November/December 2004
Ayurveda: A balanced approach to health
By Chris O’Brien
Want to know what to do for optimum health based on your body
type and personality? Ayurveda can tell you. Created in India about
6000 years ago, ayurveda is the practice of achieving physical,
mental and spiritual balance through proper diet and lifestyle.
Millennia of observation and research have produced characterizations
based on physical and mental attributes and recorded tried and true
solutions to almost anything that ails the human being. What’s
unique about ayurveda versus Western medicine is that it treats
the individual at a specific point in time for a specific result.
It does not cast generic remedies that alleviate most symptoms most
of the time in most people.
The word "ayurveda” comes from the Sanskrit term for
"knowledge of life.” Part of the ayurvedic principle
is the concept that anything that works can be used as treatment.
Diet, lifestyle, herbs, exercise, yoga, meditation and other special
techniques are all possible parts of a prescribed regimen from the
ayurvedic practitioner.
Central to the practice of ayurveda is the idea that we are made
up of five elements: Ether, air, fire, water and earth. These elements
have been recombined into three distinct attributes of the individual
constitution called the doshas. The three doshas are vata, pitta
and kapha.
Vata primarily represents the elements of air and ether, and is
associated with movement in the physical body. It governs breathing,
blinking, muscle and tissue movement, circulation and all movements
in the cytoplasm and cell membranes. In balance, vata promotes creativity
and flexibility. Out of balance, vata produces fear and anxiety.
Physically, vata dominant people are thin-framed, usually either
tall or short, and have dry skin, lips and eyes. Vata should eat
light, warm and easy-to-digest meals.
Pitta represents the elements of fire and water, and relates to
the body's metabolic system. It governs digestion, absorption, assimilation,
nutrition, metabolism and body temperature. In balance, pitta promotes
understanding and intelligence. Out of balance, pitta arouses anger,
hatred and jealousy. Pittas are typically medium-framed but well-built,
have a strong metabolism and a good digestion and appetite. They
are fair-skinned with moles or freckles. Pitta should limit oily
and salty foods, avoid caffeine and alcohol, and balance the craving
for spicy food with cooling foods.
Kapha is formed from earth and water, and is associated with the
body's structure including bones, muscles and tendons, as well as
the immune system. Kapha also relates to hydration and lubrication
in the joints and skin. In balance, kapha is expressed as love,
calmness and forgiveness. Out of balance, it leads to attachment,
greed and envy. The typical kapha has a slow metabolism and a medium
to large build. They have thick, oily skin and large eyes. Kapha
should eat lighter foods and minimize sweet, oily and salty foods.
Every person is made up of a specific and unique blend of vata,
pitta and kapha, with typically one dosha dominating the mix. This
combination of doshas is called a prakruti, or ayurvedic constitution.
Ayurvedic practitioners use dosha analysis to diagnose conditions
and prescribe herbs and lifestyle regimens to help individuals regain
balance.
³At the moment of conception, depending on different factors
such as time of day, season, and the doshas and balance of our parents,
our own individual constitution is determined, so that by the time
we are born we have developed a prakruti,” says Ron Hadsall,
projects coordinator at the Ayurvedic Institute in Albuquerque,
New Mexico. ³An ayurvedic practitioner will first determine
your prakruti to find out what your balanced state should be. Then,
your state of imbalance, vikruti, will be assessed using various
techniques such as observing skin tone, the tongue and fingernails,
and the pulse.”
A trained practitioner can quickly size up your state just by
looking at your physical body and finding out a little about your
current mental state. He or she might ask you questions about your
diet, lifestyle, and overall attitude and disposition to determine
the cause of an imbalance and recommend a treatment. The cause can
be physical, such as poor diet or infection, or mental, such as
stress. Then, a practitioner would recommend a regular routine that’s
health supporting and specific to the client’s needs, based
on his or her constitution.
