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Ayurvedic Medicine The Principles of Traditional Practice
Ayurvedic Medicine The Principles of Traditional Practice
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Notice
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or
appropriate. Readers are advised to check the most current information provided (i) on procedures fea-
tured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or
formula, the method and duration of administration, and contraindications. It is the responsibility of the
practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to deter-
mine dosages and the best treatment for each individual patient, and to take all appropriate safety pre-
cautions. To the fullest extent of the law, neither the Publisher nor the Author assumes any liability for any
injury and/or damage to persons or property arising out of or related to any use of the material contained
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ABOUT THE AUTHOR
Sebastian Pole, Lic OHM, Ayur HC, is an the health of the individual and the living Earth.
Ayurvedic Practitioner and Chinese Herbalist The awakening of the link between our ecological
working in Bath, UK, and is also a passionate awareness and our consciousness is at the heart of
ecologist. Sebastian is a member of the Ayurvedic his work, hence using organic herbs and
Practitioners Association and Director of the ayurvedic techniques to help patients heal them-
Pharmacopoeia Committee as well as a member selves is at the centre of his practice. Sebastian is
of the Register of Chinese Herbal Medicine. He the Herbal Director and founding partner of
has spent many years living in India studying Pukka Herbs, The Organic Ayurvedic Herb
Ayurveda and Yoga, has a degree in Hindi and Specialists, planting over 1 million plants a year
Indian Religions and is a qualified yoga teacher. to benefit the land, the integrity of Ayurveda
He has dedicated the last 15 years of his life to and the health of society. You can contact him at
promoting awareness of the connection between Sebastian@pukkaherbs.com
vii
FOREWORD
Creation is the expression of cosmic consciousness. site regulates or nullifies. These principles are used
It is a journey of energy into matter. The five great quite often in ayurvedic pharmacology. Using
elements are uniquely expressed both in mankind these principles in herbal combinations helps to
and plants. Originating in universal consciousness, restore balance to the person’s whole system.
the five elements manifest successively into Space,
Air, Fire, Water and Earth. From Earth arise the While making individualistic formulas one has to
plants that become food for mankind. think about the constitution and current altered
state (prakrti/vikrti paradigm) of the patient or
Every human cell is a centre of awareness. Each client. Charaka gives the gunas of herbal medi-
cell has intelligence and choice (mind). The flow cines required to fulfill the indications of treatment
of intelligence for communication within and according to the proper direction of samprapti
between cells is the flow of prana. These factors (pathogenesis) and the prakrti/vikrti paradigm.
are present in plant cells as well. The cellular One can make formulas in several ways: specific to
intelligence of plants when consumed is trans- the dosa, specific to disease, specific to both dosa
formed into the cellular intelligence of the human and disease, specific to the tissue or to the channels
body by rasa (taste), virya (energy), vipaka (post- affected. While making formulas one has to think
digestive effect) and prabhava (the unique specific about samprapti, the vector or direction of the dosa,
action of the herb). Use of two, three or many dif- the pathways of disease, and the organ affected.
ferent herbs that share similar rasa, virya and With all this in mind, specific substances are used
vipaka will promote each other’s action and have as a vehicle to carry the herbs’ other qualities –
a synergetic effect on the person’s constitutional rasa, virya, vipaka and prabhava – to the specific tis-
makeup, the functioning of the body’s tissues and sue or organ.
excreta.
Ayurveda has a vast range of preparation methods
In Ayurveda, the herbal substances (dravya), their of both the substances themselves and delivery
potential energy and qualities (guna(s)) and their methods of the herbs to the body. For example,
ultimate action within the system (karma) are anupana (the media through which the medicine is
regarded as an inseparable biochemical combina- given) carries the medicinal properties of herbs to
tion. The karmas are actions and suggest various the deep tissues without changing them. Ghee,
methods of treatment depending upon the gunas. milk, aloe vera juice or gel is the anupana for pitta
The gunas are not merely attributes or qualities; dosa. Warm water, dashamula tea or ginger tea is
ayurvedic herbal formulas take into consideration the best anupana for vata dosa. While hot water,
.
the effects of these qualities such as langhana (light- honey or pomegranate juice can be used for kapha
ening), brmhana (nutritive), ruksana (drying), snehana dosa. Ayurveda also uses yogavahı-, catalytic agents
(oleating), svedana (diaphoretic) and sthambhana such as ghee or honey. Ayurvedic pharmacology
(constipating), etc. Substances are classified as uses herbal remedies in many forms like fresh juice
sendriya (organic) and nirindriya (inorganic). Like form, powder form, decoction, concoction, pastes,
attracts like or like promotes like, while the oppo- teas, tablets, pills, asava (fermented juice), arista
ix
FOREWORD
(fermented decoction), herbal medicated oil, ghee, their actions on the dosas and dhatus. Paired with
milk and even soups. his deep concern for sustainable practices, this
book is an excellent guide for practical application
The soul of ayurvedic pharmacology is dravyaguna of herbs in our daily healing.
and karma with rasa, virya, vipaka and prabhava. Love and light,
Mr Sebastian Pole has illuminated ancient Dr Vasant Lad, BAMS, MASc.
ayurvedic wisdom with his clear explanations of Albuquerque, New Mexico
the basic principles of rasa, virya and vipaka and July 2005
x
DEDICATION
.
Mahamrtyuñjayamantram
Om tryambakam yajamahe
sugandhim pustivardhanam
urvarukam iva bandhanan
mrtyor muksiya mamrtat
I dedicate this book to everyone involved in harvesting herbs and making herbal remedies.
I also honour all Ayurvedic Practitioners and herbalists who have committed their lives
to healing. You all preserve the essence of this priceless tradition. This book is for you.
xi
PREFACE
This book has grown out of my love for herbal knowledge and compassion are perhaps her
medicine, Ayurveda and India. I am deeply greatest gift.
indebted to India for many things. For introducing
me to Ayurveda, yoga, vegetarianism, to delicious Ayurveda has many exciting opportunities over the
food, to healing plants, to the beautiful Himalaya, next few years but it also faces many challenges. If
the sanctity of all life, the beauty of life-giving Ayurveda is going to receive the recognition it
water and the majesty of nature and for showing deserves and be in a position to help heal those
me that spirituality and daily life can coexist in people that need it there is a great need for more
perfect harmony. In some ways, a large part of my maturity and growth within our community. There
life is dedicated to returning some of the favours needs to be more professional cohesion among
that have been bestowed on me by India’s wise practitioners the world over, better standards of
culture and friendly people. ‘Ayurvedic Medicine’ ayurvedic education, higher levels of teaching, a
is a part of this reciprocation and I offer it with all higher volume of practical reference literature pub-
my humble thanks. lished, more active herbal conservation, stronger
defence of our pharmacopoeia and more clinical
It is Ayurveda’s ability to empower individuals based research. Luckily for those of us who love
with the ability to understand and care for and benefit from her wisdom (and also for those
themselves and others that has most interested who are yet to do so) Ayurveda is in the midst of a
me. The classification of nature according to renaissance, a genuine rasayana that will see her
elemental energetic principles is so subtle and flourish the world over.
profound. It is also very accessible, tangible and
effective. The depth of insight into different To all of you who read this book I hope that it
disease causes, patterns and differentiations is offers the inspiration that writing it has given me.
one of Ayurveda’s greatest healing strengths. Nature is the inspiration; watch her, feel her,
Combining this understanding of nature with a breathe her, taste her, hear her and then offer this
clear understanding of disease empowers us to inspiration back to all who can benefit.
offer personalised and individual treatments that
effectively remove the cause of a disease as well Hari om tat sat.
as treat any uncomfortable symptoms. Sebastian Pole
Ayurveda’s ability to instil discrimination, Bath, UK, 2004
xiii
ACKNOWLEDGEMENTS
I have written this book with huge amounts of yoga and tantra has been enlightening, and Edward
help. Berger and Edward Thompson’s deep understand-
ing of energetic herbalism and modern science so
Firstly, my teachers have fed me with words of often steered me in the right direction. Ben Joliffe,
wisdom and truth. Shri Kamal Das ji, Bal Yogi Claudia Mallinson and Susanna Hawkins gener-
Balak Das ji, Vedantananda Saraswati, Dr Michael ously gave their time to read the manuscript and
Tierra, Lesley Tierra, Annie McIntyre, Pierre showed me the way to clarity. All of my herbalist
Cousins, Dr Yogesh Bendale, Dr Avinash Lele, friends have been a continual inspiration and I
Alan Treharne, Anne-Marie Lavin, Dr Jin, Mike thank you for your priceless wisdom and inspiring
Brook, and my mother and father. Herbs of praise. discussions. My deepest thanks to Susie for your
continual insight, inspiration and love.
Secondly, my erudite friends who have read, com-
mented and helped to enhance the quality of this Lastly, warm thanks to all at Elsevier for trusting
book. Dr Dominik Wujastyk’s specialist knowledge me to come up with the goods.
of the history of Indian medicine has been invalu-
able, Sir Dr James Mallinson’s unique knowledge of Om Śanti
PHOTOGRAPHIC CREDITS
Sources for photographs used in the Plant Profiles section are as follows. Please note that for each Plant
Profile, the dry plant is featured in the left-hand photograph, and the fresh plant is on the right.
Ajmoda (fresh), Aloe (fresh), Bhringaraja (fresh), Cardamom (fresh), Chiretta (fresh), Chitraka (fresh),
Chrysanthemum (fresh), Cinnamon (fresh), Cloves (fresh), Coriander (fresh), Damanaka (fresh), Dhattura
(fresh), Ephedra (fresh), Fennel (fresh), Garlic (fresh), Ginger (fresh), Gotu Kola (fresh), Hemp seed
(fresh), Hingu (fresh), Jasmine (fresh), Karavella (fresh), Lemon and lime (fresh), Lemon Grass (fresh),
Licorice (fresh), Lotus (fresh), Manjishta (fresh), Mint (fresh), Mustaka (fresh), Neem (fresh),
Pomegranate (fresh), Psyllium (fresh), Rhubarb (fresh), Senna (fresh), Vacha (fresh), Vamsa Lochana
(fresh): © 2006 Steven Foster
Anthrapachaka (fresh), Bakuchi (fresh), Bala (fresh), Bilva (fresh), Kapikacchu (fresh), Pit Shirisha (fresh),
Pushkaramoola (fresh), Tila (fresh), Trivrut (fresh): Foundation for the Revitalisation of Local Health
Traditions, Bangalore, India
xv
ACKNOWLEDGEMENTS
I have written this book with huge amounts of yoga and tantra has been enlightening, and Edward
help. Berger and Edward Thompson’s deep understand-
ing of energetic herbalism and modern science so
Firstly, my teachers have fed me with words of often steered me in the right direction. Ben Joliffe,
wisdom and truth. Shri Kamal Das ji, Bal Yogi Claudia Mallinson and Susanna Hawkins gener-
Balak Das ji, Vedantananda Saraswati, Dr Michael ously gave their time to read the manuscript and
Tierra, Lesley Tierra, Annie McIntyre, Pierre showed me the way to clarity. All of my herbalist
Cousins, Dr Yogesh Bendale, Dr Avinash Lele, friends have been a continual inspiration and I
Alan Treharne, Anne-Marie Lavin, Dr Jin, Mike thank you for your priceless wisdom and inspiring
Brook, and my mother and father. Herbs of praise. discussions. My deepest thanks to Susie for your
continual insight, inspiration and love.
Secondly, my erudite friends who have read, com-
mented and helped to enhance the quality of this Lastly, warm thanks to all at Elsevier for trusting
book. Dr Dominik Wujastyk’s specialist knowledge me to come up with the goods.
of the history of Indian medicine has been invalu-
able, Sir Dr James Mallinson’s unique knowledge of Om Śanti
PHOTOGRAPHIC CREDITS
Sources for photographs used in the Plant Profiles section are as follows. Please note that for each Plant
Profile, the dry plant is featured in the left-hand photograph, and the fresh plant is on the right.
Ajmoda (fresh), Aloe (fresh), Bhringaraja (fresh), Cardamom (fresh), Chiretta (fresh), Chitraka (fresh),
Chrysanthemum (fresh), Cinnamon (fresh), Cloves (fresh), Coriander (fresh), Damanaka (fresh), Dhattura
(fresh), Ephedra (fresh), Fennel (fresh), Garlic (fresh), Ginger (fresh), Gotu Kola (fresh), Hemp seed
(fresh), Hingu (fresh), Jasmine (fresh), Karavella (fresh), Lemon and lime (fresh), Lemon Grass (fresh),
Licorice (fresh), Lotus (fresh), Manjishta (fresh), Mint (fresh), Mustaka (fresh), Neem (fresh),
Pomegranate (fresh), Psyllium (fresh), Rhubarb (fresh), Senna (fresh), Vacha (fresh), Vamsa Lochana
(fresh): © 2006 Steven Foster
Anthrapachaka (fresh), Bakuchi (fresh), Bala (fresh), Bilva (fresh), Kapikacchu (fresh), Pit Shirisha (fresh),
Pushkaramoola (fresh), Tila (fresh), Trivrut (fresh): Foundation for the Revitalisation of Local Health
Traditions, Bangalore, India
xv
ABBREVIATIONS
ADHD Attention deficit and hyperactivity IUCN International Union for the
disorder Conservation of Nature
ALT Serum alanine aminotransferase LDL Low-density lipoprotein
AST Serum aspartate aminotransferase MAO Monoamine oxidase
ATP Adenosine triphosphate ME Myalgic encephalomyelitis
CAMP Cyclic adenosine monophosphate MNIMH Member of the National Institute of
Medical Herbalists
CFS Chronic fatigue syndrome
NO Nitric oxide
CITES Convention on International Trade in
Endangered Species of Wild Fauna and NSAIDs Non-steroidal anti-inflammatory drugs
Flora
PCOS Polycystic ovary syndrome
CNS Central nervous system
SSRIs Selective serotonin reuptake inhibitors
COX Cyclooxygenase
STDs Sexually transmitted diseases
FDA Food and Drink Administration (USA)
TCM Traditional Chinese medicine
GIT Gastrointestinal tract
WHO World Health Organisation
xvii
INTRODUCTION
‘Nowhere on earth is there any creature which is immortal. Yet, although death is unavoidable, a man
may avoid many diseases’
‘Health brings happiness’
Śa-rngadhara sam.hita- Section 1.5
This ayurvedic herbal is an overview of the won- ‘It is called Ayurveda because it tells us which
ders of ayurvedic pharmacology: how Ayurveda substances, qualities and actions are life enhancing,
understands plants, how it prepares them and how and which are not’
these preparations are used. I have written it for Su-trastha-na 30.23
ayurvedic specialists, herbal practitioners and
interested herbal enthusiasts alike. I hope that (Quotes are translated by D Wujastyk and
these Ayurvedic insights give you the inspiration reprinted with his kind permission from his most
to incorporate some of its deep understanding of poetic translation of ayurvedic texts ‘The Roots of
herbal medicine into your life and practice. It is Ayurveda’.)
also relevant to note that as Ayurveda receives
official recognition as a bone fide medical system Broadly speaking, Ayurveda is understood to
in its own right its educational standards are also be the generic term for traditional Indian medicine.
becoming more standardised. ‘Ayurvedic But as well as being a medical system it includes
Medicine’ attempts to meet these broader curricu- aspects of philosophy, mythology, diet and yoga as
lum standards that require students to cross cul- well as mental and spiritual refinement as part of
tural boundaries and understand traditional its teachings.
medical models as well as modern sciences. In line
with this I have followed the proposed core cur- Ayurveda’s medical branch uses herbal medicines,
riculum standards presented by the Department minerals, animal products, food, massage, air,
of Indian Systems of Medicine as well as the water, heat, earth, surgery, detoxification and toni-
European Herbal Practitioners Association in rela- fication to bring about health. Ayurveda focuses
tion to studying the ayurvedic materia medica and on preventing disease and optimising vitality as
pharmacology. much as on removing an illness. Thus it has a
holistic approach to health that includes every
Ayurveda is literally translated as ‘science of life’ aspect of life in a philosophy where mind, body
but it can also be described as ‘the way of living and spirit are considered to be an integrated
with awareness and promoting longevity.’ An early whole. Nothing in the world is considered to be
description given in the Caraka Sam . hita written separate from anything else. Everything is inter-
c.150BCE–100CE says: connected. Practising Ayurveda is as much about
xix
on the nature of the humours (dos.a), variations on
INTRODUCTION
xx
Eclectics and Christopher Hobbs. I am indebted to Whereas western philosophy focuses on
INTRODUCTION
the above for the inspirational and insightful liter- philosophising, Indian philosophy concentrates on
ature that has nourished my understanding and practice. It directs all its attention to putting the
practice of herbal medicine. theory into practice. This is also what Ayurveda
does. It applies a medical theory to a living person
PART ONE by diagnosing the cause and imbalance of disease,
creating a treatment strategy and prescribing a mix
The first part of the book covers some of the
of herbs unique to that person. The Plant Profiles
aspects of Ayurveda that are essential to under-
are a true ‘kicharee’, as the classical teachings of
stand before using the herbal remedies in an
ayurvedic pharmacology (dravygunaśastra) are
ayurvedic way. In the first chapter, ‘A History of
drawn together with modern phytotherapy,
Ayurveda and the Growth of the Materia Medica’,
herbalism and biomedicine. In each Profile there is
I have tried to draw a picture of the culture in
a heavy emphasis on what the herbs do and when
which Ayurveda has developed. I have discussed
they should be used.
some of the controversial areas that have arisen
within its evolution, as well as looked at the
Sourcing
growth of the pharmacopoeia. Chapter 2, ‘The
This point is close to my heart; it is very important
Basic Principles of Ayurveda’, is a collection from
that you buy your herbs from reputable distribu-
much of the excellent ayurvedic literature and I
tors. I encourage you to buy organically certified
encourage you to refer to these books as well (see
herbs or wild crafted herbs that are grown and
bibliography). I have tried to collate and clarify.
harvested with a sustainable attitude to our
Chapter 3, on ‘Ayurvedic Herbal Pharmacology
precious world. There are thankfully a lot of
and Pharmacy’, looks at ayurvedic energetics and
people using herbs these days, but the irony of
includes the traditional prescriptions for using the
this is that the destruction of the natural world
herbs in an energetic manner. This chapter also
may be hastened by those trying to lead a more
includes a discussion of the sustainable harvesting
natural life. Please check the resource guide for
of herbs and quality control methods for consistent
reliable suppliers.
production, as well as a brief discussion of current
safety issues regarding using herbs and pharma-
The Formulas
ceuticals concurrently. Chapter 4, ‘Ayurvedic
The final section is on traditional formulas. They
Therapy and Treatment’, looks at how to decide
are the fruits of the combined wisdom of
when to use the herbs and how to treat certain dis-
ayurvedic pharmacology. Ayurvedic treatment
ease categories. The treatment of specific diseases
thrives on formulas and here I have introduced
is a whole book in itself and so I have concentrated
some of the most popular ones. This is only a snip-
on the fundamental treatment principles of the
pet of a massive pharmacopoeia. Because of the
dosa, dhatu, agni and ama. Chapter 5, on ‘The
restriction on the use of minerals in the west I have
Scientific Basis of Ayurveda’, is my attempt to
primarily kept to the herbal repertoire.
show that the universality of ayurvedic thought is
confirmed by scientific understanding. This intro-
We do not live in the agrarian culture that
duction to ayurvedic pharmacology will enable
Ayurveda grew up in nor do we live in isolation
you to successfully use the Plant Profiles.
from the effects of the rhythms of nature. Today
we live in a world based on the scientific model
PART TWO where herbs are commonly used alongside modern
The Plant Profiles medication. As everything has its place I strongly
Plants are the heart of the book, as it is with these believe that it is time to integrate these practices
valuable herbs that the poetic theories of Ayurveda and to consciously use the wisdom of traditional
can be applied. As healing is at the heart of natural medicine within mainstream medical prac-
Ayurveda so these healing plants are at the heart tice. For the benefit of people all over the world it
of this book. Please read the template at the front is time natural medicine received the respect,
of the Plant Profile section to understand this sec- support and acceptance that it deserves.
tion more fully. ‘Ayurvedic Medicine’ is an attempt to further this
xxi
same trials that Ayurveda has always faced; how
INTRODUCTION
xxii
Ahashare.com
Chapter One
Ayurveda is declared to be eternal, because it has no beginning, because it deals with such things that
are inherent in nature and because the nature of matter is eternal. For at no time was there a break either
in the continuity of life or in the continuity of intelligence
Caraka Samhitā Su-trastha-na 30.27
•
3
many herbs and minerals? How was it discovered,
Chapter 1 A HISTORY OF AYURVEDA AND THE GROWTH OF THE MATERIA MEDICA
4
recognised as an adjunctive medical system, Holding onto the primacy of either of these two
PART 1
where ayurvedic doctors can only hold the posi- paradigms means that the complete picture is
tion of a third medical officer at primary health missed. As we shall see, Ayurveda can offer a
centres in India, and complementary medicine the balance to these extremes as it contains both
world over holds a similarly lowly position in the paradigms within it.
medical hierarchy. As a literature base of over
2000 years, hundreds of thousands of expert I think this inner debate between tradition and
physicians, millions of healed patients and progression is mirrored in our everyday lives and
numerous positive clinical trials attest, ayurvedic specifically experienced when using natural medi-
treatment works and practitioners and profes- cine. The question is how to respect tradition while
sional registers should promote this, researchers integrating personal experience. Internally it is a
should publish clinical data and governments case of communication between heart and head
should support it enthusiastically. Although where intuition and intellect are both valid. As we
Ayurveda has its roots in the past, its practition- shall see, intuition and intellect are both essential
ers must embrace the present. Ayurveda and for medicine to be, as Ayurveda is, truly holistic.
ayurvedic physicians deserve greater recognition
than they receive today.
WHAT IS AYURVEDA?
Another, and potentially more serious, problem of The term Ayurveda is used today as a generic term
relying on a doctrine that holds its origins as for traditional Indian medicine. By combining
divinely and infallibly inspired, is that it can and organoleptic (sense-based) empirical medicine
has resulted in right-wing fundamental political with religious ritual perspectives, Ayurveda is a
groups utilising it to their own ends. This is clearly complete medical system. It deals with health in all
the case in India today with the current rise in its aspects; physical health, mental balance, spiri-
popularity of right-wing fundamental Hindu tual well-being, social welfare, environmental
groups, and shows how the struggle for political considerations, dietary and lifestyle habits, daily
supremacy can infect religion (and vice versa). living trends, and seasonal variations in lifestyle,
This insistence of the divine origins of Ayurveda as well as treating and managing specific diseases.
may unwittingly reinforce this political doctrine if Ayurveda teaches respect for nature, appreciation
it continues to ignore modern Indological historical of life and the means to empower the individual. It
knowledge. By this, I refer to certain quarters of is holistic medicine at its best.
the academic community promoting this ideology
as though Vedic knowledge has remained eternally
and statically predominant in all aspects of Indian HISTORY OF AYURVEDA (BOX 1.1)
culture for all time. The point is that while religion, Indian culture and medicine before
medicine and politics are interrelated, the potential Ayurveda
repercussions of an ideology must be considered; To see the world from which Ayurveda developed it
in this case, pandering to extreme political causes is necessary to go back 4000 years. Ayurveda had
that oppose the central tenet of Ayurveda—caring not yet been established. People lived close to the
for all humanity. cycles of nature in a thriving agrarian society on the
banks of the River Indus, dependent on the abun-
The second paradigm, the scientific dependence on dance of the harvest and the bounty of water for its
empirical evidence, can also be taken too far to the survival. It was also a world in which the people
extreme, with similar detriment. This has occurred were subjected to the full force of the power of
within the modern medical paradigm of ‘evidence- nature; torrents of rain and the fierce heat of the
based medicine’ requiring ethically dubious sun, as well as the reassurance of spring returning
double-blind clinical trials and animal experiments and the joy of reaping a mature harvest. Sub-
with a heavy dependence on single active ingredi- servience to the power that controls these natural
ents, synthesised medicines, separate chemical extremes was at the centre of everyday life in a reli-
pathways and a reductionist methodology that has gious world full of rituals. Regular fire sacrifices
lost the holistic view. were carried out to supplicate the deities upon
5
Chapter 1 A HISTORY OF AYURVEDA AND THE GROWTH OF THE MATERIA MEDICA
Box 1.1
Historical Timetable of Ayurveda work linking early ayurvedic thought with new tantric
1500BCE Vedic religion Rg, Yajur, Sa-ma & Atharva Vedas: alchemical techniques
˙
125 herbal medicines mentioned in Atharva Veda 1449/50 Laksmanotsava: a text describing pulse-taking
˙ ˙
c.600BCE Rise of heterodox traditions of Jainism, 1474–1538 Jvaratimirabha-skara of Ca-mun.d.a. The
Buddhism. Also growth of what is now called Hinduism first mention of astasthānaparı̄ksā, the eight methods
˙˙ ˙
150BCE–100CE Caraka Samhita-: The earliest complete of diagnosis (pulse, tongue, urine, eyes, face, faeces,
˙
ayurvedic treatise. Herbs are here classified by action voice and skin)
and morphology. Again reformatted by Drdhabala 1596 Bhāvaprakāśa Nighantu by Bhāvamiśra: the
˙˙ ˙˙
circa 400CE most important ayurvedic materia medica treatise
-
c.100–500 Suśruta Samhita: detailed surgical text -
c.1600 Ayurvedasutra: a text mixing ayurvedic, yogic
˙
Bhela Samhita- and tantric thought Rasaratnsamuccaya: a pivotal
˙
500 Dhanvantari Nighantu: an early compilation of alchemical text compiling much earlier thought and
˙˙
herbs into certain functional groups based on the theory
property of the herbs 1676 Yogaratna-kara: a pivotal work reflecting the
c.600 Astāṅgahrdaya Samhita- by Vāgbhata: a collated assimilative trait of Unani and European influences on
˙˙ ˙ ˙ ˙
work on the essence of Ayurveda Ayurveda
- -
c.650–950 Madhava Nidana (aka Rogaviniścaya): the 1760 Rājavallabha Nighantu: progressive materia
˙˙
first text committed solely to pathology medica
c.875 Siddhayoga by Vrnda. Early ayurvedic text of 1815 Samgraha Nighantu
˙ ˙ ˙˙
the same type as Cakradatta 1893 Bhaisajya Ratnāvalı̄: Govindadāsa’s work listing
˙
900–1400 Goraksa Samhita-: early hat.hayoga text numerous medical preparations and introducing
˙ ˙
where many ayurvedic concepts are fused with different European diseases
tantric yogic practice c.1900 Nādı̄prakāśana: Śaṅkara Sen
˙
1075 Cikitsāsamgraha/Cakradatta by Cakrapāni: 1924 Nighantu Ratnākara
˙ ˙ ˙˙
professional ayurvedic handbook of the medieval era
1100 Dravyagunasamgraha: the first Nighantu written Note: I have relied heavily on Jan Meulenbeld’s works for
˙ ˙ ˙˙ categorising dates, notably ‘A History of Indian Medical
by Cakrapāni
˙ Literature’ (1999–2002). While the dates that I have given
c.1300 Ānandakanda: an early alchemical treatise
are the commonly-decreed historical dates of authorship,
1374 Madanaphala Nighantu: a further compilation
˙˙ Indian Indologists often place the dates of the early
of herbs and minerals ayurvedic texts significantly earlier (c.4000–1000BCE). This is a
1300–1400 Śārṅgadhara Samhitā: collected work on contentious issue and reflects some of the different
˙
ayurvedic formulas and preparations. First record of perspectives on history, origins and tradition that exist
pulse-taking as a diagnostic method. A pivotal between certain European and Indian medical historians.
whose favour the world depended. Ritual perform- It was out of such a cultural context that Ayurveda
ance was as central to maintaining health as eating developed. Here was a fast-changing society that
enough food; both were needed to live and flourish. was exploring its ideals of religion, royalty, leader-
To treat disease, herbs and potions were used along- ship, law, medicine, and family. Philosophical
side the incantations of the priests. In fact the priests insight expanded as agrarian culture flourished.
were both doctors and religious specialists. Disease This is now known as the Vedic period
spread fast in these warm and humid climes. Fear (c.1500–500BCE) (Jamieson & Witzel 1992).
of illness and of the death of loved ones was an
everyday reality. According to their belief system The orthodox and heterodox traditions
disease could be imposed from the spiritual world, With hindsight we can see that an orthodox reli-
from an accident, or from the natural world. Here is gious tradition (astika darśana) and a heterodox reli-
the world in which the eternal tradition and the gious tradition (nastika darśana) developed out of
empirical experience of everyday life could meet this milieu. In Indological terms ‘orthodox’ means
and intermingle. adhering to the Vedas and ‘heterodox’ means not
6
following the Vedas (e.g. Buddhism). The Vedas, An example of these two patterns and how they
PART 1
including the Rg, Yajur, Sama and Atharva Vedas are were connected can be found in an ancient Vedic
the receptacles of traditional wisdom whose oral prayer. It includes both the ritual and the experien-
tradition goes back at least 4000 years. They codify tial approach where the priest-doctor is praying to
ritual hymns, sacrificial rules, poetic metres and the plant and the disease:
medical incantations. As we will see, Indian medi-
cine faced many challenges to become a part of the ‘He through whom you plants creep limb by limb,
orthodox culture. joint by joint, you banish disease from him like a
huge man coming between fighters. Fly away
Vedic medicine and the origins of disease along with the blue jay; disappear with the
Ayurveda howl of the wind, with the rain storm’ R.g Veda
It is very difficult to place the exact origins of 10.97 (Trans. Wendy Doniger O’Flaherty)
Ayurveda. Our first meeting with Ayurveda
proper in a fully coherent and documented format Here the invocator is both priest and doctor. Both
is in the texts of Caraka, Suśruta and Bhela the prayer and plant seem to play the same healing
(150BCE–500CE). These texts were clearly codified role.
long after Ayurveda was fully established and was
thriving as an oral tradition. An earlier text is Imagine the priest-doctor standing by the side of a
known to have been compiled by Agniveśa, the patient racked with fever. The room is full of the
Agniveśa Samhita-, but it no longer exists, although heady smell of incense. The priest-doctor is chant-
the Caraka Samhita- is said to be a revised edition of ing and praying. The smells and sounds waft
this work. There are of course medical facts found towards the delirious patient. The priest-doctor’s
in earlier texts, but they are not classical incantation is directed at the healing of the bed-
Ayurveda with dosa, dhatu and mala at the heart ridden patient. He is also preparing a medicinal
of their teaching. brew of special herbs that are empirically known
to cure fever. While feeding the infusion to the
Prior to this codification of Ayurveda as a com- patient he is also praying to the gods that the herbs
plete medical system it seems as though two pat- cure the patient. This is ritual medicine; prayer,
terns emerged as Indian medicine developed. One invocation, sound, smell and intention. It is inter-
represented the worship of and subordination to mingled with the empirical human-based medicine
the supernatural forces, while the other pattern as well as specific disease-based herbal knowledge.
was the development of ideas based purely on
empirical experience. Two concurrent and inter- Medicine falls out of favour with the orthodox
linked medical traditions appeared from within the This harmony was short lived and the role of the
Vedic literature: priest as doctor changed. At some time after the
Atharva Vedic period (c.1000BCE), medical practice
■ The orthodox Vedic tradition, full of elaborate
fell out with religious ritual practice. As the
religious rituals dedicated to the powerful
medical experience and perhaps the clinical
nature divinities; Surya, the sun god, Agni, the
results of the physician started to supersede the
lord of fire, Indra, the lord of heaven and thun-
authority of the priest the priest became superflu-
derstorms. This was the ritual tradition where
ous to the healing rite as it then was. The so-called
the gods were appeased through prayer, chant-
priest-doctor occupation divided into two roles of
ing, amulets and ritual offerings. These were
priest and doctor. Society’s dependence on the
also the healing tools used to treat disease.
priests for maintaining the cosmic and social
■ The heterodox tradition that was outside this rit-
well-being guaranteed their position at the top of
ual fold and was based on the direct experience
the social ladder. The doctors’ ideas and methods
of medical physicians where herbs, minerals
were pushed away from the centre to the outside.
and surgery were the healing tools.
There was an evident paradigm shift from reli-
These patterns, like two rivers running through gious supernatural medicine being the modus
the same Vedic land, later converged to form operandi to a scientific observation-based practice
Ayurveda. being the primary medical model. There were
7
self. This had a profound influence on develop-
Chapter 1 A HISTORY OF AYURVEDA AND THE GROWTH OF THE MATERIA MEDICA
8
present condition and, in effect, ‘trap’ the self in
PART 1
Poignant throughout later and more classical
this physical world. This is seen as pure suffering. Indian philosophy is the theory of duality pro-
But, ‘from torment by three-fold misery (endoge- pounded through the Upanisads and Vedanta
nous, exogenous and supernatural) arises the philosophy. What we perceive as reality is really
inquiry into the means of terminating it’ (Samkhya just an illusion or maya. We experience reality as
Karika 1.1, see Radhakrishnan & Moore 1957). separate from ourselves and it is our ego nature
From this developed the purpose of finding a way that causes this duality. This representation of
out of this misery. In order to fulfil this purpose of duality is seen in the mythology of Śiva and Śakti,
life, to be liberated from ensnarement, the ortho- the two poles of masculine and feminine energy
dox Hindu must pursue the four ends of life; these that together hold all the opposites of life together.
are wealth (artha), sensual fulfilment (kama), reli- Our self-identity fragments this unconditional
gious observances (dharma), and liberation (moksa). unity of Brahman into segmented parts. Hence we
To ensure that these ends can be achieved feel separate from the whole and as a result lead a
Ayurveda embraces the health (arogya) of the body life in self-perpetuating ignorance that results in us
as its main aim. accruing numerous karmic bonds that tie us to
endless lives of rebirth in the wheel of life, known
Ayurveda is absorbed by the orthodox culture as samsara. Taking steps to alter this worldview
What is now known as Ayurveda is the blending and ‘unify’ our individual consciousness with the
of a tradition that has contained elements of purely universal consciousness is the goal of all Indian
ritual medicine as well as empirical practice. philosophical systems. They offer the path to
Ayurveda becomes Ayurveda ‘proper’ through its enlightenment and the means to get there.
association with the respected philosophical sys-
tems of Nyaya-Vaiśesika, Samkhya-Yoga and to a This experience of indivisible unity is meditated
lesser extent with Vedanta-Mimamsa. The Nyaya- on as ‘tat tvam asi’ meaning ‘that art thou’. It can-
Vaiśesika philosophy is concerned with perspec- not be described as it is ‘neti, neti’ or ‘not this,
tives of logic and analysis, Samkhya is an not that’.
ontological system that deals with the metaphysi-
cal nature of being, Yoga deals with the soteriologi- The Īśa Upanisad says
cal methods to attain liberation, Mimamsa deals
‘It moves, It moves not,
with the knowledge of Vedic rituals and Vedanta
It is far and It is near.
deals with the esoteric nature of reality and its
It is within all this,
expression as an experience of both unity and
And it is outside all of this.’
duality or what is known as ‘non-dual’.
The result is a tension between the individual
Ayurveda has the classical philosophies of Indian experience and the ritual experience, between indi-
culture at the root of its principles. These philoso- vidual consciousness and social hierarchy. The
phies infuse Ayurveda with a solid theoretical journey through Indian philosophical literature
structure that shape its practical framework; the mirrors our own journey through our perception
ideas behind the development of matter (prakrti), of our experiences; a deep search for truth, peace
the formation of the five elements (pañcamahabhuta), of mind and undivided bliss.
how consciousness (purusa) pervades reality and
the various methods of gaining knowledge
(pramana), so essential to diagnosis, are all found in THE STRUGGLE BETWEEN TRADITION AND INNOVATION
the Indian philosophical tradition (sat darśana). In IN AYURVEDA
fact Ayurveda is an embodiment of these philoso- This tension that occurred in a broad sense within
phies; it makes the theory real. Its codification in Indian culture also occurred in the development of
Sanskrit in the Caraka and Suśruta Samhitas con- Ayurveda as a whole. This is shown in the earliest
firms its absorption by conventional tradition. extant sources of ayurvedic theory and practice,
the Caraka Samhita, Suśruta Samhita and
.
