति वा मुखं कषाय त्वात |

Puga will cause coating over the tongue due to its Kasaya (astringent) taste.

Synonyms of Puga

  • According to properties and action

क्रमुक –क्रमति पाद विक्षेपम करोति कफ पित्त शमनार्थं |

Puga will subside Kapha and pitta Dosha.

गुवाक: – गुवति अनेन संस्रक त्वात गुवाक: |

Puga acts as Sramsaka.

Regional Names of Puga

  • Areca nut / Betel nut tree (English)
  • Supari (Hindi)
  • Adike (Kannada)
  • Atekka, Adakka (Malayalam)
  • Supari (Marathi)
  • Shupari (Bengali)
  • Pakkugphak (Tamil)
  • Poka Chettu, Pikka Vakka (Telugu)
  • Phophal (Arabic)
  • Popal (Persian)

Botanical Name of Puga

Areca Catechu Linn.

Areca is the old name given to Malabar and catechu means betel nut.

Family

Arecaceae (Narikela Kula)

Ayurveda Reference for Puga (Areca Catchu Linn.)

Ayurveda Reference for Puga (Areca Catchu Linn.)

Scientific Classification of Puga

Kingdom Plantae
Class  Monocotyledonae
Series Calycinae
Order Etepales
Family  Palmae
Genus Areca
Species  catechu


Classification of Puga – As Per Charaka and Sushruta

  • Charaka: Not included in Mahakshaya
  • Sushruta: Adhobhagahara

Puga’s Description in Brihtrayi as Puga / Pugi / Pugaphala

Charaka Samhita: C. S. Su. 5/ 73

Sushruta Samhita: S. S. Su. 39/ 4, S. S. Su. 44/ 9, 65, S. S. Su. 46/ 201, 337, 484, S. S. Chi. 17/ 34, S. S. Chi. 24/ 21

Ashtanga Hridya: A. H. U. 13/ 69

Puga’s Description in Brihtrayi as Kramuka

Kramuka has been identified with Pugaphala, Pattika Lodhra, or Tuda by the Nighantukara and commentators. Its inclusion in the Salasaradi and Syamadi Ganas indicates that it is a tree species whose bark and wood have been or can be used and that it has purgative properties. Lodhra is astringent ( Samgrahi) and Sita Virya while Kramuka appears to be Usna and purgative. Tuda bark and Puga fruit may serve as substitutes and Lodhra bark may be used to prepare alcoholic preparations (Asava-area). The popular name Kimu of Tuda tree in sub -Himalayan tracts lends support to the view that Kramuka of Ayurveda was originally this Tada tree. The reported anthelmintic and purgative properties of its bark also support this view. One feels tempted to believe that during the copying of the manuscripts Tada might have been read as Pug. The word Pug, wherever it occurs in the texts, invariably indicates the use of fruit while the use of bark in the case of Kramuka has been emphasized and there is very little chance of the two being the names of the same drug.

Charaka Samhita: C. S. Su. 25/ 49, C. S. Chi. 4/ 74, C. S. Chi. 6/ 41, C. S. Chi. 7/ 80, C. S. Chi. 14/ 159, 164, C. S. Chi. 15/ 165, C. S. Chi. 16/ 107, C. S. Si. 7/ 36

Sushruta Samhita: S. S. Su. 38/ 12, 29, S. S. Chi. 11/ 8, S. S. Ka. 5/ 70

Ashtanga Hridya: A. H. Su. 15/ 19, 45, 45, A. H. Su. 12/ 25

Puga’s Description in Brihtrayi as Ghonta

This has been identified by Dalhana with the popular name Karkati or Badari. Kakora, Karkata, and Ghonta are the tribal names prevalent in the forest of the Uttara Pradesh area of Mirzapore. And Bihar. Ghonta is also a synonym of Puga. The Puga Phala and Ghonta Phala are also hard and spherical though the former is much smaller than the latter.

Sushruta Samhita: S. S. Chi. 17/ 34

Ashtanga Hridya: A. H. Su. 15/ 17, A. H. U. 30/ 38, 39

Puga’s Description in Brihtrayi as Tuda

Charaka Samhita: C. S. Su. 27/ 132

Ashtanga Hridya: A. H. Su. 6/ 138

Historical Background of Puga

It is a tree (30 m high) bearing the leaves at the top of the main stem. It grows in temperate and humid conditions. Kramuka mentioned under Salasaradi and Syamadi ganas by Susruta is considered to be Lodhra/Pattika Lodhra but not Puga. Puga is otherwise extensively described in Ayurvedic literature and Sharngdhara quoted it as an example of Vikasi Dravya

External Morphology of Areca catechu

  • Habit: Puga is a branchless tree, 40-60 feet tall or with trees of 30- 40 feet height (about 2.5 meters), coconut tree-like trees.
  • Stem (trunk): Stem Puga or Trunk of Puga is smooth, About 50 cm in circumference, and whitish, bark brownish grey.
  • Leaves: Leaves of Puga are fan-type or feather-like, pinnate leaves (Palmae), drooping; 120- 180 cm. long. Puga has pinnate leaves, pinnae 30- 90 cm. long. upper leaves (leaflets) of Puga are often confluent, base of petiole stout, extended, cell-like or swollen base. Leaflets of Puga are numerous, crowded, glabrous, linear, lanceolate, sheaths long, and smooth. The Spadix axil of each leaf makes a spathe enclosing a spadix, strong (stout), many-branched, bearing flowers male and female. 
  • Inflorescence: Palm monoecious. Male flowers of Puga are smaller than female flowers which are very large (comparatively), but a few; male flowers sessile on remaining spadix. Flowers are monoecious, spadix burying numerous close-set pendulous spikes with spathes.
  • Fruit: The fruit of Puga is a nut, smooth, 2.5- 5 cm. long (1- 2 in.); green in the unripe stage and nuts turned orange or reddish when in ripen matured stage, outer coat fibrous (likewise coconut-shell).
  • Seeds: Seeds of Puga are commonly used in trade, round in shape. Outer fibrous coat 65% and seeds (puga) 35% after removal (of outer coat).

Flowering and Fruiting Time of Areca Catechu

Flowering in April-October and fruiting in October- February. Leaves fall by December and the tree becomes leafless till June, afterward the flowering begins, and fruiting takes place. Finally, the fruits attain maturity within 10 months (or less than one year).

Distribution of Areca catechu

Puga occurs in the coastal regions of Southern Bombay (Mumbai, Maharashtra), Mysore (Karnataka), Keala, Assam, West Bengal, and Madras (Tamil Nadu). It is largely cultivated in Malaya Island, Madagascar, the Phillippines, and coastal regions of Africa.

The Useful Part of Puga

Phala (Fruit), Beeja (Seed)

Fruits 3.5- 5 cm., ovoid, orange, fleshy, fibrous; seed depressed, conical, nearly globose, 2- 2.5 cm. diameter, pale brown, rough, endosperm ruminate. Seeds rounded cones, 1.25 cm.- 3.125 cm. long and 18.75 mm.-31 mm. broad; externally light reddishness-brownish or yellowish; outer surface minute living network beginning from hilum resembling somewhat a Jatiphala or nutmeg (but nutmeg differs in shape); Seeds depressed at the middle of the base; mesocarp fibrous at bose; endocarp white papery layer, the remnant.

Market drug (Areca nut or Puga phala, actually seed) endosperm and mesocarp portion maximum 2%; and other organic admixture parts maximum 1% and ash 2.5%.

Varieties of Puga

Dried seeds of matured fruits are marketed generally popularly known as supari. Seeds obtained by boiling raw or unripe fruit from red and soft crude material are known as Chikni supari.

Important Phytoconstituent of Puga

Areca nut contains tannin (tannic and gallic acid), a fixed oil, a gummy substance, a volatile oil (in lower percentage), lignin 15% and a red colorings substance area red, and several alkaloids. Among alkaloids, arecoline 0.07-1 percent, guvacine, guvacoline, aricadine, arecaine, 0.1%, and colidine, etc. are important active constituents. The coloring matter and tannin substances in water, when the nut is boiled in water, are extracted (present in water).

Adulteration of Puga

In the market, the Puga/areca nut products are available in several types of ready-to-chew forms. Irrespective of their health hazards, the maximum of these chew forms are adulterated with cheaper materials and preservatives. Recent surveys and reports are already available that most of the Puga/ Supari available in the market were substandard type which is full of cancer-causing fungus and also adulterated with hazardous toxic metals, phytochemicals, and even pesticides. 

In Indian Puga or Areca nuts, an infestation of A. flavus is commonly reported.

Bark: Beta-amyrin, botulin, lupeol

Flower: Glycosides like pelargonidin, delphinidin, cyanidin

Seeds: Seeds of Parusaka fruits contain oil. Leaves contain crude protein 10.1 %, fat 6.8 %, crude fibre 14.1%, nitrogen free extract 54.8%, carbohydrate 68.9%, ash 14.2%, calcium 4.18%, phosphorus 0.25% and tannin.

