Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Betel (Piper betle) has a long history of use in traditional medicine systems, particularly in South and Southeast Asia, for treating various ailments, including parasitic infections. Traditional practitioners have used betel leaves as part of herbal remedies aimed at expelling intestinal worms and other parasites. This use is largely based on empirical knowledge and the observed effects over generations rather than on rigorous scientific validation. Some ethnobotanical surveys document the use of betel leaf preparations (often chewed or used as infusions) for the management of intestinal worms and other parasitic infestations. The traditional rationale often cites the pungency and bioactive compounds in betel leaves, such as chavicol, eugenol, and hydroxychavicol, which are believed to create an inhospitable environment for parasites. While there are a few preliminary in vitro and animal studies suggesting that extracts of betel leaves may have some anti-parasitic or antimicrobial activity, comprehensive clinical trials in humans are lacking. Most scientific reviews note the absence of strong evidence to support its efficacy against parasites. Therefore, the use of betel for this purpose is primarily justified by traditional practices rather than robust scientific data. Caution is advised, as betel chewing is associated with other health risks, including oral cancer.

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