The philosophical view of Ayurveda is infused Astangahrdaya Samhita. Their content clearly dis-
with this culture of attempting to understand reality. plays the continual efforts to assimilate empirical
9
This is the difficulty in determining the meaning of
Chapter 1 A HISTORY OF AYURVEDA AND THE GROWTH OF THE MATERIA MEDICA
10
PART 1
Box 1.2 MODERN TIMES
Hat.hayogapradı-pika-
Modern-day Ayurveda, as practised in India today,
The Hat.hayogapradı-pika- is a seminal work on hat.ha-
is based on a resurgence that occurred around the
yoga that represents the contemporary approach
17th century. One cause of this may be the
to spiritual liberation using physical, breath and
increased competition that Ayurveda faced by the
meditative techniques.
coming of the Moghuls and the rise in use of
‘He in whom fat and phlegm are predominant should Unani medicine. Another may be the new energy
perform the six cleansing practices before pra-n.a-ya-ma. in Ayurveda from the synthesis that occurred
Because their dosas are in equilibrium other aspirants between Ayurveda and yogic-tantric thought. Two
˙
need not practise them.’ fundamental new techniques that arose from this
Hathayogapradı-pika- 2.21 synthesis were the introduction of pulse diagnosis
˙
‘Nauli is the foremost hat.hayogic technique. It kindles and the use of new mineral remedies. They are
a sluggish digestive fire, it strengthens the digestive both central to the practice of contemporary
and other functions, it produces bliss and it cures all Ayurveda. Pulse-taking seems to have arisen from
imbalances of the dosas.’ the Shaiva yogic tradition that thrived in South
˙ India under the guidance of the Tamil Siddhas. It
Hat.hayogapradı-pika- 2.34
later arose in North India, with such works as the
‘Inhaling and exhaling quickly like a blacksmith’s •
Translated by James Mallinson The 19th and 20th centuries saw a further revival
with the building of new ayurvedic colleges
(approximately 100 in 1983), the creation of the
Central Council for Ayurveda in 1970 to oversee
Ayurveda also adopted insights from this yogic standards and practice, and the establishment of
realm. It began to incorporate the tantric practice ayurvedic pharmaceutical companies. Its patron-
of using various mineral substances (notably mer- age by the Indian government now gives
cury, gold, and silver) and re-emphasised its objec- Ayurveda some form of nationally recognised
tives from merely maintaining a long and healthy status but this really needs to be more proactive
life to that of virilisation (vajikarana) and rejuvena- and supportive. The 21st century really is a
tion (rasayana), which is, potentially, immortality. time of challenges and opportunities for
These concepts essentially oppose the mortification Ayurveda. As Ayurveda spreads throughout
of the body and seek a long life filled with rejuve- the world it is facing many challenges to the tra-
native potential. Thanks to these yogic influences ditional way in which it has been practised.
the body is no longer considered to be mortal! There are legislative, environmental, educational,
Today Ayurveda and Yoga are practically synony- clinical, and cultural challenges that are
mous in the pursuit of good health and a calm facing the ayurvedic community (Box 1.3). It is
mind. a time to act or be acted upon, meaning that the
ayurvedic community must unite and speak up
Here we can see that Ayurveda continued to dis- to express its needs or will face legislation on
play the wonderful Indian trait of absorbing every- which it has had no influence. How Ayurveda
thing around it, even if that meant broadening and meets these challenges will steer its fate in the
modifying its own perspectives. future.
11
Chapter 1 A HISTORY OF AYURVEDA AND THE GROWTH OF THE MATERIA MEDICA
Box 1.3
Challenges faced by the global ayurvedic community
Political patronage
Ayurveda is considered a second-rate medical system herbal medicines from the wild is placing on herbal
by the Indian authorities with a poor professional supplies.
standing given to ayurvedic doctors. This results in a
Legislative
weak image being projected from its native country
Increased popularity of herbal medicine throughout
to the rest of the world and does not send a support-
the world is resulting in fears about safety issues,
ive message to other national governments looking
leading to further herbal legislation regulating the
to India for guidance.
prescription and sale of herbal remedies. Some
Cultural examples of these are:
The fact that Ayurveda contains certain cultural
■ The legislative threats to the use of certain
traditions could potentially cause conflict when
medicinal substances such as vidanga (Embelia
meeting other cultures with different agendas. The
ribes) being banned from use in the UK. The
complexities of defining how Ayurveda should be
illegality of using many bhasmas (oxidised metallic
taught and practised outside India reflect this.
and mineral preparations), that are often
Scientific considered to be the mainstay of internal
The competition between western science and the treatments, is another challenge.
traditional medical paradigm practised by Ayurveda. ■ The environmental pressure on many species used
The lack of evidence-based research and clinical trials in ayurvedic remedies is serious. For example,
is hindering its acceptance by mainstream medical chandana (Santalum album) and kushtha (Saussurea
institutions and practitioners. While there are many lappa) face increased demand on the domestic and
respectable research institutes in India many of the international markets while natural populations
clinical trials that are carried out are not available in dwindle.
easily-accessible journals and some do not meet ■ There are also pressures on the educational front as
(laghu trayi) are the Madhava Nidana, Śarngadhara The translation of their Sanskrit name gives a tanta-
Samhita and the Bhavaprakaśa Nighantu (or Yoga lising indication of their potential. For example,
Ratnakara according to some authorities). The jivaka, ‘the life giver’, still remains unidentified.
growth of the ayurvedic materia medica is clearly The precise identification of many ayurvedic
displayed in these texts. The increase of ‘alchemi- plants has been a source of continual frustration,
cal’ medicine and developments in chemistry debate and botanical challenge. Having said this,
are included from the 12th century onwards with many do remain in the herbalist’s realm. Although
the introduction of Rasa Śastra, or alchemical the Vedas mention around 260 plants (Gogte 2000),
-
literature, in such texts as the Anandakanda, the first insights to the ayurvedic pharmacopoeia
Rasaratnasamuccaya and Āyurvedaprakaśa. From are found in the Caraka Samhita. Here we find
here onwards metals, gems and mercurial the beginning of a pharmacopoeial trend of
12
collating substances (dravyas) into specific classes; guidelines for collecting herbal materials and
PART 1
herbs, cereals, liquids, fruits, metals, gems, understanding the language of the pharmacopoeia.
vegetables, meats, cow products, flowers, salts, oils, For example, ‘when there is no mention of the part
alcohols, sugarcanes, sources of water and urine. of the plant to be used, the root is to be used’.
There are some wonderful descriptions of how to
In the Caraka Samhita herbs are classified into 50 identify herbs, how to collect the fresh plants and
groups (varga) of 10 according to their primary what the ideal growing conditions are. Specific
actions (Caraka Samhita Sutrasthana 4). For example, pointers to quality are mentioned; ‘haritaki
herbs that are jivaniya or life-giving include the well (Terminalia chebula) which has a small seed inside,
known licorice or madhuka (Glycyrrhiza glabra) and more fruit and which sinks in water is considered
the group that is brmhaniya or strength-promoting the best form for all purposes’. It includes a very
includes Ashwagandha (Withania somnifera). useful section on replacing an unobtainable herb
with: ‘In the absence of tagara (Valeriana wallichi)
Suśruta has also classified herbs according to kushtha (Saussurea lappa) should be used by the
groups with specific actions (Suśruta Samhita wise physician’. The text is also full of invaluable
Sutrasthana 38,39). But instead of being titled with insights into the nature of the tastes, gunas and
a specific action they are named after the most rep- pharmacological properties of the herbs. There are
resentative herb. For example, the pippalyadi varga 24 groups of herbs and minerals listed in the
(meaning ‘the pippali, etc. group’) describes the Bhavaprakaśa and it is actually very systematic as
group of herbs that have a similar action to pippali only the herbs that should be in each group are
or long pepper (Piper longum). This is a digestive, actually listed (not always the case in other phar-
warming, carminative group of herbs that also macopoeias!). For example, only flowers are found
includes black pepper, cardamom, asafoetida and in the flower group (puspavarga) and only aromat-
calamus. Interestingly, there are also groups of ics are in the camphor group (karpuradivarga). It is
herbs classed together because of their cleansing a must for any serious student of Ayurveda.
(śodhana) effects: emetics, purgatives and vata paci-
fying herbs. Sanskrit plant names are sometimes used generi-
cally to cover various botanical species. While the
•
The Astangahrdaya Samhita also looks at groups of Latin nomenclature that I have used in this book to
foods and herbs. For example it mentions five define the equivalent for the Sanskrit name is
types of liquids; water, milks, oils, sugarcanes, and based on the works of numerous scholars, com-
•
alcoholic drinks. The Astangahrdaya Samhita follows mon clinical practice, and accepted norms, it can-
the herbal classification of Suśruta by grouping the not represent hard and fast scientific certainty. The
substances according to specific actions. discovery of the ayurvedic pharmacopoeia is a
work in progress that will continue for many years
Later texts consolidated this trend of classifying to come.
groups of herbs based on their action. Again the
group title is usually named after the herb that is And so we can clearly see that Ayurveda has
renowned for that group’s primary action. The grown out of a dynamic tradition that has sur-
Dhanvantari Nighantu (c.500CE) lists the first group vived and thrived in the face of much intervention,
as guducyadi varga or the ‘Tinospora cordifolia, etc. influence and change. As a medical tradition
group’. All the herbs in the group have the dual existing in Indian culture it has faced a complex
action of removing the aggravated dosa from the task: that of fitting into the orthodox fold while
body as well as rejuvenating the system, just as also remaining true to its holistic aspirations and
guduci removes pitta as well as rejuvenating the prioritising its ultimate goal of the health of the
blood and reproductive fluids. patient. These requirements were not always com-
patible but Ayurveda has managed to grow organi-
The Bhavaprakaśa is the most commonly used cally into the respected position that it holds today.
materia medica today. Written by Bhavamiśra around Ayurveda is now experiencing a worldwide
the 16th century it is a compilation of many earlier revival and it faces many challenges as it blends
texts. The Bhavaprakaśa lays out the rules and with the legal, social and climatic conditions of
13
Zysk K 1991 Asceticism and healing in ancient
Chapter 1 A HISTORY OF AYURVEDA AND THE GROWTH OF THE MATERIA MEDICA
14
Chapter Two
According to Ayurveda all matter is constituted of the five elements (pan~camaha-bhu-ta). Some parts of
matter are animate and others are inanimate.
Caraka Samhita- Su-trastha-na 26.10
˙
It is the opinion of the wise that if an action produces a bad result, now or later, one should not perform it.
Caraka Samhita- Vimānasthāna 3.45
˙
15
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
out of a state of primordial stillness when Samkhya means ‘enumeration’. This refers to the
all-pervading consciousness (purusa) and categorisation of evolution into a set of 24 princi-
manifest nature (prakrti) are in a state of equilib- ples (tattvas). It is a system of duality based on a
rium. The cosmic balance is disturbed by desire, continual dialogue between the dichotomy of the
causing the differentiation of this unity. From this universe. These opposites refer to the pairs of
subtle state of stillness comes the dynamic state of subtle–gross, subject–object, unmanifest (avyakta)–
movement. It is out of movement that the natural manifest (vyakta) experiences. Within the avyakta
world evolves. state primordial consciousness (purusa) and
Prakrti
Manifest Nature
Creative expression
16
a single purpose, like that of a lamp’. That they
PART 1
matter (prakrti) co-exist; existing in a state of per-
fect equilibrium, they represent the original state possess contradictory properties does not give any
of balance. Purusa is the state of passive aware- one quality priority over another. They come
ness, the saksin, the silent observer. Referred to as together for the single purpose of liberation
a masculine energy, it is formless, colourless, (moksa), the ultimate goal of all darśana(s) and con-
odourless and without discernable qualities. In scious existence. They are one force, with different
line with the Indian Upanisadic approach to aspects unfolding to be mutually ‘supportive’,
describing reality it is defined through the nega- ‘productive’, and ‘subjugative.’ They help each
tive of ‘neti, neti’; ‘not this, not that’. Prakrti in the other and keep each other in check. They are
avyakta state is the unmanifested seed that holds accountable to each other; maintaining, encourag-
the potential for all of phenomenal creation. ing, or restraining. Their varied proportions
Prakrti can be translated as ‘first action’; that force explain the variety in nature.
that contains both the spark and expression of
creation. Referred to as a feminine quality she has The disturbance of the primal balance between
form, colour and the attributes of experience. purusa and prakrti, which releases the patterns
More than this, prakrti refers to the capacity for of the guna, is a conceptual pattern. The Samkhya-
experience. This points to an active consciousness karika describes the process: ‘For the perception
that has choice, direction and will. She is both the of nature by the spirit and for the isolation
generator and the generated. [kaivalya, concomitant with moksa] of the spirit,
there is union of both. From this union proceeds
evolution’. The analogy of the seer (purusa)
THE UNIVERSAL CONSTITUENTS: GUN. A guiding the active blind (prakrti) is used. From
All experience is based on this duality between this catalyst of seeking ‘enjoyment’ and ‘isolation’
the conscious subject and the active evolutes of comes the seed of all philosophical and mystical
nature. Consciousness needs something to be con- work and debate: ‘Who am I?’; ‘What am I doing
scious of and matter needs to be experienced. here?’, ‘What is matter and what is spirit?’. This
Prakrti is held together in a balanced state of ten- ‘union’ of purusa and prakrti causes the confusion
sion by three universal constituents (guna). These or avidya of our true nature. We think that we
three aspects combine in variable proportions to are the observable and not the observer. This
create manifest phenomena. They are the causal quandary inspires all soteriologies in Indian
form of nature. They are present in every expres- culture.
sion of prakrti, be it subtle or gross; if it is ‘observ-
able’ it contains the guna. Sattva refers to qualities The evolution of consciousness
of balance, equality, and stability. It is light (laghu) The imaginative power of rajas and the elements of
and luminous (prakaśika) and holds the capacity desire (raga) that this stimulates play a role in the
for happiness. It is conscious and intelligent, mov- initial germ of creation. The first evolute from
ing inwards and upwards. Rajas generates activity, prakrti is called mahat. This is universal intelli-
change, and disturbance. It is mobile (cala) and gence. It is differentiated into buddhi as individual
excitable (upastambhaka). It is the motivator and consciousness. This intellect is determinative and
expressor. It has a centrifugal force causing disper- discriminatory. Because of its close proximity to
sion and disintegration. This movement away purusa in the evolutionary hierarchy buddhi is sen-
from the centre causes pain. Tamas is the immo- tient. Through this faculty we can discriminate
bile, still, and stuck quality. It is heavy (guru) and between eternal and transient, real and unreal. In a
causes obstruction or lack of perception (varana). It state of sattva it is virtuous, wise, detached and
moves down and is responsible for degeneration. powerful. In a state of tamas it holds to the oppo-
Through the force of tamas there is delusion and site of these properties. Here the gunas show how
confusion. the multiple variety in life manifests; sometimes
‘light’ and at others ‘dark’.
Tamas has a bad reputation for being a negative,
downward-bearing energy. To perceive it nega- As nature differentiates further it creates ahamkara,
tively is to misinterpret its role. The gunas exist ‘for the ‘I-maker’. This is individualised awareness
17
Manas, the mind, is both expressive and receptive.
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
18
mobile, rough, dry, gives direction and potential for
PART 1
Box 2.1
change. The continual movement causes friction The pañcamahābhūta
that creates fire (tejas). Fire is hot, sharp, penetrat- ĀKĀŚA—SPACE/ETHER: the principle of all
ing, fluid, luminous, ascending and dispersing. It pervasiveness
allows for perception and warmth. It creates con- Quality: expansive, light, subtle, clear, infinite and
densation that collects to form water (ap). Water is all-encompassing space.
the moisture necessary for life. It is fluid, heavy, Relates to the sense of sound and the ear. It is the
wet, soft, cool and cohesive. It coagulates to form arena within which ‘life’ takes place. Sound travels
earth (prthivi). Earth is solid and stable. It has through space.
resistance, is thick, heavy, dense, hard and still.
Each element contains a part of the other elements VĀYU—AIR: the principle of motion
within itself. Quality: like the wind, light, mobile, clear, rough, dry
and erratic.
Ayurveda develops the 24 tattvas of Samkhya to Relates to the sense of touch, the nerves and the skin.
create a framework for understanding the flow of Sensation travels through the skin and nerves just as
vitality (rajas as prana) in the body and universe. you can feel the wind on your skin.
It explains the anatomy of dhatus (tissues) and TEJAS—FIRE: the principle of illumination
srotamsi (channels) and the physiology of constitu- Quality: hot, sharp, fluid, penetrating, luminous, light
tion (prakrti) through a humoral (dosa) scheme ascending and dispersing.
derived from combinations of the elements. Relates to the sense of sight and the eyes. Light and
perception travel through the eyes due to the
Samkhya is a scientific philosophy directed at metabolic activity of light-sensitive photons in the
explaining the human predicament of suffering, eyes.
the evolution of consciousness and nature, as well
as being a soteriology, seeking a path to liberation JALA/ĀP—WATER: the principle of cohesion
from all the misidentification and misassociation Quality: fluid, heavy, wet, lubricating, cool, soft,
that results in cycles of suffering. It is limited, like cohesive and stable.
any philosophy, by defining set phenomena that Relates to the sense of taste and the tongue. Flavours
describe reality. It benefits from being a part of a and tastes are only perceptible when the tongue
larger philosophical framework that includes other is wet.
perceptions. Ayurveda is magnified and clarified PR THVĪ—EARTH: the principle of cohesion
by this larger perspective. It is given structure ˙
Quality: thick, dense, solid, hard, heavy and stable.
through the evolutionary theory of Samkhya. Relates to the sense of smell and the nose. Earthy and
dense objects give off smells.
As discussed above the material world is com-
prised of building blocks that evolve as increasing
concentrations of density from the subtle to the by chemical intervention. The pañcamahabhutas are
gross, from ether to earth. These ‘bricks’ are known more closely associated with ‘states’ of matter as
as the ‘five great elements’ ( pañcamahabhuta) or opposed to their reducible molecular elements.
‘that-ness’ (tattva). They are the five primordial
elements; space/ether, air/motion, fire/heat, GUN.A: The qualities of nature
water/fluid, earth/solid (Box 2.1). The qualities of nature have a direct effect on the
physical behaviour, mental outlook and emotional
These elements combine in different proportions to balance of every individual (Box 2.2). As a broad
make up the material universe. They are relevant to example the yogic vegetarian is sattvic, the driven
Ayurveda as they form the substrate for the consti- executive is rajasic, and the slothful couch potato is
tutional humours, tissues, channels and wastes, as tamasic. I have heard it explained that a box of
well as the framework for determining tastes and matches is tamas, the striking of the match is rajas
properties of herbs and foods. They are different and the light of the flame is sattva; stillness, move-
from the periodic elements of modern chemistry that ment and light. A healthy balance of all three guna
are the irreducible components of matter, indivisible is required for a healthy existence.
19
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
20
TABLE 2.2 The gunas and their effects on the elements and dosas
Quality (gun.a) Element (tattva) Action (karma) Effect on dosa
˙
Hot (us.n.a) Fire Heating, digestive, moves upwards and outwards, diaphoretic (svedana) V−P+K−
Light (laghu) Fire, air, space Easy to digest, reduces accumulations, reduces (laṅghana) V−P+K−
Dry (ru-kśa) Earth, air Drying, astringing, dehydrating, constipating V+P−K+
Penetrating/sharp (tı- ks. n.a) Fire Enters deeply into the body and mind, immediate effect V+P+K−
Smooth (ślaks.n.a) Water Eases tension, brings together, and reduces roughness V−P+K+
Stable (sthira) Earth Encourages relaxation, creates sluggishness V−P−K+
Soft (mr.du) Water Eases tension, increases tenderness, reduces hardness, pacifies (śamana) V−P+K+
Liquid/fluid (drava) Fire, water Holds together, lubricates and moistens V−P+K+
Subtle (suksma) Air, space Penetrates deeply into the tissues, expansive, increases awareness V+P+K−
Slimy (picchila) Water Heals broken bones, soothes, creates lack of clarity, plasters (lepana) V−P+K+
Cold (śı-ta) Water Cooling, slows digestion, contracting, moves inwards and downwards, restrains (stambhana) V+P−K+
Heavy (guru) Earth, water Difficult to digest, builds tissues, moves down, creates tiredness, nourishes (brmhana) V−P−K+
˙˙ ˙
Greasy/unctuous (snigdha) Water Difficult to digest, lubricating, nourishing, increases love, moistening (kledana) V−P+K+
Dull/sluggish (manda) Earth, water Increases tissues, causes stagnation, slowness, pacifies (śamana) V−P−K+
Rough (khara) Air Reduces lubrication, causes dry skin, brittle bones, increases inflexibility, scrapes (lekhana) V+P−K−
Mobile (cala) Air Encourages movement and changeability, releases V+P+K−
Hard (kat.hin.a) Earth Difficult to digest, gives strength V+P−K+
Solid/dense (sa-ndra) Earth Difficult to digest, increases structural strength, mental fortitude V−P−K+
Gross (sthu-la) Earth Difficult to digest, causes obstructions V−P−K+
Clear (viśada) Air, space Increases clarity V+P+K−
PART 1
21
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
Figure 2.2 The three seats of the dosa: va-ta, pitta, kapha
˙
balance the dosas offer much potential for health when it is used in different situations.
and vitality, if cared for properly. ‘Constitution’ implies one’s fixed and life-long
inherited health, ‘functional principle’ implies an
The dosas are not physical entities but subtle invisible catalytic active, and ‘humour’ is often
by-products of the cosmic evolution of the five ele- used because of the European cultural familiarity
ments (pañcamahabhuta). They cannot be seen, only with the Greek humoral system of medicine.
known through inference as they manifest through ‘Humour’ comes from the Latin ‘umere’ meaning
the products of disease; phlegm, swellings, inflam- ‘moist’ and again refers to the constitutional make
mation, bleeding, nervous imbalance and dry skin. up as well as something that can increase or
In perfect health they remain out of sight. decrease in volume as well as quality. The dosas
can have all of these tendencies, depending on the
The meaning of ‘dosa’ context.
˙ translated in many differ-
‘Dosa’ is described and
ent ways; ‘constitution’, ‘functional principle’, There are three dosas (tridosa: vata, pitta, kapha) that
‘humour’. There is no single word that accurately are discussed in detail below. The constitution is
translates the breadth of meaning implied to ‘dosa’ described in terms of the dosas.
22
Constitutional make-up means inherent nature
PART 1
dhatu, or a channel, become corrupted then they
(prakrti). Each individual has a mental nature can also destabilise the other dhatu and channels
(manas prakrti) as well as a physical humoral (Caraka Samhita Vimanasthana 5.1, Meulenbeld
constitution (dosa prakrti). When the humours are 1992). Hence the normally supportive dhatu can
relatively balanced the dosa prakrti brings health also become ‘faults’. The digestive fire or agni is
and support. Conversely, when there is an accu- also seen to be a source of imbalance of the dosa
mulation of a particular dosa (or dosas), an aggra- .
(Astanga Samgraha Śarirasthana 6.22). Food is also
vated state of the humours (dosa vikrti) arises. This able to corrupt the dosa and dhatu (Suśruta Samhita,
brings ill health. It is important to note that it can Sutrasthana 45.66). Thus health is not just about the
be easy to confuse vikrti with prakrti as many ‘balance’ of the dosa, it is about an overall vitality
health imbalances appear on the surface. This is and proper functioning of the dosa, dhatu, srotas,
examined further below. mala and agni.
The literal meaning of dosa is ‘fault’. This comes The dosas are also arambhakatva; able to generate
from the Sanskrit ‘dus’ meaning ‘err’ and relates disease. When the dosas are aggravated they can
to the prefix ‘dys’ (from the Greek), as in dys- be, in themselves, the beginning of disease.
functional, dysentery or dyslexia. The word dosa Interestingly, Jan Meulenbeld (1992) also points out
is commonly used to refer to the three humours that blood (rakta) can also be a causative factor in
of vata, pitta, and kapha. It is also occasionally disease, as clearly seen in gout (vata rakta).
used to describe other physiological functions
such as disrupted tissues, wastes, as well as spe- The final defining characteristic of a dosa is that of
cific disorders, for example, agnidosa, meaning a prakrtyarambhakatva, the ability to determine the
.
defective digestive fire (Astan ga Samgraha 6.22), constitution of a subject. A dosa determines the
amapradosa, meaning the defective toxic residue prakrti (Cakrapanidatta; Meulenbeld 1992).
(Caraka Sutrasthana 23.6), and grahanidosa, mean-
ing the disturbance of the small intestines So, when in a healthy qualitative and quantitative
(Caraka Samhita Sutrasthana 26.3; Meulenbeld condition, the dosas help manage the physiology of
1992). the psyche and body. They help to support the sys-
tem and facilitate the five elements’ assimilation
It may seem ironic that the constituents of an indi- into the body. When out of balance they become
vidual’s physiological constitution should be pathological and act as impurities in the body that
referred to as destructive ‘faults’. Yet Ayurveda damage the digestive fire, the tissues and channels.
clarifies this irony through its broad approach to
understanding the processes of the body–mind. When the dosas manifest they are actually the
result of the imperfect digestion of the higher cos-
The defining characteristics of a dosa (Box 2.3) mic forces of prana, tejas and ojas.
˙ they are
The texts define dosas as ‘faults’ because
dusanatva; they have the ability to corrupt the agni, The essences of nature: prān.a, tejas, ojas
the channels (srotas), and the tissues (dhatu) These cosmic substances are the essences of
.
(Astangahrdaya Samhita Sutrasthana 1.13). It is also nature. Prana is the breath behind all the vital
relevant to point out that the dosas are not the sole essence of the universe, tejas is the spark behind
causes of corruption. Caraka clearly states that if a all conscious perception and ojas is the seed
behind all nourishment and creativity. Prana
infuses the physical–mental–spiritual realms with
life, tejas gives them clarity, and ojas connects and
Box 2.3
sustains them. Ojas holds a special place in
The functions that define a dosa
˙ Ayurveda as its quality and quantity have a direct
Du-s.an.atva: to have the ability to corrupt the dha-tu
- effect on the quality of life: ‘When ojas is low the
Arambhakatva: to be able to generate disease
person is fearful, weak, worried, has deranged
Prakr. tya-rambhakatva: to have the ability to determine
senses, poor complexion, weak mind, is rough
the constitution of a subject
and thin’ (Caraka Samhita Sutrasthana 17.73). Its
23
Va-ta
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
24
PART 1
Udana vayu: It occupies the head and throat. It is
responsible for controlling the tongue, speech and
moving upwards from its seat in the chest. This
upward movement regulates exhalation and the
removal of carbon dioxide wastes from the body.
It regulates belching, hiccups and communication.
It also carries memories into consciousness and
works as a partner with prana vayu to manage
memory. Problems associated with an inability to
exhale, such as emphysema, certain types of
asthma, hiccups and a croaky voice are udana vayu
problems best treated by demulcent expectorants
such as licorice (Glycyrrhiza glabra) and bala (Sida
cordifolia).
25
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
such as gokshura (Tribulus terrestris) and haritaki hypothalamus and the balance of sadhaka pitta is
(Terminalia chebula) or by using softening and lubri- often related to the balance of homeostasis in the
cating laxatives such as psyllium husk (Plantago body. Imbalances manifest as imbalanced hormone
ovata) or oily enemas. production, being excessively critical and inability
to concentrate. Use medhya herbs that nourish the
Vata is aggravated by astringent, bitter and pungent mind such as brahmi (Bacopa monniera) to cool any
flavours (as they all increase dryness), at the end of excess pitta and regulate any imbalance.
a meal, early morning and evening (‘windiest’ and
lightest times), by fear and insecurity, in early Rañjaka pitta: Occupies the liver and spleen and gives
Autumn and any change in the season, at the later colour to blood by generating red blood cells from
stage of life (the driest stage), by excessive move- the bone marrow. It is responsible for the colour of
ment, by dry and cold climate, by going to bed after the body and our appreciation of the colour of life,
11pm. Dry foods, such as popcorn, aggravate vata, giving enthusiasm and vigour. Hepatitis, jaundice,
as do foods that are dry in nature such as pulses. anaemia, skin discolorations, myalgic encephalo-
myelitis, gallstones, cirrhosis, and high cholesterol
Pitta are often related to a rañjaka pitta imbalance best
The pitta dosa is made up of tejas (fire) and jala treated on a pattern by pattern basis including
(water). The seemingly contradictory combination of red-yellow-coloured herbs such as manjishtha (Rubia
fire and water to form pitta is actually complemen- cordifolia) and daruharidra (Berberis aristata).
tary. Pitta exists as water or oil in the body, thus pre-
serving the tissues from the destructive aspect of fire. Bhrajaka pitta: Resides in the skin. It keeps the
sweat glands active and maintains complexion by
It is pungent, hot, penetrating, greasy, oily, sharp, regulating pigmentation. It processes the sensation
liquid, spreading and sour. Its primary function is of touch and carries messages of temperature,
transformation. It is the force of metabolic activity texture and pain to the brain. It also metabolises
in the body associated with the endocrine function, the light that touches the skin; this regulates skin
hormone levels, digestion, body temperature, colour, vitamin D production and melatonin levels,
visual perception, hunger, thirst, and skin quality. responsible for sleep and mood patterns. When
Mentally it plays a role in understanding and in imbalanced it causes skin problems such as
digesting sensory impressions. Again, the five eczema, psoriasis, acne and skin cancer which can
aspects of pitta determine its location in the body. be effectively treated using sweet and bitter herbs
It resides in the eyes, blood, sweat glands, the such as aloe vera (Aloe barbadensis).
small intestine, stomach and lymph. Its primary
site is in the small intestine. Pacaka pitta: Occupies the small intestine between
the lower portion of the stomach and the ileocaecal
Ālocaka pitta: Resides in the eyes and is responsible valve as the digestive fire of the gastrointestinal
for transforming light. Ālocaka pitta gives lustre tract. It helps to break food down into an
and shine to the eyes. It moves inwards and regu- absorbable medium. It is the aspect of pitta
lates the dilation and contraction of the pupil. responsible for digestion and assimilation and is
When aggravated it causes conjunctivitis, styes, ble- regulated by the health of prana vayu, hence weak
pharitis or glaucoma, which are treated using anti- prana causing weak digestion. Being purely hot
inflammatories such as rose petals (Rosa centifolia). and sharp pacaka pitta expresses the inherent
qualities of fire. When in excess it can cause
Sadhaka pitta: Resides in the ‘heart’ and is the cen- hyperacidity, ulcers, nausea and diarrhoea. When
tre of ayurvedic consciousness. It controls a rhyth- deficient it can cause poor digestion, low appetite,
mical heartbeat and the ability to digest intellectual bloating, constipation and lethargy. Pacaka pitta is
information. It can transform a feeling into emo- the most commonly aggravated of all the five pittas
tion and, when healthy, gives clarity. It functions and is treated by clearing it from the system with
via the neurotransmitters that are responsible for mild purgatives that are bitter and cooling such as
the production of dopamine and serotonin. Its rhubarb root (Rheum palmatum) or the more gentle
regulatory function is seen as controlling the amalaki (Emblica officinalis).
26
Pitta is aggravated by pungent, salty and sour holds the joints together and is therefore involved
PART 1
flavours (as they increase heat) in the middle of a in the health of the ligaments and cartilage. When
meal, at midday, by anger and irritation, repressed aggravated there is swelling in the joints as well as
emotions, in summer and late spring, from adoles- degeneration of the bones requiring lubrication
cence to middle age, from excessive ambition and and regeneration.
in a hot and damp climate. Hot and oily foods like
garlic and fried foods disturb pitta. Avalambaka kapha: This is the nourishing component
of the lungs, bronchi, alveoli and heart. It resides
Kapha in the chest in the pleura of the lungs and the peri-
The kapha dosa is a combination of the prthivi (earth) cardium of the heart. It is the great protector. It cir-
and jala (water) elements. As the water element it culates through the heart from where it moistens
is contained within the earthen structures of the and nourishes the other organs and tissues. When
tissues and skin, the dry earth is moistened by the deficient it creates asthma, wheezing, dry cough,
reviving water element. It is slow, heavy, cool, weakness and heart disease, which can be treated
dense, soft, greasy, unctuous, sticky, cloudy, liquid using sweet tonics such as bala (Sida cordifolia).
and sweet. Kapha literally holds the body together. When excessive it results in congestive mucous
It is cohesive, gives shape and form, aids growth symptoms, tiredness and congestive heart disor-
and development, lubricates and protects, helps ders requiring strong anti-kapha herbs such as gug-
smelling and tasting. It relates to phlegm in the gulu (Commiphora mukul).
body. It resides in the chest, throat, head, pancreas,
stomach, lymph, fat, nose and tongue. Its primary Kledaka kapha: This kapha protects the digestive
site is the stomach. tract from the acid pitta enzymes. It primarily lines
the stomach and intestines but also lubricates all
Its five aspects are: the mucous membranes of the body. It plays a
Bodhaka kapha: This is found in the tongue and major part in digestive wellness. As it resides in
gums. It gives perception of flavours. Its presence in the primary kapha site it can easily become aggra-
saliva plays a part in the initial stages of digestion of vated. It is directly linked with the nutrition of the
carbohydrates. When aggravated it causes receding tissues. It mixes with the food essence, the first
gums, lack of taste or strange tastes in the mouth part of rasa that forms the material substrate of
that are often treated with bitter or astringent herbs plasma tissue (rasa dhatu). Kapha is best treated by
as a gargle such as haritaki (Terminalia chebula). focusing on clearing kledaka kapha from the stom-
ach by using expectorants and emetics such as
Tarpaka kapha: This is the mental form of kapha long pepper (Piper longum). If kledaka kapha is defi-
which leads to contentment. It is the fluid that nour- cient it will cause dryness and lack of protection to
ishes the brain as the cerebrospinal fluid and is also the stomach lining. Oppose this dryness with
found in the white matter of the brain (Lad 1996). soothing demulcents like licorice (Glycyrrhiza
All sensual experiences are carried to tarpaka kapha glabra) and shatavari (Asparagus racemosus).
and stored there. It is the bed of mental experience.
If deficient it results in a lack of unctuous mental Kapha is aggravated by sweet, sour and salty
faculties involving loss of memory, insomnia, multi- flavours (as they increase moisture), at the begin-
ple sclerosis, balance problems and dry eyes requir- ning of a meal, morning and afternoon, by greed
ing nourishing tonics such as ashwagandha and possessiveness, in winter and early spring, in
(Withania somnifera). If excessive it can result in childhood, from a damp and cold climate and from
obstructions to the cavities of the head with exces- sleeping in the day.
sive earwax, nasal secretions, eye secretions,
swelling of the brain and tumours requiring strong
reducing therapy with herbs that penetrate deeply THE MAIN CHARACTERISTICS OF EACH DOS. A:
into the tissues such as vacha (Acorus calamus). DOS. A LAKS. AN. A
Here is an in-depth look at some of the particular
S’ lesaka kapha: This lubricating aspect of kapha nour- characteristics of each dosa (Box 2.4). By becoming
ishes the joints as synovial fluid. Its binding aspect familiar with these signs you will be able to
27
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
28
PART 1
Figure 2.4 The three basic pulses
K The dominance of the heavy quality in kapha feet are common. Their variable nature may
types tends towards excessive body weight. lead to some oily areas and other dry ones. The
Kapha people can easily put weight on. The veins are clearly visible through the thin skin.
thighs, abdomen and buttocks hold and store Dry skin problems are a common vata imbal-
this excess weight. They lose weight with great ance. The skin colour is dull, dark and lacking
difficulty as they have a tendency to conserve in lustre. They tan easily and their cold nature
energy draws them towards the sun. The poor circula-
tion may lead to pale lips, nail beds and skin.
Skin: quality and complexion P Pitta is the delicate or mrdu dosa. Their skin is
V Vata types have a tendency to have dry (ruksa) easily aggravated and they cannot tolerate the
skin due to excessive movement burning off all sun. They are prone to inflammations, rashes
lubrication as well as the constitutional defi- and acne. The skin flushes easily and may
ciency of nourishing fluids. The skin looks appear red. The skin is commonly freckled or
rough and chapped. Cracks on the hands and with many moles. As pitta is a by-product of the
29
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
30
PART 1
Figure 2.6 Tongue diagnosis
P Moist, medium-sized often with a pointed red to in yogic and ayurvedic models. It is the central
tip, red, orange, purple or bluish, yellow coat- hearth that maintains the warmth of life, that
ing, raised papillae. Pitta imbalances are often transforms and transmutates substances and
found in the middle of the tongue. impressions. A healthy agni is the equivalent of
K Thick, wet, swollen, large, pale, teeth marks, good health.
thick white coating. Kapha conditions can mani-
V The vata digestion is visamagni or variable. In
fest at the front section of the tongue.
line with the typical irregular nature of this dosa
Smell (gandha) their appetite is irregular. There are symptoms
V Little body odour due to the cold metabolism of distension, flatulence and a nervous appetite.
and lack of fat tissue (meda dhatu) from which Their eyes are bigger than their stomach, they
sweat comes as a waste product. Spontaneous are sometimes hungry and at others not. Vata
sweating. types have a krura kostha. This means a ‘hard’
P Strong, rotten flesh smell due to the high pitta digestive tract. This rigid astringency means
content in the sebaceous glands. Pitta types that they are prone to constipation that requires
sweat profusely in hot weather. relaxant, oily laxatives (hemp seed or castor oil).
K Moderate and sweet aroma. Kapha types sweat Their bowel movements are irregular; some-
easily with exercise as the increased metabolism times hard and dry, at others, loose. Vata types
releases the excess sweat as a waste product. become spaced out and weakened from fasting
They can be very sensitive to strong smells due due to their inability to store reserves. They do
to the damp condition being ‘stirred up’ by best with small, unctuous, warm and regular
strong aromas. meals but have a tendency to overdo the heavy
and grounding hard-to-digest foods. Pungent
Asking (praśna) flavours help to regulate the digestive secre-
Digestion: vital reflection of metabolism tions. In a balanced state they will benefit from
The concept of ‘fire’ or agni is at the centre of Vedic sweet, sour and salty food that is oily and
religious life. This paradigm is frequently referred spiced.
31
K Kapha types are heavy sleepers who have diffi-
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
32
.
TABLE 2.3 Signs of the dosa balance and excess Reference: Astangahrdaya Samhita-
Dos a Balanced state (sa-mya) Increased state (vr.ddhi) Decreased state (kas. a-ya) Colour
˙
Va-ta Conveys movement, inspiration, Promotes wasting, thinness, weight loss, weakness, Kapha-like symptoms: sluggish, sloth, lack of Blue, black, brown,
expiration, enthusiasm, desire, aversion to cold, desire for heat, softness and comfort, enthusiasm, no desire to speak, confusion, orange, clear
excretion of wastes experience of piercing pain, mobile pain, numbness, delirious, loss of consciousness
erratic digestion, bloating, constipation, incontinence,
urinary tenesmus, cracking joints, contraction, dry skin,
dehydration, astringent taste in the mouth, spasms,
rigidity, dark complexion, dark discolorations, dizzyness,
fear, anxiety, nervousness, loneliness, insomnia, depression.
