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Areca nut

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Areca nut
Areca nuts hanging from the palm
A ripe areca nut.
Areca nut plantations in India

The areca nut (/?ær?k?/ or /??ri?k?/) is the fruit of the areca palm (Areca catechu), which grows in much of the tropical Pacific (Melanesia and Micronesia), Southeast and South Asia, and parts of east Africa. It is commonly referred to as betel nut so it is easily confused with betel (Piper betle) leaves that are often used to wrap it (paan). The term areca originated from the Kannada word adike (?????) and dates from the 16th century, when Dutch and Portuguese sailors took the nut from Kerala to Europe. Consumption has many harmful effects on health and is carcinogenic to humans. Various compounds present in the nut, including arecoline (the primary psychoactive ingredient which is similar to nicotine), contribute to histologic changes in the oral mucosa. It is known to be a major risk factor for cancers (squamous cell carcinoma) of the mouth and esophagus. As with chewing tobacco, its use is discouraged by preventive efforts. Consumption by hundreds of millions of people worldwide – mainly with southern and eastern Asian origins – has been described as a "neglected global public health emergency".

Contents

Description

The areca nut is not a true nut, but rather a fruit categorized as a berry. It is commercially available in dried, cured, and fresh forms. When the husk of the fresh fruit is green, the nut inside is soft enough to be cut with a typical knife. In the ripe fruit, the husk becomes yellow or orange, and as it dries, the fruit inside hardens to a wood-like consistency. At that stage, the areca nut can only be sliced using a special scissors-like cutter.

Usually for chewing, a few slices of the nut are wrapped in a betel leaf along with calcium hydroxide (slaked lime) and may include clove, cardamom, catechu (kattha), or other spices for extra flavouring. Betel leaf has a fresh, peppery taste, but it can also be bitter to varying degrees depending on the variety.

Areca nuts are chewed with betel leaf for their effects as a mild stimulant, causing a warming sensation in the body and slightly heightened alertness, although the effects vary from person to person.

The areca nut contains the tannins arecatannin and gallic acid; a fixed oil gum; a little terpineol; lignin; various saline substances; and three main alkaloids—arecoline, arecaidine, and guvacine—all of which have vasoconstricting properties. The betel leaf chewed along with the nut contains eugenol, another vasoconstrictor. Tobacco leaf is often added to the mixture, thereby adding the effect of nicotine.

In parts of India, Sri Lanka, and southern China, areca nuts are not only chewed along with betel leaf, but are also used in the preparation of Ayurvedic and traditional Chinese medicines. Powdered areca nut is used as a constituent in some dentifrices. Other traditional uses include the removal of tapeworms and other intestinal parasites by swallowing a few teaspoons of powdered areca nut, drunk as a decoction, or by taking tablets containing the extracted alkaloids. According to traditional Ayurvedic medicine, chewing areca nut and betel leaf is a good remedy against bad breath. Diplomat Edmund Roberts noted that Chinese people would mix areca nut with Uncaria gambir during his visit to China in the 1830s. After chewing a betelnut, the red residue, is generally spat out and is considered an eyesore. This has led many places to ban chewing this nut.

Tradition

 
Areca nut and betel leaf consumption in the world

Chewing the mixture of areca nut and betel leaf is a tradition, custom, or ritual which dates back thousands of years in much of the geographical areas from South Asia eastward to the Pacific. It constitutes an important and popular cultural activity in many Asian and Oceanic countries, including Pakistan, the Maldives, India, Nepal, Sri Lanka, Bhutan, Bangladesh, Burma (Myanmar), China, Laos, Thailand, Malaysia, Indonesia, Cambodia, Vietnam, Taiwan, the Philippines, Palau, Yap, Guam, Papua New Guinea, the Solomon Islands, and Vanuatu. How or when the areca nut and the betel leaf were first combined into one psychoactive drug is not known. Archaeological evidence from Thailand, Indonesia, and the Philippines suggests they have been used in tandem for at least 4000 years.

In Vietnam, the areca nut and the betel leaf are such important symbols of love and marriage that in Vietnamese the phrase "matters of betel and areca" (chuy?n tr?u cau) is synonymous with marriage. The tradition of chewing areca nuts starts the talk between the groom's parents and the bride's parents about the young couple's marriage. Therefore, the leaves and juices are used ceremonially in Vietnamese weddings. The folk tale explaining the origin of this Vietnamese tradition is a good illustration of the belief that the combination of areca nut and the betel leaf is ideal to the point they are practically inseparable, like an idealized married couple.

