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Ayurvedic Medicine

Overview of the three doshas

Constitution refers to fundamental characteristics of the person.  As suggested, three qualities called doshas form important characteristics of the constitution. The doshas control the activities of the body.

The vata dosha is thought to be a combination of the elements space and air. It is considered the most powerful dosha because it controls very basic body processes such as cell division, the heart, breathing, and the mind. Vata can be thrown out of balance by, for example, staying up late at night, eating dry fruit, or eating before the previous meal is digested. People with vata as their main dosha are thought to be especially susceptible to skin, neurological, and mental diseases.

The pitta dosha represents the elements fire and water. Pitta is said to control hormones and the digestive system. When pitta is out of balance, a person may experience negative emotions (such as hostility and jealousy) and have physical symptoms (such as heartburn within 2 or 3 hours of eating). Pitta is upset by, for example, eating spicy or sour food; being angry, tired, or fearful; or spending too much time in the sun. People with a predominantly pitta constitution are thought to be susceptible to heart disease and arthritis.
 
The kapha dosha combines the elements water and earth. Kapha is thought to help keep up strength and immunity and to control growth. An imbalance in the kapha dosha may cause nausea immediately after eating. Kapha is aggravated by, for example, sleeping during the daytime, eating too many sweet foods, eating after one is full, and eating and drinking foods and beverages with too much salt and water (especially in the springtime). Those with a predominant kapha dosha are thought to be vulnerable to diabetes, gallbladder problems, stomach ulcers, and respiratory illnesses such as asthma.
 

Ayurvedic Practitioners

Ayurvedic practitioners seek to determine the primary dosha and the balance of doshas through questions that allow them to become very familiar with the patient. Not all questions have to do with particular symptoms. The practitioner will:

  • Ask about diet, behavior, lifestyle practices, and the reasons for the most recent illness and symptoms the patient had

  • Carefully observe such physical characteristics as teeth, skin, eyes, and weight

  • Take a person's pulse, because each dosha is thought to make a particular kind of pulse

In addition to questioning, Ayurvedic practitioners use observation, touch, therapies, and advising. During an examination, the practitioner checks the patient's urine, stool, tongue, bodily sounds, eyes, skin, and overall appearance. He will also consider the person's digestion, diet, personal habits, and resilience (ability to recover quickly from illness or setbacks).

Practitioners expect their patients to be active participants in their treatment, because many Ayurvedic treatments require changes in diet, lifestyle, and habits. In general, treatments use several approaches, often more than one at a time. The goals of treatment are to:

  • Eliminate impurities. A process called panchakarma is intended to be cleansing; it focuses on the digestive tract and the respiratory system. For the digestive tract, cleansing may be done through enemas, fasting, or special diets. Some patients receive medicated oils through a nasal spray or inhaler. This part of treatment is believed to eliminate worms or other agents thought to cause disease.

    Reduce symptoms. The practitioner may suggest various options, including yoga exercises, stretching, breathing exercises, meditation, and lying in the sun. The patient may take herbs (usually several), often with honey, with the intent to improve digestion, reduce fever, and treat diarrhea. Sometimes foods such as lentil beans or special diets are also prescribed. Very small amounts of metal and mineral preparations also may be given, such as gold or iron. Careful control of these materials is intended to protect the patient from harm.

    Reduce worry and increase harmony in the patient's life. The patient may be advised to seek nurturing and peacefulness through yoga, meditation, exercise, or other techniques.
     

  • Help eliminate both physical and psychological problems. Vital points therapy and/or massage may be used to reduce pain, lessen fatigue, or improve circulation. Ayurveda proposes that there are 107 "vital points" in the body where life energy is stored, and that these points may be massaged to improve health. Other types of Ayurvedic massage use medicinal oils.

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