Symptoms worse for changes in the seasons, dry and cold
climates, early in the morning, early in the afternoon
and later in life
Pitta Oversees metabolism, digestion, Causes burning, fever, inflammation, redness, bleeding, Increased signs of va-ta and kapha, poor Red, yellow, green,
regulation of appetite and thirst, sweating, septic conditions, necrosis, putrid smells, fainting, digestion, pallor, coldness red
hormones and enzymes, intelligence, aversion to heat, sour or bitter taste in the mouth
courage, flexibility, the quality of the acidity, heartburn, loose stools, dark red urine, burning
complexion and eyesight urine, yellow, green and red discolorations, aversion to
heat, desire for cold, impatience, anger, frustration, critical,
judgemental. Aggravated by hot and humid weather,
middle of the day and night and mid life
Kapha Gives strength, solidity, structure, Causes mucus, sticky phlegm, excess salivation, wet cough, Signs of va-ta increase; emaciation, dizzy, White
endurance, lubrication itching, coldness, heaviness, stagnation, congestion, cracking joints, dryness and anxiety
growths, cysts, tumours, dull pain, obesity, oedema,
sluggish digestion, cloudy urine, excessive desire to sleep,
sweet and salty tastes in the mouth, thick and white
discharges, aversion to wet and cold, greed, apathy,
attachment, depression. Worse for cold and damp weather,
childhood and mid-morning and mid-evening
PART 1
33
-
. sarga and sannipata THE SEVEN-SUPPORTIVE TISSUES OF THE BODY:
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
34
PART 1
Figure 2.7 Kala- in relation to dosa. Permission—Lad 1996 Secrets of the pulse
˙
dhatu. There are various overlapping theories how 35 days (5 × 7 dhatu) for śukra to be formed from
this ahara rasa nourishes each individual dhatu food essence. Due to incompatibility between the
(Fig 2.7). Refer to Caraka Samhita Sutrasthana 28. theory and actual experience this idea has been
1–5 for a good commentary on this process. criticised by Cakrapanidatta (a famous commentator
on Caraka and Suśruta Samhitas) as some sub-
a) The milk and curd transformation theory (ks.ı-ra- stances appear to create the tissues more quickly;
dadhi) for example, milk is said to create śukra dhatu after
This is a linear pattern where there is a step-by- just one day (Dwarkanath 1996). Although this
step progression of nutrients transforming from approach is not absolute, this theory is the pre-
rasa dhatu through to śukra dhatu, just as milk trans- dominant paradigm used by ayurvedic physicians
forms into sour milk and then into curds (Fig 2.8). today.
Here rasa is completely converted into rakta, rakta
to mamsa, mamsa to medas etc. Progressively refined There are of course pathological consequences of
tissue densities develop as each dhatu transforms each particular theory. The milk-curd theory con-
into the next. It results in śukra as the most refined siders that nutrient deficiencies happen in a
nutritious substance that creates ojas that then con- sequential fashion. This means that a deficiency of
verts back into rasa. It operates on a time-scale plasma will lead to a deficiency of blood and so
where each kala takes five days to transform the forth. Another example is that an obstruction in
unstable portion (asthayi dhatu) to the stable por- the fat channel leading to obesity will create a defi-
tion (sthayi dhatu). Based on this analysis it takes ciency in the following dhatus of bone, nerve and
35
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
reproductive tissues. This can actually happen as of the dhatu. In this theory the food essence (ahara
obesity and infertility are frequently linked. The rasa) circulates through these interconnected chan-
next two theories allow for a more general nels nourishing each dhatu in turn. After nourish-
approach to nutrition that is dependent on the ing the rasa dhatu the remaining food essence
functional quality of each tissue. nourishes the rakta dhatu and so on. The dhatus
take what they need from the remaining nutrient
b) The irrigation transmission theory (keda–ra-kulya–) flow.
Another perspective is presented by the irrigation
(kedara-kulya) theory (literally field and channel the- c) The pigeon pecking selective theory (khale-
ory) (Fig 2.9). It is a progressive overflow theory kapota)
using the metaphor of water flowing from a tank The third theory is the pigeon pecking (khale-
into an irrigation channel to water the fields. These kapota) concept (literally land and pigeon theory;
fields are filled consecutively and overflow in con- Fig 2.10). Here each dhatu takes the nutrients it
necting channels into the next field. The field wants from the central pool of nutrition, just as a
(kedara) represents the stable portion of the dhatu. pigeon selects the grains it wants from the land
The channel (kulya) represents the unstable portion (Ranade 2001). This is a very specific approach and
36
PART 1
Figure 2.9 Irrigation theory (kedari-kulya-)
Dha-tu metabolism
The transformation of the food-essence has four
results (Fig 2.11):
37
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
38
PART 1
vyana vayu until returning to its source, the heart. Box 2.7
It continues its circulation with blood (rakta) as a Muscle tissue: Ma-m.sa dha-tu
rasa-rakta continuum. The rasa thus carries the Element: earth, and secondarily water and fire
nutritious asthayi portion of food to the remaining Secondary tissue (upadha-tu): ligaments and six layers
dhatu as well as picking up waste products. It also of skin below the top layer
circulates the vitiated humour (prakopa dosa) and Waste (kit.t.a): all wastes found in the cavities of the
plays a part in the spread of disease around the body such as navel lint, ear wax and nasal secretions
body. The like qualities of rasa aid the formation of Qualities (gun.a): gross, solid, heavy, rough, hard,
rakta dhatu. smooth
Function: binding the body together (lepana),
Rakta dha-tu: blood tissue (Box 2.6) strengthening, facilitating movement, nourishing fat
Rakta corresponds to the haemoglobin portion of tissue and waste products
blood. As it is made from both water and fire it is
both a fluid and a catalyst. It carries oxygen and
hormones that regulate metobolic processes and
thus gives vitality (jivana). Rakta literally means and visceral muscle. The root ‘mam’ means to hold,
‘that which is red’ and it gives colour to life; red so mamsa is the holder and it holds the body
blood, lustreful eyes, rosy cheeks, enthusiasm and together by enveloping the ligaments, tendons,
passion. It has a direct affinity with the skin and is organs, muscles, veins, arteries and bones. The
responsible for its growth and health. Hence when stable aspect gives strength to the body and helps
blood is corrupted the skin often manifests signs of to facilitate movement. When it is healthy mamsa
this imbalance. Blood is increased by like qualities dhatu gives you a muscular build and enduring
of a liquid, unctuous, warm, heavy and blood-like strength with the ability to be brave in the face of
nature; iron, Vitamin A, betacarotene, red or adversity. In excess it can lead to growths and in
orange foods, sweet and sour flavoured herbs, deficiency to wasting diseases and fatigue. It is
such as amalaki (Emblica officinalis) and salty herbs increased by like qualities of heavy, hard and
such as shilajit (Asphaltum). Any weakness in rakta solid such as are found in ashwagandha (Withania
is clearly shown in pale skin and tight tendons. Its somnifera).
affinity with the pitta dosa means that it if pitta
become aggravated it easily corrupts the blood and Medas dha-tu: fat tissue (Box 2.8)
causes either haematological diseases or the Medas dhatu means that which supports and nour-
growth or wasting of the other tissues. ishes the ‘oily’ or lipid tissues. It is responsible for
the protective quality of lubrication as well as stor-
Ma-m -
. sa dhatu: muscle tissue (Box 2.7) ing energy in the reservoir of medas dhatu. It is
Mamsa dhatu is responsible for all the connective increased by oily nuts and herbs, such as sesame
tissue (except for blood and bone) and the skeletal and hemp seed. Snehana means affection and this
dhatu carries love for the other tissues and for
Box 2.6
Blood tissue: Rakta dha-tu Box 2.8
Element: water and fire Fat tissue: Medas dha-tu (correctly written as
Secondary tissue (upadha-tu): blood vessels and medodhatu)
tendons Element: water
Waste (kit.t.a): Pitta dosa and acidic, inflammatory Secondary tissue (upadha-tu): omentum around the
˙
secretions stomach
Source: liver and spleen Waste (kit.t.a): sweat
Qualities (gun. a): liquid, fluid, opaque, unctuous, soft, Qualities (gun.a): unctuous, heavy, soft, liquid, smooth,
viscous, red colour, sweet, sour and salty oily
Function: giving vitality ( jı-vana), giving colour, Function: oleating the joints, insulating the body,
nourishing the muscle tissue producing sweat, nourishing the bone tissue
39
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
40
schools of Ayurveda and Yoga maintain that the whole body and mind through an intricate net-
PART 1
preservation of the śukra through the discipline of work of channels.
brahmacarya (celibacy, appropriate sexual activity)
leads to a long and lustrous life. Positive signs of a There are 16 channels that carry air (prana-
healthy reproductive tissue is exuding attractive- vahasrotas), food (annavahasrotas), water (ambuvahas-
ness, self-confidence and having a radiant glow. rotas), faeces (purı-savahasrotas), urine
(mutravahasrotas), sweat (svedavahasrotas), milk
Śukra is often referred to the male aspect of repro- (stanyavahasrotas), menstrum (artavavahasrotas), and
-
duction and artava to the female aspect. Artava is the mind (manovahasrotas), as well as the seven tis-
really the menstrual blood and more a sign of sue channels that specifically nourish the dhatus.
healthy fertility and egg production as opposed to
reproductive fluid per se. In line with my teaching, They suffer from four main imbalances:
I refer to śukra as the generic term of reproductive 1. Excess flow (atipravrtti): any hyperfunction
fluid for both male and female. causing an overflow, e.g. diarrhoea or vomiting.
.
2. Deficient flow (sangha): any hypofunction causing
These are the dhatus and, along with the dosas, they accumulation often with ama, e.g. constipation,
are at the centre of ayurvedic diagnosis and treat- blood clots or lymphatic congestion.
ments. I want to discuss briefly the use of the 3. Blockage of flow (śira granthi): any serious stag-
words ‘dosa’ and ‘dhatu’ because the ayurvedic nation caused by an internal growth, swelling or
literature uses the words with different meanings. dilation, often with ama, e.g. intestinal obstruc-
tion due to a tumour or stagnation of the breath
due to emphysema.
The dosas and dhatus appear to both create faults
4. Overflow or moving outside of the proper chan-
and act as supports. The three dosas can also be nel (vimarga gamana): this is very serious and
‘supports’ (dhatu) when they are in a balanced results in damage to the surrounding tissues,
state and they are even referred to as the three sup- e.g. perforated colon, bleeding conditions,
ports (tristhanam) (Suśruta Samhita Sutrasthana fistula or oedema.
21.23). On the other hand the dhatu seem to share
some of the characteristics of the dosa as blood
(rakta) shares many of the qualities of pitta dosa
and, according to Jan Meulenbeld, may even have
been regarded as a dosa by Suśruta. A distinctive
factor of a dhatu is that it also nourishes (posana)
the tissue (Caraka Samhita Sutrasthana 28.1–5).
Hence the boundaries between the dosas and the
dhatus blend and part depending on the specific or
broad understanding of the words.
41
follicles and release sweat and carry nutrition
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
42
PART 1
Figure 2.13 Marma points. (Reproduced with kind permission from the Wellcome Library, London, UK)
THE DIGESTIVE FIRE: AGNI Agnideva is the fire god who acts as a messenger
between the mortal world and the heavens. In Vedic
Jat.hara-gni is the root of all the digestive fires in
rituals humans offer oblations to the sacred fire. The
the body. As it causes the increase or decrease
fire takes a portion for himself and then vaporises
of bhu-ta-gni and dha-tvagni it should be treated
the rest for the benefit of the gods. The gods imbibe
with great care.
this nutritious fragrance and in return give life-giv-
.
Astāngahrdaya Samhita- (Śarı-rastha-na 3.71–72) ing waters and favourable environmental condi-
˙˙ ˙ ˙
tions from which crops flourish and humans can
The Indian Vedic culture revered agni or fire. It feed themselves. This benevolent cycle continues as
gave them light, warmth and cooked their food. long as both parties are happy.
43
Five bhu-ta-gnis
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
44
and the whole cycle is repeated. The opposite is the mouth, blocked sinus, congested and tight
PART 1
true in good health and benevolent cycles of abun- chest, mucus in stool and urine.
dant agni, healthy tissue creation and vital ojas pro-
duction all coalesce to improve the quality and Treatment
quantity of life, hence creating a literal ayur-veda Use expectorant and emetic herbs; trikat.u, guggulu,
(knowledge of longevity). garlic.
Sa-ma pitta
foods, yeast, excessive sweet, salty and sour
flavour, sleeping or eating before food is digested,
Indigestion, hyperacidity, diarrhoea, fever, toxic
sleeping in the day as well as lack of exercise.
blood, skin eruptions, greasy yellow tongue coat-
ing, bad breath, little thirst, loss of appetite, bitter
Signs of a-ma or sour flavour in mouth, tight abdomen, mild
Feeling heavy, muzzy-headed, unclear thinking,
burning, yellow urine and faeces.
dull eyes, aches and pains, poor circulation, joint
inflammation and pain, bloating, gas, skin blem- Treatment
ishes, fever, lack of energy, stickiness of stools, Purge using bitter herbs; avipattikara curn.a,
phlegm and urine, foul smells (breath, sweat, rhubarb root, aloe vera.
urine, stools, phlegm), sinking stool, mucus in
stool, turbid urine, lack of appetite or taste, indi- Nira-ma pitta
gestion, tired after eating, a sticky or sweet taste in A red inflamed tongue, excess thirst and appetite,
the mouth, copious phlegm. Pulse: deep, dull, slip- strong burning sensations, overly acute perception
pery; tongue: thick, dirty and greasy coating, and tissue depletion.
swollen body.
Treatment
All the above symptoms are aggravated by the cold, Follow normal dosa balancing programme.
the wet and at night. The symptoms are also aggra-
vated by eating foods with a similar quality to ama; Sa-ma va-ta
heavy, wet, unctuous, sticky and sweet, cold. A brown tongue coating, bad breath, irregular
appetite, abdominal pain, distention, gas, consti-
-
Ama mixed with the dosa: sa-ma and pation, dry and flaky skin, cracking joints with
nira-ma ˙ pain.
Sama, meaning ‘with ama’, occurs when the aggra-
Treatment
vated dosas, dhatus and malas become mixed with
Purge using softening demulcents, castor oil, hiñg-
ama. This is also referred to as ama-visa, which liter-
vas.t.aka, trikat. u + aloe vera.
ally means ‘poison toxins’ and occurs when ama
mixes with the dosa and sub-dosa. It usually only Nira-ma va-ta
occurs after ama has been present in the system for No tongue coating, dry mouth, astringent taste,
a long period of time. thirst, dehydration.
45
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
depression, rheumatoid factor, the presence of Each dosa has certain tendencies:
helicopylori bacteria, leukocytosis or leukocy-
topaenia (deficient and excess white blood cells), Vata: Full of creative ideas, good at linking con-
excess antibodies, Candida albicans in the gut and cepts and communicating inspiration. They are
uterus, blood urea, gout, excess platelet count, easily anxious, scatty, the classic ‘space cadet’ is a
high IgE levels from allergic reactions, excess red vata. They are quick to learn and easily forget. Vata
blood cells, gall stones as a sign of excess bile, kid- cannot hold onto anything. They are predisposed
ney stones as a sign of unmetabolised calcium and towards fear and often expect the worst. The pes-
oxalates, high liver enzymes (serum alanine simist tends to be vata. Their irregular nature
aminotransferase [ALT], serum aspartate amino- means that they often start new projects but
transferase [AST]), intraocular pressure (glau- become easily distracted. They oscillate between
coma), bacterial infection, high temperature, expending enormous amounts of energy into their
tumours. social life and craving total solitude in order to
recharge. They are sound- and word-orientated.
Their emotional background is one of fear and vata
THE AYURVEDIC MIND: MANAS PRAKR.TI people often have to face issues regarding security.
The ayurvedic concept of mind is both broad and
illuminating. Not only does it include mental Pitta: Very intelligent and quick thinking, the pitta
activity but also a consciousness that is housed in mind is the collator of information. They are excel-
the heart, ‘the heart is indispensable for normal lent at organising and bringing information
mental and physical activities as the entire waking together. They will be judgemental and critical in
consciousness rests there’ (Caraka Samhita their outlook. They are driven by ambition and
Sutrasthana 30.6). Mind is built from different determined to succeed. They are effective managers
aspects. Buddhi is intellect and is really like a mir- of anything; people, time, money, information. Their
ror reflecting universal consciousness as it cog- inherent heat can overbubble into irritability and
nises and clarifies. It is the digestive system of the anger that will be soon forgotten (but not by the
mind as it discriminates between different aspects vata or kapha!). They are focused on their own devel-
of mental ‘nutrition’. Sadhaka pitta corresponds to opment, which can make them intolerant of change
buddhi. Manas is that which conceptualises, analy- and impatient with others. They are primarily
ses and interacts between our inner subconscious- visual in their thought processes. When imbalanced
ness and our experience of the outer world. It pitta can manifest as anger and they are often con-
includes memory and the ability to recall (smrti) fronted with the challenge of patience.
events. Tarpaka kapha relates to memory. Ahamkara
is our ‘I’ maker and identity former that person- Kapha: They have steady minds that can concen-
alises every experience. It makes us identify with trate on a wide number of issues at a time. The
every experience so that we say ‘I am reading a kapha has an excellent memory once the facts have
book about ayurvedic herbs’. There is also citta been assimilated. They remember feelings, smells
that is considered to be consciousness and aware- and tastes. Their love of stability makes them
ness. Prana connects these different aspects into ignore signals for change. They are loyal and affec-
something that is known as antahkarana, the tionate friends. They tend to avoid challenging sit-
inner active. uations in order to maintain status quo and protect
their conservative nature. They like a stable and
A peculiarity is that is in contrast to the nature of regular environment. Their thought process is
the physical constitution (deha prakrti) the mental emotive and related to feeling. Kapha types have a
nature (manas prakrti) can be altered through tendency to greed and are often coping with issues
action. The qualities of sattva, rajas and tamas are of attachment.
predominant in the mind and can be altered
according to lifestyle, diet and mental attitudes. The mind is integrally connected with the cause of
Rajas and tamas, passion and lethargy, are consid- disease as psychological experiences are soma-
ered to be the causes of mental disease (Caraka tised. As you will read below, the main causes of
Samhita 1.57). disease have a mental seed.
46
SEASONAL BEHAVIOUR: R.TUCARYA-
imbalanced in the following season before it gets
PART 1
aggravated. Hence follow a pitta-reducing diet in
The winds of change are regularly upon us. The early spring before it gets aggravated in late spring
seasons consistently roll from one into another. with symptoms of spring fevers and hayfever.
Ayurveda recognises that this has a profound Follow a vata-reducing diet in the summer before it
effect on our health and recommends many help- gets aggravated in the autumn with patterns of
ful suggestions for how we can adapt our lifestyle dry skin, flare-ups of dry eczema, dry coughs and
to stay balanced in each season. Ayurveda makes cracked soles of the feet. Follow a kapha-reducing
this person-specific; i.e. there is not just one diet in the winter before it gets aggravated in the
lifestyle or diet that fits everybody. This is because spring with spring colds and allergies to tree
Ayurveda perceives everybody as individuals with pollen. See the recommendations in the treatment
a unique constitutional makeup or dosa. chapter to know how to balance each dosa.
Constitution (dosa prakrti) and the seasons are inti- The central teaching of Ayurveda is that in order
mately related. Health is affected by the qualities to optimise your health you must clear the accu-
of the climate; the inner world is influenced by the mulation of the dosas from your system. Any
outer environment. For example, when the air is increase in the dosas can cause illness. The dosas
damp, cold and wet these qualities are increased in exit via the orifices; primarily the bowel, bladder,
the body. Hence the increase in mucus, catarrh and stomach, lungs (via the mouth), uterus and skin.
colds in winter. The classic herbal laxatives (encouraging bowel
motions), diuretics (encouraging urination), emet-
The ayurvedic understanding of the disease ics (encouraging vomiting), expectorants (encour-
process is that certain doshic qualities accumulate aging clearing of mucus), emmenagogues
in one season and are then aggravated in the next. (encouraging menstrual flow) and diaphoretics
See Table 2.4 for a full explanation. This table is for (encouraging sweating) do this.
the seasons in temperate climates of Europe and
North America. There are different patterns for dif- Specific seasonal daily regimes (dinacarya-)
ferent climates. To understand these patterns you Ayurveda recommends adherence to a strict
have to watch nature and this is at the heart of regime of daily activities (dinacarya) that facilitate
learning how to live ayurvedically. Start to observe clearing accumulated dosas from the body and
the different qualities and patterns of nature and optimising health. It is also called svasthavrtta,
you will start to understand the principles of referring to healthy lifestyle habits.
Ayurveda.
Lifestyle (svasthavr.tta)
The trick to staying healthy is to stay one step It is important to note that regarding all lifestyle
ahead of the changing seasons causing any accu- recommendations the individual prakrti superceeds
mulation of the dos.as. Reduce the dosa that will be the general rules given below.
47
Daily activities (dinacarya- )
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
.
Oil massage (abhyanga) Washing (sna-na)
Massage is a central feature of the daily regime; it Use warm water to wash the body after massage
cleans the body, regulates the dosa, moves dis- and exercise. Pitta types can have a cold bath or
placed dosas back to the digestive tract, emolliates shower.
and nourishes the skin. It specifically protects from
old age and vata diseases while promoting good Meditation (dhya-na)
vision, sound sleep and a long life. Use a small Using meditative techniques can help to raise
amount of warm oil to coat the skin and then wash awareness, instil intention in spiritual practice,
off with warm water after it has been absorbed. remove attachments to the things we like and aver-
Vata types can use more oil but oleating massage sions from the things we dislike and give clarity of
should be avoided in ama conditions and with mind. There are many different practices used for
kapha accumulation. Caution should be observed stilling the mind and releasing it from its continual
48
infatuation with the sensual and illusory world. ■ Ayurvedic daily cycle of dosas increasing and
PART 1
Vata types should practise creative visualisation decreasing:
involving order, ritual and regularity to help har- 3am–7am 3pm–7pm vata early morning until
ness its ‘monkey-mind’ from swinging from just after sunrise, early afternoon until just after
thought to thought. Yantra meditation on construc- sunset (accounting for seasonal variations)
tive patterns may be an example of this. Pitta types 7am–11am 7pm–11pm kapha morning, evening
can emphasise regulatory disciplines involving 11am–3pm 11pm–3am pitta mid-morning, mid-
counting and harmonising the breath or focusing evening
on a sense object to clear irritability and purify sad-
haka pitta. This helps to develop clear thinking. Perform activities that reduce the aggravation of the
Kapha types can practise more dynamic forms of dosa.
meditation involving different sequences to offset
sluggish mental habits or devotional forms of med- The cusp of every season aggravates vata and so a
itation (bhakti yoga) that will enhance their natural vata-pacifying regime should always be followed
tendency for compassion and giving love. during these times. A period of reflection and
dietary adjustment for seven days either side of
Digestive stimulation (agnidı-pana) the solstices and equinoxes will promote health
Stimulate the digestive fire by taking digestive during the following season.
spices such as ginger (Zingiber officinale).
It is important to say that the suggestions below
Eating (a-ha-ra) are for seasonal balance and that you must always
Dietary habits should result in satisfaction, nourish- pay attention to any personal needs above and
ment and contentment. Eat until the stomach is half beyond this.
full of food, one quarter full of water and the
remainder left for digestive samana vayu to circulate. An ayurvedic spring (vasanta)
For specific details of the appropriate foods for each The qualities of spring
dosa see the treatment chapter. Spring is a time of growth, ascendancy and new
potential. The fresh leaves unfurl and dormant
Other considerations seeds germinate. Spring is a time of increased
■ Take a light breakfast of nourishing grains. warmth and wetness from a thawing of the con-
■ Chew cardamom, fennel, anise to freshen gealed damp of winter. Because of the high
breath. amount of cold and wet qualities of winter and
■ Do not restrain any of the 13 natural urges. the heavier diet that we take, kapha has also accu-
■ Have the meal in the middle of day when the mulated by this time. Just as there are spring
solar energy and inner agni is strongest. floods from rivers overflowing so there are inter-
■ Follow a wholesome occupation that accrues nal ‘floods’. The increased heat ‘melts’ this kapha
good karma. This allows you to fulfil your social accumulation, causing spring colds and hayfever.
and familial duty (dharma), achieve satisfaction This is a common time to cleanse the body and to
and pleasure (kama), accrue wealth for a stable assist the ‘melted’ kapha to flow out of the body.
life (artha) and attain spiritual realisation This can help kapha imbalances to be removed
(moksa). from the body before they impact negatively on
■ Observe your local geographical terrain and your health. While vata types like spring with its
climate and adapt your daily lifestyle slightly warmer and wet qualities, it is a time of
accordingly. change and so appropriate attention should be
■ Live according to your stage of life: given to a vata-balancing lifestyle if you have any
0–16: kapha stage of life associated vata problems. Pitta is balanced in the
16–50: pitta stage of life early part of spring but can accumulate as the
50+: vata stage of life. warmth increases and this needs to be managed
■ Live according to the times of day to regulate later in the season. As kapha imbalances are the
your lifestyle in accordance with your daily main threat during spring try and follow a kapha-
needs. reducing lifestyle.
49
■ Water qualities: wet, cold, fluid, cohesive, slimy,
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
50
Also include strong backwards and forward lations by using some bitter herbs. Try using
PART 1
bends that open the chest, such as the fish turmeric (Curcuma longa) or daruharidra
(matsyasana), the wheel (cakrasana), the camel (Berberis aristata) with organic aloe vera juice
(ustrasana), and the tiger (vyagrasana) to (Aloe barbadensis).
stimulate the kidneys and lungs. Also include
the locust (śalabhasana), spinal twists such as - ma)
An ayurvedic summer (grıs
.
rotated triangle (trikonasana) and The qualities of summer
matsyendrasana. Summer is a time when the element of fire (tejas) is
■ During pranayama practice emphasise frontal increased; there is more warmth, dryness and light-
brain cleansing (kapalabhati) as it encourages ness. These are qualities that increase pitta and can
exhalation with a spontaneous inhalation. It also cause vata to accumulate. The digestive agni
greatly encourages the clearing of kapha. becomes easily displaced by the increase in external
■ The spring diet should emphasise the bitter, environmental heat drawing the internal fire to the
pungent and astringent foods that help to clear surface. The jatharagni in the stomach moves to the
mucus and excess moisture from the body. The exterior of the body reducing appetite and aggra-
bitter and pungent flavours also help to open vating the skin. We often associate summer with
the channels of elimination. Conversely, avoid such problems as the inflammatory symptoms of
the sweet, sour and salty flavours that are heavy hay fever, prickly heat and other skin inflamma-
and cause water stagnation in the body. Your tions. These all have some itchy, hot pitta symptoms
meals should be warm, light and very easy to that come to the surface with the rising heat. Hence
digest. While the nature of most foods is sweet summer is naturally a time of calming and reduc-
it is important to add these other recommended ing pitta. As summer progresses the dry and light
flavours into your diet. qualities increase causing vata to accumulate to
■ Increase light grains such as rice, quinoa, barley, eventually aggravate in the autumn. Hence, keep-
millet, corn. As pulses are considered to be ing vata in check is also important.
astringent they can be emphasised at this time
of year, with red lentils, aduki beans and chick- ■ Summer qualities: light, warm, dry, penetrating,
peas good for clearing kapha. sharp, transformative, subtle, ascending, expan-
■ Avoid ice, refrigerated foods eaten cold, eating sive.
too much, eating between meals and sleeping in ■ Fire anatomy: pitta can build up in the digestive
the day, as these will offset the other good work system, liver, eyes, skin and heart at this time of
that you are doing. year.
■ Assist elimination from the lungs by using mild ■ Fire physiology: sight, digestion, appetite,
expectorants such as organic long pepper (Piper metabolism, assimilation, warmth, thermal con-
longum) every day. Long pepper is a great reju- duction are all affected by the increased warmth
venative to the lungs and also helps to clear of summer.
kapha. 0.5g of this can be mixed with honey and ■ Fire flavour: pitta is increased by pungent, sour,
taken twice a day to help strengthen the lungs. salty and so too much of these flavours in the
Honey is considered to be slightly astringent summer may aggravate people prone to pitta
and warming and is the only sweetener kapha is inflammations.
allowed as it helps to clear mucus.
■ You will notice a dominance of yellow flowers Summer is a perfect time to apply the wise teach-
in the spring and the ‘doctrine of signatures’ ing of Swami Satyananda Saraswati and increase
(the idea that God has laid a signature over the viveka and vairagya. These refer to discrimination
earth to guide us to which herbs are good for and non-attachment respectively. By discriminat-
which diseases or parts of the body) states that ing we are choosing what is best for us and not
yellow and the liver are connected. Many of just following the perpetual attractions and revul-
these yellow flowers, such as dandelion sions of our mind. By following the path of non-
(Taraxacum officinalis), benefit the liver. After the attachment we can grow to be free from the
initial course of kapha-clearing move towards pleasures and pain of our experiences and move
cleansing the liver of fatty and hot pitta accumu- towards living in the present moment.
51
Ayurveda also prescribes that one of the main ■ Breakfast: eat liquid nourishing breakfasts such
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
causes of illness is inappropriate attachment of as almond milk. Grind some soaked and peeled
our senses to their sense objects. For example, I almonds, mix into some warm milk (cow or
like ice cream, so I eat some. I want some more as rice), add saffron and some sweetener (not
I can remember that delicious sweet creamy honey).
flavour, and so I have some more and the next ■ Lunch: eating at around noon when the sun is at
day my nose feels congested. Now there is its zenith is best.
nothing inherently wrong with ice cream but it ■ Supper: have a light meal of basmati rice,
must be used wisely so that you absorb the sprouted mung beans and green leafy vegeta-
full pleasure and nourishment that it can offer. bles. Do not eat salad at night as it will
If it is abused it will harm you, if it is used aggravate vata.
with viveka and vairagya then it can bring you ■ In the summer it is best to avoid all dark meats
much joy. such as beef, lamb and pork as well as citrus
fruits, tomato, garlic, onion, salt and sour dairy
Summer routine (grı-s.ma .rtucarya- ) products as these all increase pitta.
■ Start the day by brushing your teeth with some ■ It may be useful to take organic aloe vera juice
cooling tooth powder—a dash of neem and (Aloe barbadensis) (50ml/day) throughout the
peppermint on your brush will help clear pitta summer to clear pitta from the digestive system.
from the mouth. Take it first thing in the morning.
■ A light massage with coconut oil at room tem- ■ A good way of flushing pitta out of the body
perature will nourish the skin and clear any is via the bowel; Ayurveda recommends
heat. Wash this off with lukewarm water. amalaki (Emblica officinalis) as a mild laxative.
■ Try and walk with bare feet on a cool dewy Triphala can be mildly heating and so it is
lawn for a calming and peaceful start to your best to move over to amalaki in pitta constitu-
day. tions.
■ Start yoga practice with some cooling and calm- ■ When thirsty try drinking cool herbal teas
ing śitali pranayama—this is an especially of peppermint, licorice, fennel and rose.
calming and soothing practice where the tongue Another delicious delicacy is to collect a glass
is rolled into a tube and then cool air is drawn in of fresh rose petals and cover them in sugar
through this tube and out through the nostrils. overnight (in the moonlight). In the morning
■ Pitta can accumulate in the digestive system and you will have a delicious rose syrup elixir to
especially the liver and small intestine. Do some mix in your almond milk or just dilute with
abdominal stretch, twist and massage exercises water.
for helping to clear pitta from your belly. Try ■ It is very important to watch out for pitta emo-
. tions arising such as criticism, being judgemen-
trikonasana (triangle series), bhujangasana (cobra),
matsyasana (fish), matsyendrasana (twist), tal, irritation and anger. If you feel a bit ‘hot
ustrasana (camel) to massage pitta out of the under the collar’ a good trick is to hold a glass
intestines. As pitta can also accumulate in the of water in your mouth as the water cools your
eyes, via the liver, try doing a range of eye exer- pitta and keeps you quiet.
cises to relax the eyes and increase circulation ■ Before going to bed, especially if it has been
that can carry away any excess heat. a hot day, rub the soles of the feet with coconut
■ It is important to not do too many inverted or castor oil to bring all the heat down to the
poses as these bring heat up to the head if you feet.
are a strongly pitta person. ■ Wash the face in organic rose water and spray it
■ After yoga anoint yourself with some fragrant in your bedroom. It is important to fill the house
sandalwood or rose oil. Place a drop on your and bedroom with fragrant roses and jasmine in
third eye, throat and navel to keep these centres the summer.
of awareness cool, calm and collected. ■ It is important to get to bed before 11pm as pitta
■ Diet in the summer should consist of sweet, bit- peaks at around midnight. Sleeping on the right
ter, astringent flavours and be light and easy to side activates ida nadi in the left nostril and
digest. guarantees a blissful night’s rest.
52
An ayurvedic autumn (śarat) should be no withholding the need of thirst,
PART 1
The qualities of autumn hunger, sneezing, yawning, crying, urinating, defe-
Autumn is a time when the air element (vayu) is cating, breaking wind, burping, orgasm, sleep,
predominant; there is more lightness, dryness waking and breathing due to overexertion (Caraka
(temporarily) and coolness. There is also the ten- Sutrasthana 7.1). This does not mean wanton
dency for ‘the winds of change’ to blow ever more indulgence of needs but appeals to the individual
erratically. These qualities in nature have a ten- to follow physical needs without letting mental
dency to aggravate vata that has already been accu- attractions and aversions get in the way. A teacher
mulating throughout the end part of the summer. once taught me ‘graze like a cow and let your
As vata regulates the nervous system, levels of spirit soar’, meaning live simply according to the
moisture in the body, how relaxed we feel and needs of your body and let your consciousness
how well we digest food, these can easily become flourish. Simple and true. Ayurveda and yoga both
disturbed. As the digestion is disturbed ama can teach us that the practice of observation is the path
also increase and diseases where ama and vata mix to understanding.
together (samavata), such as arthritis, can become
aggravated. Autumn is naturally a time of balanc- Autumn routine (śarat .r tucarya- )
ing vata and reducing any symptoms of wind, ■ Rising early when the world is still and calm
dryness and erratic behaviour. Towards the end of brush your teeth with some nourishing tooth
autumn kapha starts to accumulate with the powder such as licorice, haritaki and mint.
increase in wet and cold qualities. Remember that ■ Hold some warm sesame oil in your mouth for
in Ayurveda dosa means ‘fault’ so it is important to three minutes. It has a wonderfully nourishing
avoid dosa accumulation. effect on the mouth, strengthens the teeth and
stops bleeding and receding gums.
■ Autumn qualities: light, dry, cool, erratic, rough, ■ A specific autumnal practice is to then rinse
mobile, subtle and clear. your mouth with haritaki water (1 teaspoon of
■ Air anatomy: vata can build up in the lungs, haritaki soaked in warm water overnight). After
nervous system, brain, large intestine, hair, rinsing you can swallow some of the haritaki, as
nails, bones, skin, and hands. This can cause dry it is the main rejuvenative for balancing vata
skin, constipation and increased anxiety, which and sending apana vata downwards. Apana vata
may cause nervousness and insomnia. is one of the subtypes of vata that is responsible
■ Air physiology: breathing, speech, nervous for moving everything downwards. As wind
impulse, touch, muscular movement, thought can aggravate constipation it is a very useful
movement, cellular communication, burps, hic- practice for this time of year.
cups, and flatulence. ■ Massage yourself with warm sesame or maha-
■ Air flavour: wind is increased by pungent, narayan oil. This can offset the seasonal ten-
astringent, bitter flavours that are found in very dency to dryness, joint cracking, and stiff
hot spices, strong black tea and raw salads. muscle pain. Wash off in a warm shower. Place
■ Air asana: to decrease an excess of vata practice a drop of oil in your nostrils and ears to offset
grounding, relaxed, opening and slow the damaging effect of the elements. A special
movements using slow and steady breathing oil called nasya nasal oil is prepared with herbs
practices. that protect the nose and ears from infections
and can be useful during the autumn.
One of the main causes of disease in Ayurveda is ■ Start yoga practice with some alternate nostril
‘crimes against wisdom’ (prajñaparadha). This breathing (nadi śodhana). The Hathayogapradipika
means violating the inner sense of intuition as well says, ‘By proper practice of pranayama all
as ignoring past experience. Denying this wisdom disease are eradicated. . . . The vayu should be
results in acting inappropriately for who you are. skilfully inhaled, exhaled and retained so that
This gives you great responsibility for your health perfection is retained’. (Hathayogapradipika
and is a very empowering tool for taking control of 16, 18). What better time to master the art of
your health. Also classified under this heading is breathing than in autumn when there are such
the ‘restraint of natural urges’ (vegavarodha); there high levels of prana in the atmosphere? Nadi
53
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
śodhana does what it says; it purifies the chan- karma recommendations in the Hathayoga
nels of toxins, and especially vata-toxins that pradipika to clear the phlegm, bile and wind
accumulate from tension and constriction of the from the system. A very simple home cleanse
channels. We all know that breathing helps us to programme would be to follow the above rec-
relax, but it also relaxes the subtle channels that ommendations and to take organic triphala at
can easily become constricted and tight. night to ensure a complete cleansing every
■ Practise asana that regulate vata and send apana morning. Triphala is the most famous ayurvedic
vayu downwards; this especially includes remedy and is a combination of three fruits that
pavanamuktasana (the wind-relieving poses), all very gently detoxify the body and rejuvenate
inverted poses where the head moves below the the digestive system. Follow this programme
waist (as air moves up and inverting ourselves strictly for two weeks.
can help apana vayu move down), all twists as ■ At the end of a busy day make yourself a deli-
this helps to regulate samana vayu in the intes- cious cup of milk simmered with a pinch of nut-
tines, slow sun salutation with breaths in each meg and cardamom and settle in for a blissful
pose and then lots of śavasana (corpse pose) for night’s sleep.
proper grounding.
