Synopsis

Source of validity: Traditional
Rating (out of 5): 1

Betel (Piper betle) leaves have a long history of use in traditional medicine systems across South and Southeast Asia, including Ayurveda and traditional Chinese medicine. In these traditions, betel leaves are sometimes used to alleviate chest discomfort or pain—often interpreted as a symptom of various respiratory or digestive issues rather than cardiac chest pain as understood in modern medicine. The leaves are typically chewed or made into decoctions, and are believed to possess stimulant, carminative, and expectorant properties that could, in theory, help relieve symptoms associated with mild chest congestion or discomfort.

However, there is very limited scientific evidence to directly support the effectiveness of betel leaf for treating chest pain, especially pain of cardiac origin (such as angina). Most modern research on betel focuses on its antimicrobial and anti-inflammatory properties, or on the health risks associated with chronic betel quid chewing. There are a few preclinical studies suggesting betel extracts may have mild analgesic or anti-inflammatory effects, but these findings have not been robustly translated into clinical practice for chest pain relief.

In summary, while the use of betel for chest pain has roots in traditional medicine, current scientific validation is lacking, and its use for this purpose should be approached with caution.

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