 
Display of the items usually included in a chewing session: The betel leaves are folded in different ways according to the country and most have a little calcium hydroxide daubed inside. Slices of the dry areca nut are on the upper left hand and slices of the tender areca nut on the upper right. The pouch on the lower right contains tobacco, a relatively recent introduction.
 
Areca nut cutter from Bali/Indonesia

Malay culture and tradition hold betel nut and leaves in high esteem. Traditionally, guests who visit a Malay house are presented with a tray of areca nuts and betel leaves, in much the same way as drinks are offered to guests in many cultures around the world. There is even a Malay proverb about the betel nut, "bagaikan pinang dibelah dua", loosely translated like a betel nut cut in two, referring to the similarity of two persons such as twins or siblings, because the two halves of the cut betel nut are very similar to each other.

 
Areca Nut in small packs, usually labelled as betel nut in South India.

In the Indian subcontinent, the chewing of betel and areca nut dates back to the pre-Vedic period Harappan empire. Formerly, in both India and Sri Lanka, it was a custom of the royalty to chew areca nut with betel leaf. Kings had special attendants whose duty it was to carry a box with all the necessary ingredients for a good chewing session. There was also a custom for lovers to chew areca nut and betel leaf together, because of its breath-freshening and relaxant properties. A sexual symbolism thus became attached to the chewing of the nut and the leaf. The areca nut represented the male principle, and the betel leaf the female principle. Considered an auspicious ingredient in Hinduism and some schools of Buddhism, the areca nut is still used along with betel leaf in religious ceremonies, and also while honoring individuals in much of southern Asia.

In Assam, it is a tradition to offer pan-tamul (betel leaves and raw areca nut) to guests, after tea or meals, served in a brass plate with stands called bota. Among the Assamese, the areca nut also has a variety of uses during religious and marriage ceremonies, where it has the role of a fertility symbol. A tradition from Upper Assam is to invite guests to wedding receptions by offering a few areca nuts with betel leaves. During Bihu, the husori players are offered areca nuts and betel leaves by each household while their blessings are solicited.

Spanish mariner Álvaro de Mendaña reported observing Solomon Islanders chewing the nut and the leaf with caustic lime, and the manner in which the habit stained their mouths red. He noted the friendly and genial chief Malope, on Santa Isabel Island, would offer him the combination as a token of friendship every time they met.

In Bhutan, the areca nut is called doma. The raw areca nut, which is soft and moist, is very potent and when chewed can cause palpitation and vasoconstricting. This form is eaten in the lower regions of Bhutan and in North Bengal, where the nut is cut into half and put into a local paan leaf with a generous amount of lime. In the rest of Bhutan the raw nut, with the husk on, is fermented such that the husk rots and is easy to extract. The fermented doma has a putrid odour, which can be smelled from miles. Traditionally, this fragrant nut is cut in half and placed on top of a cone made of local betel leaf, which has a dash of lime put into it. "Myth has it that the inhabitants of Bhutan traditionally known as Monyul, the land of Monpas where Buddhism did not reach lived on raw flesh, drank blood, and chewed bones. After the arrival of Guru Rinpoche in the 8th century, he stopped the people from eating flesh and drinking blood and created a substitute which is betel leaf, lime and areca nut. Today, chewing doma has become a custom. Doma is served after meals, during rituals and ceremonies. It is offered to friends and is chewed at work places by all sections of the society and has become an essential part of Bhutanese life and culture."

The addition of tobacco leaf to the chewing mixture is a relatively recent innovation, as tobacco was not introduced from the American continent until the colonial era.

Effects on health

Systemic effects of areca nut
Areca nut affects almost all organs of the human body, including the brain, heart, lungs, gastrointestinal tract and reproductive organs. It causes or aggravates pre-existing conditions such as neuronal injury, myocardial infarction, cardiac arrhythmias, hepatotoxicity, asthma, central obesity, type II diabetes, hyperlipidemia, metabolic syndrome, etc. Areca nut affects the endocrine system, leading to hypothyroidism, prostate hyperplasia and infertility. It affects the immune system leading to suppression of T-cell activity and decreased release of cytokines. It has harmful effects on the fetus when used during pregnancy.

Garg et al. (2014)

 
Areca nut vendor with red mouth from areca consumption preparing betel leaves

Habitual chewers of betel leaf and areca nut have a greatly increased risk of developing a range of serious diseases, including cancers of the mouth and esophagus.Supari

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