English: Areca nuts

Chinese: 槟榔

Parts used: Dried ripe seed

TCM category: Herbs that expel parasites

TCM nature: Warm

TCM taste(s): BitterPungent

Organ affinity: Large intestine Stomach

Scientific name: Areca catechu

Other names: Areca palm nut, Betel palm nut, Indian nut, Pinang palm nut

Use of Bing Lang (areca nuts) in TCM

Please note that you should never self-prescribe TCM ingredients. A TCM ingredient is almost never eaten on its own but as part of a formula containing several ingredients that act together. Please consult a professional TCM practitioner, they will be best able to guide you.

Preparation: Remove impurities, soak in water, cut in thin slices and dry.

Dosage: 3 - 10g

Main actions according to TCM*: Destroys parasites. Regulates Qi circulation. Promotes urination.

Primary conditions or symptoms for which Bing Lang may be prescribed by TCM doctors*: Intestinal parasites Taeniasis Ascariasis Fasciolopsiasis Abdominal pain Diarrhea Edema Malaria

Common TCM formulas in which Bing Lang is used*

Da Yuan Yin

Source date: 1642 AD

Number of ingredients: 7 herbs

Formula key actions: Opens the membrane source by thrusting out pathogens. Clears away filth. Transforms turbidity.

Conditions targeted*: MalariaInfluenza and others

Bing Lang is a king ingredient in Da Yuan Yin. Like the name indicates, it means it has more power than other ingredients in the formula.

In Da Yuan Yin, Bing Lang disperses the Dampness and reduces Stagnation by facilitating the flow of Qi, thereby hastening the elimination of the Pernicious Influences from the Interior.

The strong, aromatic and acrid, and properties of this herb help it reach and open up the membrane source, which turbidity has constrained.

Read more about Da Yuan Yin

Fei Er Wan

Source date: 1156 AD

Number of ingredients: 8 herbs

Formula key actions: Kills parasites. Reduces accumulation. Strengthens the Spleen. Clears Heat.

Conditions targeted*: AscariasisHookworm and others

Bing Lang is a king ingredient in Fei Er Wan. Like the name indicates, it means it has more power than other ingredients in the formula.

In Fei Er Wan, Bing Lang has a strong effect on killing parasites. 

Read more about Fei Er Wan

Jie Nue Qi Bao Yin

Source date: 1107

Number of ingredients: 7 herbs

Formula key actions: Regulates Cold and Heat. Harmonizes the Stomach. Directs rebellious Qi downward.

Conditions targeted*: Malaria and others

Bing Lang is a deputy ingredient in Jie Nue Qi Bao Yin. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.

In Jie Nue Qi Bao Yin, Bing Lang promotes the descent of Qi as well as urination.

The combination of Areca nut and Tsaoko fruit has a long history in treating malarial disorders.  

Read more about Jie Nue Qi Bao Yin

Hua Chong Wan

Source date: 1148 AD

Number of ingredients: 5 herbs

Formula key actions: Kills intestinal parasites.

Conditions targeted*: RoundwormAscariasis and others

Bing Lang is a deputy ingredient in Hua Chong Wan. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.

In Hua Chong Wan, Bing Lang kills tapeworms and fasciolopsis. It also also has a downward-draining effect, which is helpful in expelling intestinal parasites. 

Read more about Hua Chong Wan

Si Mo Tang

Source date: 1253 AD

Number of ingredients: 4 herbs

Formula key actions: Promotes the movement of Qi. Directs rebellious Qi downward. Expands the chest and dissipates clumping.

Conditions targeted*: Bronchial asthmaEmphysema and others

Bing Lang is an assistant ingredient in Si Mo Tang. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

In Si Mo Tang, Bing Lang strongly promotes the downward movement of Qi, breaks up Stagnation and clumping and thereby eliminates the irritable, stifling, and full sensations

Read more about Si Mo Tang

Zhou Che Wan

Source date: 992 AD

Number of ingredients: 10 herbs

Formula key actions: Promotes Qi movement. Harshly drives out Water and Heat Stagnation.