³For example, if a man comes to me and I can see that his
pitta dosha is out of balance in such a way that he’s got
red eyes, a skin rash, his liver’s enlarged and he is complaining
about feeling hot all day, I will ask him about his lifestyle,”
says Hadsall. ³Maybe he’s jogging at noon in the heat
of the day instead of having lunch, drinking a lot of coffee and
eating too much hot and spicy food - all situations which aggravate
pitta and contribute to the overheating. I might tell him he needs
to jog in the morning, eat cooling salads and light foods, and drink
limeade or sip water while avoiding coffee.”
In addition to dietary changes, a practitioner may recommend meditation
for calming, yoga, different sleep regimens and other physical and
mental disciplines.
That’s usually about as far as it gets in the United States.
In India, ayurveda is a complete medical practice with licensed
practitioners and dedicated colleges and hospitals. But with no
federal regulatory board, ayurveda can’t be practiced as medicine
here, though it is regarded as an alternative medicine.
³In the United States and other Western countries, the ayurvedic
physician’s hands are tied,” says Wynn Werner, administrator
at the Ayurvedic Institute and board member of the National Ayurvedic
Medical Association (NAMA). ³The ayurvedic tool bag has powerful
medicines that are prohibited by the FDA including botanicals whose
active ingredient has already been used by Western medicine in pharmaceuticals
as well as alchemically-prepared formulas that use potentially dangerous
minerals such as mercury and sulfur.” Also, says Werner, since
practitioners can’t be licensed, they aren’t legally
permitted to treat diseases; rather, they have to communicate in
the language of balancing doshas with a focus on education to enable
clients to make the best health choices possible.
An important part of ayurveda is the use of herbs. A number of
now-popular ³ayurvedic herbs,” such as ashwagandha and
boswellia, are so called because they happen to be grown in India
and are part of the typical ayurvedic pharmacopoeia. But there’s
really no such thing as an ³ayurvedic herb.” Since anything
that works qualifies as a treatment, a Western ayurvedic practitioner
might include echinacea or even aspirin in his or her herbal repertoire,
so long as it is used within the ayurvedic principles of treating
the individual and balancing the doshas.
Herbs are traditionally used in combination with diet and lifestyle
changes to hasten physical rebalancing or directly treat a condition.
In recent years, ayurvedic herbs have garnered the recognition of
Western science through clinical studies. However, traditional practitioners
says that these herbs aren’t used properly when taken Western
style as a silver bullet for a symptom, and need to be used as part
of a whole ayurvedic regimen.
In addition to herbs and dietary changes, ayurvedic treatments
can include meditation, yoga, mantras, massage and special techniques
such as shirodhara, the drizzling of warm sesame oil on the forehead,
particularly good for calming the vata mind. The specific combination
of herbs, lifestyle, diet and other techniques depend on the practitioner
and the needs of the individual.
The best way to find a practitioner is through word of mouth.
Ask around and find out who’s good. Or check the internet
for a list of practitioners in your area. During the first visit
- typically an hour-long consultation that costs $100 to $150 -
the practitioner determines your prakruti and vikriti, and makes
initial treatment recommendations. Follow-up appointments range
from $40 to $65 and typically last about a half an hour. Other costs
include additional treatments such as massage, shirodhara and herbs,
as well as classes and/or special foods.
Ayurveda Resources, local and beyond
For more information, or to find a practitioner,
see the following resources:
- Ayurveda: The Science of Self Healing by Vasant Lad (Lotus
Press, 1984)
- Essential Ayurveda: What It Is And What It Can Do For You by
Shubhra Krishan (New World Library, 2003)
- Textbook of Ayurveda by Vasant Lad (Ayurvedic Press, 2000)
- www.ayurveda.com: The
Ayurvedic Institute’s web site with education, resources
and events.
- www.loaj.com/index.htm:
“Light on Ayurveda Journal of Health” website featuring
articles, events, schools and practitioner locator
The following Ayurvedic practitioners are advertisers in
Nexus: