A widespread custom in the East is betel-chewing, which is met with in India, Malay, Melanesia, and Polynesia, and even among the primitive Veddahs of Ceylon. This article is composed of the pungent leaf of the betel plant, the areca nut and lime rolled together, and when chewed yields a reddish juice which stains the mouth and teeth. The Veddahs, failing to get the genuine article, manufacture a quid from the leaves of an aromatic plant, the barks of one or two kinds of tree, and calcined small shells.[19] The compound must possess some strange attraction, for otherwise such pains would not be taken to secure it. What is the attraction? Doubtless betel has stimulating properties, and it must, moreover, be remembered that the mere mechanical act of mastication stimulates the circulation, a fact which helps to explain the tendency for man, all the world over, to chew non-nutrient substances. Tobacco-chewing is common in many parts of the world, and here, again, the effect for the time is stimulating. Pitcherie is extensively chewed among the aboriginal Australians; it consists of twigs of about the thickness of rye-grass stems, which are first chewed into a mass, then mixed with the ash of gum trees, and made into a paste, which is chewed for its stimulating and narcotic effects.[20] I may allude in passing to the grinding of the teeth, which takes place during sleep in disturbed states of the nervous system. It is a true masticatory act, in which the normal lateral movement of the mandible is well marked, and it may thus be regarded as a perverted manifestation of the masticatory instinct. THE CAUSATION OF INEFFICIENT MASTICATION The effects for good upon the organism of efficient mastication being profound and far-reaching, it follows that inefficient mastication must lead to many evils. What these are we have now to consider; but first it will be well to inquire into the causes of the defective mastication which prevails among moderns.