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Recent Research on Puga (Areca catechu)

  • A study was designed to investigate the effect of hydroalcoholic extract of A. catechu L. nut (ANE) treatment on migraine pain in rat models to strengthen its use as an anti-migraine therapy. The PPE was reduced in both ANE-treated groups of rats. The percent fluorescein was significantly increased in the positive control group (97.00+- 7%, p < 0.0001) compared to the negative control (63.87+- 1.2%). With ANE treatments (250 and 500 mg/ kg) PPE was significantly decreased to 88.88+-1.4% (p < 0.01) and 83.55 +- .01% (p < 0.0001) compared to the positive control group, respectively. On the other hand in the model of vocalization, with 250 and 500 mg/ kg ANE treatment, vocalization was significantly reduced to 33.33% and 16.66%, respectively, compared to saline-treated rats. The reduction in vocalization is comparable to the reference drug sumatriptan. The findings provide strong evidence for the anti-migraine potential of ANE in rat models of migraine. In summary, therapeutic intervention with ANE treatment could be a promising strategy for the prevention of migraine. Bhandare AM’, Vyawahare NS, Kshirsagar AD 3. Anti-migraine effect of Areca Catechu L. nut extract in bradykinin-induced plasma protein extravasation and vocalization in rats. J Ethnopharmacol. 2015 Aug 2; 171: 121- 4.
  • Rahman, Md & Sultana, Papeya & Islam, Md Sahidul & Mahmud, Md & Rashid, Md. Mamun & Hossen, Foysal. (2014). Comparative Antimicrobial Activity of Areca Catechu Nut Extracts using Different Extracting Solvents. Bangladesh Journal of Microbiology. 31. 19- 23. 10.  3329/ BMJ. v31i1. 28460. Scientists from different sectors are investigating plants for their antimicrobial usefulness. Studies have found thousands of plants that have inhibitory effects on a range of microorganisms in vitro. Surprisingly, only around 10% of all the plants have been investigated for this purpose. The antimicrobial properties of Areca catechu nut extract have been reported earlier. In our study, we have observed and compared the antibacterial activity among n-hexane, ethanol, and water extract of A. catechu nut. We found an antimicrobial effect only from ethanol and water extract. On the contrary, there was no antibacterial effect observed from the n-hexane extract. Furthermore, the extracts are effective only against gram-positive bacteria. The ethanol extract concentration from 0.188- 0.377 mg/ml was the minimum inhibitory concentration (MIC) for gram-positive bacteria used in our study. While minimum bactericidal concentrations (MBC) were 0.377-0.753 mg/ml for this group of microorganisms. On the other hand, in the case of water extract the MIC and MBC were 0.047-1.56 and 0.094-3.125 mg/ml respectively for Gram-positive organisms. This study suggests that A. catechu nut extract can be a potential source for developing antibacterial agents against Gram-positive bacteria which are commonly found in the human oral cavity and responsible for dental caries. Bangladesh J Microbiol, Volume 31, Number 1- 2, June- Dec 2014, pp 19- 23
  • The study evaluated the protective effects of Areca catechu nut extract (ANE) on a cuprizone-induced demyelination mouse model. Two doses of ANE (1% and 2%) were administered orally in the diet for 8 weeks. Animals subjected to demyelination showed impaired spatial memory and less social activity. In addition, mice subjected to demyelination displayed significant myelin damage in the cortex and demonstrated a higher expression of NG2 and PDGFRo, and AMPK activation. ANE treatment not only significantly enhanced cognitive ability and social activity, but also protected myelin against cuprizone toxicity by promoting oligodendrocyte precursor cell (OPC) differentiation. In addition, ANE treatment demonstrated significant dephosphorylation of AMPKa, indicating a regulatory role for ANE in schizophrenia. This study showed that ANE treatment may enhance cognitive ability and social activity by facilitating OPC differentiation and protecting against myelin damage in the cortex. Results also suggest the AMPK signaling pathway may be involved in this process. Adilijiang A’, Guan T2, He J’3, Hartle K°, Wang W4, Li X3. The Protective Effects of Areca Catechu Extract on Cognition and Social Interaction Deficits in a Cuprizone-Induced Demyelination Model. Evid Based Complement Alternat Med. 2015; 2015: 426092.
  • The alcoholic extract of the nuts exerted distinct oxytocic activity on the isolated rat uterus at a dose of 100 mcg (Garg & Garg, 1970).
  • Meutia Sari, Liza & Subita, Gus & Auerkari, Elza. (2017). Potential antioxidant and cytotoxic activities of areca nut (Areca catechu Linn.) extract in human oral squamous cell carcinoma and keratinocyte cells. Asian Journal of Pharmaceutical and Clinical Research. 10. 286. 10. 22159/a PCR. 2017. v10i10. 20287. Objectives: Areca (betel, Areca catechu) nuts have been reported to show high contents of phenolic and flavonoid compounds with associated antioxidant activity. This study was undertaken to assess the anticancer potential of areca nut extract on human squamous carcinoma (HSC)- 3, HSC- 2, and human keratinocyte (Ha Cat) cancer cell lines, and to elucidate the mechanism of its action. Methods: In this study, the areca nut extract was prepared in 96% ethanol and analyzed for the total phenolic and flavonoid content, 2, 2- diphenyl- 1- picrylhydrazyl (DPPH) assay, and 5- (3- carboxy- methoxyphenyl)- 2- (4, 5- dimenthylthiazoly)- 3- (4- sulfophenyl) tetrazolium inner salt assay. Results: The indicated total phenolic content of the areca nut extract was 80.3 mg tannic acid equivalent/g and the total flavonoid content was 238.5 mg catechin equivalent/g. The extract showed good scavenging activity against DPPH radical (efficient concentration 15.95± 0.84 μg / ml). The extract showed higher toxicity in HSC-3 than HSC- 2 cells, IC50 was 164.06 μg/ ml in HSC-3 versus 629.50 μg/ ml in HSC-2. The extract had no cytotoxic effect on HaCat cells. Conclusions: The antioxidant activity of the areca nut extract might be associated with the presence of high content of phenolic and flavonoid compounds. The extract showed selective cytotoxicity against HSC-3 and HSC-2 cells but not on HaCat cells. Instead, the extract induced a high rate of proliferation in HaCat cells.
  • The alkaline extract was found to be most potent in intensity as well as duration of vasoconstriction followed by the alcoholic extract. The aqueous and acid extracts had mild activity (Sirsi et al., 1963a).
  • Bharathithasan, Madhuri & Ravindran, Darvin & Rajendran, Dinesh & Chun, Sim & Abbas, Seham & Sugathan, Sandeep & Yahaya, Zary & Said, Abd & Oh, Wen-Da & Kotra, Vijay & Mathews, Datuk Dr & Mohd Amin, Mohamad Faiz & Ishak, Intan & Ravi, Rajiv. (2021). Analysis of chemical compositions and larvicidal activity of nut extracts from Areca catechu Linn against Aedes (Diptera: Culicidae). PLOS ONE. 16. e0260281. 10. 1371/ journal. pone. 0260281. The Areca catechu nut collected from Ipoh, Perak, Malaysia was grounded into powder and used for Soxhlet extraction. The chemical analysis of the extracts and their structures were identified using the GCMS- QP2010 Ultra (Shimadzu) system. National Institute of Standards and Technology (NIST) Chemistry WebBook, Standard Reference Database 69 (https:// webbook. nist. gov/ chemistry) and PubChem ( https:// pubchem. ncbi. nlm. nih. gov), the two databases used to retrieve the synonyms, molecular formula, molecular weight, and 2- dimensional (2D) structure of chemical compounds. Next, following WHO procedures for larval bioassays, the extracts were used to assess larvicidal activity against early 4th  instar larvae of Aedes aegypti and Aedes albopictus. The larvicidal activities were observed against early 4 th stage larvae with different concentrations in the range from 200 mg/ L to 1600 mg/ L. The LC 50 and LC 95 of Aedes aegypti were 621 mg/ L and 2264 mg/ L respectively, whereas the LC 50 and LC 95 of Aedes albopictus were 636 mg/ L and 2268 mg/ L respectively. Mortality was not observed in the non-target organism test. The analysis using gas chromatography and mass spectrometer recovered several chemical compounds such as Arecaidine, Dodecanoic acid, Methyl tetradecane, Tetradecanoic acid, and n- Hexadecanoic acid bioactive components. These chemical constituents were used as additive formulations in pesticides, pest control, insect repellent, and insecticidal agents. Our study showed significant outcomes from the extract of Areca catechu nut and it deserves further investigation concerning chemical components and larvicidal actions between different species of Aedes mosquitoes. Even though all these findings are fundamental, they may have some interesting potential to be developed as natural bio-larvicidal products.
  • Adilijiang, Abulimiti & Guan, Teng & He, Jue & Hartle, Kelly & Wang, Wenqiang & Li, Xinmin. (2015). The Protective Effects of Areca Catechu Extract on Cognition and Social Interaction Deficits in a Cuprizone-Induced Demyelination Model. Evidence-based Complementary and Alternative Medicine. 2015. 10. 1155/ 2015/ 426092. Schizophrenia is a serious psychiatric illness with an unclear cause. One theory is that demyelination of white matter is one of the main pathological factors involved in the development of schizophrenia. The current study evaluated the protective effects of Areca catechu nut extract (ANE) on a cuprizone-induced demyelination mouse model. Two doses of ANE (1% and 2%) were administered orally in the diet for 8 weeks. Animals subjected to demyelination showed impaired spatial memory and less social activity. In addition, mice subjected to demyelination displayed significant myelin damage in the cortex and demonstrated a higher expression of NG2 and PDGFRα and AMPK activation. ANE treatment not only significantly enhanced cognitive ability and social activity, but also protected myelin against cuprizone toxicity by promoting oligodendrocyte precursor cell (OPC) differentiation. In addition, ANE treatment demonstrated significant dephosphorylation of AMPKα, indicating a regulatory role for ANE in schizophrenia. This study showed that ANE treatment may enhance cognitive ability and social activity by facilitating OPC differentiation and protecting against myelin damage in the cortex. Results also suggest the AMPK signaling pathway may be involved in this process.