■ Apply grounding scents such as vetiver or a An ayurvedic winter (hemantaśiśira)
vata essential oil on the eyebrow centre and The qualities of winter
throat. During winter the earth’s energy is withdrawn
■ Autumnal diet should consist of warm foods back into herself. It is a time of rest, storing and
that are sweet, mildly spicy, sour and salty as preparation. Rest from the bounty of the autumnal
these are all flavours that increase moisture and harvest and preparation for the vitality of the com-
encourage feeling nourished and grounded. ing spring. This is a time of being grounded, inter-
■ Breakfast with a small bowl of porridge of oats, nalised and still. The weather is often cold, wet,
rice or quinoa that can be flavoured with maple cloudy and heavy and is dominated by the water
syrup and cinnamon. element (ap). These are all qualities that aggravate
■ Take a teaspoon of organic cyavanaprasha in the kapha; remember that kapha means ‘that which
morning to keep your energy and immunity flourishes in water’. Because of the ayurvedic rule
intact at this time of change. Cyavanapraśa is a that ‘like attracts like’ the cold, wet and heavy
great remedy for reducing vata and maintaining qualities of kapha are exacerbated by the similar
inner strength. nature of the climate. In climates where there is a
■ If you are easily destabilised by the changes in long winter (śiśira) this extended period of cold
the autumn season and can suffer from vata- can cause vata to become aggravated and people
imbalanced symptoms such as insomnia, erratic with imbalances in vata can also suffer challenges
digestion, constipation and anxiety then the to their health in winter. Here are some ayurvedic
most appropriate ayurvedic remedy is ashwa- and yogic perspectives on staying healthy and
gandha (Withania somnifera). It is great for calm- warm throughout the winter.
ing while strengthening, giving energy while
also settling the nervous system. It can be taken ■ Winter qualities: wet, cold, fluid, cohesive,
morning and evening. It is a great herb for slimy, unctuous, heavy.
enhancing stability and strength in yoga prac- ■ Water anatomy: kapha can affect the health of the
tice as well. kidneys, lungs, pancreas, mucus membranes,
■ For lunch and/or supper have more nourishing bladder, blood, synovial fluid, bodily secretions,
foods such as steamed vegetables, soup or lipids, ova and testes. This can lead to swellings
kichadi. and accumulations of mucus.
■ Avoid too much raw salad, cold drinks, ice, ■ Water physiology: this is responsible for manag-
beans, fermented foods and yeast in autumn as ing reproduction, lactation, saliva, mucus, urina-
they cause gas and may destabilise digestion. tion, pus, menses, lumps.
■ Autumn is a common time to perform a sea- ■ Water season: most active in winter and spring.
sonal cleanse to prepare for the winter ahead. ■ Water flavour: increased by salt, sour and sweet
These recommendations are similar to the sat foods such as salt, citrus fruits and refined sugars.
54
■ Water asana: to decrease kapha practise more vig- ■ Begin yoga practice with some brain-cleansing
PART 1
orous postures, emphasising metabolic invigor- pranayama (kapalabhati) or bellows breath (bhas-
ating sequences and including back bends and trika); ‘Bhastrika quickly arouses kundalini. It is
forward bends to warm the kidneys and pleasant and beneficial, and removes obstruc-
increasing chest opening postures to help clear tion due to excess mucus (kapha) accumulated at
phlegm. the entrance to brahma nadi, this enables the
three psychic knots to be broken. Thus it is the
One of the main causes of disease in Ayurveda is duty of the yogi to practice bhastrika.’
‘unwholesome attachment of your senses to their (Hathayogapradipika 2.66/7). These practices
sense objects’ (asatmyendriyarthasamyoga). This invigorate the body with prana and clear excess
includes under-, over- or inappropriate use of the mucus, lethargy and sluggishness.
senses such as desiring something too much, too ■ Practice asana that balance kapha and clear any
little, or when inappropriate for the constitution. It excess water. Do vigorous sun salutation (suryana-
boils down to inappropriate activities of the body maskara) up to 12 rounds until you are warm and
and mind. For example, it is well known that your breathing becomes deep. Also include strong
excessive sweet consumption can cause pancreatic backwards and forward bends that open the chest
enzyme imbalances, blood sugar problems and such as the fish (matsyasana), the wheel
eventually diabetes. This is a kapha problem result- (cakrasana), the camel (ustrasana) and the tiger
ing from an excess of kapha foods and emotions (vyagrasana) to stimulate the kidneys and lungs.
(greed or attachment). If a person regularly lives ■ Put some nasya nasal oil in the nose after finish-
with these habits they will get ill. ing your pranayama. The herbs in it can dissolve
the excessive amount of water that can accumu-
Winter routine (hemanta .r tucarya- ) late in the head in winter. This can help to alle-
Those having a kapha constitution must follow the viate depression and Seasonal Affective
majority of these recommendations; those who are Disorder by bringing lightness and clarity.
vata will also benefit; if pitta then keep clearing ■ Winter diet should consist of warm foods that
heat from the inside of your body while keeping are mildly spicy, slightly salty and nourishing.
the exterior warm. Diet should clear kapha but not aggravate vata.
The digestive fire is usually stronger in winter
■ Sleeping late is fine in winter. Rise at 7am and as the cooler weather constricts the surface of
wash your teeth with some stimulating cinna- the body and pushes the heat back in to the cen-
mon, clove and haritaki powder. This will pro- tre of the digestive system.
tect your teeth from becoming overly sensitive ■ Breakfast with a small bowl of porridge of oats,
to the cold. cornmeal (polenta), barley or rice. Add some
■ Hold some warm sesame oil in the mouth for cinnamon, cloves and honey. Although honey is
three minutes. This has a wonderfully nourish- sweet it is considered to be beneficial for kapha
ing effect on the mouth, strengthens the teeth as it can encourage clearing of mucus.
and stops bleeding and receding gums. Give ■ Take a teaspoon of organic cyavanaprasha in the
the gums a good massage with your finger as morning to keep your energy and immunity
well. intact at this time of change. Cyvanaprasha is a
■ Massage yourself with warm organic sesame oil. great remedy for reducing kapha, reducing colds
Sesame is warming and can be beneficial to and promoting inner strength.
every constitution at this time of year. This can ■ Lunch and supper should be wholesome meals
offset the seasonal tendency to coldness, aching avoiding too many cold, wet and damp foods
joints and ‘frozen shoulder’. Wash off in a warm that are excessively sweet, or from the fridge or
shower. freezer. Barley is one of the best grains for kapha
■ Have a hot shower, rub the oil off your skin as its drying (ruks.a) quality gently clears fluids
with a towel. from the body and can help clear sluggish
■ Drink a cup of warm water. This relaxes the digestion. Drink spicy teas throughout the day.
digestive system, kindles the appetite and ■ If you are easily disturbed by the cold, wet and
encourages a healthy bowel motion. heavy qualities of winter then you may benefit
55
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
from taking trikatu. This is a mixture of ginger, 2. Unwholesome attachment of the senses to
black pepper and long pepper and it will blow their objects (asatmyendriyasamyoga) including
away any colds, coughs, poor circulation and under-, over- or inappropriate use of the senses
nasal drips. such as desiring something too much, too little,
■ After a day of hard work settle in for a relaxing
or when inappropriate for the constitution
(Caraka Sutrasthana 1.54). It boils down to
evening. Ayurveda suggests that an occasional
unwholesome activities of the body and mind.
glass of dry and warming wine may be benefi-
For example, it is well known that excessive
cial in the winter to encourage circulation and sweet consumption can cause pancreatic
stimulate digestion. Then it is off to bed with a enzyme imbalances, blood sugar problems and
delicious glass of hot spicy milk. Nutmeg is a eventually diabetes. This is a kapha problem
very calming herb that promotes sound sleep resulting from an excess of kapha foods and
and can be added to your milk. emotions (greed or attachment). If a person reg-
ularly lives with these habits they will get ill.
Another famous ayurvedic adage is ‘sarve ‘pi
DISEASE AETIOLOGY: ROGA KARAN.A roga mandagnihetavah,’ which means that all
The cause of disease involves many different disease is caused by an imbalance of the diges-
tive fire; it is upset by extreme emotions or an
aspects from the imbalance of the dosa, to an imbal-
inappropriate diet.
anced digestive fire (agni), to the accumulation of
3. Seasonal influences (parinama) such as climate
ama, to the obstruction of the channels (srotas) and change, geographic peculiarities or merely the
the deficiency of the dhatu. Internally, the movement annual cycle of seasonal variation can disturb
of disease is from the mind to the body where the the dosa and cause disease.
attitudes of greed, fear, anger, grief, arrogance, jeal-
ousy and hatred become somatised in the tissues. These may involve:
Ayurveda clearly states that ‘desire’ (raga) is a feel- ■ Atiyoga: excessive indulgence
ing that generates pathological ‘heat’ in the mind ■ Hinayoga: inadequate indulgence
which generates these other emotions. Desire creates ■ Mithyayoga: inappropriate indulgence.
an obsessive attachment to various objects and this
Other causes are
locks us into a cycle of grasping and unfulfillment.
When stimulated, strong emotions create an agitat- 4. Inherited: these are the tendencies that we are
ing ‘friction’ that irritates digestion, the nervous born with. It is as though we have a constitu-
system and then the tissues, which can then cause a tional threshold which, depending on various
range of diseases. For example, in the pathology of factors, may or may not manifest; e.g. psoriasis,
fever (jvara), accumulated heat leaves its residence in diabetes or heart disease.
the stomach and invades the rasa tissues and dis- 5. Trauma: accidents affecting the body and
mind.
ease-causing heat spreads throughout the system.
6. Divine: intervention on a subtle level from the
divine realm, e.g. magical spells.
Imbalance of the dosa is internally caused by 7. Environmental: availability of food, water and
mithyaharavihara or inappropriate food and activities: shelter have an obvious impact on health.
8. Karmic: disease has resulted from actions in
1. Crimes against wisdom (prajñaparadha) means
another life.
violating your inner sense of intuition as well as
ignoring your past experience. Denying this wis-
dom results in acting inappropriately for who
you are. For example, a pitta prakrti person eating PATHOLOGY AND THE SIX STAGES OF DISEASE:
lots of chillies while knowing that this will lead SAM. PRA-PTI
to inflammation and irritation. Also classified
The progressive stages of each disease are laid out
under this heading is the restraint of natural
urges (vegavarodha); there should be no withhold- in great detail. The health of the system is opti-
ing the need of thirst, hunger, sneezing, yawning, mised when the dosa are flowing out of the body
crying, urinating, defecating, flatulence, burping, and the dhatu are nourished. The stages enumer-
ejaculating, sleep, waking and breathing due to ated below describe how this healthy process
overexertion (Caraka Sam . hita Sutrasthana 7.1). becomes imbalanced:
56
1. Accumulation (caya)
PART 1
The dosas are still relatively easy to clear from the
Any of the causes of disease listed above can cause system even at this stage.
the dosa to accumulate at their site:
4. Relocation (stha-na sam
. śraya)
Kapha gathers in the stomach with signs of slug- The irritated dosa now fixes in a set location, usu-
gish digestion, lethargy, paleness, heavy limbs and ally associated with an area of weakness or one of
heavy head. the areas of the body that the particular dosa is
associated with, e.g. kapha in the lungs, stomach,
Pitta accumulates in the small intestine with joints, mucous membranes and fluid parts of the
signs of acidity in the stomach, yellowing of the body; pitta in the liver, eyes, skin, intestinal lining
eyes, urine and stool, sensations of heat, irritabil- or glands; vata in the ears, joints, bones, skin or
ity, bitter taste in the mouth and loose and smelly colon. This is when the premonitory signs of dis-
stools. ease start; the weak cough and slight wheeze that
can develop to full-blown asthma.
Vata collects in the large intestine with signs of
bloating, gas, constipation, pebble-like stool, dry- The dosas are now difficult to clear and require
ness, cramps, coldness, anxiety and insomnia. deep cleansing techniques and pañcakarma to be
removed.
At this stage the disease is relatively easy to remove.
5. Manifestation (vyakti)
2. Aggravation (prakopa) The disease now manifests as an identifiable dis-
Prakopa is further aggravation of the symptoms ease such as diabetes, asthma or diverticulosis.
mentioned above. The increased severity of doshic
irritation starts to aggravate the viscera (amaśaya) The disease is set and cure is often difficult.
that are containing the dosa. The aggravated dosa is
still relatively easy to remove via the digestive 6. Expression of unique characteristics
pathway. of the disease (bheda)
Once a disease is fixed at a site it takes on a life of
3. Spreading (prasara) its own and its dominant features are reflected by
Having reached maximum capacity in their the primary causative dosa. For example eczema
respective sites the accumulated and aggravated caused by vata is dry, fissured and itchy; by pitta is
dosa now cross their threshold and spill over into red, inflamed, bleeding and hot; and that caused by
other parts of the body. They rebel in any direc- kapha is wet, suppurating, itchy and oedematous.
tion that they can force themselves. Via the rasa
and rakta tissues they spread to other associated The disease is now chronic and may have become
locations. incurable.
Kapha spreads to the lungs causing a wet cough, By understanding where a disease is in its evolu-
breathing difficulties and vomiting, to the joints tion it allows you to direct the treatment at the
causing swelling and the bowel causing mucus in right level as well as to give insight as to the
the stool. progress of the disease. One of Ayurveda’s
strengths is its prognostic ability. It classifies
Pitta spreads to the skin causing inflammatory diseases as:
skin problems, eyes causing redness, stomach
■ Easy to cure (sadhya)
causing nausea and bowels causing burning
■ Difficult to cure (krcchra sadhya)
diarrhoea.
■ Incurable but can be alleviated (yapya)
■ Incurable (asadhya).
Vata spreads to the skin causing dryness, joints
causing cracking and pain, air passages causing a Caraka goes to great lengths to describe various
dry cough and the intestines causing further pain prognostic signs that indicate imminent death,
and obstructed motions. how to promote the birth of a boy or a girl, when
57
Chapter 2 THE BASIC PRINCIPLES OF AYURVEDA
fetal death may have occurred and how to enhance Lad V 1996 Secrets of the pulse: the ancient art of
general health (Caraka Samhita Indriyasthana). ayurvedic pulse diagnosis. Ayurvedic Press
This ability to predict the progression and pathol-
Meulenbeld J 1992 The characteristics of a dosa. The
ogy of a disease is mirrored by Ayurveda’s
Journal of the European Ayurvedic Society 2:1–5
inspirational ability to remove ill health and
promote wellbeing. Ranade S 2001 Natural healing through Ayurveda.
Motilal Banarsidas
References
Further reading
Dwarkanath C 1996 Introduction to Kayachikitsa.
Svoboda R 1992 Ayurveda: Life, health and
Chaukhambha Press
longevity. Penguin/Arkana
58
Chapter Three
There is nothing in the world which does not have therapeutic utility when applied in appropriate
conditions and situations.
Drugs act by virtue of their own nature and qualities at the proper time, in a given place, in appropriate
conditions and situations; the effect produced is considered to be their action (karma); the factor responsible
for the effect is their energy (vı-rya); where they act is the place (adhis.t.ha-na); when they act is the time (ka-la);
how they act is the mode of action (upa-ya); what they accomplish is the achievement (phala).
Caraka Sam. hita- Su-trastha-na 26.12,13
This chapter is all about the study of the vide the basis for the theory behind the energet-
ayurvedic materia medica. It is a detailed look at the ics of the herbs. These qualities are parameters
energetics of ayurvedic herbs and gives the theory for potential activity; they are not absolute. The
behind the practice of using ayurvedic herbal qualities are indicators of activity, not definitive
medicine. ‘Herb’ is used to describe any markers of physiological action. Previous
ayurvedic medicinal, be it plant-, animal- experience is an important guide when determin-
or mineral-based. ing the precise therapeutic effect of herbs. The
best way to learn about a herb is to become
In Ayurveda the action of a herb is first consid- intimately acquainted with it: a herbalist must
ered organoleptically. The senses experience the know a plant’s natural habitat, growing tenden-
qualities of the shape, colour, aroma, flavour and cies, climatic preferences and dislikes, shape,
fracture of the plant. These qualities relate to cer- colour, taste, smell, harvest times, and most
tain pharmacological actions that the herbs may importantly, the herb must be experienced
have on the ayurvedic body. The qualities pro- personally. It is also crucial to understand its
59
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
60
effects. The flavours of life that we put into our- down. For example, cinnamon is pungent and
PART 1
selves become our rasa, our essence. hot, which raises temperature while grapes are
sweet and cooling, which can help to cool a
Our bloodstream is filled with the cooked juices fever.
that we eat and drink. Whether a flavour is experi- ■ Quality: the taste also defines whether a herb is
enced as a sensation on the tongue or as an emo- light (laghu) or heavy (guru) to digest and wet
tion in the brain it still produces the same (snigdha) or dry (ruksa) on the mucous mem-
physiological repercussions throughout the whole branes. It also defines whether the herb is pene-
system. For example, blood pressure can increase trating (tiks.n.a) or soft (mrdu). An example is
after a very spicy meal or after an angry moment. black pepper, which is pungent and also hot,
Hot spices such as garlic warm the mouth, stimu- light, dry and penetrating; it is easy to digest,
late metabolism and raise the temperature of the dries the mucous membranes and penetrates
whole system. This heat also affects the conscious- deeply into the tissues.
ness and it can transfer to the emotions and may ■ Tropism: the taste also implies an affinity for
cause extra passionate moments or rajasic ‘hot- certain tissues and organs. A herb will influ-
headed’ behaviour. How this heat is experienced, ence the function of an organ, tissue or chan-
physically or emotionally, depends on the constitu- nel by tonifying or reducing, stimulating or
tional tendency. pacifying, drying or moistening. For example,
hot and dry herbs commonly clear wet mucus
from the lungs, can irritate the plasma, blood
The taste (rasa) of each herb is determined by the
and muscle but also reduce fat, nerve and
combination of elements (pan~ camahabhuta) within it
reproductive tissue, while cool and bitter
(Fig 3.1); the pungent flavour, for example, is ener-
herbs often drain heat from the plasma, blood
getically dominated by fire and air and is spicy,
and liver while also reducing fat, nerve and
drying and light. Every substance (dravya) has all
reproductive tissue.
the elements within it and usually one or two are
■ Doshic: the taste of each medicinal also influ-
dominant. The secondary tastes (anurasa) are diffi-
ences the quantity and quality of each dos a. For
cult to determine but add to the total activity of the
example, sweet builds kapha, reduces vata and
herb or food. A substance’s rasa is not static and
pitta and increases all the tissues.
can change over time depending on when it is har-
■ Direction: the taste has an effect on the move-
vested, where it is grown, how it is stored, how it
ment of vata dos a by influencing the direction in
is processed or cooked. For example, immature
which the five vayu move; e.g. the pungent taste
fruits are more sour, mature fruits more sweet, gar-
ascends and spreads vyana vayu outward caus-
lic is very pungent when raw but becomes sweeter
ing sweating while bitter descends causing apana
on cooking, tinctures add a warm energy to the
vayu to move downwards with a laxative effect.
herb and medicinal ghees add a sweet quality to
the preparation. Flavour is the essence of life; it affects everything
(Table 3.1).
Tastes have certain functions and effects:
■ Temperature: each specific taste affects the Sweet (madhura)
thermoregulatory qualities within the body; hot The sweet flavour is made from the elements of
(us.n.a) and cold (śita). They heat it up or cool it earth and water. This means that it has the
61
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Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
PART 1
heavy and descending and, like water, is wet and will create a cycle of ever-increasing benevolence.
cold (when water is subjected to heat it becomes
hot, but in its ‘primordial’ state it is cold). Sweet Used in excess the heavy, unctuous and cold quali-
is the flavour of love, of sharing and of compas- ties can reduce the digestive fire of jatharagni,
sion. We give sweets to friends as an act of shar- increase mucus and promote congestion. It can
ing and companionship. It is considered the most cause toxins, ama, fever, mucus, chest and breath-
sattvic of flavours and is used to heighten experi- ing problems, dampness, swollen lymph glands,
ence of clarity and awareness of the spiritual flaccidity, heaviness, worms, fungal infections,
aspect of life. Candida albicans, obesity, and diabetes. Exceptions
to this rule of sweet substances increasing kapha
We all know the sweet flavour. Its main receptors are honey, mung beans and barley; they are actu-
are at the front of the tongue. Sweet comes from ally considered to balance excess moisture. As
sugars; glucose, sucrose, fructose, maltose, lactose. sweet tends to encourage accumulation it can cre-
They are made up of short (mono-) and long ate cravings and greed. Too much sweet flavour
(poly-) chains of saccharides. It is the flavour of can create a congested and soggy quagmire!
energy. Many carbohydrates, fats and proteins are (Bhavaprakaśa 6.1.175–178).
sweet and their potential energy is measured in
kilojoules. Foods and herbs with the sweet flavour Sour (amla)
are considered to be tonics; they build and nourish The sour flavour is made from the elements of
all seven tissues; licorice (Glycyrrhiza glabra), bala earth and fire. Its qualities are hot, oily and light. It
(Sida cordifolia) and shatavari (Asparagus racemosus) creates both dampness and heat in the body and
are sweet and nourish the deeper reproductive mind. It stimulates digestion via its hot and light
tissues. The sweet flavour increases ojas and the quality and clears dryness via its unctuous fluid-
integrity of the immune system. Many renowned promoting properties. Sour foods make the mouth
immune tonics have a sweet flavour and are moist and increase the flow of saliva. When taken
full of immune-modulating saponins and polysac- in excess it draws the tissues inwards and ‘puck-
charides. ers’ the lips, making the body horripilate all over.
This contraction creates an emotional reluctance to
Sweet substances and experiences increase kapha share things. Eating too much sour-flavoured food
and reduce pitta and vata. As a demulcent, soft, encourages envy and can make your experience of
soothing and wet flavour it reduces some of the life feel like ‘sour grapes’.
dryness and weakness associated with vata. It is
often combined with some mild pungent herbs to The sour flavour is found in acids; citric, lactic,
help balance its cooling nature when treating vata. malic, oxalic and ascorbic. The receptors for the
It is a tissue healer and sweet herbs are often used sour flavour are found on tastebuds on the sides of
for hastening wound repair (e.g. aloe or licorice). the tongue. The acids have a direct effect on diges-
Sweet benefits the mucous membranes lining the tion by promoting liver function through various
mouth, lungs, digestive, urinary, and reproductive mechanisms; as sour flavours can reduce stomach
systems. The sweet taste can help to clear a dry acid it also means that the liver needs to produce
throat and lungs by enhancing expectoration. Its less acid-neutralising alkaline fluids. Sour flavours
cooling anti-inflammatory tendencies help to also increase the flow of bile that helps to encour-
remove the intense heat of pitta or ‘-itis’ conditions age digestion of fats. Unripe fruits are sour and are
(e.g. bronchitis). This is also helped by its softening commonly used as digestive chutneys in India.
mild laxative effect. It benefits the complexion, Sour fruits such as amalaki (Emblica officinalis) are
improves hair and nail quality and is the best high in vitamin C and are considered to be anti-
flavour for making a smooth voice. Sweet sub- oxidant, rejuvenating and tonic herbs.
stances that are digested properly will build all the
tissues and create inherent strength. Following the As the sour flavour aggravates pitta and liquifies
principle of ‘like increases like’ you want to kapha it is not usually beneficial in hot and damp
increase your sweet experiences and flavours in life conditions. It is also considered to vitiate the
63
Salt is found in minerals and there are different
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
64
(Piper nigrum) are often used for clearing mucus nant qualities are cooling, drying and light. It cre-
PART 1
congestion or warming a cold condition. Pungent ates space in the body by draining and drying
resins such as guggul (Commiphora mukul) and excess fluids. Too many bitter herbs can literally
frankincense (Boswellia serrata) also invigorate the ‘space you out’ and leave you feeling disorien-
flow of blood, scrape out toxins and reduce choles- tated. Many psychotropics are bitter; e.g. Psilocybe
terol. The aromatic cardamom (Elettaria cardamo- spp. It has a particular affinity for the blood (rakta).
mum) is an excellent digestive for encouraging Bitters are usually classified as ‘alteratives’ as they
sluggish digestion and removing mandagni. Unlike alter the chemical balance of the blood by clearing
the other tastes it does not have a specific taste bud toxins. As they encourage the flow of bile and the
receptor site but works through irritation of local activity of the liver this may account for some of
tissue and nerve endings. bitter’s detoxifying activity. Too much bitter
flavour can weaken the kidneys, reduce reproduc-
Pungent herbs and foods are a panacea for kapha as tive tissue, and cause excess urination, and emo-
they dry the excess moisture and mucus so preva- tionally encourages fear and anxiety. The bitter
lent in this humour. They are often used in lung flavour has a negative effect on the strength of
problems such as asthma or coughs where there is avalambaka kapha and ojas which reside in the heart.
aggravation from mucus and kapha congestion. Again, it is all about an accurate diagnosis and
Pungent herbs are vital for any weight-loss pro- using an appropriate dose for each individual
gramme as they stimulate the metabolism and person.
reduce fat. They directly cook and burn ama as
well as also clearing it via diaphoresis. The heat Whereas in Western herbalism bitters are com-
encourages vasodilation of the pores of the skin monly associated with a tonic effect, in Ayurveda
and encourages the body to sweat, therefore they are considered depleting. The tonic associa-
throwing off unmetabolised toxins through the tion comes from the low dose, digestive-stimulat-
skin. The pungent flavour usually increases vata ing and liver-promoting perspective. The depleting
but, in moderation, it can also help to remove the and cleansing view comes from the experience that
cold stiffness of vata while also encouraging the relatively larger doses of bitter herbs are cooling,
elimination of wind and digestive cramps. The reducing, detoxifying, laxative and diuretic.
heat of pungent herbs irritates pitta and should not Studying and applying the insights of herbalism is
usually be used where there is inflammation, espe- a constant reminder to be specific. Everything is
cially with aggravation of the plasma (rasa) and unique; how you apply the medicine, when you
blood (rakta) tissues. Its drying effect on bodily apply it, to whom it is applied and where it is
fluids can reduce semen and cause constipation. administered. Ayurveda clearly teaches that any
substance can be a food, a medicine or a poison
In excess it creates burning, intestinal inflamma- depending on how much is given, who is eating it,
tion, bleeding, dizziness, thirst, urinary retention, when it is eaten and where it is taken.
lack of semen, reproductive disorders and exces-
sive dryness. Ginger (Zingiber officinale) and The reason that the bitter flavour is found in plants
cooked garlic (Allium sativum) are the exceptions to is often attributed to its ability to defend itself; a
the rule that pungent flavours aggravate vata; in nasty-tasting plant is less likely to be eaten! The
fact they benefit it as they increase digestion and bitter taste receptors are at the back of the tongue;
reduce intestinal gases (Bhavaprakaśa 6.1. 184-188). they are the body’s way of giving us a last line of
Cloves (Syzygium aromaticum), coriander defence. The bitter flavour is found in sesquiter-
(Coriandrum sativum), cumin (Cuminum cyminum) penes, anthraquinones, alkaloids and some glyco-
and fennel (Foeniculum vulgare) are all examples of sides. Plants with these properties are renowned
herbs containing a pungent quality that do not for their anti-inflammatory, antibacterial,
aggravate pitta if not used excessively. antipyretic and digestive secretion enhancing
activities. These compounds are usually found
Bitter (tikta) intermixed with pungent and aromatic or astrin-
This therapeutically priceless taste is created from gent-tasting plants; all drying flavours. Neem
a combination of space and air elements. Its domi- (Azadirachta indica), kutki (Picrorrhiza kurroa) and
65
and mind; this can upset the nervous system caus-
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
66
enuresis, diarrhoea, excess catarrh, leucorrhoea and the constitution and condition of the patient as well
PART 1
premature ejaculation. It holds tissues together and as their subjective experience will all affect the
astringent herbs are often used as a wash to help physiological heating or cooling effect of the plant.
heal wounds. This holding effect also prevents
loose and flaccid tissue from accumulating. Using Hot (us.n.a)
astringent herbs is appropriate to treat sinking Heat warms, dries, invigorates and stimulates the
problems such as prolapses. Its drying effect on the tissues. Just as the sun on a hot day causes the
digestive system benefits diarrhoea by astringing blood to come to the surface of the body, so ener-
the bowel and stopping excessive downward flow. getically hot herbs cause our metabolism to expand
This also helps absorption by drawing fluids and upwards and outwards causing the pores of the
nutrients inwards. But its cold and heavy quality skin to open. Hot substances are high in the fire
can impair agni and reduce the strength of the (tejas) element. Heat increases the metabolism,
digestive fire. Astringents are used for pitta inflam- encourages circulation, causes sweating, light-head-
mations to draw the swelling inwards, cool the heat edness and thirst. Hot substances are usually used
and also drying any damp suppuration. to treat cold, contracted and hypo or sluggish con-
ditions. Beneficial to kapha and vata, it dries damp,
These dry, rough and light qualities are similar to phlegm and warms cold. As ‘like increases like’
vata. Because astringent tastes contract the tissues pungent herbs encourage agni and digestion to
and obstruct the flow of prana and nervous energy function at optimum level. Herbs that are heating
in the system it is usually detrimental to vata. usually contain volatile oils or mustard glycosides
Astringent haritaki (Terminalia chebula) is a notable that stimulate gastric secretions as well as assimila-
exception as, due to its warming energy and sweet tion of nutrients. Usna substances have a particular
post-digestive effect, it is one of the primary vata affinity for the heart, head, liver and lungs and are
tonics. In excess astringent flavours can cause vata commonly used when they are imbalanced but
diseases like rigidity, pain in the heart, convulsions may damage them if used unjudiciously. Pungent,
and retention of gas, urine and faeces (Bhavaprakaśa sour and salty herbs tend to be heating.
6.1.192–194).
Cold (śı-ta)
VI-RYA: THE THERMAL ACTION OF HERBS AND FOODS
Cold natured herbs cool, moisten and sedate the
tissues and metabolism. Rather like the cold of a
This is basic science. Hot substances warm and winter’s day causes you to shiver, energetically
cold substances cool. Herbal formulas are a combi- cold herbs contract the muscles and narrow the
nation of hot and cold remedies that are balanced channels of circulation. They are high in the water
to fit the energetic makeup of the individual and (ap) element. Cold substances are usually used to
their condition. The categories of ‘hot’ and ‘cold’
are not absolutes but guides on the path to balance.
Though they are commonly classified alone they TABLE 3.3 The three degrees of heat
should be considered along with the other guna Degree of heat Heating flavours
qualities of dry, unctuous, light, heavy, penetrating
Hot in the third degree (hottest) Pungent (kat.u)
and soft. In fact, Caraka lists the six secondary
actions (upakarma) as energetic virya. The quality of Hot in the second degree Sour (amla)
virya is always more therapeutically important than Hot in the first degree Salty (lavan.a)
rasa and vipaka. For example, a hot remedy such as
fresh ginger (Zingiber officinale) can be used to heat
the body to cause a sweat that has the effect of TABLE 3.4 The three degrees of cold
cooling the body temperature. Conversely a cooling
Degree of cold Cooling flavours
remedy such as kutki (Picrorrhiza kurroa) can be dis-
pensed at a low dose to stimulate the digestion via Cold in the third degree (coldest) Bitter (tikta)
its other light and dry properties and hence Cold in the second degree Sweet (madhura)
increase metabolism and heat. Other external influ-
Cold in the first degree Astringent (kas.a-ya)
ences such as the time of year that the herb is used,
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Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
68
The specific ‘quality’ of a herb indicates its poten- mucilage or essential fatty acids. Sesame (Sesamum
PART 1
tial therapeutic activity. indicum) seeds and oil are unctuous.
69
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
any excess of the dosas. While they have similar and pills retain their potency longer than fresh
flavours their actions are different. Each has its herbs or powders.
own unique and individual prabhava.
The main forms in which herbs are administered
HERB NOMENCLATURE: SYNONYMS are listed below:
AND PSEUDONYMS
Fresh juice (svarasa)
Prior to the advent of classical botanical classifica- The fresh juice of a plant is a favourite method of
tions herbs were known by many different names administering juicy and aromatic plants such as aloe
according to variable yet identifiable factors; taste, vera, tulsi (Ocimum sanctum), ginger, or brahmi
smell, shape, the specific part of a plant, habitat, his- (Bacopa monniera). The dried plant can also be recon-
tory or animal parts. They are also classed in certain stituted by soaking one part of the plant in two parts
groups according to their morphology, actions, water and leaving for 12 hours before expressing.
properties and uses. Again the senses are para- The usual dose is 1–2 karsa or 12–24ml twice a day.
mount in forming the shape of ayurvedic medicine.
Herbal paste (kalka)
Box 3.4 lists some literal translations of the mean- When a fresh and whole plant is crushed it makes
ing of the herbs: a paste. This is usually used for external poultices
and plasters. Dry material is mixed with water.
Specific vulnerary herbs are neem (Azadirachta
AYURVEDIC PHARMACY AND MEDICINAL PREPARATIONS
(RASAŚA-LA- AND BHAIS. AJYA KALPANA-) indica) and bhringarja (Eclipta alba). When used
internally 1 kars.a is given equal to 12g twice a day.
The ayurvedic pharmacy has developed many
wonderful herbal preparations. As herbs are not Herbal powder (cu-rn.a)
readily assimilable in their ‘raw’ state they are usu- When a dried plant is crushed it becomes a pow-
ally processed to enhance absorption. The form in der. Ayurveda has many famous curnas; triphala
which a herb is taken can greatly affect its potency and trikat.u are both renowned curnas. Powders are
and effect. There are also specific preparations that commonly used to treat internal imbalances and
are indicated for certain diseases or specific plants. are prescribed at 1 karsa of 12g twice a day. They
A large part of ayurvedic pharmacy developed are often mixed with carriers of ghee, honey, sugar,
out of a need to extend the shelf-life of these water or milk.
delicate medicines in the hot and humid
Indian climate. Along with their therapeutic effects Decoction (kva-tha/kas.a-ya)
the medicated ghees, medicated wines, gugguls Ayurveda makes very strong decoctions that are
the mainstay of self-administration in the home in
India. They are a very effective way to take herbal
Box 3.4
medicines as so many of the active compounds in
Translations of the meaning of the herbs
plants are water-soluble. The main disadvantage is
Taste: yashtimadhu—sweet stick, amalaki—sour,
that their shelf-life is short.
mahatikta—very bitter
Smell: ashwagandha—horse-smelling,
One part of coarsely ground dry herb (kvatha
sarpagandha—snake-smelling
curna) by weight is added to 16 parts water by vol-
Shape/morphology: gokshura—cow’s hoof,
ume. This is then reduced to 4 parts of the original
jatamansi—dread-locked mind herb
volume of water. You can also prepare a decoction
Colour: krishna—black, safed musali—white musali,
using a quicker method at a ratio of 1:8:4 if using
Kali musali—black musali
dry plant material. Roots, barks, stems and fruits
Effect: kumari—princess bestowing youthfulness,
are usually decocted. Decoctions are dosed at 2
brahmi—giving the nature of the universal
palas, equal to 96ml a day. To prepare medication
consciousness, gurmar—sugar killer
for a couple of days requiring approximately
Root groups: dashmoola—ten roots
100ml a day, start with 50g of the dry herb, add to
Fruit groups: triphala—three fruits
400ml water, simmer until 200ml remains. Store in
70
an airtight container in the refrigerator for a maxi- for the intestines. They are often complex formula-
PART 1
mum of two days and take cool or warm as tions with elaborate preparation procedures. They
appropriate. are dosed from 5g up to 1 pala of 48g twice a day.
This theory is expanded so that there are milk Medicated wines (aris.t.a, a-sava)
decoctions (ks.ı-rapa-ka kalpana-) where 1 part and tinctures
herbs is mixed with 8 parts milk and 32 parts Decocted extracts (arista) or cold infusion extracts
water and simmered until the water evaporates; (asava) of different herbs are fermented with the
this is very effective for rasayana treatments (e.g. flowers of dhataki (Woodfordia fruticosa) at a ratio
pippali vardhamana where increasing numbers of of 1 part herb to 5 parts honey to 10 parts jaggery
long pepper fruits are taken to treat asthma) as to 25 parts water. They are sealed in a wooden
well as for maximising extraction of lipid soluble barrel and left to transform into nourishing medi-
components such as saponins (cf. arjuna). Herbal cines. They are used as tonics and to stimulate the
stocks (pa.naka) are made by simmering 1 part digestive fire. They are often prescribed at doses of
herb in 64 parts water reduced to half. Rice or veg- 1–2 karsa of 12–24ml twice a day.
etable soups are then made in this stock as a part
of nourishing therapy (brmhana). Although not traditionally used in Ayurveda tinc-
tures are commonly used these days in Western
Distilled waters (arka) countries to administer herbs. Herbs are macerated
The collected vapours resulting from condensed or percolated in water and alcohol with varying
steam; aromatic seeds and delicate flowers are weights and volumes. For example 1 part herb is
often used to make these delicious herbal waters macerated in 5 parts menstruum at a 25% alcohol
that are commonly used for the skin and emotions. ratio for 2–4 weeks and then pressed out. The
resulting extract is then stored and has a long shelf
Hot infusion (pha-n.t.a) life from 1 to 5 years, depending on the herb. This
Delicate leaves, seeds and flowers are usually ratio is written as ‘1:5@25%’ and means that 5ml
infused at a ratio of 1 part herb to 8 parts freshly tincture is equal to 1g herb and thus the dose can
boiled water. This brew is left to steep for up to be accurately measured. A tincture does have a
12 hours. These hot teas are used for vata and kapha special effect on the effect of the medication; the
problems and are commonly prescribed at 2 palas, usna quality of alcohol is added to the preparation,
equal to 96ml twice a day. tinctures are easily assimilated and they spread
quickly round the body. They are usually taken at
Cold infusion (hima) 1–5ml three times a day with warm water, depend-
A cold infusion is used for steeping very delicate ing on the ratio of the extract, the type of herb
aromatic leaves and flowers and in treating pitta used and the effect desired.
disorders. One part herb is steeped in six parts
water. This is usually done overnight when the Gugguls
cooling lunar energy is at its peak. Well-known These compounds are made with a base of purified
preparations are made from guduchi (Tinospora guggulu (Commiphora mukul). The guggulu is boiled
cordifolia), coriander seed, jasmine flowers and in a decoction of triphala to remove impurities and
sariva (Hemidismus indica). They are commonly then fried in ghee and ground to a powder. To
prescribed at 2 palas, equal to 96ml twice a day. make medicinal gugguls it is then triturated along
with other herbs, fresh juices or decoctions of other
Herbal jams and jellies (pa-ka, leha, avaleha) complementary herbs. For example, kaiśor guggulu
These delicious preparations are often used as ton- is an anti-inflammatory preparation where the
ics when there is debility. A primary ingredient is herbs and guggulu are triturated in a decoction of
mixed with herbs, ghee and honey or jaggery. triphala and guduchi (Tinospora cordifolia).
