Weight Balancing

By John Douillard, DC, PhD

Natural Weight Balancing through Ayurveda

Several years ago an eye opening study told us that about 80% of all disease is caused by stress. This, I am sure, is one of those studies that makes you wonder how they could not have known that till now.

Ayurveda, on the other hand, is a system of medicine that is premised on the fact that disease is caused by stress. Ayurvedic doctors knew that stress would lodge toxins deep in the tissues, and the body would hold on to this stress for life. The stress creates tension which reduces blood supply and isolates stressed areas of the body from the intelligence and nutrition of the whole. Cells under such stress begin to act in the name of survival, where anything goes just to stay alive.

A great book called The Molecules of Emotion, written by Candice Pert, Ph.D, from the National Institutes of Health, talks about how the emotions of fear, worry, anger and others have a form and lodge themselves deep in our tissues as toxins, predisposing us to illness. Ayurveda knew this 5000 years ago and designed therapies to reverse this condition, called panchakarma.

A few years ago I had a patient who was very overweight. I helped her with lifestyle, diet and exercise, and although we had success it was slower than we had hoped.

We decided to try Ayurveda's heavy artillery, and she went through seven days of panchakarma. After that first week of panchakarma she told me that she felt that the memory to hold onto the fat was in her cells. "My cells," she said, "don't know how to do anything else but be fat." During the treatments she felt this memory begin to soften, and the stress that held the fat cells steadfast was slowly letting go. She did two more rounds of panchakarma, and by the end of that year she had lost 125 pounds. She says that the weight just fell off, and it was one of the easiest things she ever did. This dramatic weight loss came about after years of conventional dieting, exercise and, of course, starvation.

Stress, be it mental, physical or emotional will have its own unique impact on us. Some people get heartburn or become constipated, tired or depressed, while others get a more stern wake-up call with cancer, MS or diabetes. In Ayurvedic medicine the therapies are designed to replace the impact of stress in the body with silence. The same serenity we find in nature belongs inside of us, but stress strips it away from us.

Special therapies were designed in Ayurveda to disarm the nervous system and access the deep tissues where all the emotional and constrictive stress is stored. The program starts with seven days of preparation therapy to soften the tissues and begin relaxing the nervous system. This is followed by a series of panchakarma treatments, where for 2 1/2 hours a day, therapies are administered, often with two therapists, that are designed to lower the metabolism, access the deep tissues, pull toxic and emotional stress out, and replace it with a deep experience of calm created by the therapies day after day for seven days. Research on these therapies done at Ohio State University found that the benefits of the treatments continued for 4-6 weeks after the therapies were completed.

Probably the best part of these treatments is that they were originally designed for Kings and Queens, which means that they will take you way beyond your current definition of luxury.

Further Information

http://www.lifespa.com/article.asp?art_id=45

Viral Hepatitis

By John Douillard, DC, PhD

Viral hepatitis is an inflammation of the liver as a result of a viral infection. This is more common with a pitta body type or one with a severe pitta imbalance in the ranjaka subdosha. This disorder because it is an inflammatory disease in the seat of pitta, it is almost always a pitta concern. When the liver becomes depleted enough to become infected then specific therapies must be directed at the liver itself.

There can very often be underlying causative factors from the apana vata in the intestinal tract that must be dealt with to take the stress of the liver. The enteric cycle will direct the impure blood ama from the intestines into the portal system and shunt it directly to the liver. If this kind of bio-chemical stress is long standing then the liver prana can be depleted making for the susceptibility of a viral type hepatitis.

Contributing factors like excessive stress, hot, spicy, salty, or sour foods, and alcohol over an extended period of time can weaken the liver making it susceptible.

Turmeric - studies show it very beneficial in viral hepatitis (I can send references if you need them) 1/2 tsp. 5x/day . Mahasudarshan and gudduchi (1/2 tsp. 3x/day) Avoid any oily and greasy foods and decrease the amount of red meat. Neem tea 5x/ day

Further Information

http://www.lifespa.com/article.asp?art_id=42

PMS

By John Douillard, DC, PhD

Introduction

Premenstrual syndrome falls under the general Ayurvedic heading of Yonivyad: diseases of the female genital tact. PMS is usually associated with mood swings, nervous tension, and emotional disturbances, and it often is accompanied by a set of physical complaints. The symptomatic presentation will be determined in part by the prakriti, or body type, of the individual. The remaining factors predicting associated symptoms will be the vikriti, or imbalance of the individual. Because the imbalance has to be determined by a pulse diagnosis and on physical exam, this discussion necessarily must concern body type only.

The premise of Ayurveda is not based on the removal of symptoms; rather, it empowers the body’s ability to heal itself. In this regard, the focus of the treatment identifies and addresses the initial cause of PMS. The root cause of most cases of PMS starts early in the lifestyle of a menstruating young woman. Caraka and the other Ayurvedic authorities state that the suppression of natural urges, excessive sex and excessive physical exercise, along with an improper diet, are linked to the cause of female reproductive disorder. But here in the West the average female strays from following some of the major feminine health guidelines that are taken for granted in the culture of India’s Ayurveda. The causes of some of our modern diseases which did not exist as such in Vedic times have to be reinvestigated from a modern perspective of lifestyle and behavior.

Understanding the Cleansing Cycle

There is a general consensus among Ayurvedic physicians, who come from India to tour the country, as to why the excessive amount of female disorders plague the West and not the East, and it has much to do with honoring the cycle itself. In India, the menstrual cycle is a highly respected cycle that is an expression of the female connectedness to the cycles of the moon. This cycle regulates the tides, migrations, mating times, and, of course, the twenty-eight day cycle of menstruation. Menses is a time when the female body is providing extra energy to insure an effective and complete sloughing of waste products. It is a natural time of cleansing and rejuvenation, traditionally accompanied by a time of rest or light duty. It is understood that in traditional cultures there were extended families which supported women during their monthly cycle and through menstruation. Here in the West, this is not the case. However, this does not mean that modern working women cannot respect this time of the month, taking a lighter load or scheduling around their time of the month.Basically, the Ayurvedic recommendation is to act in accord with how one feels. Ignoring this cycle is often at the root of the premenstrual syndrome. If there is some desire to rest during menstruation and this is not provided, then symptoms of some sort are sure to come. This resting is not a sign of weakness: it is a time of pulling back the bow so that one can later engage in more dynamic activity. Some of the Ayurvedic doctors comment that the menstrual cycle and monthly cleansing is one of the factors that leads to the generally longer life span of women [vs. men].

The Apana and Prana Vatas

The controlling dosha in premenstrual syndrome is vata. More specifically, it is the Apana vata that governs the flow of Prana (life force) into the reproductive organs; this Apana vata provides the energy for the birthing process and the monthly cycle of menstruation. For the Apana Vata to do its job effectively it is necessary for the Apana (downward force of energy) to do so without distractions. If the lifestyle of the women is such that there is no change in one’s hectic lifestyle, particularly during the menstrual cycle, then the Apana will not have available all the energy necessary to perform a complete menstruation. Often times the physical and mental workload during this time is so great that the Apana vata downward flow of energy turns upwards in an attempt to support the Prana vata in accomplishing the task at hand. This lifestyle stress on a monthly basis for ten to twenty years can create a formidable depletion of the integrity of the Apana vata.The next stage in the PMS symptom picture happens when the depleted Apana vata is called upon to menstruate and there is not enough vitality available to support this process. Now it is the Prana vata (mental energy) which is called upon to support the Apana vata in order to complete menses. The Prana vata is the main vital upward force of energy that stabilizes moods, emotions, and energy. When Prana vata is imbalanced, severe psychological or neurological disorders result. When this kind of drain in the Prana vata continues for ten to twenty years, there occurs with ovulation the demand for Apana downward vata support. This brings the upward moving Prana down to the pelvis, leaving the mind and its emotional stability to suffer. Premenstrual syndrome results. The litany of physical symptoms associated with PMS, discussed in the pages that follow, is also the result of insult to both the Prana and Apana vata.

Beware of the common cures of PMS, such as the recommendation for exercise. Although it is a proven asset in removing the PMS symptoms, it will often further aggravate the cause. For example, if the cause of PMS is in fact a depletion in the Apana vata, which then drains Prana vata from the head, exercise will clearly drive the Prana back up into the head because now the Prana is needed there in order to perform the actual activity of exercise. This will result in symptoms typically categorized as “of the mind,” i.e., tiredness, mood swings, and emotional sensitivity, and these symptoms will further deplete the Apana vata, making the cause of the problem even worse. In an attempt to remove the symptoms, the cause is driven deeper and more permanently into the body.

Treatment According to Doshas

PMS - Vata Type

Symptoms of vata imbalance as they manifest in relation to the menstrual cycle include:
Premenstrual
Nervous tension
Mood swings
Anxiety/Depression
Insomnia
Forgetfulness/confusion
Constipation
Light amount of flowMenstrual
Pain/Cramps/Backache
Extended length of period with dark, clotted flow
Irregularity of periods or flow

General Treatments
• Diet
• Vata-Pacifying Diet (below)
• Avoid coffee, tea, tobacco, drugs, and extremely spicy foods

Vata-Pacifying Diet (simplified)

Favor foods that are warm, heavy, and oily. Minimize foods that are cold, dry, and light.
Favor foods that are sweet (e.g., wheat, milk, rice), sour (e.g., yogurt, tomatoes, citrus fruit), and salty. Minimize foods that are spicy, bitter (e.g., green leafy vegetables), and astringent (e.g., apples, beans).
Eat larger quantities of food, but not more than you can digest easily.