Conditions targeted*: SchistosomiasisUremia and others

Bing Lang is an assistant ingredient in Zhou Che Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

In Zhou Che Wan, Bing Lang promotes urination, directs the Qi downward, and breaks up clumping in the abdomen.

Read more about Zhou Che Wan

Shu Zao Yin Zi

Source date: 1253 AD

Number of ingredients: 11 herbs

Formula key actions: Purges and drives out Water. Clears Wind. Releases from the Exterior .

Conditions targeted*: Nephritis with EdemaIncreased intracranial pressure and others

Bing Lang is an assistant ingredient in Shu Zao Yin Zi. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

In Shu Zao Yin Zi, Bing Lang regulates the Qi by moving it downward.

Read more about Shu Zao Yin Zi

Shao Yao Tang

Source date: 1186 AD

Number of ingredients: 9 herbs

Formula key actions: Regulates and harmonizes the Qi and Blood. Clears Heat. Dries dampness. Resolves Toxicity.

Conditions targeted*: Acute enteritisUlcerative colitis and others

Bing Lang is an assistant ingredient in Shao Yao Tang. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

In Shao Yao Tang, Bing Lang It promotes the movement of Qi and help eliminate Stagnation. Together with Costus root, it complements the actions of White peony root and Dong quai, whose focus is to regulate the Blood

It also guides out stagnation.

Read more about Shao Yao Tang

Wu Yao Tang

Source date: 1336 AD

Number of ingredients: 9 herbs

Formula key actions: Pacifies the Liver. Moves Qi. Stops pain. Nourishes Liver Blood. Eliminates Stagnation.

Conditions targeted*: Chronic pelvic inflammatory disease and others

In Wu Yao Tang, Bing Lang pacifies the Liver, move Qi, eliminate Stagnation and stop pain

Read more about Wu Yao Tang

Key TCM concepts behind Bing Lang's properties

In Traditional Chinese Medicine (TCM), Bing Lang belongs to the 'Herbs that expel parasites' category. Herbs in this category are used to treat roundworms, tapeworm, hookworm and other intestinal parasites. In most cases, these herbs should be combined with other herbs to assist their action such as 'Purgative herbs that drain downward' or Qi tonics. Typically these herbs should only be prescribed for a short period as they often have some level of toxicity.

Furthermore Bing Lang is Warm in nature. This means that Bing Lang tends to help people who have too much 'Cold' in their body, although with less effect than a plant that would be Hot in nature. Balance between Yin and Yang is a key health concept in TCM. Those who have too much Cold in their body are said to either have a Yin Excess (because Yin is Cold in nature) or a Yang Deficiency (Yang is Hot in Nature). Depending on your condition Bing Lang can help restore a harmonious balance between Yin and Yang.

Bing Lang also tastes Bitter and Pungent. The so-called 'Five Phases' theory in Chinese Medicine states that the taste of TCM ingredients is a key determinant of their action in the body. Bitter ingredients like Bing Lang tends to have a cleansing action on the body by clearing Heat, drying Dampness and promoting elimination via urination or bowel movements. On the other hand Pungent ingredients tend to promote the circulations of Qi and Body Fluids. That's why for instance someone tends to sweat a lot when they eat spicy/pungent food.

The tastes of ingredients in TCM also determine what Organs and Meridians they target. As such Bing Lang is thought to target the Large intestine and the Stomach. In TCM the Large Intestine receives the "impure" parts of the digested food from the Small Intestine, absorbs the remaining fluids and excrete the remainder as feces. The Stomach on the other hand is responsible for receiving and ripening ingested food and fluids. It is also tasked with descending the digested elements downwards to the Small Intestine.

Research on Bing Lang

Areca catechu has potential for the treatment of many diseases, especially parasitic diseases, digestive function disorders, and depression.1

Sources:

1. Peng W, Liu YJ, Wu N, Sun T, He XY, Gao YX, Wu CJ. (2015). Areca catechu L. (Arecaceae): a review of its traditional uses, botany, phytochemistry, pharmacology and toxicology. J Ethnopharmacol , 22;164:340-56. doi: 10.1016/j.jep.2015.02.010.