Miang kham mostly consists of raw fresh Piper Sacramento or Erythrina fusca leaves that are filled with roasted coconut shavings and the following main ingredients chopped or cut into small pieces:Shallots,Fresh red or green bird's eye chili peppers,Ginger,Garlic,Lime ,Chopped unsalted peanuts or cashew nuts,Small dried shrimps,Sour green mango.Before wrapping the filled leaves are topped with palm syrup or sugar cane syrup which often has been cooked with lemongrass, galangal, ginger and fish sauce.