Dairy: All dairy products pacify vata. Always boil milk before you drink it, and drink it warm. Don’t take milk with a full meal.

Sweeteners: All are good for pacifying vata (but don’t overdo).

Oils: All oils reduce vata.

Grains: Rice and wheat are very good. Reduce intake of barley, corn, millet, buckwheat, rye, and oats.

Fruits: Favor sweet, sour, or heavy fruits, such as oranges, bananas, avocados, grapes, cherries, peaches, melons, berries, plums, pineapples, mangoes, and papayas. Avoid or reduce dry or light fruits, such as apples, pears, pomegranates, cranberries, and dried fruits.

Vegetables: Beets, cucumbers, carrots, asparagus, and sweet potatoes are good. They should be cooked, not raw. The following vegetables are acceptable in moderate quantities if they’re cooked, especially with ghee or oil and vata-reducing spices: peas, green leafy vegetables, broccoli, cauliflower, celery, zucchini, and potatoes. It’s better to avoid sprouts and cabbage.

Spices: Cardamom, cumin, ginger, cinnamon, salt, cloves, mustard seed, and small quantities of black pepper all help reduce vata.

Nuts: All nuts are good.Beans: Avoid all beans, except for tofu and mung dhal.

Meat and Fish (for non-vegetarians): Chicken, turkey, and seafoods are fine; beef should be avoided.

Food Supplements

1. Take 1 teaspoon castor oil (Ricinus communis) every night for one month. Take less if there is a laxative effect.
2. Take 2 tablespoons pure (no preservatives) aloe juice (Aloe littoralis) after meals b.i.d., but not within three days of the end of menstrual flow.
3. Take fennel (Foeniculum vulgare) and licorice (Glycyrrhiza glabra) tea, as desired.

Specific Herbal Supplements

1. For Apana vata, combine:2 parts shatavari (Asparagus racemosa)2 parts musta (Cyperus rotundus)1 part licorice (Glycyrrhiza glabra)1 part punarnava (Boerhaavia diffusa)Mix 1 teaspoon of the resulting combination with sugar and ghee and take t.i.d., anytime.

2. For Prana vata, combine equal parts:brahmi (Bacopa monnieri)jatamansi (Nardostacys grandiflora)ashwaganda (Withania somnifera)gudduchi (Tinosporia cordifolia)Mix 1 teaspoon of the resulting combination with water and take t.i.d.ActivityEmphasize the importance of maintaining the proper balance of rest and activity throughout the month. Rest during the period, and practice daily abhyanga (see below) and exercise.Specific Home Treatments1. Daily abhyanga (see below) with sesame oil.2. 7 to 10 days before your period, one hour after your abhyanga, take a hot tub bath. Massage the abdomen in a clockwise motion during the bath.

3. 7 to 10 days before your period, follow your abhayanga and bath with the following laxative therapy: On an empty stomach, take four tablespoons castor oil mixed with 1⁄2 cup juice (any juice except grape juice). Do not eat until the majority of the laxative action has occurred (4 to 6 hours). Usually this procedure results in 2 to 3 bowel movements. You may repeat this monthly for up to 6 months.

4. Pitu: soak a 1"x3" clean cotton cloth in sesame oil and place in the vagina overnight or for a few hours each day for 3-5 days before your period begins. Do not do pitu during the period of if you are prone to vaginal infections or have a vaginal infection, or if you have a kapha imbalance. Be sure to remember to remove the pitu in the morning.

5. For pain experienced during the period, application of heat externally to the lower abdomen is advised. This may be accomplished by rubbing ripened sesame oil on the abdomen followed by the application of a hot water bottle directly to the oiled skin or placed on tip of a cotton cloth soaked in fresh ginger juice or on top of a paste made from ginger powder and warm water.For persistent or severe cases take an extended panchakarma treatment (5 to 7 days) as soon as possible.

PMS - Pitta Type

Symptoms of pitta imbalance as they manifest in relation to the menstrual cycle include:

Premenstrual and menopausal
Irritability/anger
Increased appetite
Headache (especially migraine)
Excessive body heat or sweating
Diarrhea or increased bowel movements
Skin rashes/acneMenstrual
Excessive bleeding
Increased frequency of periods
Bright red flow

General Treatments

Diet
• Pitta-pacifying diet (see below)
• Ghee (clarified butter) and raisins daily
• Avoid alcohol, coffee, tea, chocolate, cheese, yoghurt, and animal products
• Avoid delaying or skipping meals when you are hungry
• Avoid sour, salty, and pungent foodsPitta-Pacifying Diet (simplified)

Favor foods that are cool and liquid. Minimize foods that are hot.
Favor foods that are sweet, bitter, or astringent. Minimize foods that are spicy, salty or sour.

Dairy: Milk, butter, and ghee are good for pacifying pitta. Avoid yogurt, cheese, sour cream, and cultured buttermilk; these sour tastes aggravate pitta.

Sweeteners: All sweeteners are good except for honey and molasses.

Oils: Olive, sunflower, and coconut oils are best. Reduce sesame, almond, and corn oil, all of which increase pitta.

Grains: Wheat, white rice, barley. Reduce corn, rye, millet, and brown rice.

Fruits: Favor sweet fruits such as grapes, cherries, melons, avocado, coconut, pomegranates, mangoes, sweet, fully-ripened oranges, pineapples, and plums. Reduce sour fruits such as grapefruits, olives, papayas and persimmons, and sour, not-yet-ripened oranges, pineapples, and plums.

Vegetables: Favor asparagus, cucumber, potato, sweet potato, green leafy vegetables, pumpkins, broccoli, cauliflower, celery, okra, lettuce, beans, green beans, zucchini. Avoid hot peppers, tomatoes, carrots, beets, onions, garlic, radishes, and spinach.

Beans: Avoid all beans except for tofu and mung dhal.

Spices: Cinnamon, coriander, cardamom, fennel, and small amounts of black pepper are good, but the following spices strongly increase pitta and should be taken in moderation: ginger, cumin, fenugreek, clove, celery seed, salt, and mustard seed. Chili peppers and cayenne should be avoided.

Meat and Fish (for non-vegetarians): Chicken, pheasant, and turkey are preferable; but beef, seafood, and egg yolk increase pitta.

Food Supplements

Fennel (Foeniculum vulgare) and/or coriander (Coriandrum sativum) tea

Pure aloe vera (Aloe littoralis) juice (no preservatives). Take 2 tablespoons after meals twice a day, but not during or within 3 days of the end of menstrual flow.

Specific Herbal Supplements

1. For both Prana and Apana vata, combine:2 parts shatavari (Asparagus racemosa)1 part tumeric (Curcuma longa)1 part brahmi (Bacopa monnieri)Take 1 teaspoon, with water, t.i.d.

2. To decrease pitta and Apana vata, take 2 tablets manjistha t.i.d. after meals.

3. As a uterine tonic and for the Apana vata, make tea from kumari (aloe barbadensis) leaves and drink 3 cups per day.ExerciseThose experiencing pitta-type PMS symptoms should be encouraged to stay active and focused during the premenstrual phase. Overheating, however, should be carefully avoided.Specific Home Treatments1. Daily abhyanga (see below) with coconut oil.2. Each day for seven days before the period begins dabhyanga with coconut oil, followed by a hot tub bath one hour later. Massage the abdomen in a clockwise motion during the bath.

3. 7 to 10 days before your period, follow your abhyanga and bath with the following laxative therapy: On an empty stomach, take 4 teaspoons of castor oil mixed with 1⁄2 cup of any juice (except grape). Ideally, you should also take a tea - HP 908 - 15 to 30 minutes before taking the castor oil. Do not eat until the majority of the laxative action has occurred (4 to 6 hours). Usually, this procedure results in 2 to 3 bowel movements. You may repeat this monthly for up to 6 months.

4. Pitu. Soak a 1"x3" clean cotton cloth in coconut oil and place in the vagina over night or for a few hours daily each day for 3 to 5 days before your period begins. Do not do pitu during the period if you are prone to vaginal infections or have a vaginal infection, or if you have a kapha imbalance. Be sure to remember to remove the pitu in the morning.

Other Specific Recommendations

1. Rinse the external genital area twice daily with cool water. You also may splash cool water on the eyes twice daily.
2. Apply coconut oil to the head and feet at bedtime for more restful sleep and headache prevention.
3. Sniff ghee daily for one week before the period.
4. Avoid overheating, hot water on the head, and overexposure to sunlight.
5. When irritable or out of sorts, it is important to ensure that you are getting adequate rest. Also, try to stay focused on specific projects.
6. Be sure not to take long hot showers or hot baths during your heavy flow days, as these tend to increase flow. Take a short shower or sponge bath instead.
For persistent or severe cases, take an extended panchakarma treatment

PMS - Kapha Type

Symptoms of Kapha imbalance as they manifest in relation to the menstrual cycle include:

Premenstrual
Weight gain
Fluid retention
Breast enlargement
Abdominal bloating
Acne
Menstrual
Stiffness in back, joints, etc.
Pale, mucousy menstrual flow

General Treatments
• Diet
• Kapha-pacifying diet (see below)
• Avoid salt, cheese, yogurt, chocolate, and refined sugars and flours for one week before and during the period.
• Lassi (1⁄2 cup yogurt, 1⁄2 cup water) and hot boiled milk are okay.
• Avoid overeating, especially at night.
• Do not eat when you are not hungry.
• A primarily vegetarian diet is highly recommended.
• Include ginger in your daily diet: take a pinch of fresh ginger root with a few drops of lemon juice before each meal.