  • Arecoline, an alkaloid isolated from the nuts (1 mg/kg, i.p.) induced slight sedation in rats at the end of five minutes in the “maze learning” technique (Sirsi, 1967).
  • Pradeep, Sushma & Prabhuswaminath, Samudyata & Reddy, Pruthvish & Srinivasa, Sudhanva & Shati, Ali & Alfaifi, Mohammad & Elbehairi, Serag & Achar, Raghu Ram & Silina, Ekaterina & Stupin, Victor & Manturova, Natalia & Glossman-Mitnik, Daniel & Shivamallu, Chandan & Kollur, Shiva Prasad. (2022). Anticholinesterase activity of Areca Catechu: In Vitro and silico green synthesis approach in the search for therapeutic agents against Alzheimer’s disease. Frontiers in Pharmacology. 13. 1044248. 10. 3389/ fphar. 2022. 1044248. For many years, the primary focus has been on finding effective treatments for Alzheimer’s disease (AD), which has led to the identification of promising therapeutic targets. The necessity for AD stage-dependent optimal settings necessitated a herbal therapy strategy. The plant species Areca Catechu L. (AC) was selected based on its traditional uses against CNS-related diseases. AC leaf extract was prepared using a Soxhlet extraction method and hydroxyapatite nanoparticles (HAp- NPs) were synthesized from the same (AC-HAp- NPs). Powder X-ray diffractometer (XRD), scanning electron microscopy (SEM), transmission electron microscopy (TEM), selected area electron diffraction (SAED), and Fourier transform infrared spectroscopy (FTIR) were used to confirm the structure and morphology of the as-prepared AC- HAp- NPs. The crystalline character of the AC- HAp- NPs was visible in the XRD pattern. The synthesized material was found to be a nanoflake, with an average diameter of 15–20 nm, according to SEM analysis. The TEM and SAED pictures also revealed the form and size of AC- HAp- NPs. In vitro anti-acetylcholinesterase and butyrylcholinesterase (AChE and BChE) activities of hydroxyapatite nanoparticles produced from an AC leaf extract were tested in this study. When compared to the control, AC- HAp- NPs had higher anti-AChE and BChE activity. The anti-acetylcholinesterase action of phytoconstituents generated from AC leaf extract was mediated by 4AQD and 4EY7, according to a mechanistic study conducted utilizing silico research. The global and local descriptors, which are the underpinnings of Conceptual Density Functional Theory (CDFT), have been predicted through the MN12SX/ Def2TZVP/ H2O model chemistry to help in the comprehension of the chemical reactivity properties of the five ligands considered in this study. The CDFT experiments are supplemented by the calculation of several useful calculated pharmacokinetics indices, and their expected biological targets connected to the bioavailability of the five ligands to further the goal of studying their bioactivity.
  • Meti, Vinayak & Ruckmani, A & Professor, & Krishna, Kavitha. (2014). ANXIOLYTIC AND ANTI-DEPRESSANT ACTIVITY OF ARECA CATECHU LINN. IN MICE. world journal of pharmaceutical research. 3045. 1367-1376. Seventy-two Swiss adult albino mice weighing 25–30 grams were divided equally into three groups and allocated to the Forced swim test (FST), Tail suspension (TST), and elevated plus maze test (EPM). FST and TST were used to evaluate antidepressant activity and EPM for anxiolytic activity. Each group had 4 subgroups (control, standard, and the 2 test groups) of 6 animals in each. The control group received the vehicle, gum acacia; standard group 1, Diazepam (for EPM), Standard group 2, Imipramine (For FST and TST) and the 2 test groups received the aqueous (AEAC) and methanolic extract (MEAC) of areca catechu. For the acute study, a single dose was given 60 min before the experiment and for the chronic study, the drugs were given once a day for 15 days. Statistical analysis was performed using Mean +/-SD. ANOVA followed by Student–Newman–Keuls as the post hoc test. AEAC and MEAC have shown significant anxiolytic activity greater than diazepam in the EPM test. The antidepressant activity of both AEAC and MEAC was comparable to Imipramine in FST and TST. The present study has shown that both AEAC and MEAC have anxiolytic and antidepressant activity. The anxiolytic activity was greater than Diazepam and antidepressant activity is comparable to Imipramine.
  • Phaechamud, Thawatchai & Toprasri, Photchanart & Chinpaisal, Chatchai. (2009). Antioxidant activity of Areca catechu extracts in human hepatocarcinoma HepG2 cell lines. Pharmaceutical Biology. 47. 242- 247. 10. 1080/ 13880200802434203. The effect of aqueous and various organic extracts from the different parts of Areca catechu L. (Arecaceae) on oxidative DNA damage in human hepatocarcinoma Hep G2 cells were investigated using single cell gel electrophoresis (comet) assay. A comparison of a series of organic extracts from the nut husk and different parts of this plant was performed. Incubation of methanol extract of Areca nut husk showed a dose-dependent inhibition of comet formation while other solvent extracts did not. Significant protection of H2O2-induced DNA damage was observed at 0.1% w/v concentration which was at the same level of protection by 1 μM butylated hydroxytoluene (BHT). The age of the Areca catechu nut husk also played an important role in chemical constituents exhibiting antioxidation since only two out of five different ages of husks displayed anti-oxidative effects in the comet assay. Among the different parts of this plant that were tested, the nut husk was the only consistent part that demonstrated antioxidant activity.
  • The action of the extract of nuts and human blood leukocytes in vitro revealed that the extract had a depressing effect on normal phagocytic function (Broker and Bhat, 1952).
  • Cyriac, Maria & Vidya, Pai & Varghese, Ipe & Shantaram, Manjula & Jose, Maji. (2012). Antimicrobial properties of Areca catechu (Areca nut) husk extracts against common oral pathogens. International Journal of Research in Ayurveda and Pharmacy. 3. 81- 84. The husk fibers of Areca catechu (areca nut) are reported to be used by the people of rural areas of Dakshina Kannada, Karnataka for cleaning their teeth. The beneficial effects of these plant materials are not scientifically proven, so the study was carried out to estimate the antimicrobial properties of A. catechu against common oral pathogens. These antimicrobial properties in addition to the mechanical cleansing property of the fibers of areca nuts could improve oral health. Alcoholic and aqueous extracts of husk of Areca catechu were prepared and antimicrobial properties against common oral pathogens like Streptococcus mutans, Streptococcus salivarius, Streptococcus mitis, Lactobacillus acidophilus, Candida albicans, Prevotella intermedia were performed by agar well diffusion method. Alcoholic extract of Areca catechu husk fibers showed a dose-dependent positive inhibitory effect against Candida albicans with a zone of inhibition of 5- 9 mm. Alcoholic and aqueous extracts did not show significant antimicrobial activity against other tested organisms. As our study failed to demonstrate the significant inhibitory effect on cariogenic organisms and a periodontal pathogen, we conclude that areca husk, when used for routine oral care, would improve oral health primarily through mechanical cleansing rather than antimicrobial activity. However, the results indicate that areca husk contains chemical components that have an antifungal effect. Therefore this plant material can be a potential source for developing natural antifungal agents against C. albicans which is a common oral pathogen.
  • Lee, Kang & Wardani, Giftania & Kim, Jisu & Dirgantara, Septriyanto & Maeng, Won & Hong, Heeok. (2014). The anti-inflammatory effect of Indonesian Areca catechu leaf extract in vitro and in vivo. Nutrition research and practice. 8. 267-71. 10. 4162/nr. 2014. 8. 3. 267. OBJECTIVES Overproduction of nitric oxide (NO) by the inducible nitric oxide synthase (iNOS) enzyme can cause inflammation. Cyclooxygenase- 2 (COX- 2) is also involved in the inflammatory response through the regulation of nuclear factor-kappa B (NF- κB). Areca catechu is one of the known fruit plants of the Palmaceae family. It has been used for a long time as a source of herbal medicine in Indonesia. In this study, we explored the effect of Indonesian Areca catechu leaf ethanol extract (ACE) in lipopolysaccharide (LPS)- induced inflammation and carrageenan-induced paw edema models. Recently, this natural extract has been in the spotlight because of its efficacy and limited or no toxic side effects. However, the mechanism underlying its anti-inflammatory effect remains to be elucidated. We measured NO production by using the Griess reagent and determined the expression levels of inflammation-related proteins, such as iNOS, COX2, and NF- κB, by western blot. To confirm the effect of ACE in vivo, we used the carrageenan-induced paw edema model. Compared to untreated cells, LPS-stimulated RAW 264.7 cells treated with ACE showed reduced NO generation and reduced iNOS and COX-2 expression. We found that the acute inflammatory response was significantly reduced by ACE in the carrageenan-induced paw edema model. Taken together, these results suggest that ACE can inhibit inflammation and modulate NO generation via the downregulation of iNOS levels and NF- κB signaling in vitro and in vivo. ACE may have a potential medical benefit as an anti-inflammatory agent.