Cyavanapraśa is the most famous of these prepara- Trituration grinds herbs by rubbing and pounding
tions but there are numerous others made for spe- them into very fine particles that are easy to digest.
cific organs; brahmi rasayana for the intellect, Friction also adds its other function of removing
agastya haritaki leha for the lungs and bilva avelaha natural and chemical impurities. This ground paste
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Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
is then baked in an oven, ground to a powder and nourishing and cooling it is often used for vata and
made into pills. Gugguls are specifically detoxify- pitta diseases. One part herb is decocted in 16 parts
ing as guggulu has a scraping action that clears water until 4 parts of the water remain. This is
toxins. They are prescribed in doses of up to 3 masa then mixed with equal parts of ghee and simmered
of 4g twice a day. until all of the water has evaporated. The whole
process can also be carried out in one boiling.
Pills (gut. ika-, vat.i) Brahmi ghrta and Pañcatikta ghrta are renowned
Pills are made by mixing powdered herbs with ghee compounds. Ghrta are prescribed at 1⁄2–1 karsa
sugar, honey, guggul or water and then rolled into (also known as a tola) of 6–12g twice a day.
~
small pills. They are prescribed from 1–2 gunja of
125–250mg twice a day, up to 4 masa of 4g twice Medicated oil (siddha taila)
a day. Made the same way as ghee (1 part herb:4 oil:16
water) these decocted oils are used for massage
Alkaline extracts (ks.ara) and gud.u-chı- sattva and healing wounds, strengthening bones, as hair
The dry herbs are incinerated to an ash and then tonics, skin treatments, medicated enemas, vaginal
mixed with 4 parts water. This maceration is stored douches. They are used at doses of 1–4 prasthas
overnight and then strained through a cloth until equal to approximately 750–3000ml per treatment.
there is a clear liquid. The liquid is then evapo- They are also used for nasal administration to clear
rated until a pure white solid remains. They are sinus conditions where they are prescribed at drop
~
prescribed at a dosage of 1–2 gunja of 125–250mg doses between 2–10 bindu. They can also be taken
twice a day. They are used as scraping, laxative, internally, such as when mahanarayan oil is used
diuretic and digestive treatments. A similar prepa- to clear asthma.
ration, known as a sattva, is made from the fresh
stem of guduchi (Tinospora cordifolia) pulped and Minerals (rasaśa-stra)
soaked and the resultant sediment separated and A large percentage of the ayurvedic pharmacopoeia
dried. It is prescribed at a dosage of 1–2 masa of is of mineral and metallic origin and many formu-
1–2g twice a day for treating fever. las contain some minerals. Their appearance in
ayurvedic medicine (c.800CE) marks a coming
Medicated ghee (siddha ghr. ta) together with the tantric tradition. The ayurvedic
Ghee holds a special place in Indian culture. It is the goal of long life becomes intermingled with the
most pure essence of selflessly-given milk from the tantric yogic goal of immortality. Alongside this
sacred cow. Unsalted butter is slowly simmered for esoteric union is the clear fact that minerals are
about 20 minutes until the water portion is evapo- stronger than herbs, have a longer shelf-life and are
rated and the milk solids have settled to the bottom very effective. Mineral preparations are usually
leaving the pure golden butter oil. It is sweet, cold, ‘killed’ (marana) by being calcified in very hot fires,
heavy and unctuous with a special prabhava of enter- dipped in purificatory (śodhana) fluids (cow’s urine,
ing all seven tissues. Benefits: sweet in taste with herb decoctions or sesame oil) and then ground to
sweet post-digestive effect, enkindles agni, nourishes the finest powdered ash (bhasma). The number of
all seven dhatus, increases ojas, calms pitta, oleates heatings or puta treatments indicates the quality of
the tissues, lubricates connective tissue, reduces vata, the bhasma and this can range from 10 to 1000
carries herbs deep into the tissues, rejuvenating, ben- cycles! They become oxides or sulphides that are
efits the eyes, clears poisons, bestows lustre, pro- chemically unreactive. This means that they are not
longs life, increases intelligence, strengthens the soluble and they are either totally or relatively
brain and nervous system and descends apana vayu. chemically unreactive on the tissues. They are cata-
Do not use in kapha diseases with clear, white dis- lysts that spark a healing process. From mercury,
charges and obstruction to the channels. gold and diamonds to iron and eggshell innate
materials are transformed from their ‘raw’ state to
Medicated ghees are used to nourish the nerves potent medicines. They are prescribed at low doses
and mind. As ghee is so easily absorbed into the from 1⁄2–4 guñja of 62.5–500mg twice a day. Refer to
deeper tissues it is a very beneficial vehicle that Bhagwan Dash’s ‘Alchemy and metallic medicines
carries the herbs deep into the body. As it is so in Ayurveda’ for further details of this vast subject.
72
HERBAL CARRIERS (ANUPA-NA)
PART 1
in his heart to the god Shiva. When collecting
from normal land, one should choose one’s
This is the idea that certain substances either act as
ingredients from the higher ground. Medicinal
catalysts or messengers to the main active herb
herbs which grow on termite hills, in dirty places,
and help carry them to certain parts of the body.
in bogs, in cemeteries, salty ground, or on the
The carriers are either mixed with or taken along-
streets, are not effective. Nor are those which
side the medicine. Known as an anupana they are
have been affected by parasites, fire or frost.
the medium that carries the herbs to their intended
.
destination and enhances or moderates their effect. Śa-rngadhara Sam . hita-
Milk, water, ghee, oil, herb juices, sugar, salt and
honey are all used as vehicles. Herbal medicine is now being legislated by central
governments all over the world in an attempt to
■ Milk counteracts pitta and also encourages the
raise the quality of production standards. The
nourishing effect of ashwagandha (Withania World Health Organisation has set standards on
somnifera) or shatavari (Asparagus racemosus) quality control methods for medicinal plants and
■ Water when hot encourages agni, clears ama and individual nations have also set legal standards
reduces vata and kapha that herbal products must meet; good manufactur-
■ Water when cold reduces pitta ing practice (GMP) with standards akin to the
■ Ghee carries the herbs deep into the tissues, pharmaceutical industry. GMP is a system that
nourishes the nervous and reproductive systems includes assurances, checks and procedures to
and it also has a catalytic (yogavahi) effect on the ensure appropriately safe and effective medicinals
herbs that helps to potentise them are released for therapeutic purposes. These are
■ Aloe vera (Aloe barbadensis) carries herbs to all checks on quality and purity (Box 3.5).
the tissues with a special affinity for the plasma,
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Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
Box 3.5
Good manufacturing practice
■ Appropriate botanical identification in the field to ■ Correct species identification and quality
ensure correct species determination using pharmacopoeial
■ Sustainability of harvesting practices (see below) recommendations including macroscopic analysis,
■ Correct harvesting times to maximise active microscopic analysis, foreign matter, ash tests,
ingredients moisture content, thin layer chromatography (TLC),
■ Correct drying to optimise vitality and maximise high performance liquid chromatography (HPLC)
marker compound ingredients and gas chromatography (GC)
■ Validation of storage facilities, equipment and ■ Organoleptic tests to ensure the ’feel’ is correct;
processes visual identity, colour, smell, friability
■ An effective quality-control management system ■ Microbiological analysis
■ Standard operating procedures (SOP) in place for ■ Heavy metal and pesticide analysis
every process of storage, quarantine, manufacture, ■ Marker compound testing
batch identification, batch traceability, stability ■ Appropriate analysis of the above information to
testing, releasing products, recording complaints ensure that the intended product is released in a
and recall procedures consistent and repeatable form
is hindered and stagnation occurs when too herbs, commonly from the Umbelliferae family,
much of these substances is used. They are such as fennel seed (Foeniculum vulgare) or
mainly unctuous and heavy in nature; e.g. ajmoda (Apium graveolens).
yoghurt obstructs the flow in the channels. ■ Arśoghna: These are antihaemorrhoidal remedies
■ Anuloma: These herbs help vayu to move in its such as chitrak (Plumbago zeylanicum) or ginger
appropriate direction. They are often mild aperi- (Zingiber officinale).
ents and help with flatulence and constipation. ■ Artava janana: Herbs promoting the menstrual
They are usually aromatic and carminative flow such as myrrh (Commiphora myrrha).
74
black pepper (Piper nigrum) all help to detoxify
PART 1
Box 3.6
General principles of dosage the deeper tissues.
■ Daha praśamana: These herbs alleviate burning sen-
Low dose (0.5–3g of herb powder) balances the
natural function of the dos.as and influences the sations in the body, such as sandalwood (Santalum
emotional system album) or coriander (Coriandrum sativum).
■ Dipaniya: These herbs enkindle the digestive fire.
Medium dose (3–9g) stimulates a specific therapeutic
effect that treats a systemic imbalance They indirectly digest ama. They are usually
High dose (9–30g) either drains toxic accumulations pungent, hot and dry; e.g. long pepper (Piper
or tonifies the whole system longum), black pepper (Piper nigrum) and
chitraka (Plumbago zeylanicum).
■ Garbhaśaya: These herbs have an affinity for the
Box 3.7 uterus, such as ashoka (Saraca indica) and roses
General dosage levels (Rosa centifolia).
Adults (12–60 years old) ■ Grahi: These herbs dry the moisture of the body
Tea: hot infusion (pha-n.t.a) 30–96ml of a 1:8 infusion and of the wastes; ginger (Zingiber officinale),
twice daily cumin (Cuminum cyminum).
Tea: cold infusion (hima) 30–96ml of a 1:6 infusion ■ Hikka nigrahana: These herbs are antihiccup such
twice daily as clove (Syzygium aromaticum).
Tea: hot decoction (kva-tha) 30–96ml of a 1:16 ■ Hrdaya: These herbs have a tonic effect on the
reduced to 4 parts two to three times daily heart; arjuna (Terminalia arjuna) and ashwa-
Pills/tablets/gugguls: 250–500mg two to three times gandha (Withania somnifera).
daily ■ Jivaniya: These herbs are life-giving and rejuve-
Tincture: average dose of 1–10ml of a 1:5 ratio three native herbs such as amalaki (Emblica officinalis).
times daily or 1–9ml of a 1:3 ratio three times daily. ■ Jvarahara: These are antipyretic herbs for stop-
Children (5–12 years old) ping fevers including musta (Cyperus rotundus)
1
⁄4–1⁄2 adult dose or divide age at next birthday by 24 to and kalmegh (Andrographis paniculata).
■ Kandughna: These are antipruritic herbs such as
give fraction of dose (this is known as Cowling’s dose)
peppermint (Mentha piperita), turmeric (Curcuma
Babies and young children (0–5 years old) longa) and musta (Cyperus rotundus).
1
⁄5–2 tsp of tea three times daily or give the herbs to ■ Kanthya: These herbs are renowned for their
the breastfeeding mother 20 minutes prior to affinity for the throat; e.g. licorice (Glycyrrhiza
breastfeeding. glabra), long pepper (Piper longum).
■ Kasahara: These are antitussive herbs such as
■ Balya: This means strengthening and these vasaka (Adhatoda vasica) or long pepper (Piper
herbs are tonics. They are usually heavy and filled longum).
with the earth element, like bala (Sida cordifolia). ■ Krmighna: These herbs are specifically for remov-
■ Bhedaniya: These are purgative herbs that forcibly ing parasites and worms; e.g. neem (Azadirachta
expel the solid and liquid parts of faeces. Kutki indica) or kalmegh (Andrographis paniculata).
(Picrorrhiza kurroa) has this effect at a high dose. ■ Kusthaghna: These are herbs that treat skin diseases
■ Brmhaniya: These are nourishing herbs that are such as neem (Azadirachta indica) or manjishtha
full of the water element; e.g. shatavari (Rubia cordifolia).
(Asparagus racemosus). ■ Lekhaniya: These herbs ‘scrape’ the waste residues
■ Caksusya: These herbs improve eyesight; e.g. out of the body by a drying action. They are usu-
amalaki (Emblica officinalis). ally bitter and pungent in flavour; for example
■ Chhardi nigrahana: These are antiemetic herbs such guggul (Commiphora mukul), myrrh (Commiphora
as fresh ginger (Zingiber officinale recens), pome- myrrha), vacha (Acorus calamus), turmeric
granate juice (Punica granatum) or cardamom (Curcuma longa), triphala, barley and honey.
(Elettaria cardamomum). ■ Madakari: These are substances that cause intoxi-
■ Chedana: These herbs actively draw out toxins cation, such as alcohol.
by scratching them from the tissues; guggulu ■ Madhya: Anything that nourishes the mind and
(Commiphora mukul), shilajit (Asphaltum) and intellect, e.g. brahmi (Bacopa monniera).
75
■ Śirovirecana: These are herbs that clear the ori-
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
76
■ Vajikarana: These are aphrodisiacs that increase endangered, under pressure and that should not be
PART 1
sexual desire, strengthen the reproductive system used. Organically-certified herbs that are wild-
and nourish śukra dhatu; e.g. kapikacchu (Mucuna crafted have to be collected under strict guidelines
pruriens), ashwagandha (Withania somnifera). that ensure the sustainability of indigenous popula-
■ Vamana: These are emetic herbs. They work tions, (e.g. The Soil Association’s Standards on Wild
specifically on pitta and kapha that have accumu- Collection). The Convention on International Trade
lated in the stomach. They move upwards and in Endangered Species (CITES) lists the flora and
outwards. High doses of licorice (Glycyrrhiza fauna that are regulated for trade. It divides the
glabra) are emetic as is madanphala (Randia species into three categories (only examples of med-
dumentorium). icinals used in Ayurveda are given here):
■ Varnya: These herbs benefit the complexion and
skin lustre, e.g. aloe vera (Aloe barbadensis), san- Appendix 1 includes species threatened with
dalwood (Santalum album) or rose water (Rosa extinction. Trade in specimens of these species
centifolia). is permitted only in exceptional circumstances
■ Vedana-sthapana: These are analgesic herbs, e.g. (i.e. sustainably grown).
cloves (Syzygium aromaticum) or ashoka (Saraca
■ Kasturi (Secreto moschus)
indica).
■ Kushtha (Saussurea lappa)
■ Vikasi: These herbs destroy the tone of the joints
by loosening the ligaments, e.g. betel nut (Areca Appendix 2 includes species not necessarily
catechu). threatened with extinction, but in which trade
■ Virecana: These herbs are purgatives that move must be controlled in order to avoid utilisation
downwards. They dissolve undigested foods incompatible with their survival.
and expel them, e.g. haritaki (Terminalia chebula). ■ Papra (Podophyllum hexandrum)
■ Visaghna: These are antitoxin herbs that destroy ■ Red sandalwood or rakta chandana
‘poison’ in the system, e.g. neem (Azadirachta (Peterocarpus santalinus)
indica), kutki (Picrorrhiza kurroa) and sariva ■ Sarpagandha (Rauwolfia serpentina)
(Hemidismus indica). ■ Chingali (Dioscorea deltoidea)
■ Vyavayi: These herbs spread everywhere in the ■ Agar (Aquilaria malaccensis)
body and are then digested, e.g. ganja (Cannabis ■ Aloe ferox
indica) and opium (Papaver somniferum).
■ Yogavahi: These are catalyst herbs. When they are Appendix 3 contains species that are protected in
mixed with another herb they enhance its action, at least one country, which has asked other CITES
e.g. ginger (Zingiber officinale), honey and ghee. parties for assistance in controlling the trade
■ Jatamamsi (Nardostachys jatamansi)
HERB SOURCING ■ Kutki (Picrorrhiza kurroa)
A brief comment regarding the sourcing of herbs: Please follow these guidelines. There are many rep-
as the popularity of Ayurveda and natural medi- utable suppliers and I have listed some of them in
cine grows, along with the massive increase in the resources guide at the back of the book. It is up
global population, the burden on nature increases. to us as herbalists and herbal medicine users to
One of the primary reasons for this is that many help protect the sustainability of herbal medicines.
herbs are still harvested from the wild and there is Without this awareness and discipline there will
such a financial pressure on many wild collectors not be the tools with which to apply the incredible
to over-harvest that this is disrupting traditional pharmacology and energetics of Ayurveda.
practices on sustainable harvesting.
In order to be responsible when using herbs, firstly SAFETY AND CONSERVATION OF THE AYURVEDIC
ensure that your supplier or herbal practitioner has PHARMACOPOEIA
a policy on only purchasing material from sustain- The sustainability of herbal medicines is a very
able sources and is aware of the national and inter- important issue and is affecting all users of herbal
national laws regulating the trade of certain species. remedies. In January 2004, Alan Hamilton, a plant
Secondly, become aware of the species that are specialist at the World Wildlife Fund, released a
77
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
paper on the threat to the herbal community faced the natural healing patterns of nature as well as heal
by the indiscriminate over-harvesting of medicinal the endemic destruction of the natural world.
herbs (Hamilton 2004). In this paper he notes that
approximately 75% of all herbs that are used in Some examples:
herbal medicine come from the wild. He also ■ Yastimadhu (Glycyrrhiza glabra) or licorice
stated that there are 50 000 species used as medi- grows all over the world. A large portion of that
cines around the world and that 10 000 are threat- global supply has come from China and Turkey.
ened; this means that a staggering 20% of all Licorice has been in demand for years as a
herbal species used throughout the world are soothing pitta-reducing anti-inflammatory. Its
under threat. So is there a future for herbal medi- over-popularity and lack of controls on harvest-
cine or will the dravyaguna śastra become obsolete? ing mean that Turkey is now suffering a short-
age of wild licorice (Plantlife International 2004).
Why are herbal medicines so important to us?
■ Jatamamsi (Nardostachys jatamansi) or Indian
In medical terms the use of herbal medicines is
spikenard only grows in the Himalayas at alti-
unsurpassed; they have the function of safely
tudes of 3500–5000m and is highly valued for its
strengthening the tissues, immunity and integrity
aromatic vata-calming properties. Apart from its
of the body while also offering the potential to
limited growing habitat it takes three years to
safely cleanse, detoxify and clear wastes from the
grow to full maturity and it has been thoroughly
body. Their broader value is also very significant
plundered to the extent that it has been listed on
(Box 3.8).
the CITES list as a species to be protected from
In a fascinating paper entitled ‘Ethical revolution’ international trade unless it has been cultivated.
written by eminent herbalist David Crowe and pre- Box 3.9 lists some reasons for the threat to herbal
sented to the Dalai Lama in New York in 2003 he species.
suggests that one way of healing human suffering as
well as preventing ecological destruction is to pro- Box 3.9
tect herbal medicines. This will reconnect us with Why is there a threat to herbal medicines?
■ It is estimated that the ayurvedic pharmacopoeia
medical systems, folk medical systems and with 80% of species coming from the wild in China
shamanic healing systems (Hamilton 2004). and up to 99% in Africa (Williams 1996,
■ They form a major resource for the healing of Schippmann et al 2002).
known and unknown diseases. ■ There is increasing pressure on natural habitats as
■ They offer great financial benefits, with the global global population increases.
market being estimated at £11 billion per annum. ■ There is increased financial pressure on low-income
■ They offer spiritual benefits as guides and symbols communities and herbal medicines offer a viable
of power. source of income.
■ They protect indigenous cultural values and ■ It is very difficult to monitor herbal collection.
promote cultural integrity. Having knowledge of ■ Global demand has sky-rocketed in the last decade
local herbal medicines promotes cultural with demand increasing by 10–20% per annum.
uniqueness, respect and value. ■ There is relatively little cultivation of herbal medicines.
78
route I support by using products certified by the
PART 1
Why do herbs come from the wild?
■ That is their natural habitat. Soil Association or other similar certification agen-
■ They often require very specific habitats and cies. Uncertified products are more likely to have
may be difficult to cultivate. come from an unsustainble source.
■ Herb prices are actually very low and so there is
a lack of incentive for farmers to grow herbs as An example of a sustainable management
they can receive a greater income from conven- system
tional food crops. The working document should acknowledge that the
■ They are a relatively accessible source of income key for successful sustainable harvest/collection
to people without land or a regular job. In the over time is adaptive management, i.e. management
higher altitude region of Nepal 100% of the fam- systems that are well-informed of the situation on
ilies harvest herbs and it can account for 15–30% the ground and can react quickly and appropriately
of their income. in the light of possible threats to sustainability.
■ Some authorities consider herbs grown in the
1. All herbs considered for collection to be checked
wild to be more potent and this is reflected in
against local, national and international legisla-
the higher price of up to 30% more being paid
tion and action plans including CITES.
for wild collected American ginseng (Panax
2. Herbs ‘Critically endangered’ on the
quinqufolium) in China as opposed to cultivated.
International Union for the Conservation of
Nature (IUCN) Red List cannot be collected.
What can be done? Cultivation is the only option.
The World Health Organization has recently 3. An integrity management plan to be estab-
released its recommendations for Good lished, maintained and documented. The plan
Agricultural Collection Practices (GACP) and these should be reviewed annually. Adaptive manage-
could be implemented in law on a national level. ment is required in line with the findings of the
Governments could include sustainability clauses integrity management plan to ensure sustain-
in legal documents to ensure that the supply of ability of herbal medicines into the future.
herbal medicines is sustainable. Cultivation could
be encouraged to ensure that extra burdens on the Integrity Management Plan to cover:
wild are reduced. Sustainable wild harvesting proj- 1. Named responsible person taking responsibility
ects could be established. This would involve for the operation and maintenance of the system.
working with the plant collectors, liaising with 2. Collecting and harvesting areas: maps and
government officials, and establishing a relation- approximate hectarage. Areas used for collec-
ship with the forest department. tion must be:
a. geographically identified and detailed on
A crucial part of sustainable wild harvesting is the appropriate maps
use of Wild Collection Plant Monographs. This b. a minimum of 10m from conventional
idea has been drawn up by Klaus Duerbeck, a con- farming areas
sultant of SIPPO (a Swiss environmental consul- c. 25m from major roads, 10m from minor roads
tancy) and implemented successfully in Europe. d. an appropriate distance from other sources
A resource study is carried out to determine which for contamination/pollution.
species thrive in a given area, what is the popula- e. collection areas should be away from paths/
tion density, what needs to be harvested and when trails to maintain the ambience of an area.
and how regularly crops can be harvested without 3. Written procedures to check IUCN status
damaging resources. of herbs considered for collection, plus a justifi-
cation for the harvesting of ‘endangered’ or
I strongly believe that certification is needed to ‘vulnerable’ species.
protect the future of herbal medicines. This certifi- 4. Ecological resource assessment survey for each
cation would inform the consumer whether herbs species being harvested, to include:
have been sustainably grown and harvested. At a. details of ability to sustain the level of har-
present organic certification offers one solution to vesting proposed
the lack of an international standard and this is the b. re-growth patterns for each species
79
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
c. impact of collection on other species in the 8. Procedures for appropriate and ongoing monitor-
collection area ing of collection/harvesting operations to ensure
d. sustainability of annual yield and maximum sustainability of the area and species concerned.
collection levels to be set Procedures for identifying, acting on and record-
e. definition by the operator of the sustainable ing any foodborne diseases contracted by collec-
annual yield tors/harvesters (e.g. 24-hour stomach bugs) so
f. general ecological impact of the collection they don’t collect during illness.
operation and potential threats to biodiversity. 9. Hygiene procedures to ensure all equipment is
5. A register of all collectors/harvesters (includ- clean and free from remnants of previously-
ing farmers collecting from their own land) harvested plants.
involved. List of groups or organisations of col- 10. Procedures for taking samples of harvested
lectors (if relevant) including responsible per- materials and recording and storing them.
son and management structure. Batch size for keeping samples depends on
6. A harvesting plan for each harvesting opera- scale, length of harvesting operation—due dili-
tion, which should detail: gence must be shown. The definition of the
a. person responsible for the operation specification of a batch of herbs should be
b. the collectors/harvesters involved detailed—how large a sample for how large a
c. identification of other users or harvesting batch. Samples of each batch harvested should
operations in the same area plus measures to be taken in line with sample size requirement,
ensure operations are coordinated (i.e. not all recorded and stored to ensure traceability.
harvesting the same patches) 11. Record-keeping systems adequate to maintain
d. controls on collecting/harvesting: appropri- traceability from harvest to point of sale.
ate time of year for harvest, geographical
area, species identification by the harvesters, Details of managerial responsibility for each
possible plants that may be confused with harvesting operation:
the correct species, harvesting protocols, The manager for each harvesting operation must:
quantities, species and qualities ■ Be clearly identified and be familiar with the
e. the environmental management of the oper- collecting area in question
ation to ensure: ■ Have written authorisation from relevant
■ the maintenance of the species being local/national regulatory bodies or whatever is
collected appropriate
■ that the natural plant community includ- ■ Ensure cooperation and coordination with any
ing other species in the area is minimally other collecting/harvesting activities in the area
affected/disturbed concerned
■ that the sustainable yield of the area is not ■ Ensure plants are correctly identified to avoid
exceeded mistaken collection of rare or non-target species
■ that the surrounding areas are not dam- ■ Have an agreement with collectors/harvesters
aged through careless access or other including what is being harvested and how this
activities associated with the operation is carried out.
f. statement of action plan when it is felt that
the sustainable yield may be exceeded. Details of general standards
7. A training programme for all collectors/ for collection/harvesting:
harvesters including: ■ Collection/harvesting must be carried out at
a. plant and species identification appropriate times of year to maximise the effec-
b. quality standard required for each species tive use of the plant resources and to minimise
collected (i.e. time of year to be harvested, environmental impact
part of plant to be harvested, volume to be ■ Collection/harvesting must be restricted to the
harvested, replanting schedule) plant parts required wherever possible.
c. life cycle of plants Collectors should be encouraged to take from
d. hygiene the site only those parts of the plant required, to
e. food safety where appropriate. minimise fertility depletion
80
■ Collection/harvesting must be done in a man- ■ Where plants are critically endangered,
PART 1
ner that is appropriate for each species, in a way endangered, or rare, cultivation should be under-
that is regenerative not degenerative taken to reduce the threat to wild populations
■ If plants reproduce by seed or spore, sufficient and to increase the genetic diversity of the
plants must be left to mature (to reach the repro- species locally. Care should be taken that cultiva-
ductive age and/or to produce seed/spore) tion of such plants does not reduce the genetic
■ If plants reproduce by corms or bulbs, sufficient diversity of the cultivated population.
must be left in an area to sustain the species
■ If plants reproduce by root or rhizome and it is Standard on communities in herb growing
these parts that are being collected, then suffi- areas
cient numbers must be left in the ground for Care must be taken to ensure that the commerciali-
future sustainable re-growth, or rootlets and sation of medicinal plant collection and production
rhizomatous material must be replanted is a vehicle for positive community improvement,
■ Never replant an area with rootlets/rhizoma- and that it does not create social inequalities within
tous material beyond the natural density that communities (see Acknowledgement). The future
existed prior to collection/harvesting for the ayurvedic community and our use of herbal
■ If bark is collected, some form of management is medicines depends upon these communities.
required. It must be collected in a manner
appropriate to the species. Harvesting from As a community I suggest that we add a code of
recently fallen trees is permitted. Harvesting practice to our regulatory standards on a country-
bark from trunks of living trees is by-country basis. This will include a firm commit-
restricted/prohibited. If bark is being harvested ment of ayurvedic practitioners to strive to use herbs
from living trees, it should be removed from the that are sustainably grown or sustainably collected
limbs, not the trunk. Harvest by hand not by and to not use herbs on the CITES or ‘Red’ list.
machine
■ Care must be taken to allow sufficient numbers As herbalists we are in a position of responsibility
of mature plants to remain after harvesting/ with regard to what we can and cannot use in our
collection to maintain the ecological integrity of clinics. We are bound by professional codes of con-
the collection area duct with regard to following the law as it stands
■ Damage to neighbouring species, especially rare in the UK. This means that we are restricted from
or threatened species should be avoided. Special using certain herbs in our practice. In the UK the
care must be taken with species that grow great vidanga (Embelia ribes), sarpagandha
together in a symbiotic relationship or otherwise (Rauwolfia serpentina) and somalata (Ephedra vul-
depend on each other, or where similar species garis) are either banned, off limits to herbalists or
are growing in close proximity dosage is regulated. This we have to accept.
■ Collection/harvesting operations that may lead I believe that by greater representation through
to erosion must be avoided. professional bodies and through attaining statu-
tory self-regulation we may be able to influence
General standards on the approach the availability of these herbs in the future.
to collection versus cultivation The same recommendation stands for ayurvedic
■ Where collection from gardens/farms/wild practitioners the world over.
cannot meet the high market demand without
affecting sustainable yield, cultivation should With regard to the products that we can buy we
be promoted have a choice and we can influence suppliers to
■ Where it is found difficult to maintain raise their standards. Buying sustainably-harvested
consistent quality from collection from and organic material fulfils the ayurvedic objec-
farms/gardens/wild, cultivation should be tives of helping patients’ health while benefiting
promoted the health of the planet.
■ Where collection from widely dispersed plants
is not viable for commercial collecting, cultiva- To conclude, the majority of species are not on the
tion should be promoted verge of extinction but they are threatened. We, as
81
tative incompatibility, an energetic incompatibility,
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
82
lungs, rectum, uterus, and, primarily, via the diges- hence have a longer-lasting effect. In contrast to
PART 1
tive tract. substances that increase liver metabolism, drugs
that slow liver metabolism have an immediate
Stomach acidity effect and can reduce liver function in a matter of
Drugs that reduce the production of stomach acid days. This means that phytochemical herb com-
(antacids that neutralise, decrease or inhibit acid pounds may accumulate in the body and there
production) may also reduce the digestibility of may be an increased risk of side-effects. Hence,
herbs. The solution is to take the medications at the dose may need to be lowered and the fre-
least two hours apart. Certain herbs that improve quency of ingestion may need to be adjusted
digestion may increase the uptake of certain med- accordingly. Some drugs that slow liver metabo-
ications (both herbs and pharmaceuticals included) lism are cimetidine, erythromycin, alcohol,
with ginger (Zingiber officinale) being a well-docu- fluconazole, itraconazole and ketoconazole.
mented example.
Elimination
Motility Active substances from drugs and herbs are elimi-
Drugs that slow or hasten gastrointestinal motility nated via the kidneys. If kidney function is
may either increase or decrease the absorption of impaired then these compounds may accumulate.
herbs. Conversely, herbal bulk laxatives may This increases the chance of accumulating higher-
reduce the absorption of drugs. The remedy is to than-intended dosages of the herb. In such a situa-
take the medications apart and it may be necessary tion it may be wise to lower the dose of the herbs.
to consider adjustment of dosage. Some drugs that impair kidney function are
amphotericin B, methotrexate, tobramycin and
Distribution gentamicin.
Distribution refers to the specific area a medicinal
needs to work on. The tropic affinity of herbs for cer- Pharmacodynamic interactions
tain organs is one of the arts of herbal medicine; the Pharmacodynamic interactions occur between
skill of herbal formulation is to ‘aim’ a prescription drugs and herbs in the body, influencing how
at a certain system. With regard to drugs it is very the drugs and herbs affect the body. An interac-
difficult to assess the potential of drug–herb interac- tion between a drug and a herb may be synergis-
tions apart from if there is a very narrow range of tic or antagonistic, resulting in an exaggerated or
safety index and the drug is highly protein-binding; a lessened effect. Theoretically, drugs and herbs
warfarin and phenytoin are two such examples. that have similar therapeutic activity have an
increased potential of interacting. The highest
Metabolism risk of interaction occurs when simultaneously
Many drugs and herbs are metabolised in the liver, using drugs and herbs that are anticoagulant,
after which they become inactive. If liver metabo- antiplatelet, antidiabetic, diuretic or sympath-
lism increases then the active ingredients are omimetic. Hence it is essential to monitor
‘digested’ more quickly and therefore have a less patients taking such drugs and herbs together.
enduring effect. This effect is not instantaneous as
drugs that enhance liver metabolism do not have Anticoagulants/antiplatelet
an immediate effect; an increase in liver metabo- Drugs: warfarin, enoxaparin, heparin, aspirin,
lism can take some weeks to occur. So, if using dipyridamole, clopidogrel.
medication that speeds up liver metabolism it may
be necessary to use a higher dose of herbs to gain a Herbs: guggulu, myrrh, turmeric, safflower, ginger,
therapeutic effect even for some weeks after the saffron, arjuna, garlic.
medication has been stopped. Some drugs that
increase liver metabolism are phenytoin, carba- Risk when used together: may cause bleeding as the
mazepine, phenobarbitals and rifampicin. cumulative effect of the medicinals may move the
intended therapeutic effect beyond its predicted
If liver metabolism decreases then the active boundary. The reality of this effect depends on the
ingredients remain functional for longer and relative metabolic pathways of the drug and herb,
83
Chapter 3 AYURVEDIC HERBAL PHARMACOLOGY AND PHARMACY: DRAVYAGUN.A AND BHAIS. AJYA VYA-KHYA-NA
the condition of the patient and the dose of the mind the sensitivity of the liver in individuals who
medicinals. Caution is advised. have suffered from hepatitis, alcoholism or liver
damage it is prudent to monitor liver function tests
Anti-diabetics in these individuals. This also seems to be the case
Drugs: metformin, insulin, chlorpropamide, for certain skin diseases such as psoriasis (Blakwell
repaglinide, gliclazide. 1996). In patients with renal damage or with a his-
tory of kidney infections extra care should be
Herbs: gurmar, karavela, black pepper, neem. taken. I recommend that you ask patients on their
intake form if they have ever suffered with liver or
Risk when used together: may increase the effect of kidney diseases and when necessary have the rele-
reducing blood glucose levels, causing hypogly- vant liver or kidney function tests prior to treat-
caemia. When indicated, a reduction in drug med- ment and adjust your prescription accordingly.
ication may be necessary.
Conclusion on safety and toxicology
Diuretics Having drawn attention to some of the
Drugs: loop diuretics (burnetanide), potassium potential risk areas in herbal medicine it could
sparing-diuretics (amiloride, spironolactone, appear that herbal medicine may be unsafe.
triamterene), thiazides (bendroflumethiazide, This is not the case. These points are to highlight
cyclopenthiazide, hydrochlorothiazide). potential risk areas with the intention of maximis-
ing safety in herbal medicine. Herbal medicine and
Herbs: punarnava, gokshura, coriander. Ayurveda have a long history of safe and effective
use both from the point of view of folk medicine,
Risk when used together: if used for controlling self-medication and in the clinical setting. When
hypertension then the synergistic effect may cause used with an awareness of the patient’s appropri-
hypotension. When indicated, a reduction in drug ate diagnosis, pattern discrimination, constitution,
medication may be necessary. digestive strength, sex, age, medication, medical
history and an appropriate knowledge of the
Sympathomimetic herbs used it maximises both safety and efficacy.
Drugs: antihypertensives (beta-blockers,
monoamine oxidase [MAO] inhibitors), anticon- Acknowledgement
vulsants (phenytoin), bronchodilators (ephedrine, The example of a Sustainable Management
epinephrine, salbutamol), decongestants System Standards was written in conjunction with
(ephedrine). Victoria Stoneman and with the help of the
Soil Association’s Standards on Wild Collection
Herbs: ephedra, bala. available from www.soilassociation.org.
84
referrer=parent&backto=issue,5,10;journal, 12,103; plants on biodiversity: global trends and issues.
PART 1
linkingpublicationresults,1:100125,1 Inter-Department Working Group on Biology
Diversity for Food and Agriculture, FAO,
Low Dog T 2002 Safety, toxicity, drug interactions
Rome.
and contraindications of botanicals. Proline
Botanicals Williams VL 1996 The Witwaterrand muti trade.
Veld and Flora 82:12–14.
Plantlife International 2004 Herbal harvests with a
future. Online. Available:http://www.plantlife.
org.uk/html/press_office/press_office_latest.htm Further reading
January 2004
Dash B 1986 Alchemy and metallic medicines in
Rang H, Dale M, Ritter J 1999 Pharmacology. Ayurveda. Concept Publishing
Churchill Livingstone
Harkness R, Bratman S 2003 Handbook of
Schippmann U, Leaman DJ, Cunningham AB 2002 drug–herb and drug supplement interactions.
Impact of cultivation and gathering of medicinal Mosby
85
Chapter Four
The aims of ayurvedic treatment (cikitsa) are to bal- perception and it includes Suśruta’s threefold
ance the dos. as, dhatus and malas, clear any obstruc- methods of diagnosis (trividha pariks.a): palpation
tions in the srotas, reduce ama and to establish a (sparśana), looking (darśana), and questioning
healthy agni, prana, tejas and ojas. These treatments (praśana). Caraka has mentioned that direct percep-
are consolidated by rejuvenation therapy (rasayana) tion (pratyaksa) includes using the five senses
with the result of increasing the quality of life. meaning that listening, feeling, looking, smelling
Treatment is based on: and tasting should also be included. The natural
aversion to tasting and smelling the patient and
■ Diagnosis: the eightfold examinations and the
their excretions means that this information is
ten assessments
obtained by questioning. Later on diagnosis
■ Treatment principles
became systemised according to the eight locations
■ The balance of excess and deficiency
(astasthanapariksa; first mentioned between 1474
■ Understanding the disease process
and 1538 in the Jvaratimirabhaskara of Camun.d.a)
■ Treatment strategies
that should be examined (Wujastyk 2001).
■ Building an ayurvedic formula
■ Recognising the signs of successful treatment The eightfold examinations:
and good health. (as• t• asthānaparı̄ks• ā)
Please refer to Chapter 2 and the section covering
DIAGNOSIS ‘The main characteristics of each dos.a: dos.a laks.an.a
The starting place of a successful treatment is a for further details.
clear diagnosis. ayurvedic diagnostic methods are
founded on the three methods of knowing The following diagnostic examinations should be
(pramana). These are: direct perception (pratyaks.a), taken as part of the whole pattern that emerges
textual authority (aptopadeśa, śabda), and inference from the multiple diagnostic clues, and not in
(anumana). The most clinically useful is direct isolation.
87
Pulse (na-d. ı- parı-ks.a-) Pitta: long, narrow, pointed, inflamed, ulcerated,
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
Investigations include the rate, depth, strength, raised red papillae, swollen and red edges, red
length, quality of the pulse and also revealing the tip. A tongue extended with force, like an arrow,
prakrti and vikrti of the patient. It is essential to reflects high pitta with its sharp and penetrating
study the pulse under the guidance of an adept (tiksna), liquid (drava), and hot (usna) properties.
practitioner. It is a vast subject and is expertly cov- Kapha: large, swollen, thick, soft, wet, covered in
ered in Dr Lad’s ‘The Secrets of the Pulse’. saliva, swollen and wet edges with scallops
indicating mandagni, swollen tip indicating heart
Tongue (jihva- parı-ks.a-) congestion, swollen in the centre indicating lung
It is relatively easy to get accurate information congestion. The kapha tongue just flops out of
from observing the tongue, hence it is covered in the mouth as though it is too large for their
some detail here. Tongue diagnosis includes the mouth. These reflect the unctuous (snigdha),
shape, colour, coating and geographic peculiarities fluid (drava), soft (mrdu), slimy (picchila), smooth
of the tongue (indentations, swellings, lines, (ślaksana) and cold (śita) qualities of kapha.
cracks, raised papillae) and revealing the nature of
the dos.a, reflecting the regulatory function of vyana, Colour
prana and udana vayu, the functioning of agni, qual- Vata: pale, reflecting cold or poor nutrient metabo-
ity of plasma (rasa) and blood tissue (rakta dhatu) lism due to a deficiency of rasa or rakta dhatu,
and the state of ama. purple-blue reflecting stagnation of circulating
vyana vayu from cold. There may be dark or
It is important that the patient extends the tongue black discolorations.
in a relaxed manner and fully extend it without Pitta: red, reflecting high pitta in rasa or rakta dhatu,
being tense. The tongue should not be held out for orange (especially orange sides) from high pitta
too long. If it is necessary to observe for long then consuming rakta dhatu, purple-red due to high
ask the patient to put the tongue back into the pitta condensing rasa and rakta dhatu resulting in
mouth and then extend it again. Observe the viscous and sluggish circulation that in extreme
tongue under a natural light. Certain substances conditions turns a black-red.
like coffee, tobacco and cough sweets can discolour Kapha: pale due to the cold restricting circulation.
the tongue coating. Drinking hot drinks and eating There can also be a pale-blue colour from con-
spicy meals can make the body redder. Certain gestive heart disorders due to aggravated
flavoured drinks may leave an orange coating. avalambaka kapha.
Taking antibiotics can give the tongue a thick coat-
ing or a shiny-peeled appearance. Location
Vata: normally observed at the back of the tongue
A normal tongue is medium sized in relation to associated with the state of the colon.
overall body size, is a fresh pink colour, with a thin Pitta: observed in the middle portion of the tongue
and moist coating without any markings. associated with the stomach and small intes-
tines. The sides of the tongue relate to the liver
Shape and form and many pitta imbalances are seen here.
Vata: small, thin, cracked, dry, deviated, quivering, Kapha: reflected in the condition of the tongue in
short, indentations, sunken concave spots, scal- the front portion associated with the lungs,
loped and dry edges indicating malabsorption chest and heart.
and low agni due to the erratic digestive power of
visamagni, cracked edges, depressed at the back of Coating
the tongue indicating low ojas, cracked just at the Tongue coatings are measured by their colour
front indicating lung dryness. Vata types are often (white, yellow, dirty yellow, pale yellow, black),
anxious about extending their tongue and find it depth (thick, thin) and texture (dry, wet, greasy).
difficult to extend very far. An extremely short The tongue coating is an easily observable marker
tongue is a sign of low ojas. These all reflect the of the efficacy of treatment and the movement of
dry (ruksa), rough (khara), mobile (cala), light disease. If a coating moves from thick to thin it
(laghu) and deficient (kasaya) qualities of vata. is a positive sign, and from yellow to white it is a
88
beneficial sign, and vice versa. If the tongue
PART 1
Vata: bitter, astringent.
becomes dry it is a negative sign. Pitta: pungent, rotten, acrid.
Kapha: sweet.
Vata: dry, non-existent, thin, white
Pitta: yellow, dirty yellow. If it is greasy as well this
Volume and frequency
indicates that pitta and ama have mixed together.
It is worth noting the drinking habits with regard
If yellow and dry the pitta and vata have mixed
to urination, as coffee, tea, some herbs and phar-
together. Pitta can cause a total absence of coat-
maceutical diuretics can all increase the frequency
ing, resulting in a red, glossy, shiny tongue due
and volume of urine.
to intense heat ‘burning’ the coating away as a
sign of excess pitta, causing a weak and deficient Vata: low volume and increased frequency due to
condition from metabolising available nutrients the high amount of dryness (ruksa), cold (śita)
too quickly. and anxiety in the system. Tendency to urinate
Kapha: white, thick white, wet, clear. If the coating at night.
is thick white and greasy kapha and ama have Pitta: high volume, less frequent due to its fluid
mixed together. If the coating is a pale yellow (dravya) and hot (usna) qualities.
then kapha has mixed with pitta. Kapha: high volume, normal frequency. Tendency
to urinate at night.
Central crack
The central crack indicates the flow of prana Temperature
through the heart or spine. If the crack extends to Vata: cold.
the tip of the tongue then it indicates a congenital Pitta: hot.
heart weakness. A deviated crack can indicate Kapha: cool.
spinal curvature. A crack can also appear from high
kapha, causing the two sides of the tongue to swell. Diagnostic signs
These symptoms paint a picture of the internal
Urine (mu-tra parı-ks.a-) fluid metabolism.
Observations include the colour, odour, volume, fre-
Vata: excessive frequency, excessive nocturnal uri-
quency, temperature and times of day and night
nation (more than once), very pale or dark
that urine is passed, revealing the nature of the dos.a.
colour, frothy, cold, moving pain in urethra and
bladder, lack of complete voiding, dribbles,
Normal urine is yellow, straw coloured, passed
incontinence, urinary tenesmus, deficiency of
with ease, no retention or dribbling.
the tissues.
Pitta: dark red colour, burning sensation, sharp
Colour
pain on elimination, acute infections, foul
Urine colour can be affected by the diet, supplements
smelling, reduced frequency.
or herbs. It also reflects the functionality of medas-
Kapha: lack of complete voiding with oedema,
dhatu, ambuvahasrotas and mutravahasrotas as well as
cloudy urine, sweet smelling urine, slow to fin-
the state of vata, pitta and kapha. B vitamins can make
ish urination, lack of force and urination at
urine yellow; beetroots and other red foods can
night.
colour the urine a darker hue, anthraquinone laxa-
tives can give an orange tint to the urine. Ayurveda also includes a method of diagnosis
using oil as an interpretation of the state of the
Vata: clear or concentrated, reflecting the predomi- dosas. Refer to Lad’s Introduction to Ayurveda for
nance of cold or dryness in the system. more details on this.
Pitta: dark yellow, red.
Kapha: pale, turbid, revealing the presence of mucus. Faeces (mala parı-ks.a-)
Observations should include regularity, odour,
Odour colour, form, consistency, and sinking or floating
Foods that are eaten can be detected in the urine, qualities of the stool, revealing the state of the
as with the infamous asparagus aroma. digestive system and the dos.a quality. This is not
89
the most elegant part of the diagnosis but is an Kapha: pale stools due to low agni and a sluggish
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
absolutely essential part of the questioning to liver not secreting enough bile.
establish a correct diagnosis.
Pathogenic symptoms may be black stools, indicat-
Normal stools are light brown, soft, easy to pass, ing upper gastrointestinal tract bleeding, coffee
regular shape, not sticky and without undigested granules, denoting a peptic ulcer, white stools,
food. indicating obstructive jaundice, or dark brown
stools, indicating ama.
Regularity
The motility of the intestines and the transit time Form and consistency
of undigested matter is gauged by how long it This reveals the fibre content of the diet and the
takes for insoluble fibre and undigested food parti- ability of the large intestine to absorb fluids back
cles to pass through the system. into the body.
Vata: has a tendency to constipation due to a dry Vata: small, dry, knotty, ‘rabbit droppings’
(ruksa), rough (khara) and cold (śita) contractile passed with lots of gas due to the dry (ruksa)
nature. May only pass stools once a day or and rough (khara) property of vata. Stool can
every other day. Vata types have a krura kostha also be pencil thin due to intestinal spasms.
that is ‘hard’ relating to poor peristalsis, painful Dryness can also be caused by lack of fibre in
and irregular evacuations. the diet.
Pitta: fast metabolism, mrdu kostha and highly Pitta: loose, unformed, cow-pat-like due to the hot
greasy (snigdha) nature of the intestines encour- (usna), liquid (drava) and oily (snigdha) quality
age regular bowel motions of rapidly-excreted of pitta.
stools twice a day. Kapha: large, moist, elephant-logs, containing
Kapha: regular and slow to pass due to their slow mucus due to the gross (sthula), slimy (picchila)
(manda) quality. They have a madhyama kostha, and unctuous (snigdha) nature of kapha.
giving regular bowel movements.
Diagnostic signs
Odour These indicate the health of the digestive fire, the
The smell of the stools reveals the level of putrifi- state of the internal intestinal flora and the health
cation and gases released. of the lining of the intestines reflecting the balance
of agni, the level of vata and the quality of kapha in
Vata: much gas, stool not smelly due to dry (ruksa) the digestive tract.
quality.
Pitta: like the smell of rubbish on a hot summer Vata: high volumes of gas with concomitant bloat-
day, pitta causes foul-smelling stools due to the ing, discomfort, constipation, hard, dark and
hot (usna) quality. dry stools that are hard to pass. There may be
Kapha: not smelly, although can be associated with rectal bleeding due to the dryness of the stools.
a sweet smell when there is intestinal fungal May experience itching.
infections with large dairy and carbohydrate Pitta: frequently passed, yellow, foul-smelling
consumption. stools. There may be blood and burning. Can
have explosive and urgent movements when
Colour mixed with vata.
The colour of the stools reflects dietary articles such Kapha: sluggish bowels, with large volume of fae-
as high amounts of red foods causing a reddening, ces, feeling of incomplete voiding, itching,
yellow foods causing a yellowing or anthraquinone mucus may be passed.
laxatives causing an orangey colour.
Sinking stools can indicate ama in the system,
Vata: dark, due to concentration of liquids. while floating stools are generally considered to be
Pitta: yellow, green due to excessive stomach acid healthy, except when there may be poor fat diges-
and bile. tion, which can also cause floating stool.
90
Body symmetry (ākr.ti parı-ks.a-) Voice (śabda parı-ks.a-)
PART 1
Observation should include the balanced propor- This includes the sound, pitch and volume of the
tion of the body structure, prominence of bones, voice. The meaning of śabda can be extended to
veins and fat in the body revealing the structural include the other sounds of the body; breath, intes-
aspects of the predominant dos.a. tines and joints, which reveals the predominance
and quality of any dos.a.
Vata: has an irregular bone structure, unusually
tall or short, thin and out of proportion, with Vata: a dry, hoarse and high-pitched or quiet voice.
slender fingers, arms and legs. They have pre- A fast talker, jumps from topic to topic with
dominant joints with knobbly knees and elbows. erratic rhythm and focus. The vata prediliction
They have thin lips, small eyes, dark marks on to expending energy is reflected in their love of
the face, thin facial hair and a pointy, crooked speech. Vata is very sensitive to excess noise.
nose. You can often clearly see the bones on vata Pitta: a loud and sharp voice. Focused, persuasive,
types. dominates conversation, argumentative, chal-
Pitta: has a medium, balanced build with lenging and due to their impatience they tend to
defined muscles. They have medium-sized red finish other people’s sentences.
lips, rosy cheeks, sharp eyes, fair or orange Kapha: a moist, soft, deep and calm voice. A sweet
facial hair, and a medium-sized nose. The melodious voice that is pleasant to listen to.
energy-efficient pitta has a proportionally
balanced frame. Skin (sparśa parı-ks.a-)
Kapha: often has big bones with a stocky body that This includes the temperature, dryness, moisture,
is well built, with wide shoulders and hips. The firmness and smoothness of the skin, revealing the
joints are not easy to see. They often have excess quality of the plasma tissue (rasa dhatu).
fat, especially around the omentum, buttocks
and cheeks. They have broad lips, large eyes, Vata: vata types have a tendency to have dry
luscious eyelashes, thick eyebrows, pale face, (ruksa) skin due to excessive movement burn-
thick facial hair and a big and broad nose. They ing off all lubrication as well as the constitu-
have short and stubby fingers. tional deficiency of nourishing fluids. The skin
looks rough and chapped. Cracks on the hands
Eyes (dr• k parı-ks.a-) and feet are common. Their variable nature
Observation includes the colour, shape and clarity may lead to some oily areas and other dry
of the eyes and reveals the quality of the nervous ones. The veins are clearly visible through the
tissue (majjā dhatu). thin skin. Dry skin problems are a common
vata imbalance. The skin colour is dull, dark
Vata: grey, dark blue or dark brown. Different- and lacking in lustre. They tan easily and their
coloured eyes. Vata eyes are small in relation to cold nature draws them towards the sun. The
the head size and are at irregular levels or close poor circulation may lead to pale lips, nail beds
together. They are often dry eyes that itch. The and skin.
sclera is often dull. The eyebrows will be thin Pitta: pitta is the delicate or mrdu dosa. Their skin is
and irregular. easily aggravated and they cannot tolerate the
Pitta: any light colour indicates pitta. A yellow sun. They are prone to inflammations, rashes
or blood-shot sclera is a common sign when and acne. The skin flushes easily and may
there is excess pitta in the system. Pitta eyes appear red. The skin is commonly freckled or
are light-sensitive and they often require with many moles. As pitta is a by-product of the
sunglasses. They have sharp and piercing blood tissue (raktadhatu) they have deep red lips.
eyes. The eyebrows and eyelashes are bal- A pitta type is easy to spot in an embarassing
anced. situation as they blush very easily.
Kapha: smooth brown colour. Large, oval-shaped Kapha: healthy skin that appears thick and oily.
eyes with a white sclera. Their eyebrows are They have smooth skin. It has a slight ‘pasty’
lush and bushy, often joining in the middle. The look. Their cool nature draws them to the sun.
eyelashes are thick, oily and long. They burn easily but will soon tan.
91
TREATMENT PRINCIPLES
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
Box 4.1
The ten assessments (daśavidhā parı̄ks.ā) Box 4.2
■ Constitutional assessment (prakr •
ti): va-ta, pitta or Techniques used in Ayurveda to treat disease
.
kapha and combinations thereof 1. Reducing (langhana) where there is an excess.
■ State of imbalance (vikrti): imbalances of the dos . as Purification (śodhana) or palliation (śamana) are
•
-
■ Quality of the tissues (sara): deficient, excess and prescribed for reducing any excess pathologies.
vitiated states of the dha-tu 2. Tonifying (br• m •
han• a) where there is deficiency.
■ Quality of the body (śarı̄ra sam . hanana): strong, Sweet and nourishing tonics (rasa-yan• a) are given
weak or average for building strength.
■ Body type (śarı̄ra prama n
- . a): tall, short, large or thin 3. Drying (ru-ks• an• a) therapy is used to alleviate any
-
■ Daily habits (satmya): daily and seasonal routines, excess fluids in the system. Herbs that are diuretic
hobbies, likes and dislikes or remove mucus dry the system.
■ Mental constitutional quality (manas prakrti): •
4. Oleating (snehana) treatments moisturise dryness
including the mental nature and an assessment of and give unctuousness to the tissues by using oily
the functions of intellectual analysing (dhı̄), and demulcent substances.
memory retention (dhr. ti), memory recalling (smr• ti) 5. Fomentation or sweating (svedana) therapy
as well as emotional tendencies reduces coldness, heaviness, stiffness, a-ma and
- -
■ Digestive power (ahara śakti): strong, erratic, trapped heat in the body by using steam and
sluggish, or balanced diaphoretic herbs.
- -
■ Energy levels (vyayama śakti): ability to exercise, 6. Astringent (stambhana) therapy is used to slow the
endurance and capacity excessive flow of bodily fluids with tannin-rich
■ Age (vayas): young, middle-aged or elderly. herbs (Charaka Sam •
hita- Su-trastha-na 22).
92
increased in autumnal ‘windy’ weather causing (Tribulus terrestris) as seeds increase seeds (sperm
PART 1
dry skin. These signs are usually confined to the and ova), while plasma (rasa) is nourished with
typical site of the affected dos.a and remain sweet fruit and vegetable juices like grapes (Vitis
within the normal signs and symptoms for that vinifera), as juice nourishes juice.
dos.a. For example, an excess of vata usually con-
fines itself to the colon, thighs, hips and ears See Appendix 1 (Table A1.5) for a table of which
with the concurrent vata signs of gas, bloating, herbs and foods build or reduce the tissues.
constipation, pain, aversion to cold, stiffness,
rigidity and ringing in the ears.
Deficient (ksaya) or too little heat, moisture, UNDERSTANDING THE DISEASE PROCESS: DOS.A DŪS.YA
physical strength, digestive strength, mental SAM.MŪRCANA
strength and also includes deficient states of See Chapter 2 for a more detailed discussion on
the dos.a and dhatu; e.g. deficient blood tissue pathogenesis and samprapti.
(rakta dhatu) means that there may be anaemic
signs of paleness, shortness of breath and The disease process follows a clear path. A dis-
palpitations. turbed dos.a can upset the digestive fire (or vice
Vitiated (prakopa) meaning that the dosas, dhatus and versa). This creates ama. The dos.a can then mix
agni are aggravated and deranged. They will with this ama and may spread from its ‘home’ site
often mix with other dosas in this vitiated state, and locate at a foreign site and manifest as disease.
causing complex patterns that are difficult to For example, vata can accumulate at its main site in
treat; for example, anaemia caused by pitta, caus- the colon with symptoms of bloating, flatulence
ing complications of insomnia due to high vata and constipation. If the blockage continues and the
arising from the lack of plasma and blood tissue. accumulated vata does not move out then it
See Appendix 1 (Table A1.2) for a chart of the becomes aggravated. It is in the nature of vata to
dhatu in a state of deficiency or excess. move and it commonly rebels upwards. This
immediately upsets the digestive fire, which leads
Excess pathologies are treated using the principle to food not being properly digested. Toxins accu-
of samanya-vaiśesika (equal–opposite) (Caraka mulate and combine with vata and they both ‘over-
Samhita Sutrasthana 1.45, 30.29: ‘Substances having flow’ and locate at a vulnerable site. Vulnerable
properties of heaviness, lightness, cold, heat, vata sites may be the nervous system, ears, bones,
unctuousness get increased when other substances hips or joints. The disturbed agni will also mean
having similar properties are added. On the other that the dhatus are not properly nourished and
hand substances having dissimilar qualities weakness will start. An unstable nervous system
decrease their quantity’). This means using with excess anxiety are the early signs of vata dis-
substances with qualities that are opposite to the ease, while later on arthritis may develop with
disease. In principle, this is an allopathic approach: degeneration of the joint, causing deformity and
for example, cold-inducing herbs are used for pain.
treating heat, dry-natured herbs for damp,
hot-quality substances for cold, and moisture- This pattern of disease follows a set diagnostic pat-
enhancing herbs for dryness; neem (Azadirachta tern according to disease causation and pattern dif-
indica) is a superb heat-clearing herb, while ferentiation known as nidana, which is divided into
cinnamon (Cinnamonum zeylanicum) is renowned five subcategories;
for clearing cold.
■ Nidana: aetiology and disease causation
■ Purvarupa: prodromal disease symptoms
Conversely, according to the principle that like
■ Rupa: disease symptomology
increases like, deficient pathologies are treated by
■ Upaśaya: diagnosis based on trial and error
using herbs with similar properties to the defi-
■ Samprapti: disease pathogenesis.
ciency. In principle, this is a homoeopathic
approach of using similar substances to treat the These categories are defined in detail in such diag-
imbalance: for example, reproductive essence nostic texts as Madhava Nidana, a text written
(śukra) is increased with seeds such as gokshura between 650 and 950CE.
93
Nidāna: aetiology and disease causation ■ Griping or cramping pain
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
Nidana is based on the cause of the disease such as ■ Irritated colon causing the need to eliminate the
low digestive fire or inclement environmental fac- bowel but an inability to do so.
tors. These are usually general causes and are not
especially dos.a specific. For example, in irritable In vataja:
bowel syndrome (grahani) the causes are: ■ Pain, cramp, watery stool, painful diarrhoea,
flatulence during and after digestion, stool is
■ Atisara: diarrhoea/food
liquid mixed with solid, passed with difficulty,
poisoning/antibiotics/food intolerances
exhaustion after passing stools, bloating, exces-
■ Taking too rich a diet for long periods, espe-
sive hunger and thirst, dark circles under the
cially after diarrhoea: brmhana diet with weak
eyes, dry skin, stress and anxiety.
digestive system
■ Poor absorption of nutrients
In pittaja:
■ Eating inappropriate foods for digestive capac-
■ Burning, loose, yellow stools with undigested
ity: prajñaparadha
food, feels hot to pass stool, burning anus after
■ Long-term digestive weakness: mandagni
defecation, sour eructation with bad smell, acid-
■ Parasites (parasites, amoeba, colitis, giardia,
ity, thirst, skin eruptions, spots, aggressive, angry.
Candida albicans): krmi.
In kaphaja:
Pu-rvaru-pa: prodromal disease symptoms
■ Large volume of stool with mucus that is a pale
Purvarupa are the early warning signs before a
colour, nausea, vomiting, loss of appetite, sticky
named disease sets in. They may be general or
sweet taste in the mouth, cough, salivation,
dos.a-specific and their correct identification can
heaviness in the chest, eructation with foul
help direct appropriate preventative treatmement.
smell and sweet taste, suppression of libido,
To continue the example of grahani:
lethargy and tiredness.
■ Thirst, lethargy and heartburn, delayed
digestion Tridoshic:
■ Taking a long time to digest foods, weakness, ■ All symptoms.
acidity increased, bad taste in mouth, loss of
appetite, abdominal distension, borborygmus. Upaśaya: diagnosis based on trial and error
Despite the best intentions and highest levels of
Ru-pa: disease symptomology knowledge the practitioner cannot always discern
Literally meaning ‘form’, rupa classifies the specific the correct pattern. When this happens then it is
signs and symptoms of each particular dos.a imbal- incumbent on them to attempt a diagnosis based
ance according to each disease name. This is on a specific treatment. This may be either similar
pure disease pattern differentiation at its best, to or opposite to the disease. For example, it may
and reveals how Ayurveda can be so specific and be difficult to determine the exact nature and loca-
why it treats the same disease name with different tion of heat–cold, wet–dry or vata–pitta–kapha in
and often seemingly contradictory treatment the body and the practitioner may have to try a
strategies. It guides the practitioner to a set of diagnostic formula that is weighted in a certain
symptoms that may fit a particular pattern and direction. The either beneficial or negative
this in turn guides the vaidya to specific herbs and response results in the provisional diagnosis being
treatment plans. confirmed or denied.
94
- TREATMENT STRATEGIES
PART 1
Sam
. prapti: disease pathogenesis
Samprapti is divided into six different parts and
A successful treatment relies on a treatment strat-
reflects the particular qualities of a disease mani-
egy that is directly related to the diagnosis. A diag-
fest according to each dos.a.
nosis of high vata with obstructed apana vayu in the
lower abdomen due to low agni means that the
1. Sam. khya: this is disease enumeration into the treatment strategy must focus on balancing vata,
different states of a disease. For grahani this is
removing the obstructed apana vayu, increasing
divided into four types; vataja, pittaja, kaphaja
agni and nothing else.
and tridosaja.
2. Vikalpa: this categorises the specific quality of a The main treatment strategies to be considered are
symptom to a particular dos.a. For example, listed in Box 4.3.
vataja grahani can be caused by dry, pungent,
bitter, astringent and overly unctuous cold Treat the dos.a
foods, varied eating habits, overactive mind. Treating the dosas is a primary focus in ayurvedic
Vata gets aggravated and covers the suppressed treatment because any imbalance of the humours
agni manifesting as intestinal pain and cramps, causes disruption to health. Ayurveda makes con-
bloating, anxiety, dry skin, erratic hunger tinual efforts to reduce any excess of the dosas. It
and thirst, darkness of eyes, watery diarrhoea aims to balance all the dosas within the boundaries
with undigested food that is passed with diffi- of each individual’s potential for health. It is a rela-
culty and discomfort, and flatulence during tive situation as some people have a natural ten-
and after digestion. Hence the symptoms are dency to be healthy while others inherit a weaker
vata type symptoms and the disease is ‘of constitution. Everyone has a fixed balance of the
vata’ (vataja). dosas that is determined from conception (Box 4.4).
3. Pradhanya: this refers to when a disease is This is the measure of that person’s optimum health.
due to two or more dos.a and defines which is Under certain circumstances different proportions of
the predominant imbalance; this dictates the dosas may increase and even become deranged
treatment. When there are different diseases (prakopa). For example, in a vata constitution vata
manifesting it is important to prioritise the will increase when there is stress, irregularity and
primary disease in order to prioritise the treat- cold weather. Every vata type will be taxed under
ment strategy. such conditions but even if a vata-reducing lifestyle
4. Bala: this determines the strength of the disease. is followed some will still be unable to reduce the
If all the symptoms (rupa and purvarupa) of a increasing vata. Others will ignore the warning
disease are manifest then it is stronger than if signs, or be unable to avoid them, and the dosas will
there are just a few symptoms present. become deranged and the onset of insomnia and
5. Vidhi: this describes the prognosis of a disease digestive imbalance will ensue. The ability to remain
according to whether it is easy to cure (sadhya), healthy depends on the constitutional level of each
difficult to cure (krcchra sadhya), incurable dos.a, the aggravated level of the dos.a and the
(asadhya), or incurable but can be managed strength of the aggravating forces.
through continuous treatment (yapya). The early
stage of a disease involving only one dos.a is
Box 4.3
usually easy to cure, increasing chronicity and
■ Treat the dos.a
multiple dos.a involvement makes an absolute
■ Treat the agni
cure more difficult. -
■ Treat the dhatu
6. Kala: this relates to the specific seasonal and -
■ Treat the disease (vya dhi)
daily manifestations of a disease. For example, if -
■ Detoxify the whole system and clear ama with
a symptom is always worse after a meal then it
pañcakarma
relates to a vata disease. Hence the importance -
■ Pacify the disease and clear ama with śamana
of effective treatment strategies involving reduc-
■ Treat the gun . as by increasing sattva and reducing
ing excess, nourishing deficiency, drying secre-
rajas and tamas
tions, oleating dryness, sweating out stagnation
■ Rejuvenate with tonics and aphrodisiacs
and astringing leakages.
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Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
96
PART 1
Box 4.5
General treatments for relieving va-ta ■ Grains: rice (basmati, brown, wild), wheat, oats
■ Emphasise foods that are warm, soupy and easy to (cooked) and quinoa are very good. Amaranth is
digest. acceptable. Reduce intake of barley, corn, millet,
■ Eat at regular times, and eat to less than full. buckwheat and rye. Avoid all others.
■ Practise relaxation. ■ Fruits: favour sweet, sour, or heavy fruits, such as
■ Avoid yeast, coffee, tea, tobacco, drugs, and berries, bananas, avocados, grapes, cherries,
extremely spicy foods. lemons, limes, fresh figs, peaches, melons, plums,
■ Favour foods that are warm, heavy, and oily. pineapples, mangoes, and papayas. Cooked apples
■ Reduce foods that are cold, dry, and light. and pears are acceptable, as are soaked prunes and
■ Favour foods that are sweet (e.g. wheat, milk, rice), raisins. Avoid dried fruits, uncooked apples, pears,
sour (e.g. vinegar, yoghurt, umeboshi plums, citrus pomegranates, cranberries.
fruit), and salty. ■ Vegetables: asparagus, beets, cucumbers, carrots, and
■ Reduce foods that are spicy, bitter (e.g. coffee, sweet potatoes are the best. Peas, green leafy
chillies, green leafy vegetables), and astringent (e.g. vegetables, celery, summer squash, winter squash,
apples, beans). and potatoes are best well cooked in oil or ghee with
■ Dairy: all dairy products nourish the nervous mild spices. Seaweeds are very beneficial. It is best to
system. Always boil milk before you drink it, mix avoid the Brassica family; brussels sprouts, broccoli,
with cardamom seeds and drink it warm. Don’t take cauliflower and cabbage. Also avoid Solanaceae
milk with a full meal or eat with fruit. Use organic family; peppers, aubergines, potatoes and tomatoes.
milk. If allergic, substitute with almond or rice milk. Raw vegetables, especially onions, are banned.
Ghee is beneficial. Avoid ice cream and powdered ■ Spices: most of them reduce va-ta, especially
milks. asafoetida, cardamom, cumin, coriander, ginger,
■ Sweeteners: all sweet flavours are good for fennel, dill, cinnamon, salt, cloves, mustard seed,
nourishing the nervous system. Reduce refined black pepper.
white sugar. ■ Nuts: all nuts and seeds are good in moderation,
■ Oils: all oils nourish the nervous system. Emphasise especially soaked.
flax, hemp, sesame, ghee, olive, sunflower, evening ■ Beans: avoid all beans, except for tofu and mung
primrose, borage and fish oils. Use these internally dhal and occasionally red lentils.
and externally. ■ Meat and fish: chicken, turkey, eggs and seafood
reduce va-ta; beef should be avoided.
carminatives, demulcent laxatives and enemas; emotions, in summer, from adolescence to middle
licorice, triphala, linseed and ginger. Then tonify age, from excessive ambition, a hot and damp cli-
the nervous system using nourishing tonics such mate. If out of balance there is a natural tendency
as ashwagandha, bala, safed musali and shatavari. for pitta types to be attracted to these destabilising
influences.
Va-ta-relieving diet (nervous-system-nourishing diet)
How to balance pitta
Use this diet to help relieve nervous tension,
As pitta is ‘hot’, ‘oily’ and ‘intense’ it is aggravated
cramps, pain, anxiety, insomnia, bloating, constipa-
by these tendencies. It is best balanced by their
tion, dryness (Box 4.5).
opposites: cooling, calmness, loving, compassion
and moderation.
See Chapter 2 for more ideas on vata lifestyle.
■ Decrease pungent, salty, sour foods (chillies,
Pitta treatment spices, salt, pickles, fermented foods, i.e. alcohol)
How pitta is aggravated ■ Decrease aggression, competition
Pitta is aggravated by pungent, salty and sour ■ Decrease hot environments
flavours (as they increase heat), in the middle of a ■ Increase sweet, bitter and astringent foods:
meal, at midday, by anger and irritation, repressed grains, fruits, asparagus, lettuce
97
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
Box 4.6
General treatments for relieving pitta olives, papayas and sour, not-yet-ripened oranges,
■ Include aloe vera juice and rose water daily. pineapples, and plums.
■ Avoid yeast, alcohol, coffee, tea, chocolate, cheese, ■ Vegetables: favour asparagus, cucumber, cooked
yogurt, table salt and animal products. Low quality beetroots, sweet potatoes, green leafy vegetables,
oils are a major cause of inflammation. pumpkins, summer squash, broccoli, cauliflower,
■ Avoid sour, salty, and pungent foods. celery, okra, lettuce, sprouted beans, peas, green
■ Favour foods that are cool, refreshing, liquid, sweet, beans. Avoid Solanaceae nightshade family; hot
bitter, or astringent. peppers, bell peppers, tomatoes, aubergines,
■ Eat fresh organic fruits and vegetables. potato (a little is acceptable). Also avoid Allium
■ Reduce foods that are spicy, salty or sour. family; especially raw onions, garlic, radishes. Also
■ Dairy: milk, butter, and ghee are good for pacifying avoid raw beetroots, raw spinach and mustard
pitta. Avoid yoghurt, cheese, sour cream, and greens.
cultured buttermilk; these sour tastes aggravate ■ Beans: avoid all beans except for tofu and mung
pitta. dahl.
■ Sweeteners: all sweeteners are good, except for ■ Nuts: almonds, coconut. Avoid peanuts especially.
honey and molasses. ■ Spices: cinnamon, coriander, dill, rock salt, aniseed,
■ Oils: ghee, flax, hemp, borage, evening primrose, cardamom, fennel, turmeric, fresh ginger and small
olive, sunflower, and coconut oils are best. Reduce amounts of black pepper are good, but the
sesame, almond, and corn oil, all of which increase following spices strongly increase pitta and should
heat. be taken in moderation: asafoetida, dry ginger,
■ Grains: wheat, basmati rice, jasmine rice, barley, cumin, fenugreek, celery seed, salt, and mustard
quinoa and oats. Reduce corn, rye, millet, and seed. Chilli peppers and cayenne should be
brown rice. avoided.
■ Fruits: favour sweet fruits such as grapes, limes, ■ Meat and fish: chicken, pheasant, and turkey are
cherries, melons, avocados, coconut, preferable; but beef, seafood, and egg yolk increase
pomegranates, mangoes, apples, berries, sweet and pitta.
fully ripened oranges, pineapples, and plums. ■ Superfoods: chlorella, spirulina, wheat grass, barley
Reduce sour fruits such as grapefruits, lemons, grass, Kalamath lake algae, seaweeds.
■ Increase cooling drinks: aloe vera juice, rose See Chapter 2 for more ideas on pitta lifestyle.
water, peppermint, coriander
■ Increase calming massage with light oils: Kapha treatment
almond, coconut, grapeseed How kapha is aggravated
■ Increase compassionate meditation and uncom- Kapha is aggravated by sweet, sour and salty
petitive yoga. flavours (as they increase moisture), at the begin-
ning of a meal, morning (6–10am) and evening
Pitta is generally alleviated by clearing pacaka pitta (6–10pm), by greed and possessiveness, in winter,
from the digestive system. Use purgatives, chola- by a cold, heavy and damp natured diet, in child-
gogues and alteratives; amalaki, neem, triphala, hood, from a damp and cold climate, sleeping in
rhubarb. Then use nourishing but cooling tonics the day, lack of movement and laziness. Because
such as aloe vera, shatavari, licorice and guduchi. like attracts like, there is a natural tendency for
kapha types to be attracted to these qualities that
Heat-reducing diet (pitta) (inflammation-reducing tip them out of balance.
diet)
Use for skin inflammations, itching, joint pain, hot How to balance kapha
flushes, acidity, ulcers, anger, irritation, infections, As kapha is ‘slow’, ‘damp’, and ‘heavy’ by nature,
fever (Box 4.6) and has a tendency to be attracted to and therefore
98
PART 1
Box 4.7
General treatments for relieving kapha ■ Fruits: lighter fruits, such as apples and pears, are
■ Avoid yeast, salt, cheese, yoghurt, chocolate, and best. Reduce sweet, heavy or sour fruits such as
refined sugars and flours. oranges, bananas, pineapples, figs, dates, avocados,
■ Avoid overeating, especially at night. coconuts, and melons, as these fruits increase
■ Do not eat when you are not hungry. Do not eat mucus.
between meals. ■ Sweeteners: use honey to reduce mucus. Reduce
■ Do not eat cold foods. sugar products.
■ A primarily vegetarian diet is highly recommended. ■ Beans: all beans are fine, except tofu.
■ Include ginger in your daily diet; take a pinch of ■ Nuts: reduce all nuts.
fresh ginger root with a few drops of lemon juice ■ Oils: reduce all oils; flax, corn and sunflower are
before each meal. acceptable.
■ Favour foods that are light, dry, and warm. ■ Grains: increase barley, corn, buckwheat, quinoa
■ Reduce foods that are heavy, oily, and cold. and millet. Do not take too much wheat, rice, or
■ Favour foods that are spicy, bitter, and astringent oats, as they increase heaviness and mucus.
(e.g. ginger, asparagus, tea). ■ Spices: include all spices except for salt. Salt
■ Reduce foods that are sweet, salty, and sour (e.g. increases water retention and mucus.
cakes, crisps, lemons). ■ Vegetables: increase asparagus, aubergine,
■ Dairy: low-fat milk is best. Always boil milk before beetroots, broccoli, cabbage, carrot, cauliflower,
you drink it (making it easier to digest) and take it celery, garlic, ginger, green leaves, kale, onion,
warm. Do not take milk with a full meal, or with potato, pumpkin, radish, sprouts. Reduce okra,
sour or salty food. Add some cardamom or ginger olives, tomatoes, cucumbers, sweet potatoes, and
to whole milk before boiling it to help reduce any summer squash.
mucus-generating properties. Use goat’s milk or ■ Meat and fish: white meat from chicken or turkey is
water milk down 50/50. A little ghee is fine. Avoid fine, as is seafood. Avoid or reduce red meat and
cheese, yoghurt and buffalo milk. pork.
increase these qualities it is best balanced with Fluid- and mucus-reducing-diet (kapha)
opposites: increase movement, activity, light diet, (diet to clear phlegm, mucus and sticky
warm environment, less oils and fats, more dry accumulations)
foods and environments. Use this diet to clear mucus, heaviness, sinus con-
gestion, thick tongue coating, tiredness, sluggish-
■ Decrease sweet, sour, salty foods (sugar,
ness, high cholesterol, oedema (Box 4.7).
yoghurt, salt)
■ Decrease cold, refrigerated, damp, wet food (ice,
See Chapter 2 for more ideas on kapha lifestyle.
dairy, out-of-season fruits)
■ Decrease sluggishness
Treat the agni
■ Increase bitter, astringent and pungent foods
Another primary aim of cikitsa is the health of the
(asparagus, tea, spices)
digestive system. Its proper functioning is vital to
■ Increase exercise, dynamic behaviour: astanga •
99
A few ayurvedic dietary rules:
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
Box 4.8
■ Leave 4–6 hours between meals with no snacking.
The four types of agni
■ Fresh breath is a sign that the previous meal has
Vis• ama-gni
been digested.
This is an irregular appetite and digestive system with
■ Eating in between meals weakens the agni.
signs of variable hunger, bloating, indigestion,
■ Eating foods with cold, wet and heavy qualities
intestinal cramps, constipation, dry stool,
weakens the agni.
borborygmus and gas. It is common in va-ta types.
■ Drink hot water or ginger water to stimulate
Use sweet and pungent flavours. Include hingashtaka,
agni.
trikatu and chitrak (Plumbago zeylanica) before you eat.
■ Do not overeat or undereat as both disrupt
Tı-ksnāgni
• • digestive power.
Intense hunger but poor digestion is a pitta sign. Also, ■ Treat agni with occasional fasts; use a monodiet
thirst, parched mouth, dry throat, loose stool and a (e.g. khicadi), hot lemon water and a seasonal
burning sensation in intestines. cleanse to keep digestion healthy.
Use mild sour flavours to dilute excess acid. Include ■ Agni is increased by pungent, sour and salty
shatavari (Asparagus racemosus), guduchi (Tinospora flavours, so start a meal with these flavours
cordifolia) and amchur (Mangifera indica) to balance ■ A low dosage of bitter taste taken before a meal
pitta. increases the secretion of hydrochloric acid in
Manda- gni the stomach, increasing digestion.
Weak hunger is a kapha sign. Also slow digestion, ■ Agni-stimulating and increasing herbs are gin-
heavyness after a meal, sluggish bowels, bulky stool, ger, black pepper, cayenne pepper, chitrak
feeling cold, sweet craving, stimulant craving. (Plumbago zylanica), cinnamon, long pepper
Use pungent and bitter flavours. Include trikatu, (Piper longum), guduchi (Tinospora cordifolia),
vacha (Acorus calamus) and cinnamon (Cinnamonum kalmegh (Andrographis paniculata). Use a small
zeylanicum). dose (0.5–1g) before meals to enkindle the
digestive fire.
Sama-gni ■ Agni tonic herbs that build enduring
Balanced hunger and digestion; food is digested within digestive strength are pushkaramoola
4 hours with no excess craving or lack of interest. (Inula racemosa), kushtha (Saussurea lappa),
Use all 6 flavours and a balanced diet to maintain cardamom (Elettaria cardamomum), musta
samagni. (Cyperus rotundus).
■ Yoga exercises to balance agni: stimulating the
fire practice (Agnisarakriya), abdominal massage
Tissue fires: dha-tvagni (nauli), lighting the skull breath (kapalabhati),
Another common factor in disease is the imbalance bellows breath (bhastrika), peacock (mayurasana),
of the tissue fires. If they are excessively active forward bend back stretching pose
then they consume any available nutrients and (paścimottanasana), fish pose (matsyendrasana),
cause tissue wasting; if they are underactive then the sun salutation (suryanamaskara).
they cause an excess of the dhatu and an obstruc-
tion of the channels. Treat the dha-tu
It is vital to the success of the treatment to aim the
See Appendix 1 for herbs that treat the dhatvagni of medicinal formula at a specific tissue where the
each tissue. disease is manifesting. This makes the treatment
precise and accurate.
Therapeutic treatment for balancing agni
The best advice is to follow the body. Try to eat See Appendix 1 for tables describing the following:
when hungry, gently stoking the digestive fire
with small meals and trying not to smother it with ■ The signs of dhatu excess and deficiencies
foods that are excessively cold, heavy or wet. ■ Tissue disturbance (dhatu dusti) caused by the
Do not aggravate it with excess spicy, oily or fried dosas invading the tissues
foods. ■ Herbs that treat the dhatus.
100
ments for each pattern. This is patient-centred
PART 1
The quality of a dhatu can be determined by the
quality and volume of its waste excretions along medicine at its best. Refer to the main texts, espe-
with the presenting signs and symptoms. For cially the Madhava Nidana, for a listing of disease
example, if there is excess mucus in a vata person names and categorisation of the different patholo-
then you may want to look at the quality of the gies of each disease. Along with the holistic ener-
tissue fire in rasa dhatu as it may be unable to getic approach, specific herbs known for their
transform the nutritious food resulting in excess curative effects on certain illnesses are also pre-
mucus. If there is too much mucus in a kapha scribed. For example, the therapeutic action of
type you may just need to address the diet and prabhava tells us what specific diseases individual
the overflowing symptoms will reduce. If there herbs treat; tulsi (Ocimum sanctum) treats fevers
is premature hair loss then you may need to and bilva (Aegle marmelos) treats diarrhoea, almost
address the metabolism of the tissue fire, the diet, regardless of the pathology.
or both, but the treatment should be directed at
regulating asthidhatvagni and eating bone-building See the Plant Profiles for the unique idiosyncrasies
foods. of each herb.
When a dos.a enters a dhatu it can create associated Śodhana: detoxify the whole system
symptoms that exacerbate certain tendencies of the and remove a-ma with pañcakarma
.
dhatu. Taking rasa dhatu as an example; remember Reducing therapy (langhana) uses different cleans-
that rasa dhatu is rooted in the heart, is related to ing techniques (śodhana and śamana) to remove ama
the skin, lymph and plasma, that its secondary (see also the next section) and the aggravated
product is menstrual fluid and breast milk and that dosas. Śodhana is primarily done through the prac-
its waste product is kapha. If vata enters rasa dhatu tice of pañcakarma. Pañcakarma represents the five
there will be more deficient rasa signs with dry- detoxifying therapies that remove the ama that has
ness, cracked skin and poor circulation; if pitta mixed with the dosas. It is usually used for long-
enters rasa dhatu there will be more heat signs term chronic conditions that are stubborn and dif-
affecting the organs associated with rasa, such as ficult to resolve. It is prescribed on a constitutional
skin inflammations, sore throat and fevers and if basis when the patient has sufficient strength and
kapha enters rasa then there will be excess rasa signs in the appropriate season. The weak and elderly
such as damp skin and lung problems with mucus, should not undertake the therapies, nor should
cysts and swollen lymph glands. they be performed in the summer or winter.
Pañcakarma is a specialised subject and its study
Knowing these diagnostic signs and what they and practice takes much time and skill. Refer to
relate to, and most importantly how to differenti- technical literature for further details. Below is a
ate them, are the skills of the physician. summary of the techniques.
Interpreting them correctly, devising an appropri-
ate treatment plan and then selecting suitable These cleansing techniques give a clear insight into
herbs, diet and lifestyle regimen is the best path to the ayurvedic view on the movement of disease.
effective treatment. The process of pañcakarma reverses the sequential
progress of illness through the six stages of disease
Treat the disease (vya-dhi) by guiding the diseased dosas and ama back
It is of course vital that you know the name of the through the three major pathways:
disease. Knowing the ayurvedic name of a disease
allows you to refer to the traditional wisdom, as The inner path (antar ma-rga)
recorded in the texts, on how to treat it. This This is the central passage that runs from the
allows you to make a differential diagnosis based mouth to the anus. It is the entire length of the
on the variable patterns of the disease making digestive tract. Even though it is inside the body it
your prescription specific to the patient’s present- actually comes directly into contact with the out-
ing symptoms and not just a disease name. This is side world. It is the pathway first affected by the
the real gem of practising Ayurveda. The same dis- dosas as it is the site of the first and second stages
ease is treated in many ways, giving specific treat- of disease; accumulation (caya) and aggravation
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Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
(prakopa). The dosas are relatively easy to clear from 1. Therapeutic emesis (vamana): emetic herbs such
here. Pañcakarma draws the dosas and ama back into as madanphal (Randia dumentorium), vacha
this inner path before they are expelled. (Acorus calamus) and rock salt are given together
with strong decoctions of licorice (Glycyrrhiza
Outer path (ba-hya ma-rga) glabra) to clear kapha and pitta from the stomach
This is the periphery of the body including the rasa and lungs.
and rakta tissues. When disease appears here it has 2. Purgation (virecana): strong cathartic and
already entered the third stage of the disease process laxative herbs such as jaiphal (Croton tiglium),
(prasara). It has started to spread through the lym- aragwad (Cassia fistula), haritaki (Terminalia
phatic system and tends to manifest on the skin. chebula) or castor oil (Ricinus communis) are
given to clear pitta and kapha from the
Middle path (madhyama mārga) intestines.
In between the inner and outer path, the middle 3. Enemas (anuvasana and niraha): in anuvasana
path houses the vital organs of the brain, heart, basti enemas, unctuous medicated oils and
lungs, liver, bladder and reproductive system. The ghees are used for pure vata diseases where
remaining tissues of muscle, fat, bone, nervous and there is good digestion. For niraha basti
reproductive tissue are also held in this central enemas, herbal decoctions using vata reducing
reservoir. When an aggravated dos.a arrives here herbs and formulas, such as dashmoola and
disease has already started to locate and manifest rock salt are used in vata diseases where
(the fourth and fifth stages of disease; relocation digestion is weak.
(sthanasamśraya) and manifestation (vyakti)). The 4. Nasal cleansing therapy (nasya): the head is
deepest tissues of the whole system are now steamed and medicated oil, such as anu tail, is
‘infected’ with imbalanced dosas and ama. This is applied to clear diseases from the head.
the main site of chronic disease and the final and 5. Blood-letting (raktamocana): pitta and blood tox-
sixth stage of disease is expressed here; the unique aemia is reduced by either giving blood or, more
characteristics of the disease (bheda). traditionally, by leeches. Suśruta introduced the
used of blood-letting instead of one of the basti
As vata is the energy behind the actual movement treatments.
of disease it must be pacified to return the disease
along the path that it came. This is the purpose of After pañcakarma should always come a period of
pañcakarma; to oleate and sweat the subtle chan- tonification (brmhana) and rejuvenation (rasayana).
nels, to enkindle the digestive fire, to calm vata and This means using tonic herbs and a nourishing
loosen the aggravated dosas. This has the effect of diet. Ayurveda does not just leave a clean system,
purifying the opening of the channels so that the it nurtures it back to full strength. See the section
disease can flow back from the middle and outer below on treating the gunas.
paths to the inner path from where it can be
expelled. This is the theory behind the clinical Pacify the disease and remove a-ma
excellence of ayurvedic medicine. with śamana
Where pañcakarma is inappropriate due to the
Each level is carried out stage by stage. Firstly, strength of the patient, the season or lack of avail-
the accumulated dosas and ama must be loosened. ability, simple restorative treatments can be car-
Medicated oil massage (snehana), steam treat- ried out. This is known as śamana and results in
ments (svedana), digestive herbs and a simple the pacification of the disrupted dosas. Anyone
diet are used to help to dislodge the toxins that can incorporate these practices into their daily life
have become fixed in certain parts of the body as it is a medical treatment as well as an excellent
and to guide them back to the digestive tract. preventative. It is a perfect regime for anyone
When this is finished the system is prepared for whose health is compromised or who has a sensi-
the treament that helps to evict the dosas. The sec- tive constitution. This treatment strategy is most
ond stage is the acts of cleansing. These are car- amenable to use in the western clinical setting
ried out sequentially with a five-day rest in and most lifestyles. It is practical, applicable and
between: effective.
102
are a tongue coating, bad breath, tiredness after
PART 1
Śamana
1. Dipana: enkindling the digestive fire by using eating, lethargy, feeling muzzy headed.
pungent, hot, drying herbs to stimulate the agni.
2. Pacana: digesting ama toxins and undigested Āmapacana uses many of the same herbs as dipana
residues. but instead of taking them before a meal they are
3. Vrata or ksun–nigraha: fasting. taken afterwards and usually at double the dose.
4. Trsna or ern–nigraha: fasting from water. These hot herbs literally burn the ama. The indica-
5. Vyayama: exercise and yoga. tion for using pacana is when there is hunger but
–
6. Atapa: lightening, drying and reducing the dosas not enough ‘fuel’ to fan the digestive flames. These
by sitting in the sun and raising the metabolism. spices are the fuel. Of course, when there are
7. Maruta: lightening and drying the body by sit- already inflammatory conditions, such as ulcers,
ting in the wind and by breathing practices. caution must be taken.
■ Vata mixed with ama (sama vata) affects the
1. Dı-pana: enkindling the digestive fire
colon causing stagnation in the lower abdomen;
The digestive fire is enkindled like a fire is built.
constipation and bloating are followed by pain,
Just as laying little bits of dry wood onto a fire
diverticulitis and may progress to arthritis and
feeds the flames, light and easy-to-digest food will
sciatica.
help the digestive system to grow stronger. On the
■ Pitta mixed with ama (sama pitta) upsets the
other hand a big damp log will cause a fire to
centre of the abdomen and stagnates the liver,
smoulder, just as a heavy rich meal is hard to
gallbladder and small intestine as well as the
digest and can clog the whole system. One of
blood as a whole. As pitta is hot and oily it
Ayurveda’s central tenets is that ‘like increases
creates hot and damp inflammatory conditions
like’. Fire is increased by fire and, in order to build
in these areas and can cause a bilious liver,
the strength of the digestion, fire-like and pungent
ulcerated mucous membranes and infected
spices such as dry ginger and long pepper are
blood.
taken before meals. These agni-activating herbs can
■ Kapha mixed with ama (sama kapha) stagnates in
be used constitutionally; fresh ginger for vata, long
the stomach, chest, lungs and nasal area.
pepper for kapha and the warming but not exces-
Because the nature of kapha is to be wet, cold
sively hot coriander seed for pitta. Use about 1–2g
and heavy it has these effects in these areas
of each before a meal, then follow a sensible diet to
causing copious mucus, sinus congestion and
optimise healthy flames:
lymphatic congestion.
■ Avoid: cold things, ice, too much refrigerated Specific methods of reducing ama are listed below:
water, salads in winter, eating without hunger,
eating too much for your digestive capacity. Herbal therapy
■ Increase: light eating, warm meals, hot water, The bitter flavour reduces, dries and drains ama.
eating a small piece of fresh ginger mixed with The pungent flavour destroys and digests it. The
lime juice and salt before a meal, having a optimum method for the treatment of ama is the
short walk before you eat. combination of these flavours. Here are some
examples of herbal combinations to clear ama
–
2. Amapa-cana: removing toxins mixed with each dos.a:
Whenever there is low digestive fire ama accumu-
■ Sama vata: 1 part ginger (Zingiber officinale) and
lates. It is a sticky, thick, wet substance that blocks
1 part guggul (Tinospora cordifolia)
the channels of circulation (nutritional, nervous
■ Sama pitta: 1 part turmeric (Curcuma longa) and
and mental); this is the germ of all disease (sro-
1 part daruharidra (Berberis aristata).
torodha). It lowers immunity, stagnates energy and
■ Sama kapha: 1 part long pepper (Piper longum)
dulls the mind. We all have some in varying
and 1 part guduchi (Commiphora mukul)
degrees. Some examples of diseases mixed with
ama are high cholesterol, Candida albicans, hepatitis, NB: be careful of excess use of bitters in a sama vata
asthma, chronic fatigue syndrome, allergies, gall- condition or of excess pungent for pitta types.
stones, arthritis, and tumours. Other signs of ama Herbs for reducing ama:
103
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
104
4. Tr.s.n.ā or tr.n nigraha: fasting from liquids
PART 1
(bhujangasana), bow (dhanurasana), fish (mat-
•
This means to fast from liquid intake. Extreme as syasana), shoulder stand (sarvangasana), triangle
•
this may sound, it can be very beneficial in water pose (trikonasana), matsyendra’s pose
diseases and kapha imbalances such as oedema, (matsyendrasana), twists, forward bends, abdom-
diabetes or kidney problems. It reduces the stress inal lock (uddiyana bandha), abdominal churning
on the water channels in the body (ambuvahasrotas). (nauli), alternate nostril breathing (nadi śodhana)
It also has the emotional affect of confronting your and the cooling breath (śitali pranayama) all help
inner thirst which, when out of balance, can over- to balance excess heat in the system. To balance
flow into desire. Grasping and holding onto sen- pitta yoga should be practised slowly to regulate
sual experience may manifest as a ‘thirst’ for food, and moderate the system.
drugs, or extreme experiences. Fasting from liquid ■ For kapha there are lung-expanding, thyroid-
can help to redress this imbalance. Always follow and kidney-strengthening and metabolism-rais-
the guidance of a trained health professional when ing exercises. The dynamic sun salutation (surya
fasting from liquids. namaskara), camel (ustrasana), bow (dhanurasana),
wheel (cakrasana), locust (śalabhasana), fish
5. Vya-ya-ma: exercise (matsyasana), two angled pose (dvikonasana),
Exercise is good for you. But what sort of exercise lying spinal twist, neck lock (jalandharabandha)
is best? The modern phenomenon of sports mas- and bellows breath are all beneficial. To balance
sage therapists and physiotherapists as well as the kapha yoga practice should be vigorous and
steep increase in obesity and diseases related to a invigorating.
sedentary lifestyle suggest that many of us are not
-
taking the correct type of exercise in the appropri- 6. Atapa seva: sunbathing
ate amount. Ayurveda supports all exercise as long This treatment is very useful for lightening the
as it is the one for you. Pounding the heavy con- body, increasing the agni and treating bhrajaka pitta.
crete streets is not appropriate exercise for a vata Many conditions are improved by sitting in the
type with a constitution with such a delicate bone sun; certain types of eczema, psoriasis, arthritis,
structure. Vata types should do more relaxing and depression and water retention to name a few.
gentle exercise. Kapha people can do more vigorous Again it all comes back to who is doing what, how
exercise and it should be done regularly. Pitta and when. With the present holes in the ozone
should exercise regularly but moderate their ten- layer everyone must take care, especially fair-
dency to compete and push themselves. skinned pitta types, and should take extra precau-
tious and apply aloe vera gel when they go out in
Although the classical texts do not mention yoga the sun.
the two disciplines have blended over the last few
hundred years. There are yoga practices that can 7. Ma-ruta seva: wind-bathing
be used to reduce the dosas, strengthen the dhatus, This practice of receiving air is wonderful. How
increase agni and calm the mind for each humoral often do we just go outside and breathe? It specifi-
type: cally relates to the yogic practice of pranayama and
of becoming inherently tuned into deep slow
■ For vata there are pelvis-opening, balancing, breathing using a deep inhalation and long exhala-
inverse and lower abdominal manipulating tion. It is about imbibing prana; the life force surfs
poses. The forward bend (paścimottanasana), on the breath and flows deep into our tissues.
squatting poses, crow, tree pose (vrksasana), Specific problems such as asthma, bronchitis and
eagle pose (garudasana), plough (halasana), cat emphysema greatly benefit from this practice. Also
(marjarasana), equal breath (sama pranayama), people with a tendency to experience excessive
perennial lock (mahabandha) and humming bee anxiety and fear in their lives benefit from watch-
breath (brahmari pranayama) all help. To balance ing the breath flow in and out of themselves. It bal-
vata yoga practice should be calming, grounding ances pranavahasrotas, the channel carrying the
and relaxing. life-force around the system. This has a direct
■ For pitta there is an abdominal focus with long effect on the nervous system and manovahasrotas
limb stretching and inverse postures. The cobra of the mind. In fact the breath is the connecting
105
ayurvedic tonics are chayawanaprash, ghee and
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
106
■ Good digestion without any signs of discomfort,
PART 1
excess kapha from rasa dhatu, and to tonify the slug-
gish digestive fire. The following herbs could be belching, flatulence or borborygmus
selected: ■ Clear voice
■ Relief from any pain or discomfort
■ Disease-specific: vasa (Adhatoda vasica) is a spe-
■ Proper functioning of the senses; hearing, feel-
cific herb for treating asthma and also reduces
ing, seeing, tasting and smelling
kapha
■ Clear complexion
■ Dos.a-specific: pippali (Piper longum) treats kapha
■ Appropriate length and quality of sleep; 6–8
dos.a and treats phlegm
hours/night
■ Dhatu-specific: dry ginger (Zingiber officinale)
■ Regular elimination of stool, urine and sweat
treats kapha in the rasa dhatu
■ Constant energy with good stamina and ability
■ Agni-specific: tulsi (Ocimum sanctum) increases
to exercise
agni and clears phlegm and asthma.
■ Enthusiasm for life
Thus combined, the synergistic effect of the for- ■ Balanced emotions; neither too happy with suc-
mula balances the forces that our health hangs on: cess nor too sad in times of difficulty
dos.a, dhatu, mala and agni. ■ Regularly compassionate, generous and calm.
107
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
CASE STUDIES
The purpose of these case studies is to give some ■ Nourish the plasma tissue
simple examples of how to arrive at an accurate ■ Strengthen the digestive fire
diagnosis based on the presenting signs and symp-
toms of the patient, form effective treatment princi- The treatment principle is to first normalise her
ples and then create a unique formula based on bowel movements and digestion. She took triphala
this pattern differentiation. (a mix of amalaki, haritaki and bibhitaki) 4 pills at
night with 1 teaspoon of psyllium and hot water.
CASE STUDY 1: INSOMNIA She started to sip hot ginger water throughout the
A 32-year-old woman presented with insomnia as day and then to take 1⁄2 tspn hing-hashtaka with her
her primary complaint. On further enquiry she food. She was asked to only eat warm food and if
revealed that she was always bloated by the end she was under stress to avoid too much solid food
of the day, only had a bowel movement every (eating preferably soups). She took the main for-
other day and had recently been aware of her mula as prescribed
heart racing when under pressure. She also has
dry skin, low body weight and a light menstrual Her bowels soon normalised. The awareness of her
flow. She worked for a legal company, working to heartbeat and the feeling of having a tight chest
tight deadlines. Her appetite was good, in fact if stopped altogether. This helped enormously. She
she did not eat regularly then she felt weak. has now learnt a simple meditation technique and
Despite her hunger she did not always digest her feels much more in control of her life.
food well.
Box 4.10
Tongue: small, thin, pale, small cracks in the cen- Formula: insomnia
tre, dry and dirty coating at the back. Disease-specific (vyādhi pratyanı-ka): jatamansi and
tagarah 20g
Pulse: thin, weak, no depth, a little rapid and Dos.a-specific (dos.a pratyanı-ka): ashwagandha 15g
strongest at the distal point. Dha-tu-specific (dha-tu pratyanı-ka): amalaki and
licorice 10g
Diagnosis Agni-specific (agni pratyanı-ka): cardamom 5g
The diagnosis is high vata, with ama in the lower 1 tsp twice a day with warm almond milk
abdomen and deficiency of plasma tissue (rasa
dhatu). The disease category is insomnia (anidra)
with poor digestion (ajirna). CASE STUDY 2: ACIDITY
A 45-year-old man came complaining of heartburn
The high vata is fanning her digestive flames but after eating. He had hypogastric distension, burning
also disturbing her digestive ability to absorb the feelings in his stomach and chest and a sour taste in
food, hence the bloating. The constipation comes his mouth. He had loose bowel motions and a
from anxiety and tension in the tissues. The pri- strong appetite but did not feel that he digested
mary complaint, insomnia, is caused by stress and everything properly. He had a red face, felt warm
vata rebelling upwards instead of moving down and was very active but occasionally felt dizzy if he
and out. The high vata is bringing an excess of dry- was stressed. The heartburn was aggravated by
ness (ruksa) and lightness (laghu), which weakens wine, vinegar, spicy food and eating late at night.
the plasma tissue’s ability to nourish the heart and
keep her grounded. Tongue: red body with a thin yellow coating at the
back.
Treatment principle
■ Normalise bowel movements and descend vata Pulse: rapid and jumpy. Very wiry in the middle
■ Calm the nervous system position in both arms.
108
Tongue: small, dry, cracked in the middle with some
PART 1
Diagnosis
The diagnosis is high pitta in the stomach with an red spots on the sides. Quivering and pale body.
intense (tiksna) digestive fire that is disturbing the
digestive system and causing ama. The disease cat- Pulse: weak, thin and faint all over but wiry in the
egory is acidity (amlapitta) and diarrhoea (atisara). middle positions.
109
Chapter 4 AYURVEDIC THERAPY AND TREATMENT: CIKITSA-
110
Chapter Five
By knowing one science alone one cannot arrive at a proper conclusion. Therefore a physician should
study other sciences in order to arrive at a correct diagnosis
Suśruta Sam.hita- Su-trastha-na 4.6
This chapter is an attempt to find some connec- As discussed in Chapter 2, Ayurveda reduces all
tions between ayurvedic theory and modern sci- of matter to the five elements (pañcamahabhuta,
entific understanding. Ayurveda and energetic Box 5.1). These are understood to be the frame-
medicine as a whole are sometimes criticised for work of nature. They too are influenced by the
being too general; their holistic concepts appear natural forces of temperature, pressure and vol-
alien to the scientific mind. Whereas Ayurveda ume. We can say that the ayurvedic theory of
perceives the body as a matrix of interconnected matter shares some characteristics with the
systems, allopathic medicine focuses on the scientific view.
detail of the individual parts. Ayurveda excels at
understanding the whole picture, allopathy at When we go on to look at the different groups of
determining the minutiae. I am interested in how elements we can find correlations between them
each perspective can enhance the horizon of the and the humours. Gases such as hydrogen,
other. Here we can explore how allopathy can be helium and oxygen seem to have similar natures
understood more fully through ayurvedic con- and qualities as vata; they are light and ethereal.
cepts and vice versa. Although the comparisons Pitta is found in the reactive metals of phospho-
are not always exact, they reveal that the funda- rus and magnesium which share reactive, meta-
mental theories of Ayurveda are universal. bolic and combustible qualities. Kapha is found in
the heavy and denser elements of carbon, iron
ELEMENTAL AYURVEDA and the metals that are the solid building blocks
of matter. This shows that at room temperature
Chemistry is the science of matter. Simply put, the some of the elements are vata gases, some pitta
scientific understanding of matter is based on the interactive liquid–solids and some are kapha
atom that is made from a nucleus, protons and elec- non-reactive solids.
trons. Atoms combine to make molecules that form
the various states of matter. They literally give form
to our world. These states of matter can be solid, AYURVEDA, ATOMIC STRUCTURE AND PHYSIOLOGY
liquid or gas depending on various factors such as Here I want to explore some similarities between
temperature, pressure and volume. Water is a clear the dosas and modern physiology.
example; at room temperature it is liquid, below 0˚C
it is solid and above 100˚C it is a vapour (see Va- ta
Bloomfield & Stephens 1996). Vata can be seen as the master control system. Its
co-ordinating nature is mirrored by the regulatory
We can look at how these scientific concepts function of DNA existing in the nucleus of every
relate to the ayurvedic understanding of matter. cell. Vata is the regulator that facilitates and
111
of control. Pitta’s character also relates to the func-
Chapter 5 THE SCIENTIFIC BASIS OF AYURVEDA
mitochondria and is the universal currency of and metabolism, is seen in the molecular energy
energy. The mitochondria are often referred to and release of adenosine triphosphate (ATP) that
as the ‘powerhouse’ of the cells and pitta is the occurs in cellular metabolism. On the atomic level
powerhouse of metabolic functions. Pitta both electrons hold huge potential and when electrons
releases and manages energy. Some of pitta’s are freed from their orbits huge amounts of energy
physiological activities can be correlated to are unleashed. In molecules such as ATP the energy
some of the functions of amino acids that help is held in high-energy phosphate bonds and is
to build enzymes and hormones. released when these bonds are broken.
-
■ Wind (va yu), the force of motion, is reflected in the
These enzymes and hormones are the metabolic movement of electrons circulating around the
controls of the body that reflect pitta’s digestive, electron rings.
combustive and developmental functions. Like - -
■ Ether (aka śa), the subtle element that fills space, is
pitta these functions are dominated by the ele- the space that exists within the atomic structure
ments of fire and water. They are liquid and meta- and is at the centre of the nucleus (M Athique,
bolic. The water controls the fire from raging out unpublished work, 1997, 1998).
112
to puberty and from middle age to old age so it is The embryo
PART 1
the release in hormones that influence the different The development of the embryo is also divided
stages of maturity. into three distinct layers. The unified egg cells
divide into the ectoderm, mesoderm and endo-
Kapha derm. The ectoderm relates to the outer covering
At a cellular level kapha gives structure to the and develops into the nervous system and skin
cell and is found in the fatty acid phospholipid that are both influenced by vata. The mesoderm,
bilayer that makes up the cell wall. Kapha col- the middle germ layer, develops into the vascular
lects in all other lipid tissue in the body as it system that includes the blood, lymph, heart, mus-
coats and protects the inner organs. Its predomi- cle, bone and urinary systems that are primarily
nance of the earth and water elements appears pitta in nature. (Although bone is frequently associ-
as the moisture in the body; interstitial fluids, ated with vata, some of its functions, such as man-
intercellular fluid, cytoplasm, synovial fluid, aging red blood cell production from the bone
cerebral fluid and the myelin sheath. It also marrow, can be related to pitta.) From the endo-
plays an important role as connective tissue that derm, the inner germ layer, comes the inner layer
is an interwoven matrix of tissue that links the of the mucus membrane lined digestive tract, res-
tissues of the body together. Kapha is the con- piratory system and urinary system that are regu-
tainer just as the earth contains water: cytoplasm lated by kapha.
within cell wall, blood and lymph in the vessels,
tissues within skin, chyme within the gastro- This three-tier pattern is then replicated in every
intestinal tract, and the neurons within the structure in the body from blood vessels, to bones
myelin sheath. to organs and to the mucous membranes; they
each have an inner epithelium layer through which
These structural and cohesive roles reflect the substances pass (vata), a middle layer containing
anabolic and creative kapha tendencies that exist muscles, blood and lymph (pitta) and an outer
internally. Interestingly, substances that are con- serous layer that holds structures together and
sidered to build kapha also increase semen, ova binds to the organism as a whole (kapha).
and reproductive essence; seeds, nuts, fruits and
tonic roots. Kapha is about creating, building and Digestion
holding onto energy. Kapha diseases often involve Another connection between ayurvedic theory
too much of this ‘holding’ tendency with conges- and modern physiology is the process of diges-
tive heart disease, high cholesterol levels and tion. The functional processes of vata, pitta and
obesity being examples of diseases with patterns kapha are mirrored by the activities of ingestion,
involving accumulation and congestion. digestion and assimilation. For example, if diges-
tion moves too fast (vata) food cannot be digested;
too slow and it putrefies (vata); too much digestive
AYURVEDA AND BIOLOGICAL FUNCTION secretion (pitta) burns the stomach and intestinal
As we have seen the ayurvedic dosa system is a tri- lining; too little digestive secretion (kapha) means
partite model of natural processes. The processes that the food is not broken down. This link is fur-
of regulation–coordination, combustion–transfor- ther represented by the metabolic processes of
mation and generation–cohesion are represented catabolism, metabolism and anabolism, which
by the functions of the vata, pitta and kapha help to release (vata), activate (pitta) and store
humours respectively. Here we can trace these (kapha) energy. If any of these processes become
functions and systems through the body’s exis- either excessive or deficient then they lead to dis-
tence. ease. (See Tillotson et al [2001] for further insights
into the physiological links between Ayurveda
Conception and modern science.)
Biologically, this tripartite nature is mirrored in the
movement together (vata) of sperm and ova that Homeostasis
results in their union and fertilization (pitta) that The universality of Ayurveda is reflected in its
leads to the growth (kapha) of the embryo. search for balance; its goal is the equilibrium of
113
Chapter 5 THE SCIENTIFIC BASIS OF AYURVEDA
the dosas, dhatus, agni and malas, just as the ‘Like the heat of fire or the liquidity of water,
nature of all biological systems is homeostasis. Ayurveda is innate and its inherent nature is
Both Ayurveda and modern physiology recog- eternal.’
nise that health is achieved through balance and
Caraka Sam. hita- Sutra-stha-na 30.27.
regulation of the internal systems. Ayurveda
describes this regulation via the humoral con-
References
cepts of vata, pitta and kapha while modern medi-
cine determines it through chemical pathways Bloomfield MM, Stephens LJ 1996 Chemistry and
and feedback mechanisms. Each has its place, the living organism. John Wiley, Chichester.
however, knowing how to utilise each particular
Tillotson AK, Tillotson NSH, Abel R, et al 2001 The
paradigm is the important question.
one earth herbal sourcebook. Kensington
Publishing Corporation, New York.
114
Chapter Six
PLANT PROFILES
117
Trivrut 279 Vamsa Lochana 286 Vidari 292
Chapter 6 PLANT PROFILES
118
(a traditional theory that the Creator has stamped
PART 2
DOSAGE
Daily dosage limits for dried, concentrated and a divine imprint on nature and that these charac-
tinctured herbs. teristics [growing conditions, leaf shape, colour or
Dosage is a slightly controversial issue because it smell] indicate a practical use; for example the
is not absolute for every herb or person. There are stalk of garlic has a hollow tube and it is indicated
no standardised dosages for these herbs, but there for breathing problems, while vacha [Acorus cala-
are reference ranges. I have given the dosages mus] thrives in damp conditions and is used to
that I use in my practice and, where they are clear mucus and catarrh). Also notes on the
given, that are recommended in the ayurvedic idiosyncratic (prabhava) nature of the herb, folk-
texts. One clear incompatibility in the profiles is lore, legal issues, special ‘carrier’ mediums (e.g.
the comparison between the dry herb dose and honey), environmental concerns.
the tincture dose. This inconsistency exists as tinc-
tures extract more active ingredients, are more A NOTE ON REFERENCES
easily assimilated and are stronger than just the I have used many varied sources for reference
dry herb; therefore, where relevant, I have recom- material including primary and secondary
mended a proportionally lower dose. The tincture resources. The reader is referred to the bibliogra-
doses are not traditionally ayurvedic but are phy to find references to clinical and textual data.
extrapolated from Western herbal medicine use I have used data based on human clinical trials
and my own clinical experience. and in vitro experiments and have purposefully
avoided any clinical trials carried out on animals
NOTES for ethical reasons.
Comments that are of particular interest, growing
conditions, example of the doctrine of signatures
119
AJMODA
Chapter 6 PLANT PROFILES
-
Common name Celery seed (E) Sanskrit Aja-moda Latin Apium graveolens–Semen (Umbelliferae)
120
PART 2
CONTRAINDICATIONS SAFETY DOSAGE
High pitta; hyperacidity. It is safe No drug–herb interactions are 250 mg–5 g per day or 3–15ml
in pregnancy despite mistaken known. per day of a 1:3 @ 60% tincture.
concerns regarding the contra-
indicated apiol being contained
in celery seed (Bone 2003).
Notes
■ Ajmoda grows in dry soil; according to the ‘doctrine ■ It regulates pra-n.a, uda-na, sama-na and apa-na va-yu,
of signatures’ this indicates its ability to oppose which helps to balance the entire nervous system.
moisture and absorb damp mucusy conditions. ■ While there is some concern regarding the
-
■ It clears ama and general stagnation; it has an phototoxicity of its furanocoumarin content, celery
aromatic nature that warms and disperses cold, wet seed is a very safe remedy. Caution should be
and damp symptoms. observed if using ultraviolet treatment (Bone 2003).
■ Its pungent aroma is expansive and opening and,
121
Chapter 6 PLANT PROFILES
AJWAIN
Common name Bishop’s weed (E), Ajwain (H) Sanskrit Yava- nı-, Yava- nika- , Agnivardhana
Latin Trachyspermum ammi syn. Trachyapermum copticum, Carum copticum/roxburghianum/ajowan,
Ptychotis ajowan–Semen (Umbelliferae)
122
PART 2
CONTRAINDICATIONS SAFETY DOSAGE
Acidity; high pitta; during preg- No drug–herb interactions are 250 mg–5g per day or 3–15ml
nancy. known per day of a 1:3 @ 60% tincture.
Notes
■ This aromatic member of the Umbelliferae family ■ It reduces va-ta and kapha due to its hot and
thrives in the dry, sandy soil of central and western penetrating nature.
India, Gujarat, Maharashtra and Madhya Pradesh. ■ One of its Sanskrit names, agnivardhana, means
■ It can be used alongside or instead of ajmoda as ‘strengthening the digestive fire’.
they have very similar properties.
123
Chapter 6 PLANT PROFILES
ALOE
Common name Aloe vera (E) Sanskrit Kuma-rı- Latin Aloe indica/vera/barbadensis–Herba/ Succinum (Liliaceae)
124
externally it is very soothing for matory skin diseases (use exter-
PART 2
SAFETY
eye inflammation and eyelid nally and internally). No drug–herb interactions are
swelling. * (powder) Myrrh, turmeric is known
used as a uterine cleanser.
COMBINATIONS DOSAGE
* (powder) Fennel, cardamom to
* (juice) Rose, shatavari, man- prevent griping.
(Powder/bola) 100–500mg per
jishtha for excessive menstrual day (short-term only), (juice)
bleeding and menopause. CONTRAINDICATIONS 10–200ml per day, (gel) exter-
* (juice) Shatavari, licorice, musta During pregnancy (powder). nally, as needed.
for GIT inflammation. Powder in vata constipation.