Kapha-Pacifying Diet (simplified)

Favor foods that are light, dry, and warm. Minimize foods that are heavy, oily, and cold.
Favor foods that are spicy, bitter, and astringent. Minimize foods that are sweet, salty, and sour.

Dairy: Low-fat milk is better. Always boil milk before you drink it (making it easier to digest) and take it warm. Do not take milk with a full meal, or with sour or salty food. You might add one or two pinches of turmeric or ginger to whole milk before boiling it to help reduce any kapha-creating properties in the milk.

Fruits: Lighter fruits, such as apples and pears, are better. Reduce heavy or sour fruits such as oranges, bananas, pineapples, figs, dates, avocados, coconuts, and melons, as these fruits increase kapha.

Sweeteners: Honey is excellent for reducing kapha. Reduce sugar products, as these increase kapha.

Beans: All beans are fine, except tofu.

Nuts: Reduce all nuts.

Grains: Most grains are fine, especially barley and millet. Do not take too much wheat, rice, or oats, as they increase kapha.

Spices: All are fine, except for salt. Salt increases kapha.

Vegetables: All are fine, except tomatoes, cucumbers, sweet potatoes, and zucchini, all of which increase kapha.

Meat and Fish (for non-vegetarians): White meat from chicken or turkey is fine, as is seafood. Avoid or reduce red meat.

Food Supplements

1. Spice food with turmeric, ginger, black pepper, and cinnamon.
2. Take 2 tablespoons pure aloe vera juice (no preservatives) after meals b.i.d., but not during or within 3 days of the end of the menstrual flow.

Specific Herbal Supplements

1. For Apana vata, combine equal parts:shatavari (Asparagus racemosa)ashwaganda (Withania somnifera)trikatu (Zingiber officinalis,Piper longum, Piper nigrum)Mix with honey into a paste and take 1 teaspoon t.i.d.

2. For Prana vata, prepare a calamus nasya:Combine 1⁄2 teaspoon calamus with 1 ounce sesame oil. Sniff 10-15 drops into each nostril, t.i.d.

3. For Apana and Prana vata:Mix 1 teaspoon dashmula in 2 cups water and boil down to 1⁄2 cup; drink 1⁄2 cup b.i.d. Dashmula, a.k.a. dashamoola, or ten roots, is a compounded formula containing the following, although this formula may be modified by some practitioners: salaparni (Gmelina arborea), agnimantha (Premna obtusifolia), brhati (Solanum indicum), kantakari (Solanum xanthocarpum), praniparni, gokshura (Tribulus terrestris), patala (Clerodendron phlomoides), syvnajka, bilua (Aegle marmelos), gambarai.

Exercise

It is especially important to get daily exercise. A brisk walk for 30 minutes is the minimum exercise required. Perform deep nasal breathing during exercise.

Rest

Do not sleep during the day unless illness or unusual circumstances cause exhaustion. Always try to avoid sleeping within 2 hours after a meal.

Specific Home Treatments

1. Daily abhyanga with sesame oil.
2. 7 to 10 days before your period follow your abhyanga with a hot tub bath one hour later. Massage the abdomen in a clockwise motion during the bath.
3. 7 to 10 days before your period, follow your abhyanga and bath with the following laxative therapy: on an empty stomach, take 4 teaspoons castor oil mixed with 1⁄2 cup any juice except grape juice. Do not eat until the majority of the laxative action has occurred (4 to 6 hours). Usually this procedure results in 2 to 3 bowel movements. You may repeat this monthly for up to 6 months.For persistent or severe cases take an extended panchakarma treatment (5 to 7 days) as soon as possible.

Abhyanga:Ayurvedic Oil Massage

Our skin is the largest organ of our body. It weights about 6 to 10 pounds and is about 16% of our body weight. Biologically it is a very active organ: it is alive, it breathes, it self-repairs, and it gets rid of toxins. But most important, what scientists are finding out is that the skin is the riches source of all hormones that we can find anywhere, including the hypothalamus in the brain. Also, when we stimulate the skin we can literally cause a shower of healing chemicals into our bloodstream. The most important of these are growth factors or growth hormones. If our skin is the riches source of growth factors, then we can cause these growth factors to be released into our bloodstream by simply stimulating the skin.It is important to realize that touch is about ten times stronger than verbal or emotional contact. Like the other organs, the skin is also a seat of emotions. We can influence emotions, feelings, and desires through our skin as a result of the release of these hormones. A 5-minute oil massage from head to toe harmonizes mind and body and creates a sense of energy and buoyancy throughout the day.A scientific study on post-coronary patients (patients who have had heart-attacks) is indicating that if after the heart attack they receive a massage in the coronary care unit, then growth factors are released into the bloodstream. This release opens up coronary vessels and also opens up collateral blood vessels, increasing the blood supply to the heart. You can cause the same release of these growth factors through you skin by giving yourself a massage. The Ayurvedic oil massage is said to strengthen and balance the whole physiology, improve circulation and vitality, and rejuvenate the skin.We recommend to all our patients that they give themselves a daily oil massage before bathing in the morning. When we sleep at night, fatigue is dissolved and toxins are produced which are deposited in the colon and skin. That is why the first thing we do in the morning for personal hygiene is eliminate and bathe, preventing these toxins from backing up into the system. The instructions for how to do the massage are listed below.Sesame oil is the recommended oil because it doesn’t allow bacteria to grow and it gets absorbed through the skin. Current research indicates that sesame oil decreases free-radical and thereby prevents aging. Sesame oil can be purchased at any grocery store. It is recommended to use unprocessed, cold-pressed sesame oil. If sesame oil is unsuitable, you can use olive oil or coconut oil. Coconut oil doesn’t have to be cured or heated because it is used for its cooling properties.Instructions1. Use comfortably warm sesame oil that has been cured. Keep a portion of your oil in a plastic flip-top bottle, and warm it each day.Curing oil, a one-time process, causes the molecular structure of the oil to alter just enough so that the oil is better absorbed by the skin. Curing is done with heat.

One is cautioned never to burn the oil: curing is finished when a drop of water, dripped onto the hot oil, jumps.
2. Once you are undressed, apply a small amount (to 1⁄2 cup) of warm oil to your entire body, allowing the oil to have maximum time of contact (10 minutes is good).
3. Using the flat of the hand, do a brisk massage. It is not a deep, kneading massage. Apply moderate pressure over most of the body and light pressure over abdomen and heart.
4. Use circular motions over rounded areas (joints, head) and straight strokes up and down over straight areas (arms and legs).
5. Follow the oil massage with a 10- or 15-minute warm bath or shower.
6. If you don’t have time to do the whole massage, at least put the oil on and get in the shower and wash it off. A little bit every day is better than a whole lot every other day.

References

-Sharma, P.V. Cakradatta, Chaukhambha Orientalia. New Delhi, India. 1994.
-Atha Vale, V.B. Basic Principles of Ayurveda. Bombay, India Town Pinery. 1980.
-Bhishagratna, K.L. Shushruta Samhita, Vol 1 and 2. Varanasi, India. Chowkhamba Sanscrit series. 1981.
-Sharma, P.V. Caraka Samhita, Vols. 1 and 2. Varanasi, India. Chaukhanbha. 1981.
-Devaraj, T.L. The Panchakarma Treatment of Ayurveda. Dwanwantari Orientalia Publications, Bangalore India. 1986.

Peptic Ulcer

By John Douillard, DC, PhD

Peptic ulcer in Ayurveda is considered a type of acid gastritis or Amla pitta. This disorder is more generally classified as a grahani disorder which is a disorder in the seat of agni is the stomach. Caraka Samhita describes some of the common causes for such a deranged agni (or digestive fire). Fasting, eating when one has indigestion, over-eating, irregular eating habits, eating unsuitable foods, eating in a negative atmosphere, or at the wrong time, or eating foods that have been ill-prepared; all these will produce acid indigestion even with the lightest of fare.

The actual ulceration of the stomach wall which is the classic description of a peptic ulcer is clearly due to an excessive amount of heat or pitta in the body. The question to ask before treating the increased pitta is, why is the pitta excessive? In the West we often relate gastric ulcers with stress and anxiety. This factor is not overlooked in Ayurveda and is properly handled with the eating and lifestyle changes mentioned above. With regard to the treatment of peptic ulcer, it is not necessary to take Ayurvedic medicines if these lifestyle eating changes are not made. No medicine will work unless the cause is appropriately addressed. There are typically three factors that are essential for good and balanced digestion.

What you eat:

Food must be fresh and grown locally, or at least seasonally, and prepared with a caring and loving attitude.

How you eat:

Food must be eaten with attention and awarenness. Our sense of taste both prepares and ignites digestive process before food ever reaches the stomach, as does our sense of composure and calm. Being distracted with books, driving, computers, and phones during a meal negates any hope of a balanced digestive process.

When you eat:

Eat is best done during pitta kala, between 10 AM and 2 PM; this is when the agnis are the strongest and digestion will be the most effective. Eating at other times will eventually compromise the body’s ability to digest and assimilate nutrition and give energy over a long period of time. This is, in part, the cause for the increased incidence of hypoglycemia and the need for a grazing approach to eating which has become vogue here in the west. In the west we are too busy to stop and take the time to eat. This one aspect of modern life has a devastating effect on the health, longevity, and quality of one’s life.

Peptic ulcer may also be an expression of excessive digestive pitta due to an aggravated vata. A form of wind, this aggravated vata can blow on the digestive fire (agni) like a bellows, creating excessive heat. This heat will dry out the kaphic mucous lining of the stomach, leading to irritation and eventually to ulceration. There are two common causes of this type of vata aggravation:

1. Samana vata, which normally fans the digestive fire, much like a carburetor provides air to the spark plugs of a car engine, is the vata aspect of digestion, and relates the state of mind one is in when one is eating. Remember that vata controls the nervous system, so the quality of the nervous system is directly related to the proper functioning of the samana vata. If one is stressed and hurried during a meal, or skips a meal, or eats fast, non-digestible food, then these stressors will affect the quality of digestion.

2. Apana vata in the intestinal tract is often siphoned upwards through the enteric cycle into the liver and digestive organs. This reversed flow of the apana vata can excessively fan the pachaka pitta in the stomach and irritate the stomach lining. Apana vata can then be pulled upwards from an already aggravated pitta which will need more air to burn the fire. Or, apana vata may rise as a result of nervous system vata stress, wherein the nervous system is under such extreme stress that apana vata is drawn upwards for nervous system support. Along the way the apana would fan the pachaka pitta and leave the seat of vata in the intestines depleted.Pitta can also be at the root of such a disorder. this is typically seen in a pitta constitution with a pitta imbalance. Classically, pitta types are the ones who eat fast without awareness and have a very hectic lifestyle. Their competitive nature can drive them excessively and aggravate the pitta in both the stomach (pachaka) and the liver and small intestine (ranjaka). This pitta imbalance will irritate and eventually ulcerate the wall of the stomach.

Diagnosis

The diagnosis of this condition is made by a combination of signs and symptoms. The classic symptoms are burning (during, after, and in-between meals), gastric reflux, fatigue, increased stress, loose stools, constipation. In vata-conditions, symptoms are associated with a dry throat and mouth, blurred vision, tinnitus, cardiac pain, excessive hunger, and an abnormal taste in the mouth. A pitta-type will have stools that are more liquid and yellow and will probably complain of a chronic burning in the cardiac region and throat. The pulse will reveal excessive pitta along with a deep causative vata aggravation if vata is involved.

The tongue will usually have a crack in the midline of the anterior 2⁄3rds of the tongue. This indicates an imbalance in the Annavaha srota. The annavaha srota regulates digestion and is responsible for gastritis, heartburn, and peptic ulcer when out of balance. Nails are usually thin, soft, and bending.

Treatment

Behavioral modification: See above.

Dietary Guidelines

When condition is acute, patient should be given a diet of liquefied cooked vegetables and kitchery (a soupy mixture of rice and dahl).Barley water can be taken throughout the day (boil one cup of barley with three cups of water and down to two cups of water. Drink as tea three times per day).
Avoid onions, garlic and pungent, salt, and sour foods.
Increase consumption of bitter foods (cooked leafy green vegetables and sweet fruits are mostly good) (See light pitta pacifying diet)

Herbs

Mostly bitter herbs are good.

Mahasurdarshan churna (combine triphala (Emblica offcinialis, Terminalia belerica, Terminalia chebula); gudduci (Tinospora cordifolia); katuka (Picrorrhiza kurroa); patrpat; nimb (lime), suddha surastraja, bamshalochan; kairat): take 1⁄2 teaspoon 3 times a day after meals (if apana vata involved)

Avipittkar churna (ginger (Zingiber officinalis), black pepper (Piper longum), trifala (Emblica officinalis, Terminalia belerica, Terminalia chebula), nut grass (Cyperus rotundus), vidanga (Embelia ribes), cardamom (Elettaria cardamomum), clove (Syzygium aromaticum), cinnamon (Cinnamomum cassia), sugar): this is the medicine of choice in treating peptic ulcer. Take one teaspoon before meals 3 times a day with lemon juice.

Aloe vera (Aloe littoralis): 1 tablespoon fresh gel from plant, 3 times a day.

Coriander (Coriandrum sativum) and cumin (Cuminum cyminum) tea.

Psyllium (Plantago ovata); snigdhajira: 1 teaspoon husk, 1 hour after meals with 8 ounces warm water.

Milk decoction: 1 teaspoon amalaki (Emblica officinalis) with 1 teaspoon raw sugar, 1 cup of milk, and 1 cup water. Boil to 1 cup. Drink as tea with meals or anytime, 3 times a day.

Fenugreek (Trigonella foenum-graecum); madhu: 1⁄2 teaspoon powder with 1⁄2 teaspoon turmeric on an empty stomach, with warm water or warm milk.

Licorice (Glycyrrhiza glabra) ghee: make licorice decoction with 1 teaspoon licorice in 2 cups of water. Boil to 1 cup. Add 1 cup ghee and 1 cup water; boil off water. Take 1⁄2 teaspoon 3 times a day on an empty stomach with hot water. Can be used in cooking.

Light Pitta Pacifying Diet

This diet is indicated when there is low agni (weak digestive power) combined with a Pitta constitutional type or a Pitta imbalance.Food should be fresh, well-cooked, tasty, and satisfying. It is important to eat only when hungry and to take meals according to a regular schedule. Eat in a settled environment, without distractions. Do not overeat.
Grains
Wheat, rice, and barley, prepared as follows:
Wheat: Finely ground whole wheat flour, in foods such as crackers, biscuits with low fat and low sugar, toasted light bread, unleavened flat breads (chapati, pita bread, tortillas), couscous, semolina, cream of wheat.
Rice: Basmati rice (or other white rice), rice flour, puffed rice, cream of rice. You can fry the rice in a pan without oil, then steam or boil it into a soup.
Barley: Light preparations such as in soup, crackers, unleavened bread, etc.
Legumes
Adding a pinch of hing (Ferula asafoetida) to lentils increases their digestibility. Green or yellow mung beans or red lentils (dal), which are available in health food stores, Indian shops or by mail order. To prepare, boil one part legumes in 2 to 3 parts water. You can also boil it with rice and a lot of water to make a thin soup.
Vegetables
Vegetables should be well-cooked and prepared in soups, stews, and casseroles with a lot of water. Asparagus, artichokes, white pumpkin, zucchini, cucumber, spinach, cabbage, eggplant (peeled), celery (not the root), spinach, chicory, tender white radish (prepared in oil), green and papaya.
Dairy ProductsLow-fat milk, goat’s milk, buttermilk, yoghurt mixed with water 1:1 (called lassi or ayurvedic buttermilk), small amounts of clarified butter (ghee).
Sweeteners: Sugar or Sucanat, in small amounts. Sucanat is dried whole sugar cane juice, available in health food stores.
Oils
Ghee, sunflower oil, and olive oil, in very small amounts for cooking only.
Spices and Condiments
Coriander, cumin, ginger (small amounts), turmeric, fennel, cinnamon, cardamon, lemon juice.
Fruits
Fruits should be sweet, ripe, and in season.
Grapes, pomegranates, papayas (small amounts), pineapple (only if very sweet), figs, persimmons, and fresh apricots. The juice of these fruits is also good. Raisins are fine in small amounts, if pre-soaked and chewed well.

Further Information

http://www.lifespa.com/article.asp?art_id=37

Otitis Media

By John Douillard, DC, PhD

IntroductionIn Western medicine, otitis media (referred to as karnapratinaha in Sanskrit) is defined as an inflammation of the middle ear. The inflammation is usually due to an infection caused by a virus or bacteria that has made its way to the middle ear via the nose, throat, and Eustachian tube. Treatment in Western medicine follows the determination of origin (bacterial versus viral), and hence, which antibiotic, if any, will effectively eradicate the bacterial growth and stop the inflammation. This treatment no doubt works. In fact, it works so well it has lead to a widespread overuse of antibiotics and to antibiotic-resistant strains of bacteria.

In Ayurvedic medicine there are many antibacterial herbs, but they are rarely used as such; the first course of action for recurring conditions, such as otitis media, is prevention. This is primarily performed one or two seasons prior with appropriate seasonal cleansings. The second course of action is the actual treatment. This is accomplished by addressing causative factors in the host that are responsible for the inflammation and infection, rather than by irradiating the symptomatic invaders of an imbalanced physiological medium, i.e., the bacteria and viruses.

Etiology

In Ayurveda ear disorders, called Karna Roga (Cakradatta, Ch LVII), can be caused by one of four imbalances (Caraka, Chikitasthanam , Ch. XXV1, Vi20 121):

Vata: Thin discharge, dried ear wax, severe pain, tinnitus, and deafness.

Pitta: Yellow discharge, swelling, redness, tearing, and burning.

Kapha: White and slimy discharge, abnormal hearing, itching, stable swelling, and mild pain.

Sannipatataja: Characteristics when vata, pitta, and kapha imbalance occur together; the discharge is colored according to the predominant dosha.

Diagnosis

The diagnosis depends on many factors, too numerous for the scope of this article. Here we will discuss those factors that are most important in making a diagnosis.

Age

The age of the individual is commensurate to the ear disorder and is proportionate to the type of disorder experienced. A child (under the age of sixteen) is still in the kapha kala (time) of life. This means that his or her constitution will be made up of, and holding on to, predominantly kapha (earth, water, and phlegm) qualities. It is for this reason that children frequently complain of colds and earaches, and because of this age-related predisposition, certain precautions must be taken to avert frequent ear infections. In general, a kapha-pacifying diet or mucus-free diet should be followed,* particularly during change of seasons and during the spring, which is the kapha season.

