Guvaka (Guvaka (Pugi, Puga, Ghoranta, Kramuka))

Properties

Anthelmintic, Digestive stimulant, Antioxidant, Anti-inflammatory

Dosage

Decoction: 10 ml to treat intestinal worms and diarrhea. 10-15 ml for uterine inflammation and to decrease urine output.

Classical attributes

• Rasa: Kashaya (Astringent)
• Virya: ["Ushna (Heating)"]
• Vipaka: ["Katu (Pungent)"]

Benefits

• Krimighna (Anthelmintic)
• Mukha Shodhana (Mouth Cleanser)
• Rochana (Appetizer)

Traditional uses

• Krimi (Parasitic Worms)
• Aruchi (Anorexia)
• Mukharoga (Mouth Diseases)

Dosha effects

• vata: balancing
• kapha: decreasing
• pitta: balancing

Preparation methods

• Decoction: Decoction of Puga is used for gargling in cases of mouth ulcer, bleeding gums, and dental plaque.
• Powder: Fine powder of areca nuts can be used as dusting powder to treat wounds and control bleeding. The powder is also used as dental powder to whiten teeth and remove dental plaque.
• Paste: Paste of areca nut is applied over the affected area to treat syphilis.
• Oil: Sesame oil processed with areca nuts is used for external application over joints affected with pain and inflammation.
• Chewing: The nut is often chewed alone or as part of a quid, which includes tobacco, powdered or sliced areca nut, and slaked lime wrapped in betel vine leaf.

Contraindications

• Increased risk of oral cancer
• Increased risk of esophageal cancer
• Increased risk of cirrhosis
• Increased risk of hepatocellular carcinoma
• Heart disease
• Palpitations
• Arrhythmias
• Hypotension
• Chest pain
• Dyspnea
• Tachypnea
• Acute myocardial infarction
• Chronic kidney disease
• Nephrolithiasis
• May lead to constipation or hyperacidity
• Prolonged use can interfere with nutrient absorption
• Regular intake of areca nuts can cause a decrease in sperm count
• Excess consumption could affect the throat and voice

Side effects

• Betel nut is considered likely unsafe when taken by mouth long-term or in high doses. Some chemicals in betel nut have been associated with cancer, and other chemicals are poisonous.
• Eating 8-30 grams of betel nut can cause death.
• Chewing betel nut can turn your mouth, lips, and stool red.
• It can cause stimulant effects similar to caffeine and tobacco use, as well as vomiting, diarrhea, gum problems, increased saliva, chest pain, abnormal heartbeats, low blood pressure, shortness of breath, rapid breathing, heart attack, coma.
• Palpitations, arrhythmias, hypotension.
• Betel nut is likely unsafe during pregnancy and breastfeeding as it can affect the central nervous system and chemicals may pass into breast milk.
• Betel nut may worsen asthma, slow heart rate, gastrointestinal tract blockage, ulcers, lung conditions, seizures, and urinary tract obstruction.
• Prolonged chewing of raw areca nut is associated with oral submucous fibrosis.
• Long-term, habitual betel nut chewing has been linked to oral and esophageal cancer. It may also increase the risk of cirrhosis and hepatocellular carcinoma.

Interactions

• Medications for high blood pressure (Antihypertensive drugs): Catechu might lower blood pressure, so taking it with these medications might cause blood pressure to go too low.

Clinical evidence

While traditional uses of Areca catechu are well-documented, modern clinical trials are limited. Early research suggests potential benefits in areas such as anthelmintic activity, digestive aid, and antioxidant effects. However, more rigorous clinical trials are needed to validate these findings.

Ayurvedic karmas

• Krimighna (Anthelmintic)
• Mukha Shodhana (Mouth Cleanser)
• Rochana (Appetizer)

Classical clinical indications

• Krimi (Parasitic Worms)
• Aruchi (Anorexia)
• Mukharoga (Mouth Diseases)