Rasa Panchaka of Puga

Rasa (Taste) Kashaya (astringent), Madhura (Sweet)
Guna (Virtue) Ruksha (dry), Guru (Heavy)
Virya (potency) Sheeta (cold potency) 
Vipaka (post-digestion) Katu (pungent)

Dosha Karma of Puga

Kapha- Pitta Shamaka, Pitta Hara due to Sheeta Virya, Kashaya Rasa. Kapha Hara because of Kashaya Rasa, and Katu Vipaka.

It is Tridosha Shamaka in Swinna Kvathit boiled state.

Karma (Actions) of Puga

Vikasi, Rakta BHara Rakshaka, Hridya Avsadaka, Rakta Pitta Shamaka, Rochana, Mukha Vaishdya Kara, Vata Rakta, Durgandh Hara, Deepana, Lala Srava Janana, Asaya Vairsya Hara, Tivra Krimi Ghana, Gandu Pada, Sphiti Krimi Nashaka, Mohana, Madakari, Bhram Kari in overdosage on excess use, Mla Dourgandya Hara.

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Prayogarha Vyadhi (Therapeutic Indication) of Puga

Pradara, Shweta Pradara, Gandu pada, Sphiti Krimi, Rakta Pitta, Shukra Meha, Bahu Mutra, Vrana, Mukha Paka, Sheetada, Gala Roga, Updansha.

Aamyik Paryog (Therapeutic Uses) of Puga

Rechaka (As Laxative): Paste of Kramuka 10 gm. should be given with sour juice or gruel. Because of hotness, sharpness, and laxative property, it leads the enema downwards. (Charaka Samhita Siddhi Sthana. 7/ 37)

Rakta Pitta (Intrinsic hemorrhage):  Mixed with Chandana Kramuka is useful in intrinsic hemorrhage. (Charaka Samhita Chikitsa Sthana. 4. 74- 77)

Updansha (Soft- chancre): Paste of Puga or karavira root should be applied. (Chakra Dutta. 47/ 11)

Vatavyadhi: Decoction of Sallaki and Cikkani (puga) bark added with oil alleviates the disease in three weeks. (Harita Samhita. 3. 20. 75)

Benefits of Puga

  • The drug Puga is Vikasi which is a depressant that acts as Dhatu Vandana vimoksana dhatu saithilyakara, it is ojohara (unwholesome for oja or energy) and bhramajanana (causing vertigo). 
  • It is stambhana and mukha vaisadyakara, rocana, mukha vairasyanasana and dipana. 
  • It stimulates lalasrava or salivation (lala srava- janana). It is a depressant to the heart and hypotensive.
  • It alleviates intrinsic hemorrhage (rakta pitta Shamaka). It makes the taste of the mouth good and pleasant or checks foul or bad taste (mukha vairasyahara).
  • It is diaphoretic (Sveda janana), sukrastambhana, garbhasaya sothahara, and mutra sangrahaniya, and krimighna. It acts as a strong anthelmintic which is attributed to aricoline present in drugs specifically countering roundworms. It is very astringent.
  • The Pugaphala is commonly used in tradition as an important component of betel chewing (Tambula) and is accordingly known as betel nut. The gargle of Puga phala (betel nut) is taken for diseases of the mouth particularly stomatitis, Sheetada, and throat affections.
  • The decoction of nuts is used for this purpose. The vaginal douche (Uttara Basti) is administered in case of leucorrhoea (Shveta pradara). 
  • A dusting of powder (puga avachurnana) is suggested for wounds and ulcers. Puga is also added with tooth powders. The oil prepared with Puga is applied for backache, waist pain, and Vata Vyadhi.
  • Puga is useful in Bahu mutra (urination of excess), Shukra meha (spermatorrhoea), leucorrhoea (shveta pradara), upadamsa (soft chancre) and masurika (measles). The powder of nuts, mixed with lime juice (nimbuka swarasa) or milk, is suggested to be taken for anorexia, diarrhea, dysentery, and worms.
  • The use of water ghee milk is to check the ill-effects of puga. 
  • The excess or constant use of puga is adversely affecting. Fried (in sand) or boiled (then dried) nuts are purified for use. 
  • Puga is advised to consume in combination with milk, ghee, etc.

Benefits of Puga on Different System of the Body

External use of Puga: Hemostatic and wound healing. Used for gargling in oral disorders. Tampon dipped in its decoction is kept in the vagina in leucorrhea. The powder is sprinkled on wounds. Black powder of nut is used in tooth powder. Massage of medicated oil is useful in backache and vata diseases.

Internal uses of Puga: It reduces blood pressure and is useful in bleeding disorders, vata disorders, stomatitis, and bad breath. Overdose results in hyperperistalsis, griping pain, and diarrhea. In round and flat worms, 3 gm. betel nut + 2 gm. lemon juice (or 250 ml. of milk) given after a fast of 12 to 14 hours kills and expels the worms. Also useful in anorexia, loss of appetite, spermatorrhea, leucorrhoea, and polyuria.

Matra (Therapeutic Administration and Dosage) of Puga

Beeja Churna (Seed powder): 1- 3 gm, 

Kwatha (decoction): 50- 100 ml

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Classical Reference of Puga

Bhava Prakasha Nighantu Aamradi Varga- 49

Synonyms

भेदि  सम्मोह कृत्पूग कषायं स्वादु  रोचनम्‌ ।

कफपित्तहर रुक्षं वक्त्र क्लेद मलापहम ||

Bhava Prakasha Nighantu Aamradi Varga- 51

Properties and actions

पूगं गुरु हिम॑ रुक्ष॑ कषाय॑ कफपित्तजित्‌ । 

मोहन दीपन रुच्यमास्य वैरस्य नाशनम्‌ । ।

आद्र तद गुरु अभिष्यंदी  वन्हिदृष्टिहरं स्मृतम |

स्विन्न॑ दोषन्रयच्छेदि  दृढ़मध्यं तदुस्तमम ||

Dhanwantri Nighantu Chandanadi Varga- 38

Properties and action

भेदि  सम्मोहकृत्पूग कषायं स्वादु  रोचनम्‌ |

कफ पित्तहर रुक्षं वक्त्र क्लेद मलापहम ||

Kaiydeva Nighantu Aushadhi Varga- 515- 521

पूग रुक्ष॑ सर किंचित्कषायं मधुर गुरु |

रोचनं मोहनं हृदयँ कफ पित्त निबर्हणं |

दीपन वक्त्र वैरस्य मल दौर्गन्ध्य नाशनम्‌ ।

आद्र  तु गर्वभिष्यदि दृष्टि अग्नि मान्यकृत्‌ परम्‌ ||

शुष्क॑ तु वातलं स्निग्ध॑ त्रिदोष शमनं परम्‌ |

स्विन्न पूग॑ त्रिदोषग्र॑ पक्‍व॑ शुष्क॑ तु वातलम्‌ ||

पक्व आद्र गर्व अभिष्यंदी बाल आद्र कफ पित्त हत |

पूग स्याद दृढ़मध्यं यत्‌ श्रेष्ठ नानाविध॑ हि तत ||

पाक देशादि भेदेन चिक्कणं सर्वदोषजित्‌ |

कृमिहत पूग पुष्प॑ तु कषाय॑ मधुर गुरु ||

 फलस्य यस्य यस्येह वीर्य भवति यादृशम्‌ |

तस्य तस्येह वीर्येण मज्जानामपि निर्दिशेत ||

हिमानिलोष्ण दुर्वात व्याललालादि दूषितम्‌ |

कृमि जुस्तमजलेमग्रम भूमिजम नार्तवम्‌ |

पाकातीतं रुजायुक्तमामं बिल्व॑ विनात्यजेत्‌ ||

Raja Nighantu Aamradi Varga, 234

Puga Niryasa

पूग वृक्षस्य निर्यासो हिम:  सम्मोहनो गुरु: |

विपाके सोष्णक्षार: साम्लो वातघ्न पित्तल: ||

पूगस्तु चिक्कणी चिक्का चिक्कणं श्लक्ष्णकं तथा |

उद्वेगं क्रमुकफलं ज्ञेयं पूगफलं वसु ||

Raja Nighantu Aamradi Varga, 236

Seri Puga Phala

सेरी च मधुरा रुच्या कषायाम्ला कटुस्तथा |

पथ्या च कफ वातघ्नी  सारिका मुखदोषनुत्‌ ||

Raja Nighantu Aamradi Varga, 237

Tailvana Puga Phala

तैल्वन॑ मधुरं रुच्य॑ कण्ठशुद्धिकरं लघु |

त्रिदोष शमनं दीप्य रसालं पाचनंसमम्‌ ||

Raja Nighantu Aamradi Varga, 239

Ghonta Puga Phala

घोंटा कटु कषायोष्ण॑ कठिना रुचिकारिणी |

मल विष्टम्भ शमनी पित्तह द्दीपनी च सा ||

Raja Nighantu Aamradi Varga, 240

Cheaul Puga Phala

 पूगी फलम  चेडल संज्ञक यत्तत्कोड्मणेषु प्रथित॑ सुगन्धि |

श्लेष्मापहं दीपन पाचनञ्च  बलप्रद॑ पुष्टिकरं रस आध्यम |

Raja Nighantu Aamradi Varga, 241

Valli Puga Phala

 यस्य कोंकणे वल्लि गुल अभिधानकम ग्रामो उद्भवम पूगफलम   त्रिदोषनुत्‌ ।

आमापह रोचन रूच्य पाचनं विष्टम्भ तुंदा आम्या हारि दीपनं || 

Raja Nighantu Aamradi Varga, 242

Chandra Purodhbhva Puga Phala

चन्द्रापुरोद्धवं पुगं कफघ्नं  मलशोधनम्‌ |

कटुस्वादु  कषाय॑ च रुच्य॑ दीपनपाचनम्‌ ||

Raja Nighantu Aamradi Varga, 243

Andhra Desh Uttpano Puga Phala

आंध्र देशो उद्धभवम पूग॑ कषायं मधुर रसे |

 वातजिद  वक्त्र  जाड्य धनमिश  कफापहम ||

Raja Nighantu Aamradi Varga, 244

Puga Phala Vishesha Guna

पुगं सम्मोहकृत्सर्व कषायं स्वादु रेचनम्‌ ।

पुगं सम्मोहकृत्सर्व कषायं स्वादु रेचनम्‌ ।

त्रिदोषशमनं रुच्यं वक्त्र क्लेदमलापहम्‌ |

Raja Nighantu Aamradi Varga, 245

Puga Phala Vividha Avastha Guna

आमं पुगं कषाय मुख मल शमनं कंठ शुद्धि विधते |

स्ताम श्लेष्म पित्त प्रशमन उदर आध्मान उदरं सरञ्च |

शुष्कम धातु क्षपणं  कंठ आम्या घनम रूचि करम उदितं पाचन रेचन स्यात |

तात पर्णो नायुतम चेत झटिति विवनुते पाण्डु वातञ्च शोषम ||

Priya Nighantu Haritkyadi varga, 249

पुगं गुवाक्म रुक्षं स्यात कषाय माध कारकं |

विकासी धातु क्षपणं  सरम संकोच कारकं ||

Raja Nighantu Aamradi Varga, 245

शुष्काशुष्कतो विभिन्नवस्थतया पूगस्य विशेष गुणा:

आमं पूंग॑ कषायं सुखमलशमनं कण्ठशुद्धिं विधत्ते |

रक्तामश्लेष्म पित्त प्रशमनमुदराध्मानहरं सरञ्च |

शुष्क॑ कण्ठामयघ्न॑ रुचिकरमुदितं पाचन रेचनं स्यात्‌ |

तत्पर्णनायुतं चेत्‌ झटिति वितनुते पाण्डुघातञ्च  शोषम्‌ ||

Chakra Dutta, Madatya Chikitsa, 18- 18

पूगमदप्रतीकारः

सच्छर्दि मूर्छा अतिसारम मद्म पूगफलोद्धवम्‌ |

सद्य: प्रशमयेत्‌ पीतमातृपतेवारि शीतलम्‌ ||

वन्यकरी सघ्राणज्जलपानाछ लवणभक्षणाद्वापि |

शाम्यति पूगफलमद श्च चूर्ण रुजा शर्कराकवलात्‌ ||

Chakra Dutta, Updansha Chikitsa, 47- 11

उपदंशे पूगफलप्रयोग:

लेप: पूगफलेनाधमारमूलेन वा तथा |

सेवन्रित्य॑ यवान्नञ्च  पानीयं कौपमेव च ||

Chakra Dutta, 54- 5

मसूरिका प्रतिकाराय पूगमूलप्रयोग:

मध्यामूलं शिफा वा मदनकुसुमजा योगा |

वास्यम्बुर्नते प्रथममघगदे दृश्यमाने प्रयोज्या: |

Chakra Dutta, 47- 11

उपदंशे

लेप: पूग फलेनाश्व मार मुलेन  वा तथा |

Charaka Samhita Chikitsa Sthana, 4/ 37

अनुलोमने

ततः क्रमुक कल्काक्ष॑ पाययेताम्लसंयुतम्‌ |

औष्णाततैक्ष्णात्‌ सरत्वाञ्च बस्तियो अस्यानुलोमयेत्‌ ||

Harita Samhita, Vata Vyadhi, 3- 20- 75

वातव्याधौ

शल्लकी चिक्कणी त्वक च क्लाथतैलेन संयुतत: |

कुर्याद्‌ वातार्दित: स्वस्थमेक विंशदिनै: नरम्‌ ||

Charaka Samhita, Chikitsa Sthana, 4- 74/ 77

रक्तपित्ते

किरात तिक्तम  क्रमुकं समुस्तं……. |

पृथक्‌ पृथक्‌ चन्दन योजितानि तैनेव कल्पेन हितानि तत्र ||

Charaka Samhita, Sutra Sthana, 76

Sugandhit Dravya

धार्याण्यास्येन वैशद्यरुचिसौगन्ध्यमिच्छता||

जातीकटुकपूगानां लवङ्गस्य फलानि च|

कक्कोलस्य फलं पत्रं ताम्बूलस्य शुभं तथा|

तथा कर्पूरनिर्यासः सूक्ष्मैलायाः फलानि च||

Charaka Samhita, Sutra Sthana, 25/ 49

Aasava Dravya

आसवद्रव्याणामिदानीमनपवादं लक्षणमनतिसङ्क्षेपेणोपदिश्यमानं शुश्रूषामह इति||

तमुवाच भगवानात्रेयः- धान्यफलमूलसारपुष्पकाण्डपत्रत्वचो भवन्त्यासवयोनयोऽग्निवेश सङ्ग्रहेणाष्टौ शर्करानवमीकाः|

तास्वेव द्रव्यसंयोग करणतोऽपरिसङ्ख्येयासु  यथापथ्यतमानामासवानां चतुरशीतिं निबोध|

तद्यथा- सुरा सौवीर तुषोदक मैरेयमेदक धान्याम्लाः षड् धान्यासवा भवन्ति, मृद्वीका खर्जूर काश्मर्य धन्वन राजादन तृणशून्य परूषकाभयामलक मृगलिण्डिकाजाम्बव कपित्थ- कुवल बदर कर्कन्धु पीलु प्रियाल पनसन्यग्रोधाश्वत्थ प्लक्ष कपीतनोदुम्बराजमोदशृङ्गाटकशाङ्खिनीफलासवाः षड्विंशतिर्भवन्ति, विदारिन्धाश्वगन्धा कृष्णगन्धा शतावरी श्यामा  त्रिवृद्दन्ती द्रवन्ती बिल्वोरुबूक चित्रक मूलैरेकादश मूलासवा भवन्ति, शाल प्रियकाश्वकर्ण चन्दन स्यन्दन खदिर कदर सप्तपर्णार्जुनासनारिमेद तिन्दुक किणिहीशमी- शुक्ति शिंशपा शिरीष वञ्जल धन्वनमधूकैः सारासवा विंशतिर्भवन्ति, पद्मोत्पलनलि कुमुद सौगन्धिक पुण्डरीक शतपत्रमधूकप्रियङ्गुधातकीपुष्पैर्दश पुष्पासवा भवन्ति, इक्षु काण्डेक्ष्विक्षुवालिकापुण्ड्रकचतुर्थाः काण्डासवा भवन्ति, पटोल ताडकपत्रासवौ द्वौ भवतः, तिल्वकलोध्रैलवालुकक्रमुक चतुर्थास्त्वगासवा भवन्ति, शर्करासव एक एवेति| एवमेषामासवानां चतुरशीतिः परस्परेणासंसृष्टानामासवद्रव्याणामुपनिर्दिष्टा भवति|

