Pepper long is used as a spice. It is also used in pickles and preserves. Pepper long has carminative, haematinic and anti-helmintic properties and most commonly used to treat respiratory infections such as stomachache, bronchitis and diseases of the spleen, tumors, cough and asthma. Today, long pepper is a rare ingredient in european cuisines, but it can still be found in some north african spice mixtures, indian vegetable pickles, and in indonesian and malaysian cooking.