Body Type

The prakriti (constitution) of an individual is a factor in diagnosis and predicted frequency:A child with a kapha body type and in the kapha time of life (around eight years old), is susceptible to getting ear infections in the springtime, or other times when kapha’s congestive qualities are increasing in the environment. If the child is eating a kapha-aggravating diet (lots of sweets, wheat, dairy), the chances of an ear infection dramatically increase.

A child with a vata body type will not be at as much of risk for ear infections as a child with a kapha body type is, but when he or she has reached adulthood, in which vata imbalances are common, the individual can become more susceptible. Adult vata types usually complain of chronic colds, having four or five colds each winter.The pitta types are probably the least susceptible all through life, but even they can succumb if they get out of balance.

Season

The seasons play a large role in both the prevention and the treatment of otitis media:

In the vata season, which runs from October through March, the body has a tendency to dry out due to the cold and dry nature of the winter. If accumulated, this dryness excessively dries out the body. This is probably confirmed by a noticeable drying of the sinuses and the skin in the winter. This dryness attacks three srota (channels) systems specifically in the case of otitis media.

First, the Pranavaha srotas (sinuses) dry out, and the mucous membranes are rendered unable to protect against infection. Next, the Udakvaha srotas, or water-carrying channels, dry out, leading to chronic sore and dry throats. Then the Rasavaha srotas (lymph carrying channels) dry out, and lymph flow, which regulates immunity and removes waste, is blocked. The waste subsequently backs up into the Eustachian tube and middle ear, making a perfect place for an opportunistic bacterial or viral infection to settle.

Spring, or kapha season (April through June), is another time when ear infections are frequent. After a long, cold, and dry winter, nature rewards us with a damp and warm spring to balance the extremes of winter. The body’s natural response to being so dry all winter is to make mucus at the first chance. As kapha increases in the environment during the spring, internally its congestive properties can block the Rasavaha Srotas that are needed to remove waste and control immunity.

With these channels compromised, infections are more likely. Regular, seasonal cleansings and a natural foods diet provide the natural antidote for the increasing mucus and congestion of spring. The kapha reducing diet is rich in non-mucus-forming, light, leafy, seasonally-available greens, such as dandelions and asparagus. Look to nature for the antidote to seasonal disorders. Its harvest may hold the keys to both prevention and cure.

The pitta season (summer: July through September) is when colds and ear infections should be least frequent. However, if one is out of balance, the increasing amount of heat can rise up into the respiratory tract and dry it, causing the process of Udavarta, the upward movement of vata. As the heat rises, so will the air, or vata, which triggers more drying.

General Discussion

In clinical practice, it is important to put the aforementioned information together to accurately predict the cause of the ear infection as vata, pitta or kapha. A child in kapha kala with a kapha prakriti with excessive mucus will most likely have a kapha imbalance. A vata prakriti with chronic sore throats and frequent colds in the winter will likely have vata type ear infections. The same vata type in the pitta time of life (age 16 50), with colds in the summer and other related pitta symptoms, will probably have to be cooled as well as cleansed to bring about a successful result.

Prevention

Seasonal Cleansing

The most effective way to avoid an ear infection in one season is to cleanse the body at the change of season prior. This is done classically during the months of March, June, and September or October.

In Ayurveda, the most powerful type of seasonal cleansing is as part or a process called Panchakarma. This procedure is quite extensive and is usually done under supervision. Two aspects of this procedure that can easily be performed at home as part of a seasonal cleanse are virechana (intestinal purgation) including a preparatory oleation process, and nasya (nasal cleaning).**

Home Cleansing

Perform the following steps once during the seasons’ changes in March, June, and September. Perform step three once during each of the four days of oleation.

Step One: Oleation (Snehana)

The purpose of oleation (snehana) is to loosen impurities in the body. Drink the following amounts of melted clarified butter (ghee) each morning for 4 days as prescribed (dosages are for individuals older than 16 years of age):***

Day time Ghee Dosage

1 6-7 AM 2 tsp.

2 6 7 AM 4 tsp.

3 6 7 AM 6 tsp.

4 6 7 AM 8 tsp.

Ghee (clarified butter) loosens, dissolves, and mobilizes impurities in the body so they can be easily eliminated during the laxative therapy. Since ghee is heavy to digest, there may be a feeling of slight nausea or dullness during oleation. Ginger tea can remedy this, and once the impurities are flushed out of the system with the laxative therapy, the individual will feel light again.

Ghee should be measured (note: 3 teaspoons = 1 tablespoon) and taken in liquid form on an empty stomach first thing in the morning. To make the ghee more palatable, take it at a lukewarm temperature. Sipping a glass of hot water1/2 hour after taking the ghee is beneficial. Mixing it with 1/2 cup of warm milk followed by a second1/2 cup of warm milk and sugar may help those who have difficulty swallowing plain ghee. If nausea occurs, sip a half to one glass of warm to hot water with fresh lemon juice and grated ginger root.

During this cleansing, eat lightly and follow the prescribed dietary guidelines. Drink copious amounts of water, preferably warm and not cold. It is also advisable to sip hot water every half hour during each day of the cleansing.

Step Two: Laxative Therapy (Virechana)

The purpose of laxative therapy (virechana) is to cleanse the body of impurities which have been loosened by the oleation. The laxative should be taken at bedtime on the evening of the fourth day of ghee. (One may take the laxative early in the morning on an empty stomach on day 5; many people who can stay home find this to be more comfortable.) The evening meal should be very light, and before taking the laxative, take a 15-20 minute hot tub bath to increase the circulation and loosen the impurities in the body. (If a tub bath is not possible, you may substitute a hot shower or a hot water bottle over the lower abdomen for 15 20 minutes).

Castor Oil: Prescription: 6 teaspoons

You can take castor oil by itself or follow the recipe below. You will need two fresh oranges (or lemons) for use in the recipe below. Read the complete recipe, arrange all items conveniently, and then proceed.

Slice open two oranges (or lemons) in quarters. Place the prescribed amount of castor oil (in this case, 6 teaspoons) in1/2 cup hot water. Squeeze the juice from an orange (or lemon) into the cup and stir vigorously. Hold nostrils closed, drink mixture quickly. Bite into the remaining orange (or lemon) for about 5 seconds. Release nostrils.

After taking the laxative, you may awaken during the night with the need to go to the bathroom. The results will normally occur in 1 to 15 hours after taking the laxative (the average is from 4 to 6 hours).

Do not eat or drink anything until after the laxative effect has worn off.

Step Three: Home Shirodhara-Abhyanga-Nasya (Head, Neck, and Shoulder Massage with Nasal Cleansing)

The purpose of this treatment is to open, cleanse and lubricate the srotas of the head and neck. When blocked, these srotas allow impurities to back up into the Eustachian tube and middle car, creating a potential ear infection. Follow the next five steps.

1. Massage the head and neck.

2.Take a hot shower.

3. Steam the face and neck: fill a large bowl with freshly boiled water. Add 1 2 drops eucalyptus oil or Vicks Vaporub.™ Drape a clean, large towel over the head, making a tent. Lean over the bowl so that the steam is trapped inside the towel tent. Inhale the steam for 2 3 minutes.

4. Gently apply hot towels to the neck and face.

5. Perform nasal cleansing: using an eye dropper, place two or three drops of sesame oil directly into both nostrils. Sniff the oil into the sinus cavity; then, rapidly closing and opening the nostrils with your thumb and forefinger, breathe in through the nose. Repeat sniffing procedure three times. Repeat as needed. Do not do within two hours of bedtime.

Alternate lubrication method: Place a few drops of the oil in the palm of the left hand. Dip the little finger of the right hand into the oil. Insert the oiled finger into both nostrils until they are well-lubricated. If you use this method, make sure that your hands are clean and that the nail of your little finger is clipped short. Continue with sniffing procedure described above.

General Treatments

Even though vata, pitta, or kapha may cause otitis media, general treatments which are effective in bringing symptomatic relief are helpful. In every kind of ear infection there will be a kind of discharge (mucus that is produced from the virulence of the infection). A kapha-reducing diet is helpful in removing this mucus during the infection itself, and can expedite the healing even if the diagnosis is not 100% accurate. It is indicated when there is low agni (weak digestive power), kapha imbalance, or excessive mucus and a kapha constitutional type.

Cleansing Kapha-Pacifying Diet

Note: Food should be fresh, well-cooked, tasty, and satisfying. It is important to eat only when hungry and to take meals according to a regular schedule. Eat in a settled environment without distractions. Do not overeat.

Grains

Barley, in light preparations such as in soup, crackers, unleavened bread.

Rye, in crackers made from finely ground flour.

Oats, cooked with water to make a light porridge.

Millet, steamed or boiled.

Wheat, in small amounts, and from finely ground whole wheat flour such as that found in crackers, biscuits with low fat and sugar, toasted light bread, unleavened flat breads (chapati, pita bread, tortillas), couscous, semolina and cream of wheat.

Rice, such as Basmati or other white rice, rice flour, puffed rice, and cream of rice.

Suggestion: fry the rice in a pan without oil, then steam or boil it into a soup.

Legumes:Green or yellow mung beans or red lentils (dal). (Mung beans and red lentils are available in health food stores and Indian shops, or by mail order.)

To prepare: boil 1 part legumes in 2 to 3 parts water.

Suggestion: boil legumes with rice and a lot of water to make a thin soup. A pinch of hing (asafoetida) increases the digestibility of lentils.

Vegetables:Vegetables should be well-cooked, and prepared with a high water content (as in soups, stews, casseroles). Green, leafy vegetables (well cooked), white pumpkin, asparagus, artichoke, cabbage, zucchini, eggplant (peeled), celery (not the root), carrots (in small amounts), spinach, chicory, tomato (peeled) and tender white radish (prepared in oil), green papaya.

Dairy Products: Low fat milk, goat’s milk, buttermilk, yogurt mixed with water 1:1 (lassi, or Ayurvedic buttermilk), small amounts of clarified butter (ghee).

Sweeteners: Only honey, in small amounts Do not heat or cook honey.

Oils: All (except coconut oil) in very small amounts for cooking only.

Spices and Condiments: All spices except salt, especially pungent and sharp spices (pepper, ginger, etc.). Lemon juice in small amounts.

Fruits: Fruits should be sweet, ripe and in season: grapes, pomegranates, papayas (small amounts), figs, apples (peeled), guava. The juice of these fruits is also good. Raisins are fine in small amounts, if presoaked and chewed well.

Liquid: Sip hot water every 1⁄2 hour for 1 to 2 weeks.

Specific TreatmentsVata

In vata-based otitis media, the major causative factor is dryness. Drops of medicated oil into the ears can act as an antimicrobial and a lubricant.

Vata Ear Oil

Equal parts garlic oil and ginger juice, with 5% rock salt. Add 30-35 drops to 1 oz. castor oil (a base). Warm and put 10 drops in bath ears t.i.d. for pain and infection. This can be used 1 to 3 times per week in winter months for infection.Tulsi Tea (Ocimum sanctum)For associated fever, drink tea made from basil or tulsi leaves t.i.d.Trikatu (Zingiber officinalis, Piper nigrum, Piper longum)Mix 1 teaspoon with honey to make a paste. Take with warm water t.i.d.Nasya (nasal cleansing treatments) as described above.

Pitta

With pitta-based otitis media the primary concern is the removal of the yellowish discharge and the heat from the middle ear, Eustachian tube, and blood.

Pitta Ear Oil

Equal parts neem oil and ginger juice. Add 40 drops to this combination to 1 oz. castor oil. Warm and put 10 drops in each ear t.i.d. This can also be used for prevention.

Neem Leaf Fomentation

Boil neem leaves in water for 10 minutes. Massage neck and cervical lymph channels with castor oil and sandalwood oil combination. Then apply warm neem leaves on sides of neck. Keep replacing with warm leaves and continue for 20 minute t.i.d.FeverEqual parts mahasudarshan, neem and kutki. Take 1/2 teaspoon in capsules every four hours.Nasya treatments as mentioned, using neem: add 15 drops neem oil to 1 oz. sesame oil.

Kapha(Also see Neti, below.)

Kapha-based otitis media is caused by congestion and mucus.

Kapha Ear Oil

Equal parts ginger juice, garlic juice and mustard seed oil. Make juices by squeezing ginger and garlic in a clove press. Add 1/2 part honey and1/4 part rock salt. Add to castor oil, such that the kapha ear oil is 10% of this mixture and 90% is castor oil. Heat. Place 10 drops in each ear t.i.d.Internal

Kapha Treatment

Mix 1⁄2 teaspoon sitopladi with honey to make a paste and take 1 teaspoon q.i.d. For severe conditions, add 1⁄4 teaspoon trikatu to 1⁄2 teaspoon sitopladi. Make a paste with honey and take 1 teaspoon q.i.d.Note: These treatments can be combined as needed. Many ear infections will stem from a combination of imbalances.

Neti Practice

For kapha conditions, the treatment of choice in nasal cleansing is called neti. This is a rinsing of the nasal passages with a mild, salt water solution, which effectively removes accumulated kapha or phlegm. There are times when neti and nasya can be used in conjunction. Nasya, a lubricating treatment, is typically more effective for vata and pitta imbalances: it lubricates the sinus to address the underlying cause of excess mucus, which is dryness of the nasal mucosa, caused by vata and sometimes pitta.

A special, small, pot with an extended spout, is used for neti. If one is not available, a tea pot works well. Fill the pot with lukewarm water, preferable body temperature. Add about 1 teaspoon salt per half liter of water. Make sure all the salt is dissolved.

Technique

Insert the spout gently into the left nostril. Slowly, tilt the head to the right, so the water runs into the left nostril. The mouth should be open so that you can breathe through the mouth instead of the nose. The water should flow in through the left nostril and out through the right nostril. This will happen automatically, provided that the position of the head is correct. Allow the water to freely flow through the nostrils for 20 seconds. Then remove the pot and clean the nostrils by blowing through the nose with some force but with no strain. Repeat the process through the right nostril. Perform neti in both nostrils two times each for 20 seconds.Drying the NoseBend at the waist and blow vigorously through the nose five times. Then stand erect, and gently pressing one nostril, breathe in and out vigorously 20 times in quick succession, emphasizing the exhalation to expel the maximum amount of moisture. Repeat the process with the other nostril, then with both nostrils open.

Precaution

A slight burning sensation may be felt as the water passes over sensitive mucous membranes. This sensation usually abates after a few practices. If nasal passages are acutely or chronically irritated, the first attempt with neti should be with half the amount of salt (1/2 teaspoon per liter).* Scott Gerson, M.D. notes that for children, milk should continue to be given, as it is an important food for children (according to Ayurveda). However, in Kapha season, milk is generally decocted with kapha-reducing herbs before consumption: sunthi (Zingiber officinalis), devadaru (Cedrus deodara), haritaki (Terminalia chebula), tvak (Cinnamomum zeylanicum), or marica (Piper nigrum).** Scott Gerson, M.D. notes that most ancient scholars opine that panchakarma not be administered to children. Caraka allows administration if the vitality of the child and mental capacity is normal (CS Ci 8/56).*** Scott Gerson, M.D. further offers that Sushruta states oleation is given to children only in the summer season and not to those under age three, because the diet of the very young is made up mainly of milk, which is already unctuous (SS Ci 17, 24-27).

Further Information

http://www.lifespa.com/article.asp?art_id=38

Migraine Headaches

By John Douillard, DC, PhD

A migraine headache is specifically a result of vasodilation of the cerebral arteries and the ensuing intracranial, arterial pressure. The reason for this occurrence is varied according to body type and congenital susceptibilities. The most common underlying stress factor is neurological. It is how the nervous system deals with the onslaught of mental, emotional, and sometimes physical stress that will determine the onset of a migraine headache. Each body type will deal with this stress uniquely.

Vata

The vata body type is hypermetabolic in nature, both physiologically and mentally. Vata types think fast and act fast. When the stress builds in the nervous system a neurological as well as muscular tension is created in the head and neck. Blood vessels are first constricted, followed with a rebound dilation. The dilation causes pressure, pain, and toxicity, as the ama floods into the dilated vessels. Often, ama from the seat of vata in the intestinal tract enters the blood stream via the enteric cycle to the liver. From here, this ama is transported into the head and neck to deal with the increased stress. This happens as more blood is shunted into the head and neck in an attempt to provide fuel in the form of blood sugar to the central nervous system.

Treatment

For vata, nervines such as calamus (Acorus calamus) and valerian (Valeriana officinalis) are useful (one-half teaspoon three times a day, taken one hour before meals). Purgation is also extremely important, as is nasya (see: Nasaya for Migraines, below).

Pitta

Pitta-based migraine headaches will follow a similar pattern to the vata migraine, except that the excess of pitta will exacerbate the heat and toxicity in the blood. This is because heat and pitta will rise and the aggravation of pitta will bring more heat to the head and neck area. Pitta body types are usually driven, making for more heat in the blood, with more ama pulled out of the apana vata in the intestinal tract. As the heat rises with the increased energy demanded from the head and neck, ama accumulates and a pressure, causing vasodilation, occurs.

Treatment

Sandalwood (Santalum album) powder, made into a paste and applied to the head.Peppermint oil (Mentha piperita), applied over area of pain. Ghee and castor oil are useful as well, as both are pitta-pacifying.

Kapha

A kapha-based migraine headache is usually rare. If it does occur it is as a result of accumulated ama in the bloodstream, causing pressure, vasodilation, and pain. This type will always have vata and pitta factors to be dealt with.

Treatment

Cayenne (Capsicum frutescens), trikatu (Piper longum, Piper nigrum, and Zingiber officinalis), and clove (Syzgium aromaticum) are all excellent for kapha in this case (1⁄2 teaspoon, 3 times per day). Vigorous exercise with emphasis on deep nasal breathing to pump more prana into the head and neck.

Brahmari Pranayama:

Breathe in deeply through the nose and during the exhale make a humming sound. This sound acts like a micro-ultrasound that will break up ama and adhesions in the head and neck (practice for 10 minutes, maximum).Nasya for MigrainesPlace 2-3 drops of sesame oil (with a pinch of pepper and table salt mixed in), into your left hand. With your right hand, rub your little finger in the oil. Then place your little finger into the right nostril as far up as is comfortable (nail short). Repeat the procedure in the left nostril. Repeat until all the oil is gone. Then hold the nostril closed and breathe in.