एषामासवानामासुतत्वादासवसञ्ज्ञा|

Charaka Samhita, Chikitsa Sthana, Parmeha Chikitsa, 6/ 41

लोध्रं शटीं पुष्करमूलमेलां मूर्वां विडङ्गं त्रिफलां यमानीम्|

चव्यं प्रियङ्गुं क्रमुकं विशालां किराततिक्तं कटुरोहिणीं च||

Charaka Samhita, Chikitsa Sthana, Kustha Chikitsa, 7/ 80

त्रिफलासवश्च गौडः सचित्रकः कुष्ठरोगविनिहन्ता|

क्रमुकदशमूलदन्तीवराङ्गमधुयोगसंयुक्तः||

Charaka Samhita, Chikitsa Sthana, Arsha Chikitsa, 14/ 159

Kanaka Arista

नवस्यामलकस्यैकां कुर्याज्जर्जरितां तुलाम्|

कुडवांशाश्च पिप्पल्यो विडङ्गं मरिचं तथा||

पाठां च पिप्पलीमूलं क्रमुकं चव्यचित्रकौ|

मञ्जिष्ठैल्वालुकं लोध्रं पलिकानुपकल्पयेत्||

कुष्ठं दारुहरिद्रां च सुराह्वं सारिवाद्वयम्|

इन्द्राह्वं भद्रमुस्तं च कुर्यादर्धपलोन्मितम्||

चत्वारि नागपुष्पस्य पलान्यभिनवस्य च|

द्रोणाभ्यामम्भसो द्वाभ्यां साधयित्वाऽवतारयेत्||

पादावशेषे पूते च शीते तस्मिन् प्रदापयेत्|

मृद्वीकाद्व्याढकरसं शीतं निर्यूहसम्मितम्||

शर्करायाश्च भिन्नाया दद्याद्द्विगुणितां तुलाम्|

कुसुमस्य रसस्यैकमर्धप्रस्थं नवस्य च||

त्वगेलाप्लवपत्राम्बुसेव्यक्रमुककेशरान्|

चूर्णयित्वा तु मतिमान् कार्षिकानत्र दापयेत्||

तत् सर्वं स्थापयेत् पक्षं सुचौक्षे घृतभाजने|

प्रलिप्ते सर्पिषा किञ्चिच्छर्करागुरुधूपिते||

पक्षादूर्ध्वमरिष्टोऽयं कनको नाम विश्रुतः|

पेयः स्वादुरसो हृद्यः प्रयोगाद्भक्तरोचनः||

अर्शांसि ग्रहणीदोषमानाहमुदरं ज्वरम्|

हृद्रोगं पाण्डुतां शोथं गुल्मं वर्चोविनिग्रहम्||

कासं श्लेष्मामयांश्चोग्रान् सर्वानेवापकर्षति|

वलीपलितखालित्यं दोषजं च व्यपोहति||

इति कनकारिष्टः|

Charaka Samhita, Chikitsa Sthana, Grehani Chikitsa, 15/ 165

Madhava Arista

नवे पिप्पलिमध्वाक्ते कलसेऽगुरुधूपिते|

मध्वाढकं जलसमं चूर्णानीमानि दापयेत्||

कुडवार्धं विडङ्गानां पिप्पल्याः कुडवं तथा|

चतुर्थिकांशां त्वक्क्षीरीं केशरं मरिचानि च||

त्वगेलापत्रकशटीक्रमुकातिविषाघनान्|

हरेण्वेल्वालुतेजोह्वापिप्पलीमूलचित्रकान्||

कार्षिकांस्तत् स्थितं मासमत ऊर्ध्वं प्रयोजयेत्|

मन्दं सन्दपयत्यग्निं करोति विषमं समम्||

हृत्पाण्डुग्रहणीरोगकुष्ठार्शःश्वयथुज्वरान्|

वातश्लेष्मामयांश्चान्यान्मध्वरिष्टो व्यपोहति||

इति मध्वरिष्टः|

Charaka Samhita, Chikitsa Sthana, Paandu Roga Chikitsa, 16/ 107

Beejaka Arista

बीजकात्षोडशपलं त्रिफलायाश्च विंशतिः||

द्राक्षायाः पञ्च लाक्षायाः सप्त द्रोणे जलस्य तत्|

साध्यं पादावशेषे तु पूतशेषे समावपेत्||

शर्करायास्तुलां प्रस्थं माक्षिकस्य च कार्षिकम्|

व्योषं व्याघ्रनखोशीरं क्रमुकं सैलवालुकम्||

मधुकं कुष्ठमित्येतच्चूर्णितं घृतभाजने|

यवेषु दशरात्रं तद्ग्रीष्मे द्विः शिशिरे स्थितम्||

पिबेत्तद्ग्रहणीपाण्डुरोगार्शःशोथगुल्मनुत्|

मूत्रकृच्छ्राश्मरीमेहकामलासन्निपातजित्||

बीजकारिष्ट इत्येष आत्रेयेण प्रकीर्तितः|

इति बीजकारिष्टः|

Charaka Samhita, Siddhi Sthana. 7/ 36

ततः क्रमुककल्काक्षं पाययेताम्लसंयुतम्|

औष्ण्यात्तैक्ष्यात् सरत्वाच्च बस्तिं सोऽस्यानुलोमयेत्||

Vishista Yoga (Name of Important Formulation)

  • Puga Khanda for Shula and Ajirna
  • Dashana Sanskara Churna for Danta Roga
  • Pipplyadya Asava for Arsha and Grahani
  • Supari Paka
  • Khadir Kramuka Kshaya

Contraindications and Side Effects of Puga

Some chemicals in betel nuts are poisonous and if there is adulteration in the Puga then it may lead to many different cancers. If 8- 30 grams of betel nut is taken it may cause death.

Chewing Puga or Supari can cause stool, lips, and mouth to be red. Puga cause similar stimulant effects to tobacco and caffeine. Puga may cause severe side effects like vomiting, diarrhea, kidney diseases, heart disease, liver diseases, chest pain, shortness of breath, rapid breading, coma, and even death. 

Avoid the use of Supari during pregnancy and breastfeeding.

