It is a creeper plant and it needs a compatible tree or a long pole for support.The soil should be fertile. Waterlogged, saline and alkali soils are unsuitable for its cultivation. Proper shade and irrigation are essential for successful cultivation of this crop. The plants are regularly watered in the hot months. The leaves of the plant become ready for plucking after a year of planting.Betel leaves need a lot of moisture for it to remain fresh always. For external use : pound the leaves till you get the juice. Then rub in the affected area together with the pounded leaves. For internal use: take 1-2 tbsp of the juice and drink it. External uses : get rid of body odors stops bleeding heal wounds on the skin acne toothache due to holes swollen gums Internal uses: Gastrointestinal disorders Remove phlegm Dengue fever Bad breath Menstrual irregularities Asthma Sore throat Usually for nose bleeding use 1- 2 pieces of Piper betel leaves, squeeze, wash, roll and then insert into the nose