Further Information

http://www.lifespa.com/article.asp?art_id=35

Mastitis

By John Douillard, DC, PhD

Mastitis, or inflammation of the breast, is caused by a blockage of one of the thirteen srotas or channels of the body. These channels move nutrition and energy, both subtle and non-subtle, throughout the body. In the case of mastitis, the rasa vaha srotas, plasma- and lymph-carrying channels, become blocked. The cause of these blockages is often due to the improper formation of the dhatus or tissues of the body. There are seven tissues or dhatus in the body that are converted by dhatu-agnis (enzymes) from more basic to more complex bodily tissues. This process begins with rasa (plasma, lymph) to rakta (blood) to mamsa (muscle) to meda (fat) to ashti (bone) to majja (bone marrow) to the final dhatu of shukra (reproductive tissue). If this process is interfered with anywhere along the way, then the shukara dhatu is not formed and procreation is halted.

In the case of mastitis, the interruption of this process is at the level of rasa agni, which converts rasa dharau into rakta dhatu. In the transformation process of the dhatus, there are waste products produced along the way. Kapha (ama) which is heavy, sticky, slow-moving and cohesive, is the mala, or waste product, of rasa dhatu. Each of these seven dhatus have a set of upadhatus, or subordinate dhatus, which are nourished by the major dhatus. In the case of rasa, there are two upadhatus: stanya, or breast milk, and artava, or menstrual blood.

When the dhatus are not properly formed, an excessive amount of waste product will be produced and the upadhatus will not be nourished. In the case of a lactating mother, the breast milk would be imbalanced and most likely an inadequate supply for the infant would be produced. The rasa vaha srotas would become blocked by the excessive mala of kapha (ama), and the updhatu would be inadequately nourished. In the case of a non-lactating woman, the same srotas would be blocked. The result would be that the lymph or waste-carrying vessels in the body would be blocked by the rasa dhatu mala of kapha (ama), and the natural cycle of nutrition in waste out , would cease. This lack of circulation and build up of ama (impurities) would irritate breast tissue and, over time, inflame it and render the breast swollen, hard, and tender.

General Etiology

Although this condition may appear acute, it is always a result of an underlying chronic imbalance. Vata is usually the cause of rasa vaha srota blockage. The production of ama (mala of rasa dhatu) will aggravate kapha and soon both vata and kapha are unbalanced. Whenever there is a vata-kapha imbalance, there will always be an underlying chronic condition.Vata and kapha are opposites and as the body tries to correct one, it will imbalance the other, finding it very difficult to correct itself. More specifically, it is the samana vata subdosha of vata that is at the root of the rasa vaha srota blockage. Samana vata is the vata aspect of digestion which means it relates to the quality of the nervous system during digestion that will determine proper function. Any nervous system tension or stress during the meals will aggravate the samana vata and initiate the manufacturing process of ama. This ama moves specifically into the lymphatic system, making the rasa vaha srotas susceptible to blockage. The breast, which is a major site for lymphatic vessels, is often a target for such a lymph stasis and resultant inflammation or mastitis.

General Treatment

In the case of a samana vata imbalance, the first line of treatment must be behavioral: if the vata continues to be aggravated in relation to digestion then ama will continue to be produced and the cause of the problem will not be addressed. Because samana vata has to do with the vata aspect of digestion then what the nervous system is doing during digestion will play an important role in this treatment. There are three aspects of eating that must be addressed for samana vata to be balanced. These three factors are: how, when, and what you eat. Each of these are equally important and must be taken seriously. In the West, we put an excessive amount of attention on what we eat, but rarely are we concerned with how and when.

When To Eat

The Ayurvedic clock tells us that between 10 AM and 2 PM is the pitta time of day. This is the hottest part of the day and has traditionally been when families gather to eat their biggest meal. This is the time of day when digestion is the strongest and is the only time that the body can properly nourish itself to get enough energy to carry it through a long, hectic day. If meals are not taken at this time, then vata gets aggravated and the body often craves sweets, caffeine, or rest, in the late afternoon. Food eaten after the sun goes down is very difficult to digest, and will produce ama and aggravate the rasa vaha srotas in the case of mastitis.

How To Eat

In Western societies, eating in front of the TV, while opening mail, or while reading the newspaper has become accepted as the norm. In Ayurvedic medicine, this is an extreme violation and can lead to a litany of imbalances and diseases. Eating is a sacred time when we nourish our minds, bodies, and emotion. It is not a time to rid ourselves of a hunger pain and move onto the next activity. Here are some eating habit reminders:
• Eat in a settled atmosphere.
• Never eat when upset.
• Always sit down to eat.
• Eat only when hungry.
• Don’t talk while chewing.
• Don’t eat too slowly or too quickly.
• Eat only if previous meal is digested.
• Take a few sips of water with meal.
• Sit quietly for a few minutes after eating.
• Food should please all five senses.
• Put your fork down between bites.

What To Eat

In the case of mastitis, the diet has to be somewhat restricted in order to reduce the ama and move the lymphatic system and rasa vaha srotas. In this case, a light vata diet is recommended because the cause is samana vata and due to the heaviness of the ama the diet must be lightened.

Light Vata-Pacifying Diet

This diet pacifies vata with less of the oily, sweet, and rich foods that are recommended in the regular vata diet. Food should be fresh, well-cooked, tasty, and satisfying. Do not overeat.
Grains: Wheat, rice, and oats, prepared as follows:
Wheat: Finely-ground whole wheat flour, in foods such as crackers, biscuits with low-fat and sugar, toasted light bread, unleavened flat breads (chapati, pita bread, tortillas), cous¬cous, semolina, and cream of wheat.
Rice: Basmati rice (or other white rice), rice flour, puffed rice, and cream of rice. You can fry the rice in a pan without oil, then steam or boil it into a soup.
Oats: Cook with water to make a light porridge.
Legumes: Green or yellow mung beans or lentils (available in health food stores and Indian shops).
To prepare: boil 1 part legumes in 3 - 5 parts water. You can also boil beans with rice and a lot of water to make a thin soup. Adding a pinch of hing (asafoetida) while cooking will increase the digestibility of the beans.
Vegetables: Vegetables should be well-cooked, and prepared in soups, stews, and casseroles, with a high water content. Adding a pinch of hing (asafoetida) to vegetables increases their digestibility. Eggplant (peeled), zucchini, cucumber, asparagus, artichoke, tomato (peeled), celery (not the root), carrots, spinach, and tender white radish (prepared in oil). Almost all vegetables are acceptable.
Dairy Products: Low-fat milk, goat’s milk, buttermilk, lassi (2-3 parts warm water blended with 1 part yoghurt, taken after the meal), and ghee (clarified butter).
Sweeteners: All are acceptable in small amounts, but do not heat or cook with honey.Oils: All are acceptable in small amounts, except coconut oil.
Spices and Condiments: Cumin, ginger, fenugreek, hing (asafoetida), mustard seeds, black pepper (in small amounts), cinnamon, cardamom, anise, fennel, cloves, salt, lemon juice, tamarind. Small amounts of all other spices.
Fruits: Fruits should be sweet, ripe, and in season. Grapes, pomegranates, papayas, pineapples, figs, oranges, and fresh apricots. The juice of these fruits is also good. Raisins are fine in small amounts, if pre-soaked and chewed well.

Cleansing Diet for Rasa Vaha Srotas

This traditional Ayurvedic programs helps to eliminate impurities (ama) which result from inefficient digestion and metabolism, and strengthens the digestive and metabolic fires (agni). It also corrects improper dietary habits which can lead to imbalances. Those with severe weakness of agni, or excessive ama, should follow these guidelines closely for three months and then continue on a more relaxed basis. Others should simply follow the major guidelines, whenever possible. However, the first rule of Ayurveda is to follow your own inner sense, and do what feels right for you.

Major Guidelines
1. Follow a regular daily routine of waking, eating, and sleeping.Wake between 5 and 7 AMLunch between 12 and 2 PMDinner between 5 and 7 PMBedtime between 9 and 10 PM
2. Lunch should be the main meal of the day, and dinner should be light. Breakfast should be very light, and is optional. Favor food that is freshly prepared, avoid leftovers and frozen, canned, or processed foods. Include fresh fruit and freshly made fruit juice or vegetable juice in your diet.
3. Do a sesame oil massage in the morning and follow with a warm bath or shower.
4. Sip hot water frequently throughout the day (every 1⁄2 hour, or as often as desired). This keeps the agni alive and flushes ama from the system. Sipping hot water also settles the nervous system when you feel anxious.
5. Get fresh air and regular exercise or physical activity (by taking a morning and/or evening walk, or by doing the sun salutation and other yoga asanas).
6. Practice meditation and pranayama (alternate nostril breathing) daily.
7. Take a liquid diet for one day a week. Soup, herbal tea, fresh fruit juice, fresh carrot, beet, or celery vegetable juice, and hot water are considerations.

Dinacharya (Daily Routine)

In the morning: Wake up at or before sunrise.Take warm water with a few drops of lemon juice and/or 1⁄2 teaspoon raw honey after rising.Promote regular elimination by sitting on the toilet at the same time each morning, after rising.Do skin brushing, oil massage, bath or shower, yoga, pranayama, and meditation before eating.

At mealtimes: Take lassi (yoghurt mixed with water – 1:1, 1:2, or 1:4) during lunch and between lunch and dinner, as needed to promote digestion. It is best to make lassi with freshly made yoghurt. Lassi can be sweet or seasoned, using:Honey, ginger, and cardamom, or Salt, ginger, and cumin. Avoid cold foods or drinks, especially foods and drinks taken directly from the refrigerator.Avoid heavy food at the evening meal, including heavy desserts, yogurt, cheese, oily food, fried food, root vegetables (carrots, beets, and radishes are alright).Take raisins, figs, dates, and almonds regularly (with warm milk, if desired).Raisins and almonds can be soaked overnight. Season your food to taste with any of the following:Cumin, ginger, turmeric, cardamom, cinnamon, cloves, mustard, seeds, asafoetida (hing), black pepper, rock salt, crystal or rock sugar, brown sugar.At lunchtime, you can include the following salad with your meal:Sprouts, grated carrot or beet, parsley, fresh basil, freshly-grated ginger, lemon juice and rock salt. Add seasoning to taste. If you have a weak digestion stemming from a vata imbalance, take a small amount and chew well.

Ayurvedic Food Combining

When there are several courses, meals can be eaten from heavier to lighter food, because the digestive fire is strongest at the beginning of the meal:Dessert (heavy sweets)Salad/raw vegetablesSoup/dal (lentils)/pasta/breadCooked vegetablesRice/lassiFresh fruit (sweet and ripe)
In the evening:Go to bed early when you naturally feel sleepy, between 6 and 10 PM.

Specific Herbal Combinations1. Trikatu (Piper longum, Piper nigrum, Zingiber officinalis). Mix 1⁄4 teaspoon combination with 1 teaspoon honey into paste before meals, to inhibit ama production during digestion.2. Avipattikar churna. Take 1⁄2 teaspoon during meals to inhibit ama production during digestion.3. Manjistha (Rubia cordifolia). Take 1⁄2 teaspoon after meals with water to destagnate blood and lymph.4. As an antioxidant, take equal parts ashwaganda (Withania somnifera), gud¬du¬chi (Tinosporia cordifolia) and brahmi (Bacopa monniera).5. Equal parts mahasudarshan, manjis¬tha, purnarnava (Boerhaavia diffusa), licorice (Glycyrrhiza glabra), 1⁄2 teaspoon t.i.d. with hot water, as a lymphatic cleanser.6. Soak wool cloth with castor oil and apply to breast 30 minutes t.i.d. with moist heat.7. Drink 3-5 cups fennel tea per day.8. Soak 1 teaspoon haritaki (Termina¬lia chebula) in 8 oz. water overnight. Strain off sediment and discard. Add 1 teaspoon honey to haritaki water, and drink in the morning. Do this once a day for one month. If a laxative effect occurs, cut back to 1⁄2 teaspoon haritaki or less.

References

-Sharma, P. Cakradatat. Chaukhambha Orientalia, New Delhi, India. 1994.
-Atha Vale, V. Basic Principles of Ayurveda. Town Pinery: Bombay, India. 1980.
-Bhishagratna, K. Shushruta Samhita, Vols. 1 and 2. Chowkhamba Sanscrit Series: Varanasi, India. 1981.
-Sharma, P. Caraka Samhita, Vols. 1 and 2. Chaukhambha Orientalia, New Delhi, India. 1981.
-Devaraj, T. The Panchakarma Treatment of Ayurveda. Dwanwantari Orientalia Publications. Bangalore: India. 1986.

Further Information

http://www.lifespa.com/article.asp?art_id=25

Hypertension

By John Douillard, DC, PhD

The most common cause of hypertension is related to lifestyle. Some of the rasayanas or behavioral intelligence techniques apply here with regards to both prevention and treatment.
The occurrence of hypertension will depend primarily on body type and genetic susceptibility (or likely imbalances). Lifestyle stress is usually the first factor to trigger onset.

A frantic daily pace, staying up late, eating large evening meals and skipping or missing meals is probably the most serious offense with regards to blood pressure. Overexercise, and excessive intake of pungent, sour, and salty foods, or dehydration, or rushed meals, are also common offenders.

Such lifestyle stress puts extreme pressure on the sympathetic nervous system to illicit an anti-stress response. This response triggers stress-fighting adrenal hormones, which are both catabolic and emergogenic. This emergency effect, when in excess and as a result of a daily routine, will produce higher heart rates, and pressure on both the nervous system and circulatory system. This pressure aggravates both vata and pitta (specifically, the ranjaka pitta, which controls the quality of the blood, and the yana vata, which controls nerves, arteries, and veins). Vyana vata is typically seen in hypertension, as all three aspects are involved.

Botanical treatments will often have little effect on hypertension unless such behavioral modifications are made. These lifestyle changes provide prevention first in order for a permanent cure (see: achara rasayana and BITs sheets).

Vata

Vata-caused hypertension will be directly related to an excess amount of lifestyle and nervous system stress. In this case, the blood pressure comes and goes for many years, until it begins to aggravate pitta and kapha, respectively, and becomes increasingly more constant and more difficult to treat.

Treatment

Treatment for vata-caused hypertension will provide support to the nervous system with herbs such as ashwaganda (Withania somnifera) and brahmi (Bacopa monniera). It is generally recommended that the individual take 1⁄2 teaspoon of both, 3 times per day. Garlic (Allium sativa) also calms and strengthens the nervous system and cleans the blood with antiseptic and antioxidant properties, as well (1 clove, 3 times per day). Calamus (Acorus calamus) and valerian (Valeriana officinalis) are both nervines and work well in all types of hypertension (recommended dosage: 1⁄2 teaspoon 3 times per day).

Pitta

Pitta-caused hypertension is most common in the classic pitta body type (sometimes demonstrated through a red face and bloodshot eyes). They may have a temper with an aggressive and competitive nature that incessantly drives them. A vata type hypertension can become a pitta type as the body tries to shunt the nervous system stress or pressure to the circulatory system. Headaches are common with this type and usually come late in the day after stress or overheating.

Treatment

Vata treatments will work for pitta-type hypertension as well. Some cooling, bitter herbs must be added to cleanse the blood and vessels as well as cool the circulatory system. Manjistha and gudduchi (1⁄2 teaspoon with meals, 3 times per day), are great blood purifiers along with strong bitter herbs, like haritaki (Terminalia chebula) and muhasudearhan. Both can be taken after meals, 1⁄2 teaspoon per day, 3 times per day.

Kapha

Kapha hypertension is often associated with obesity and edema. This imbalance is usually long-standing and chronic. The dosha of kapha can act as a storage site for all the circulatory ama created in the doshas of vata and pitta.

Treatment

The herbs for vata and pitta are necessary as needed, and some pungent and astringent herbs to detoxify accumulated ama are important. Garlic, cayenne (Capsicum frutescens), and pippili (Piper longum) or trikatu (a combination of Piper longum, Piper nigrum, and Zingiber officinalis), are useful here.

Behavioral Rasayanas: Achara Rasayanas

A most important key for long life according to Ayurveda, is to follow Achara Rasayanas, which means code of behavior or code of ethics. According to Charaka, the ancient authority on Ayurveda, one who follows very optimistically all codes of conduct need not take other rasayanas, and those who take other rasayanas without following this code of conduct do not receive the optimum benefits.

This is a list of traditional behavioral rasayanas that help create a harmonizing effect in the physiology and increase the production of ojas. Ojas is the finest material aspect of the physiology which is produced when digestion is functioning flawlessly. Ojas is the link between consciousness and matter, and is responsible for establishing and maintaining balance among vata, pitta, and kapha. The more ojas your body produces, the greater your health, immunity from disease, and happiness.

Achara Rasayana, as spoken of by Charaka, is as follows. Review this list on a regular basis to keep the points lively in your awareness. Do not strain to remember or follow these points.
• Always speak the truth.
• Do not be angry.
• Do not indulge in alcoholic drinks.
• Observe celibacy and the sexual act according to the code.
• Do not be violent.
• Avoid over-exertion.
• Be calm and peaceful in mind.
• Do not hurt others with your speech; speak pleasantly.
• Clean the body by bathing and regular washing.
• Be courageous and do not lose patience in any situation.
• Donate always to others.
• Follow religious and virtuous acts according to your own beliefs.
• Respect your teachers, priests, elders, guru, and all animals.
• Do not be cruel to anyone.
• Be merciful to all who are in need of your help.
• Maintain balance in waking and sleeping in the night; do not stay awake long in the night and do not sleep in the daytime.
• Take milk and ghee in moderation in your diet.
• Be a knower of place, time, and measures of activities.
• Be a knower of planning; always do everything according to a plan. It is said that failing to plan is planning to fail.
• Avoid super-egoism.
• Maintain good behavior established by the great sages and saints of society.
• Do not be mean-spirited; be generous and sharing.
• Engage yourself all the time in the achievement of pure consciousness.
• Respect and serve your elders.
• Respect and serve priests, sages, and saints who serve your religion and God.
• Respect and serve the people who have conquered their senses.
• Keep your self busy in religious activities.
• Continually study new science, advances, research, and philosophies, and utilize them for the benefit of all human beings.

Body Intelligence Techniques
• Eat in a settled atmosphere.
• Never eat when upset.
• Always sit down to eat.
• Eat only when hungry.
• Avoid ice-cold food and drink.
• Don’t talk while chewing.
• Don’t eat too slowly or too quickly.
• Eat only if previous meal is digested.
• Take a few sips of water with meals.
• Favor freshly prepared foods.
• Cooked foods are easier to digest.
• Don’t heat or cook with honey.
• Don’t take milk with your meal.
• Sit quietly for a few minutes after eating.
• Food should please all five senses.
• Put your fork down between bites.

Further Information

http://www.lifespa.com/article.asp?art_id=44