Suggestive Reading Regarding Areca Catechu

  • Meutia Sari, Liza & Subita, Gus & Auerkari, Elza. (2017). Potential antioxidant and cytotoxic activities of areca nut (Areca catechu Linn.) extract in human oral squamous cell carcinoma and keratinocyte cells. Asian Journal of Pharmaceutical and Clinical Research. 10. 286. 10. 22159/a PCR. 2017. v10i10. 20287.
  • Phaechamud, Thawatchai & Toprasri, Photchanart & Chinpaisal, Chatchai. (2009). Antioxidant activity of Areca catechu extracts in human hepatocarcinoma HepG2 cell lines. Pharmaceutical Biology. 47. 242- 247. 10. 1080/ 13880200802434203.
  • Lee, Kang & Wardani, Giftania & Kim, Jisu & Dirgantara, Septriyanto & Maeng, Won & Hong, Heeok. (2014). The anti-inflammatory effect of Indonesian Areca catechu leaf extract in vitro and in vivo. Nutrition research and practice. 8. 267-71. 10. 4162/ nrp. 2014. 8. 3. 267.
  • Meti, Vinayak & Ruckmani, A & Professor, & Krishna, Kavitha. (2014). ANXIOLYTIC AND ANTI-DEPRESSANT ACTIVITY OF ARECA CATECHU LINN. IN MICE. world journal of pharmaceutical research. 3045. 1367- 1376.
  • Cyriac, Maria & Vidya, Pai & Varghese, Ipe & Shantaram, Manjula & Jose, Maji. (2012). Antimicrobial properties of Areca catechu (Areca nut) husk extracts against common oral pathogens. International Journal of Research in Ayurveda and Pharmacy. 3. 81- 84.
  • Perumal, Parthasarathi & Rathnasamy, Suresh & Tirupathi, Balaji & Prabhu, Purushoth & Balaraman, Ashok & SP, Vinothkumar & GP, Senthil. (2020). Comparative Study on Antioxidant and Anti-Inflammatory Activities of Red and Brown Species of Areca Catechu L. Nut Extracts. Current Trends in Biotechnology and Pharmacy. 14. 11- 18. 10. 5530/bp. 2020. 4s. 2.
  • Yamson, Elnalyn & Viloria, Victoria & Mingala, Claro. (2019). Anthelmintic effect of betel nut (Areca catechu) and neem (Azadirachta indica) extract against liver fluke (Fasciola spp.). Journal of Advanced Veterinary and Animal Research. 6. 44. 10. 5455/java. 2019. e310.
  • Adilijiang, Abulimiti & Guan, Teng & He, Jue & Hartle, Kelly & Wang, Wenqiang & Li, Xinmin. (2015). The Protective Effects of Areca Catechu Extract on Cognition and Social Interaction Deficits in a Cuprizone-Induced Demyelination Model. Evidence-based Complementary and Alternative Medicine. 2015. 10. 1155/ 2015/ 426092.
  • Joshi, Madhusudan & Gaonkar, Kavita & Mangoankar, Sneha & Satarkar, Sneha. (2012). Pharmacological investigation of Areca catechu extracts for evaluation of learning, memory, and behavior in rats. International Current Pharmaceutical Journal. 1. 10. 3329/ICJ. v1i6. 10533.
  • Rahman, Md & Sultana, Papeya & Islam, Md Sahidul & Mahmud, Md & Rashid, Md. Mamun & Hossen, Foysal. (2014). Comparative Antimicrobial Activity of Areca Catechu Nut Extracts Using Different Extracting Solvents. Bangladesh Journal of Microbiology. 31. 19- 23. 10. 3329/BMJ. v31i1. 28460.
  • Vikram, Pradeep & Mishra, Santosh & Vishwakarma, Ravikant & Shukla, Ajay. (2019). Comparative investigation on anthelmintic activities of Azadirachta indica and Areca catechu leaves. Advance Pharmaceutical Journal. 4. 125- 127. 10. 31024/ apj. 2019. 4. 5. 3.
  • Ahsan, Farogh & Mahmood, Tarique & Bagga, Paramdeep & Shamim, Arshiya & Shariq, Mohammad & Ansari, Abdullah & Ahmad, Shoaib. (2021). Areca catechu: A phytopharmacological legwork. Food Frontiers. 1. 1- 21. 10. 1002/ fft2. 70.
  • Ghate, Rupesh & Patil, Virupanagouda & Hugar, Shivakumar & Matha, Nanjappaiah & Kalyane, Navanath. (2014). Antihyperglycemic activity of Areca Catechu flowers. Asian Pacific Journal of Tropical Disease. 4. S148- S152. 10. 1016/ S2222- 1808 (14) 60430- 8.
  • Bharathithasan, Madhuri & Ravindran, Darvin & Rajendran, Dinesh & Chun, Sim & Abbas, Seham & Sugathan, & Yahaya, Zary & Said, Abd & Oh, Wen-Da & Kotra, Vijay & Mathews, Datuk Dr & Mohd Amin, Mohamad Faiz & Ishak, Intan & Ravi, Rajiv. (2021). Analysis of chemical compositions and larvicidal activity of nut extracts from Areca catechu Linn against Aedes (Diptera: Culicidae). PLOS ONE. 16. e0260281. 10. 1371/ journal. pone. 0260281.
  • Pradeep, Sushma & Prabhuswaminath, Samudyata & Reddy, Pruthvish & Srinivasa, Sudhanva & Shati, Ali & Alfaifi, Mohammad & Elbehairi, Serag & Achar, Raghu Ram & Silina, Ekaterina & Stupin, Victor & Manturova, Natalia & Glossman- Mitnik, Daniel & Shivamallu, Chandan & Kollur, Shiva Prasad. (2022). Anticholinesterase activity of Areca Catechu: In Vitro and silico green synthesis approach in the search for therapeutic agents against Alzheimer’s disease. Frontiers in Pharmacology. 13. 1044248. 10. 3389/ fphar. 2022. 1044248.
  • Peng W, Liu YJ, Wu N, Sun T, He XY, Gao YX, Wu CJ. Areca catechu L. (Arecaceae): a review of its traditional uses, botany, phytochemistry, pharmacology, and toxicology. J Ethnopharmacol. 2015 Apr 22; 164: 340- 56. doi 10. 1016/ j. jep. 2015. 02. 010. Epub 2015 Feb 12. PMID: 25681543.
  • Lee KP, Sudjarwo GW, Kim JS, Dirgantara S, Maeng WJ, Hong H. The anti-inflammatory effect of Indonesian Areca catechu leaf extract in vitro and in vivo. Nutr Res Pract. 2014 Jun; 8 (3): 267- 71. doi 10. 4162/ nrp. 2014. 8. 3. 267. Epub 2014 May 15. PMID: 24944770; PMCID: PMC 4058559.
  • Shrestha J, Shanbhag T, Shenoy S, Amuthan A, Prabhu K, Sharma S, Banerjee S, Kafle S. Antiovulatory and abortifacient effects of Areca catechu (betel nut) in female rats. Indian J Pharmacol. 2010 Oct; 42 (5): 306- 11. doi 10. 4103/ 0253-7613. 70350. PMID: 21206624; PMCID: PMC 2959215.
  • Herzog TA, Pokhrel P. Introduction to the Special Issue: International Research on Areca Nut and Betel Quid Use. Subst Use Misuse. 2020; 55 (9): 1383- 1384. doi 10. 1080/ 10826084. 2020. 1767345. PMID: 32569543; PMCID: PMC 7360346.
  • Anshul, Kumar, Harsh Rajvanshi, Ayesha Zaka, Paridhi Kalia, Abdullah Shafi, Gregori Kurtzman, Stefan Theodor Serban, et al. “International Dental Journal of Student’s Research, January–March 2015: 3 (2).”
  • Aprely, Kurnia Jefina, Sestry Misfadhila, and Ridho Asra. “Review: The Phytochemistry, Pharmacology and Traditional Use of Gambir (Uncaria gambir (Hunter) Roxb.).” EAS J. Pharm. Pharmacol 990 (2021): 21- 25.
  • Chowdhury, Sabrina Farida. “Betel Nut Chewing Behavior among the Local Residents of Sylhet Metropolitan City, Bangladesh.” International Journal of Science and Business 14, no. 1 (2022): 50- 63.
  • Christanto, Raymond, Andre Andre, Shania Foustine, and Leonny Yulita Hartiadi. “Combination of Piper betel Leaves and Areca catechu Nuts Ethanolic Extract Effects on In Vitro Antimicrobial Test against Aerobic Mouth Microbiota.” Indonesian Journal of Life Sciences (2019): 48- 53.
  • Syaranamual, Siska, Donatus Sipyan, Veronica Leonora Tuhumena, Inna Martha Rumainum, and Dwiana Wasgito Purnomo. “The Seedlings Growth Performance of Areca Nut Palm (Areca catechu L.) under Different Types of Organic Mulching.” Caraka Tani: Journal of Sustainable Agriculture 37, no. 2: 233- 242.
  • Kamath, V. V., K. Satelur, and Y. Komali. “Biochemical markers in oral submucous fibrosis: A review and update.” Dental Research Journal 10, no. 5 (2013): 576.
  • Tigari, Harish, and S. Rajamma. “Forming system and income security: a case of areca nut farmers’.” Journal of Commerce 7, no. 2 (2019): 1- 6.
  • Prayogo, Cahyo, Rika Ratna Sari, Degi Harja Asmara, Subekti Rahayu, and Kurniatun Hairiah. “Allometric equation for pinang (Areca catechu) biomass and C stocks.” AGRIVITA, Journal of Agricultural Science 40, no. 3 (2018): 381- 389.
  • Athukorala IA, Tilakaratne WM, Jayasinghe RD. Areca Nut Chewing: Initiation, Addiction, and Harmful Effects Emphasizing the Barriers and Importance of Cessation. J Addict. 2021 Jun 3; 2021: 9967097. doi 10. 1155/ 2021/ 9967097. PMID: 34123457; PMCID: PMC 8192186.
  • Baragi PC, Bhat S, Prajapati PK, Baragi UC. Clinical evaluation of Vṛṣya effect of Pūga Khaṇḍa on sexual health and seminal parameters. Anc Sci Life. 2013 Jan; 32 (3): 134- 8. doi: 10. 4103/ 0257- 7941.122995. PMID: 24501440; PMCID: PMC 3902532.
  • Baragi PC, Bhat S, Prajapati PK, Baragi UC. Clinical evaluation of Vṛṣya effect of Puga Khaṇḍa on sexual health and seminal parameters. Anc Sci Life. 2013 Jan; 32 (3): 134- 8. doi: 10. 4103/ 0257- 7941.122995. PMID: 24501440; PMCID: PMC 3902532.
  • Panda AK, Misra S. Health traditions of Sikkim Himalaya. J Ayurveda Integr Med. 2010 Jul; 1 (3): 183- 9. Doi: 10. 4103/ 0975- 9476. 72617. PMID: 21547046; PMCID: PMC 3087370.
  • Baragi PC, Baragi UC, Bhat S, Prajapati PK. Physico-Chemical Profile of Puga Khanda: A Preliminary Study. Ayu. 2014 Jan; 35 (1): 103- 7. doi: 10. 4103/ 0974-8520. 141956. PMID: 25364209; PMCID: PMC 4213959.
  • Rama, Krishna & Allam, Dixit & Renu, Reddy & Bhaskara, & Sai, Prasad & Prasad, Ajv & Allam, & Renu, Dixit & Bhaskara, Reddy & Srf, A. (2020). TITLE A CLINICAL STUDY OF SUDDHA PUGA (ARECA CATECHU LINN.) IN MADHUMEHA VIS-Á-VIS DIABETES MELLITUS A CLINICAL STUDY OF SUDDHA PUGA (ARECA CATECHU LINN.) IN MADHUMEHA VIS- A- VIS DIABETES MELLITUS.
  • Baragi, Pramod & Baragi, Umapati & Bhat, Sathyanarayana & Prajapati, Pradeep. (2014). Physio-Chemical Profile of Puga Khanda: A Preliminary Study. Ayu. 35. 103- 7. 10. 4103/ 0974- 8520.141956.
  • Peng, Wei & Liu, Yu-Jie & Wu, Na & Sun, Tao & He, Xiao-Yan & Gao, Yong-Xiang & Wu, Chun-Jie. (2015). Areca catechu L. (Arecaceae): A review of its traditional uses, botany, phytochemistry, pharmacology, and toxicology. Journal of Ethnopharmacology. 164. 10. 1016/ j. jep. 2015. 02. 010.
  • Rashid, Mohammad & Shamsi, Shariq & Zaman, Roohi & Ilahi, Ahsan. (2015). ARECA CATECHU: ENFOLDING OF HISTORICAL AND THERAPEUTIC TRADITIONAL KNOWLEDGE WITH MODERN UPDATE. 10. 13040/ IJPSR. 0975-8232. IJP. 2 (5). 221- 28.
  • Arjungi KN. Areca nut: a review. Arzneimittelforschung. 1976; 26 (5): 951- 6. PMID: 786304.
  • Patel KR, Rajagopala M, Vaghela DB, Shah A. A pilot study on Ayurvedic management of oral submucous fibrosis. Ayu. 2015 Jan- Mar; 36 (1): 34- 40. doi 10. 4103/ 0974- 8520. 169018. PMID: 26730136; PMCID: PMC 4687236.
  • Auluck A, Hislop G, Poh C, Zhang L, Rosin MP. Areca nut and betel quid chewing among South Asian immigrants to Western countries and its implications for oral cancer screening. Rural Remote Health. 2009 Apr- Jun; 9 (2): 1118. Epub 2009 May 14. PMID: 19445556; PMCID: PMC 2726113.
  • Bhat SJ, Blank MD, Balster RL, Nichter M, Nichter M. Areca nut dependence among chewers in a South Indian community who do not also use tobacco. Addiction. 2010 Jul; 105 (7): 1303- 10. doi 10. 1111/ j. 1360- 0443. 2010. 02952. x. PMID: 20642513; PMCID: PMC 3143027.
  • Abbasy Z, Tameh AA, Mozaffari-Kermani R, Arani HZ, Talaei SA. Effect of topical Areca palm L. hydroalcoholic extract on burn wound healing in rats. J Adv Vet Anim Res. 2021 Nov 2; 8 (4): 619- 628. doi 10. 5455/java. 2021. h553. PMID: 35106302; PMCID: PMC 8757671.
  • Sari LM, Hakim RF, Mubarak Z, Andriyanto A. Analysis of phenolic compounds and immunomodulatory activity of areca nut extract from Aceh, Indonesia, against Staphylococcus aureus infection in Sprague-Dawley rats. Vet World. 2020 Jan; 13 (1): 134- 140. doi 10.14202/ vet world. 2020. 134- 140. Epub 2020 Jan 18. PMID: 32158163; PMCID: PMC 7020107.
  • Toprani R, Patel D. Betel leaf: Revisiting the benefits of an ancient Indian herb. South Asian J Cancer. 2013 Jul; 2 (3): 140- 1. doi: 10. 4103/ 2278- 330X. 114120. PMID: 24455591; PMCID: PMC 3892533.
  • Prabhu RV, Prabhu V, Chatra L, Shenai P, Suvarna N, Dandekeri S. Areca nut and its role in oral submucous fibrosis. J Clin Exp Dent. 2014 Dec 1; 6 (5): e569- 75. doi 10. 4317/iced. 51318. PMID: 25674328; PMCID: PMC 4312688.
  • Bharathithasan M, Ravindran DR, Rajendran D, Chun SK, Abbas SA, Sugathan S, Yahaya ZS, Said AR, Oh WD, Kotra V, Mathews A, Mohd Amin MF, Ishak IH, Ravi R. Analysis of chemical compositions and larvicidal activity of nut extracts from Areca catechu Linn against Aedes (Diptera: Culicidae). PLoS One. 2021 Nov 29; 16 (11): e0260281. doi 10. 1371/ journal. pone. 0260281. PMID: 34843539; PMCID: PMC 8629262.
  • Jain V, Garg A, Parascandola M, Chaturvedi P, Khariwala SS, Stepanov I. Analysis of Alkaloids in Areca Nut-Containing Products by Liquid Chromatography-Tandem Mass Spectrometry. J Agric Food Chem. 2017 Mar 8; 65 (9): 1977- 1983. doi 10.1021/ acs. java. 6b05140. Epub 2017 Feb 23. PMID: 28190359; PMCID: PMC 5729027. 
  • Yuan M, Ao Y, Yao N, Xie J, Zhang D, Zhang J, Zhang X, Ye W. Two New Flavonoids from the Nuts of Areca Catechu. Molecules. 2019 Aug 7; 24 (16): 2862. doi 10. 3390/ molecules 24162862. PMID: 31394749; PMCID: PMC 6721780.
  • Cardosa SR, Ogunkolade BW, Lowe R, Savage E, Mein CA, Boucher BJ, Hitman GA. Areca catechu-(Betel-nut)-induced whole transcriptome changes in a human monocyte cell line that may have relevance to diabetes and obesity, a pilot study. BMC Endocr Disord. 2021 Aug 14; 21 (1): 165. doi 10. 1186/ s12902-021- 00827-1. PMID: 34391409; PMCID: PMC 8364090.
  • Adilijiang A, Guan T, He J, Hartle K, Wang W, Li X. The Protective Effects of Areca catechu Extract on Cognition and Social Interaction Deficits in a Cuprizone-Induced Demyelination Model. Evid Based Complement Alternat Med. 2015; 2015: 426092. doi 10. 1155/ 2015/ 426092. Epub 2015 Feb 26. PMID: 25815032; PMCID: PMC 4357051.
  • Garg A, Chaturvedi P, Gupta PC. A review of the systemic adverse effects of areca nut or betel nut. Indian J Med Paediatr Oncol. 2014 Jan; 35 (1): 3- 9. doi: 10. 4103/ 0971- 5851.133702. PMID: 25006276; PMCID: PMC 4080659.

References

  • Agnivesha, Charaka, Dridhabala. In: Charaka Samhita, ed. Vaidya Jadavaji Trikamji Aacharya., editor. Varanasi: Chaukhamba Sanskrit Sansthan; 2009. 
  • Sushruta. In: Sushruta Samhita, Sutra Sthana, ed. Vaidya Jadavji Trikamji Acharya., editor. Varanasi: Choukhambha Orientalia; 2005. 
  • Vagbhata. In: Ashtanga Hrudaya, 9th ed. Anna Moreshwar Kunte, Krishnashastri Navarre, Harishastri, editors. Varanasi: Choukhambha Orientalia; 2005.
  • Bhavamishra. In: Bhava Prakasha Nighantu Aamradi Varga 11th ed. part 2. Brahma Shankara Mishra., editor. Varanasi: Choukhambha Bharati Academy; 2009. 
  • Bhavprakasha, commentary by Bulusu Sitaram, forwarded by K.C.Chunekar
  • Sharma PV, Kaideva Nighantu. Aushadhi Varga. Chaukhamba Orientalia, Varanasi; 2006.
  • Dhanwantri Nighantu, Chandanadi Varga, Chaukhamba Krishnadas Academy; Varanasi.
  • Tripathi I., Raja Nighantu, Aamradi Varga, Chaukhamba Krishnadas Academy; Varanasi; 2010
  • Priya Nighantu by P. V. Sharma, Haritkyadi Varga Chaukhamba Krishnadas Academy; Varanasi.
  • Dr. Gyanendra Pandey, Dravyaguna Vigyana, reprint 2012, Chawkhamba Krishnadas Academy.
  • K. Niteshwar Dravyaguna Vigyan, reprint 2017.
  • Dr. J.L.N. Sastry and Dr. B.S. Sastry, Dravyaguna Vigyana, Chaukhambha Orientalia, Varanasi.
  • Rasa Taringini. 24. 172- 173
  • Chakrapanidatta, Chakradatta with the vaidaya Prabha hindi commentary by indra deva tripathi, chaukambha sanskrita sansthan, varanasi 2nd Edition, 1994.

Ayurveda is an Indian system of medicine that is popular since ancient times. Dr. Gupta’s IAFA® has been conducting research studies to find out different phytoconstituents of herbs and their action in the body. Such knowledge acquired by our experts is used in the preparation of medicines and providing the treatment facilities safely and effectively. IAFA® is the provider of safe and effective treatment for a wide range of diseases, mainly allergic diseases all based on Ayurveda.

Dr. Sahil Gupta completed his Bachelor of Ayurveda in Medicine and Surgery (B.A.M.S.) and Master’s Degree in Health Administration (MHA) India. He is Registered Ayurvedic Doctor & Vaidya in India having Registration No. 23780. He is the CEO and founder of IAFA. After completing BAMS, Dr. Sahil Gupta started practicing Ayruveda by giving prime importance to allergic disorders management. He became the first Ayurvedic doctor to cure Food Allergies through Ayurveda. Read More About Dr. Sahil Gupta.

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