* (juice and gel) Turmeric, neem,
kutki, manjishtha for inflam-
NOTES
■ Aloe grows wild in the dry parts of India and is The herbs are ground together with aloe pulp until
excellent at opposing dryness. the mixture is dry. This adds pitta-reducing qualities
■ It is a marvellous vehicle for carrying medicines to to the preparation.
all the tissues, especially the plasma, blood and ■ Its most famous preparation is kuma-rı- a-sava, a
reproductive tissues. naturally fermented medicated wine for treating the
■ It is considered to be a ‘hero’ herb in that it has an above conditions.
affinity for all the seven tissues and it regulates all ■ Mix with ginger for va-ta and turmeric for kapha to
three dos.a. This makes it the perfect vehicle to carry enhance its regulating effects on those dos.a.
the prescription to the correct part of the body. ■ Kala bol is the solid gum obtained after boiling the
■ It is a common ‘trituration’ ingredient in many whole leaf juice. It is a strong purgative.
formulas; e.g. a- rogyavardhinı- and kaishore guggul.
125
Chapter 6 PLANT PROFILES
AMALAKI
-
Common name Indian gooseberry (E), Amla (H) Sanskrit A’malakı-, Dha- trı- Latin Emblica
officinalis–Fructus (Euphorbiaceae)
126
ties, anaemia due to excess bile radiotherapy and chemotherapy
PART 2
CONTRAINDICATIONS
vitiating the blood, and hair loss treatments. Caution in high kapha and ama.
from excess pitta burning the Contraindicated in cases of diar-
COMBINATIONS
roots of the hair (Bhavaprakaśa, rhoea, and dysentery at high
Paranjpe 2001). The oil is espe- * Haritaki, psyllium for constipa- doses.
tion.
cially good at alleviating hair
loss and early greyness. It is a * Shatavari, licorice for acidity, SAFETY
ulcers and gastrointestinal tract
renowned rejuvenative and No drug–herb interactions are
(GIT) inflammation.
adaptogen famed for slowing known
* Arjuna, bala, bibhitaki for heart
age (vayahsthapana), increasing
conditions with arrhythmia. DOSAGE
virility, promoting immunityand
inducing balanced health * Guggulu for hyperlipidaemia. 250mg–30g per day or 1–15ml
(satmikarana). Consider using * Gurmar, turmeric, neem, shila- per day of a 1:3 @ 25% tincture.
jit, black pepper for diabetes.
amalaki as an immune restora-
tive and hepatoprotective during * Kutki, neem and guduchi for
liver disorders.
NOTES
■ The tree that yields these gooseberry-like fruits and has a sweet post-digestive effect. Amalaki is a
grows throughout India. The Varanasi variety is rare exception to the rule that sour aggravates pitta
considered to be the best. (As.t.a-ngahr.daya Sam.hita- ).
■ The fruits of the cultivated variety are large and ■ Amalaki’s prabha-va is having a sattvic effect that
fleshy, while the wild fruits are small. raises the quality of consciousness and the overall
■ Its massive Vitamin C content is one of the highest in wellbeing of the body.
the vegetable kingdom (20 times that of an orange), ■ Amalaki relieves va-ta via its sour taste, pitta by its
and it is heat stable due to the tannin content sweet taste and cold energy, and kapha by its
maintaining stability. The stability of the Vitamin C astringent taste and dry nature; it thus calms all
content in Cyavanapra- śa- has been questioned three dos.as.
(Bhattacharya et al 1999, Khopde et al 2001). ■ Clinical trials report a cardioprotective effect as well
■ Although amalaki has a predominantly sour flavour as a reduction in serum cholesterol levels indicating
it can increase the agni and digestive function an antiatherogenic effect (Tillotson 2001).
without aggravating pitta. It is energetically cooling
127
Chapter 6 PLANT PROFILES
ANTHRAPACHAKA
Common name Indian ipecac (E) Sanskrit Antra-pa-caka Latin Tylophora indica/asthmatica–Folium
(Asclepiadaceae)
Recaka Aids expiration rhinitis and cough from high continuously in any one month
Raktaśodhana Blood cleanser vata. and stagger treatment to avoid
* Ashwagandha, bala in compro- side-effects of possible nausea
BIOMEDICAL ACTION mised immunity. and vomiting (Tillotson 2001).
Expectorant, emetic, antispas-
modic, antipyretic, alterative,
128
PART 2
ARAGVADHA
-
Common name Purging cassia (E), Amaltas (H) Sanskrit Arag-vadha Latin Cassia fistula–Fructus, Folium
(Caesalpiniaceae)
ENERGETICS
Rasa (taste) Sweet
V ı-rya (energy) Cold
Vipa-ka (post-digestive effect)
Sweet
Gun.a (quality) Heavy, unctuous
Dos.a effect VPK–
Dha-tu (tissue) Plasma, blood
Srotas (channel) Digestive,
circulatory
aggravated. As a gentle laxative * Amalaki for bleeding condi-
CONSTITUENTS it is used in children, the elderly tions.
Glycosides and in pregnancy where consti- * Nagkeshar, gotu kola for piles.
Anthraquinones Fistulic acid, tutionally appropriate. It
CONTRAINDICATIONS
sennosides descends apana vayu and clears
Even though it is traditionally
Sugars Saccharose flatulence. It is a specific remedy
used in pregnancy, as it causes a
Sterols to help ease the discomfort of
downwards movement it must
(Swami Prakashananda piles (Bhavaprakaśa).
be used with caution.
Ayurveda Research Centre 1992,
Williamson 2002) Skin By helping to eliminate SAFETY
pitta toxins from the rasa and No drug–herb interactions are
AYURVEDIC ACTION rakta dhatu it benefits skin known
Kus• t• haghna Alleviates skin aggravations by cleansing the
diseases blood. Most useful for hot and DOSAGE
Kan.d.u-ghna Stops itching damp skin conditions with itch- 2–15g per day.
Recana Laxative ing, suppuration and inflamma-
Sram . sanottama The best bowel tion (Caraka Samhita,
cleanser Williamson). NOTES
Jvaraghna Reduces fevers Bleeding Helps in bleeding from ■ This medium-sized tree grows
Anulomana Directs vata down- any of the mucous membranes all over India.
wards (Paranjpe 2001). ■ Aragvadha literally means
Raktapitta Stops bleeding Fever The ayurvedic adage is to ‘remover of diseases’.
purge a fever after it breaks, -
■ It pacifies vata and purges pitta
BIOMEDICAL ACTION ‘natu reco jvarani’, and aragvadha
Laxative, alterative, febrifuge and kapha.
is specifically indicated for ■ It loses its properties on boiling,
cleansing the bowel after a fever so should be taken as an
INDICATIONS
(Bhavaprakaśa). infusion or a powder.
Digestion Beneficial where there
is constipation from heat drying COMBINATIONS
the fluids in the colon. Specific * Haritaki as a laxative.
for high pitta in the intestines * Manjishtha, neem, kutki for
where pacaka and rañjaka pitta are inflammatory skin conditions.
129
Chapter 6 PLANT PROFILES
ARJUNA
Common name Arjuna myrobalan (E), Arjun (H) Sanskrit Arjuna, Kakubha Latin Terminalia
arjuna–Cortex (Combretaceae)
130
* Sariva, sandalwood, neem,
PART 2
CONTRAINDICATIONS DOSAGE
manjishtha for skin problems Pregnancy, constipation 1–6g per day (dried bark) or
with inflammation. 3–15ml per day of a 1:3 @ 45%
SAFETY
* Guggulu, frankincense, myrrh No drug–herb interactions are
tincture.
for high cholesterol and con-
known
gestive disorders.
NOTES
■ Arjuna is a huge tree growing up to 25m. It loves ■ Decocting the bark activates the triterpenoid
riverbanks and lots of water, growing all over India saponins. It has traditionally been boiled with milk or
and Sri Lanka. used as a medicated ghee, Arjuna ghr.ta, to add to its
■ Arjuna is also the name of the legendary hero tonic properties (Cakrapa-n.idatta, Tillotson 2001).
figure of the Mahabharata. He brings strength, ■ Although originally classified in Caraka as a
fortitude and protection to his family just as arjuna raktastambhana herb, used for stopping bleeding, it
brings these qualities to the body. was only later writers (Va-gbhat.a, Cakrapa-n.idatta)
who classified it as beneficial for the heart (hr.daya).
131
Chapter 6 PLANT PROFILES
ASHOKA
Common name Ashok (H) Sanskrit Aśoka Latin Saraca indica–Cortex (Caesalpiniaceae)
132
PART 2
ASHWAGANDHA
Common name Winter cherry (E), Indian ginseng (E), Asgandh (H) Sanskrit Aśva-gandha Latin Withania
somnifera–Radix (Solanaceae)
133
* Bala, licorice, satavari in repro-
Chapter 6 PLANT PROFILES
the heart. Its tropism for the DOSAGE
nervous system benefits multi- ductive disorders. 3–9g per day dried root or
ple sclerosis (Tillotson 2001). It * Brahmi, mandukparni, vacha in 6–15ml per day of a 1:3 @ 45%
both relaxes frayed nerves and nerve disorders. tincture.
tonifies the central nervous sys- * Guggulu, frankincense,
tem to enhance tolerance to turmeric in arthritic and con-
stress. It is a nourishing nevine gestive disorders. NOTES
as opposed to a heavy sedative. ■ Ashwagandha thrives in the
CONTRAINDICATIONS sandy, loamy soils of the drier
Reproductive Its rejuvenating
Caution in excess pitta and ama more temperate parts of India;
effect on śukra dhatu helps to alle-
with congestion. Caution in Madhya Pradesh, Uttar Pradesh
viate asthenospermia (increasing
pregnancy; although tradition- and Gujarat and Sri Lanka.
sperm motility), oligospermia
ally used in India during preg- ■ Commercially the roots are
(increasing sperm count), and
nancy to strengthen the uterus graded into four qualities; A is
poor sexual performance, and
and health of the mother and 7cm long and clear white
helps to reduce impotence
child. Its spasmolytic activity on inside, B is 5cm long and clear
(Bhavaprakaśa, Paranjpe 2001). Its
the uterus has led certain quar- white inside, C is 3–4cm in
unique action or prabhava is to
ters of western phytotherapy to length and D is small rootlets
promote sexual potency and
restrict its use in pregnancy (see with a slightly yellow colour.
sperm production. External
McGuffin et al 1997). ■ It is the best herb for
application of ashwagandha oil
is used for impotence. SAFETY nourishing va-ta and is used in
Gynaecology Excellent tonic to No drug–herb interactions all va-ta disorders affecting the
the uterine muscles. Used in are known. There are some bones, back, knees, hips, ears,
menstrual imbalance caused by a theoretical interactions between and colon. Use internally and
deficient condition with an ashwagandha and immunosup- externally.
aggravation of vata and uterine pressant, thyroid, and some ■ The botanical species suffix
spasms; dysmenorrhoea, amen- sedative medications, but these somnifera refers to its relaxing,
orrhoea, weakness. are not evidence-based (Braun & sleep-promoting properties.
Thyroid Very useful in hypo- Cohen 2003, 2004, Harkness & ■ For maximum tonic effect it is
thyroid disorders to regulate Bratman 2003). As ashwagandha taken with reproductive tissue
thyroid activity. appears to have some hypogly- building carriers; milk, ghee,
caemic activity in humans it is almond milk and honey.
COMBINATIONS
advisable to monitor blood glu-
* Pippali for enhancing tonic cose in susceptible individuals
effect; useful in asthma and
(Low Dog 2002).
coughs.
134
PART 2
BAKUCHI
Common name Psoralea fruit (E), Babchi (H), Bakuchi (H) Sanskrit Bakuci Latin Psoralea
corylifolia–Fructus (Leguminosae)
135
Chapter 6 PLANT PROFILES
NOTES
■ Grows throughout the sandy loamy plains of psoriasis and vitiligo. The furanocoumarins,
central and east India. The black variety is containing psoralens, promote pigmentation but are
commonly used today (as opposed to the white also considered to carry a high risk when used with
variety also mentioned in Suśruta). It is a small great exposure to UV light. While its therapeutic
shrub growing up to 150cm in efficacy is indisputable caution is advised.
height. ■ Its traditional use is considered safe used at a low
■ It has a controversial history due to occasionally dose for internal consumption with moderate
causing inflammatory skin eruptions when used exposure to sunlight. The seeds can be ‘purified’ by
externally in conjunction with UV therapy for soaking in ginger juice for 7 days.
136
PART 2
BALA
Common name Indian country mallow (E) Sanskrit Bala- Latin Sida cordifolia–Radix (Malvaceae)
137
ther toxicity and arrhythmia, and
Chapter 6 PLANT PROFILES
pressure; beta-blockers by reduc- DOSAGE
ing drug efficacy due to oppos- steroids (dexamethasone) by 500mg–5g per day or 3–15ml of a
ing activity, ephedrine (e.g. enhancing clearance levels and 1:3 @ 25% tincture.
Sudafed) by additive sympath- thus reducing effectiveness of
omimetic effects inducing fur- the drug (Treasure 2000).
NOTES
■ This small shrubby perennial is renowned for its arthritis, nervous system disorders and
tough stem and root and grows all over India and paralysis.
Sri Lanka. ■ Often taken with milk and almonds to enhance
■ Soft, sweet and demulcent bala is a rejuvenative for tonic effects.
va-ta disorders; it is a superb tonic for the nervous ■ The ephedrine content of the root is 1⁄15 of that
system. These nourishing properties of bala offset found in ephedra; the seeds contain a quarter of
the potentially va-ta-aggravating, nervous-system- the amount per gram usually found in ephedra
stimulating properties of ephedrine. (Tillotson 2001).
■ Bala is used as a primary ingredient in massage oils ■ Recently banned in USA for internal use due to
(bala siddha taila and na-ra-ya-n.a taila) for treating ephedrine content.
138
PART 2
BHALLATAKA
Common name Marking nut (E), Bhilawa (H) Sanskrit Bhalla-taka Latin Semecarpus anacardium–Semen
(Umbelliferae)
139
Chapter 6 PLANT PROFILES
NOTES
■ The tree grows throughout India. ■ It can cause an allergic rash in pitta constitutions.
■ Bhallataka refers to its penetrating sharpness and it Other signs of toxicity are itching, burning, excess
is likened to a javelin. thirst and a reduction in urine.
■ It must only be used following purification by a ■ While following a bhallataka regime it is advised
specific process that includes being boiled in water, that the patient avoid all spices, heat and pitta-
milk, ghee and mixing with jaggery, resulting in aggravating activities.
am.rtabhalla-taka.
■ Prepared properly it is considered to be the king of
140
PART 2
BHRINGARAJA
.
Common name Eclipta (E), Bhangra (H), Maka (M) Sanskrit Bhr. ngara-ja, Keśa-raja Latin Eclipta
alba–Folium (Compositae)
141
* Manjishtha, kutki, neem, pip- * Manjishtha, ashoka, lotus node
Chapter 6 PLANT PROFILES
Reproduction Its rasayana proper-
ties rejuvenate deficiencies in pali for hepatitis and liver con- for bleeding conditions from
śukra dhatu, helping to build ditions. high pitta.
sperm quality and quantity. The * Jatamamsi, brahmi and CONTRAINDICATIONS
seeds especially are used for this. shankhapushpi for mental dis-
Any signs of cold in the diges-
Gynaecology It helps to prevent orders from high vata and pitta.
tive system.
excessive uterine bleeding * Black pepper for stimulating
by clearing pitta from the rasa and rakta dhatu agni and SAFETY
artavahasrotas and uterus. treating anaemia No drug–herb interactions are
COMBINATIONS * Turmeric, neem, licorice for known
dermatological conditions due
* Amalaki, sariva, triphala for DOSAGE
to high kapha and vata.
hair problems from high pitta. 250mg–5g per day or 5–15ml per
day of a 1:5 @ 25% tincture.
NOTES
■ Although there are three types described in ■ It has different energetic classifications. In early
Ayurveda (white-, yellow- and blue-flowered) the texts its vı-rya appears to be pungent, but in more
white is most commonly used. Bhringaraja is an modern texts it appears to be cooling. Its effect on
annual, liking damp or wasteland areas, and grows protecting the liver, healing the skin, reducing
all over India. bleeding and calming the mind certainly reflect a
■ A classic rejuvenative for preventing ageing and cooling emphasis.
slowing signs of old age.
■ Use externally and internally for alopecia and skin
inflammations.
142
PART 2
BHUMIAMALAKI
Common name Phyllanthus (E), Stone breaker (E) Sanskrit Bhu-mya-malakı- Latin Phyllanthus
amarus/niruri (erroneously)–Folium (Euphorbiaceae)
143
Chapter 6 PLANT PROFILES
CONTRAINDICATIONS SAFETY DOSAGE
Pregnancy. No drug–herb interactions are 1–6g per day dried or 5–15ml of
known a 1:5 @ 25% tincture.
NOTES
■ This small shrub grows to a height of 60cm. Its actually Phyllanthus amarus but it is often
leaves resemble those of amalaki. erroneously named as Phyllanthus niruri. This variety
■ Numerous studies indicate that bhumiamalaki from is actually native to the West Indies and is not found
India should be used. The species found in India is in India (Bagchi 1992).
144
PART 2
BIBHITAKI
Common name Beleric myrobalan (E), Baheda (H) Sanskrit Bibhı-takı̄ Latin Terminalia belerica–Fructus
(Combretaceae)
145
Chapter 6 PLANT PROFILES
NOTES
■ It is a large tree growing all over India and Sri Lanka. ■ It is heating but does not aggravate pitta.
Its small brownish fruits feel very dry. ■ Its astringency can aggravate va-ta.
-
■ It is a specific rasa yana for kapha and kapha sites— ■ The alcoholic extract is also a cholagogue.
throat, lungs, eyes and hair. ■ Ripe fruit is astringent and unripe is more laxative;
■ It has an astringent effect on the mucous this is its prabha-va or unique action, even though it
membranes while stimulating movement. It clears is astringent it is also a laxative.
kapha and a-ma from urinary, digestive and ■ Use with honey to clear kapha. This is very good for
respiratory systems. sore throats.
146
PART 2
BILVA
Common name Bael fruit (E), Bengal quince (E), wood apple tree (E), Bel (H) Sanskrit Bilva, Śiva-droma
Latin Aegle marmelos–Fructus immaturus & maturus (Rutaceae)
ENERGETICS
Rasa (taste) Astringent, bitter
V ı-rya (energy) Heating
Vipa-ka (post-digestive effect)
Pungent Purı-s.asam
. grahan.iya Binds stool fresh fruit is more of a laxative
Gun.a (quality) Dry, light Śothahara Removes swellings used in summer to cool the sys-
(immature) Śu-laghna Alleviates colic tem. It is very heavy to digest
Dos.a effect VK−, P+ in excess Va-takaphahara Alleviates vata and should only be taken in
Dha-tu (tissue) Plasma, blood and kapha small amounts.
Srotas (channel) Digestive,
BIOMEDICAL ACTION COMBINATIONS
eliminatory
Astringent, carminative,
anthelmintic * Bibhitaki, amalaki, haritaki to
CONSTITUENTS repair the large intestine and
Alkaloids Aegelenine, aegeline encourage regular peristalsis.
INDICATIONS
(leaves), skimmianine (roots and
Digestion Immature dried bilva * Manjishtha, low dose of
aerial parts) rhubarb root if there is bleeding
is a specific herb for chronic irri-
Anthraquinones from the GIT.
table bowel syndrome (IBS),
Mucilage
diarrhoea, dysentery, and malab- CONTRAINDICATIONS
Pectin
sorption that manifests as long- Dried immature fruit if consti-
Coumarins Marmelosin,
term imbalances with ‘mucusy’ pated; fresh fruit for congestion,
marmelide, psoralen
and watery stools. Its astrin- ama, weak digestion.
Tannins Tannic acid
gency checks the excessive
(Swami Prakashananda SAFETY
downwards movement of vata. It
Ayurveda Research Centre 1992, No drug–herb interactions are
also dries the excess mucus and
Williamson 2002)
ama that comes with high kapha known
AYURVEDIC ACTION aggravations (Bhavaprakaśha). It is DOSAGE
Dı-pana Increases the digestive a good choice where there may 1–12g per day dried fruit pow-
fire be ulceration and inflammation der or 50–100ml of the fresh fruit
Pa- cana Digests toxins of the mucous membranes in the juice. 5–15ml per day of a 1:3 @
Atisa-raghna Alleviator of intestines; ulcers, colitis, Crohn’s 25% tincture
diarrhoea disease (Yadav et al 1989). The
147
Chapter 6 PLANT PROFILES
NOTES
■ This thorny tree produces fruit all year round. emerged from the churning of the milky ocean.
■ The immature fruit pulp is best used for diarrhoea It is also a ‘trifoliate’ or triśikha, a leaf having three
and IBS. It can be made into a jam or avaleha and sections; this also relates to the sacred trident
used as a nutritive healer. (triśu-la) that Shiva carried on his itinerant
■ The fruit juice from the ripe fruit is commonly wanderings. Hence it is also known as śhiva-droma
available in India at fruit-juice stalls as a summer or Shiva’s tree.
cooling drink. ■ The root is one of the ingredients in the famous
■ It is commonly found near Shiva temples as the dashmoola formula. It sedates va-ta and calms the
leaves are used in worship (pu-ja-); the juice is said to nerves. It is also used in inflammatory conditions of
cool the hot poison that Shiva drank after it the uterus.
148
PART 2
BRAHMI
Common name Bacopa (E), Herpestis (E), Jalabrahmi (H) Sanskrit Brāhmı̄ Latin Bacopa
monniera–Folium (Scrophulariaceae)
149
Chapter 6 PLANT PROFILES
NOTES
■ It is a creeping annual and spreads along the banks in North India. Gotu kola’s other name is
of rivers as creativity and awareness spread man.d.u-kapar.nı-.
throughout us. It is a water-loving plant. ■ It is combined with ghee or milk to enhance its
■ Bacopa monniera is the authentic brahmi and tonifying, nerve-nourishing and pitta-cooling
preferred by vaidyas in treatment. It is also known effects.
as Jalabrahmi , ‘Water brahmi’. ■ Its cold nature can hinder digestion and so it is
■ It is often confused with gotu kola (Hydrocotyle recommended to be used with agnı- dı-pana herbs
asiatica), which is also generically known as brahmi to protect the digestive fire.
150
PART 2
CARDAMOM
Common name Cardamom (E), Elaichi (H) Sanskrit Ela- , Su-ks. ma- Ela- Latin Elettaria
cardamomum–Fructus (Zingiberaceae)
151
Chapter 6 PLANT PROFILES
NOTES
■ Cardamom is a perennial that thrives in the tropical ■ It is excellent at antidoting the mucus-generating
jungles of south-west India and Sri Lanka. and a-ma-genic quality of dairy products.
■ Ayurveda distinguishes two types: suks
- ma (small) and ■ Good to use with children’s digestive upsets and
.
br.hat (large). Large is Amomum subulatum and has respiratory congestion.
similar properties to cardamom. ■ It is a useful herb to add to prescriptions including
■ Very high in sattva and pran
- a. It regulates the flow ‘heavy’ and ‘wet’ herbs, usually tonics (i.e. shatavari,
.
-
of pran.a in the digestive tract, specifically śamana bala, ashwagandha), to aid their assimilation.
and apa-na va-yu.
152
PART 2
CASTOR
Common name Castor oil (E), Rendi (H) Sanskrit Eran.d. a Latin Ricinus communis–Semen/Folium
(Euphorbiaceae)
153
Chapter 6 PLANT PROFILES
NOTES
■ A native of Africa, the castor plant grows all over ■ Important ingredient in simhanada guggul
India as a small perennial shrub. (+triphala-, sulphur, guggulu) for treating
■ Of the two varieties, red and white, the white is arthritis.
used medicinally. ■ The oil is occasionally added to chapattis in India as
■ The whole seed is exceedingly toxic (i.e. causes a home remedy to clean the intestines.
death) if eaten whole due to the toxicity of the ■ Low dose (5ml) is a laxative, high dose (>10ml) is a
protein ricin. Ricin is denatured after pressing and is purgative.
rendered harmless. ■ External applications are superb for pain, growths
■ The leaf and the root are also highly prized and congestion.
medicines for arthritis.
154
PART 2
CHIRETTA
Common name White chiretta (E), Chiretta (H), Kirat (H) Sanskrit Kira-ta-tikta, Bhu--nimba Latin Swertia
chirata–Folium (Gentianaceae)
Raktados• a Cures impurities of fying rasa and rakta dhatu. ‘The Nepalese bitter’, as it is
the blood Fever Used in fevers caused by commonly found in the
Tr.s.n.a-śodhana Relieves thirst all three dosas and when aggra- temperate Himalayan forests of
Kus• t• am Used in skin diseases vated by sweating and thirst. Nepal.
Jvarahara Alleviates fever Chiretta clears the ama and ■ Although similar in action,
Kr.mināśaka Anthelmintic toxins that cause the fever bitterness and use to
and is a specific for malaria kalamegha (Andrographis
BIOMEDICAL ACTION (Bhavaprakaśa). paniculata), it is a different
Bitter tonic, febrifuge, expecto- species.
rant, anti-inflammatory, alter-
COMBINATIONS
ative, cholagogue, vermifuge * Cardamom, turmeric, kutki for
GIT inflammation.
INDICATIONS * Neem, manjishtha, gotu kola
Digestion Inflammatory diges- for skin problems.
tive conditions, hyperacidity, * Ginger in fevers.
155
Chapter 6 PLANT PROFILES
CHITRAKA
Common name White leadwort (E), Chita (H) Sanskrit Citraka, Agni, Jvala Latin Plumbago
zeylanicum–Radix (Plumbaginaceae)
156
PART 2
NOTES
■ Chitraka is a perennial with beautiful white flowers some of its harsh irritant properties. Often
that thrives in the east and south of India and all combined with ghee into a rejuvenating
over Sri Lanka. compound.
■ The red variety is Plumbago indica. It is hotter than ■ Chitraka can be purified in lime juice to alleviate
the white variety. some of its harsher hot and penetrating qualities.
■ It is a superb herb for all diseases caused by ■ External application of the paste causes blistering.
manda-gni, low digestive fire. It should always be This is therapeutically employed in vitiligo and
used in combination with other herbs to moderate arthritis to stimulate peripheral circulation.
157
Chapter 6 PLANT PROFILES
CHRYSANTHEMUM
Common name Chrysanthemum (E), Indian chrysanthemum (E), Gundandi (H) Sanskrit Sevantı̄ Latin
Chrysanthemum indica/morifolium–Flos (Compositae)
158
PART 2
NOTES
■ Grown all over India for use in worship. The flowers ■ Chrysanthemum morifolium is sweeter to taste,
have a sweet smell and fragrant aromas, and are more specific for the eyes and clearing mild
considered to be the food of the gods. headaches from pitta–va-ta.
■ Chrysanthemum indica is intensely bitter and better
159
Chapter 6 PLANT PROFILES
CINNAMON
Common name Cinnamon (E), Ceylon cinnamon (E), Cassia (E), Dalchini (H) Sanskrit Da-ru-sita-, Twak
Latin Cinnamomum zeylanicum/cassia–Cortex (Lauraceae)
160
used to benefit digestive and cinnamic aldehyde acting as a
PART 2
CONTRAINDICATIONS
respiratory problems. High pitta. Bleeding signs, mucous membrane irritant
* Arjuna, turmeric, guggulu for especially of the GIT. Caution (Bone 2003).
circulatory or cardiac during pregnancy as it is a
DOSAGE
problems. uterine stimulant.
1–9g per day or 3–15ml per day
* Pippali, vasa, vamsa lochana in SAFETY of a 1:3 @ 45% tincture.
lung congestion.
No drug–herb interactions
* Myrrh, turmeric, ginger, are known. Allergic reactions
ashoka in uterine
can occur rarely due to
congestion.
NOTES
■ The famous ‘quills’ come from the zeylanicum species. ■ Twak is a very good all-round herb for regulating
This species is called da-ru-sita- or sva-dutvak, ‘the va-ta; it circulates va-ta by stimulating vya-na va-yu.
delicious bark’. It is native to Sri Lanka and is more ■ There are numerous other Cinnamomum species that
commonly known as Sinhali twak. The making of the are used medicinally (camphora, burmanni, iners,
quills is a traditional art, where the bark is peeled loureirii, massoia), from all over South East Asia.
from coppiced stems. ■ Tamalapatra (Indian bay leaf) is Cinnamomum
■ Cinnamomum cassia mainly comes from China. It tamal. It is a digestive stimulant with a hot quality
comes as broken pieces of bark and is slightly that is commonly used to reduce vāta. Used in
warmer and more astringent than the delicate and avipattika-ra cu-rn.a to balance the digestive fire.
sweet zeylanicum quills.
161
Chapter 6 PLANT PROFILES
CLOVES
.
Common name Cloves (E), Lavang (H) Sanskrit Lavanga Latin Syzygium aromaticum–Flos (Myrtaceae)
162
PART 2
NOTES
■ Indigenous to the Moluccas it is now cultivated ■ It reduces kapha and va-ta by its hot and bitter
around tropical Asia as a medium-sized evergreen. quality and reduces pitta by its cool action. This
■ The contradictory classification of its ‘hot’ rasa and cold action of cloves is displayed via its anti-
‘cold’ vı-rya energy is interesting. It reflects that inflammatory effect; it also feels cool as you
ayurvedic energetics are based on empirical evidence, draw air through your mouth when chewing a
subjective experience and therapeutic results. clove.
163
Chapter 6 PLANT PROFILES
COLEUS
Common name Coleus (E) Sanskrit Ma-kandı- Latin Coleus forskohlii–Radix (Labiatae)
164
PART 2
CORIANDER
Common name Coriander (E), Cilantro (E), Dhaniya (H) Sanskrit Dhanyāka Latin Coriandrum
sativum–Folium/Semen (Umbelliferae)
165
Chapter 6 PLANT PROFILES
CONTRAINDICATIONS SAFETY DOSAGE
None known. A very safe remedy. No drug–herb interactions are 1–30g per day or 3–15ml per
known. day of a 1:3 @ 45% tincture.
NOTES
■ This annual member of the Umbelliferae, like fennel meaning ‘bed-bug’, alluding to the smell of
and cumin, is an aromatic carminative. the fresh leaves.
■ The flower water is a fantastic antispasmodic. ■ Often used with sugar to add to its anti-pitta
■ This is a world-famous remedy whose effect.
English name comes from the Latin ‘koros’
166
PART 2
CUMIN
Common name Cumin seed (E), Jira (H) Sanskrit Jı-raka Latin Cuminum cyminum–Semen (Umbelliferae)
167
Chapter 6 PLANT PROFILES
NOTES
■ Cumin is a very small annual plant thriving in the ■ Use roasted after a meal as a great folk remedy
hot and dry areas of Rajasthan and Gujarat. ‘cure-all’ for digestive problems.
■ Although it is a pungent herb it does not aggravate
168
PART 2
DAMANAKA
Common name Mugwort (E), Davana (H) Sanskrit Na-ga-damanı-, Damanaka Latin Artemesia
vulgaris–Folium (Compositae)
169
Chapter 6 PLANT PROFILES
DARUHARIDRA
Common name Indian berberry (E), Daruhaldi (H), Darvi (H) Sanskrit Dāru-haridrā Latin Berberis
aristata/chitria–Radix (Berberidaceae)
170
PART 2
DEVADARU
Common name Himalayan cedar wood (E), Deodar (H) Sanskrit Devada-ru Latin Cedrus deodara–Lignum
(Pinaceae)
171
Chapter 6 PLANT PROFILES
DHATTURA
Common name White thorn apple (E), Datura (H) Sanskrit Dhattu-ra Latin Datura
metel/stramonium–Folium (Solanaceae)
172
PART 2
EPHEDRA
Common name Ephedra (E) Sanskrit Somalata- Latin Ephedra sinensis/gerardiana–Folium (Gentaceae)
173
Chapter 6 PLANT PROFILES
NOTES
■ Ephedra grows in the Himalayas at an altitude of ■ Ephedra can cause night sweats, palpitations,
2000–4000m. nervousness and excess urination (especially in va-ta
■ Its very rajasic and stimulating nature can injure the and pitta types); discontinue if these symptoms arise.
body fluids; being hot and dry it opposes ojas. ■ Recently banned in USA due to ephedrine content.
174
PART 2
FENNEL
Common name Fennel (E), Sounf (H) Sanskrit Śata-pus• pa, Madhurikā Latin Foeniculum vulgare–Fructus
(Umbelliferae)
175
Chapter 6 PLANT PROFILES
CONTRAINDICATIONS the body at twice the normal rate DOSAGE
None known. Fennel is a very when taken with fennel (Low 500mg–9g per day dried or
safe herb. Dog 2002, Harkness & Bratman 3–15ml per day of a 1:3 @ 45%
SAFETY 2003). tincture.
There is some theoretical concern
that ciprofloxacin is cleared from
NOTES
■ Fennel is a hardy perennial that thrives in dry, hot ■ It specifically warms and strengthens agni and
climates and is opposed to wet, damp, cold digestion. Its special quality is that it does this without
conditions. aggravating pitta or other heat signs.
■ The ‘sweetness’ of anethole is common in the Indian ■ Helpful for digestion to chew some roasted seeds
variety (Bown 1995). after meals.
176
PART 2
FENUGREEK
Common name Fenugreek (E), Methi (H) Sanskrit Met.hika- Latin Trigonella foenum-graecum–Semen
(Fabaceae)
ENERGETICS
Rasa (taste) Pungent, astringent,
bitter, sweet
V ı-rya (energy) Hot
Vipa-ka (post-digestive effect) diuretic, diaphoretic, aphro- acts as a soothing demulcent that
Pungent disiac can heal ulcers and also increase
Gun.a (quality) Light, unctuous the bulk of the stool; it is a useful
Dos.a effect VK–, P+ INDICATIONS mild laxative. Its bitter quality
Dha-tu (tissue) Plasma, blood, fat, Diabetes Its beneficial effect on helps the liver function and
bone, nerve, reproductive the water channels (ambuvahasro- improves assimilation of nutri-
Srotas (channel) Digestive, excre- tas) and the urinary system ents (Frawley & Lad 1994).
tory, water, sweat, respiratory, (mutravahasrotas) indicate its use Gynaecology Fenugreek seed has
reproductive, lactation in diabetes. It can help to clear a particular affinity for the
some of the fatty deposits that uterus and female reproductive
CONSTITUENTS accumulate in the channels that system as a whole. Its saponin
Saponins Diosgenin should be nourishing to the pan- containing phyto-oestrogen pre-
Coumarins creas. It helps to balance sugar cursor, diosgenin, plays an
Flavonoids Quercetin, lilyn, levels in both types 1 and 2 dia- important role in female health.
kaempferol betes. The active components are It is taken post-partum to
Alkaloids Trigonelline, lecithin, found in the trigonelline and encourage bowel movements
mucilage coumarin content. Clinically and clean the uterus. Its nourish-
(Williamson 2002) effective trials have used 50g per ing effect on rasa dhatu also helps
day of the defatted seeds to encourage a healthy flow of
AYURVEDIC ACTION
Dı-pana Appetite builder
(Murray 1992). breast milk. If there is dysmenor-
Cholesterol Its direct action on
Pa-cana Digestive rhoea its warming effect and
medovahasrotas makes it useful as stagnation reducing properties
Anulomana Encourages vata to
part of a formula to reduce cho- are beneficial (Gogte 2000).
move downwards
lesterol. Use 10–20g per day to Reproduction Used in formulas
Virecana Mild laxative
reduce low-density lipoprotein to treat impotence, premature
Vātakaphaghna Alleviates vata
(LDL) cholesterol levels (Murray ejaculation and low libido
and kapha
1992). (Bensky & Gamble 1993). Its
Pramehaghna Alleviates symp-
Digestion It is an invaluable rem- heating energetics stimulate the
toms of diabetes
edy to treat sluggish and gaseous reproductive system, while its
BIOMEDICAL ACTION digestion from impaired kapha unctuousness and sweet nature
Carminative, cholesterolaemic, and vata. It can benefit diarrhoea nourish śukra dhatu.
bulk laxative, antidiabetic, and inflammation in the intes- Pain As a superb remedy to set-
demulcent, expectorant, tines. Its high mucilage content tle vata it is indicated in lower
177
Chapter 6 PLANT PROFILES
back problems, sciatica and * Ashoka, shatavari for men- DOSAGE
arthritis with swelling and pain. strual problems. 2–50g per day or 3–30ml per day
A notable diagnostic clue is the * Shatavari, fennel for milk pro- of a 1:3 @ 45% tincture.
sensation of cold on the back duction.
and thighs (Bensky & Gamble * Nutmeg, ashwagandha,
1993). Its ability to strengthen kapikacchu, bala for male NOTES
asthi dhatu indicates its use in reproductive problems. ■ Fenugreek grows wild as a
osteoporosis, back pain, struc- * Punarnava, guggulu, trikat.u for small, leafy shrub in the north
tural weaknesses and hair loss. swollen arthritic conditions. of India but is now cultivated
External A poultice made from everywhere as an annual crop.
CONTRAINDICATIONS
the powder is very useful for ■ The leaves are a delicious
High pitta.
drawing infections, boils, splin- vegetable.
ters and arthritic swelling from SAFETY ■ It enters the sweat channels
the body. As a known hypoglycaemic and its characteristic aroma is
there may be a positive interac- soon noticeable on the body
COMBINATIONS
tion and it is advisable to moni- odour.
* Gurmar, turmeric, neem, trikat. u tor patients on diabetic
in diabetes. ■ It is part of a famous formula
medication. The claims that known as caturbı̄ja. This
* Guggulu, turmeric in high fenugreek interacts with war-
cholesterol. contains fenugreek,
farin appear to be mistaken, but chandrashura (Lepidium
* Fennel, cumin, coriander for it does appear to inhibit iron
bloating and constipation. sativum), krishna jiraka (Nigella
absorption at a high dosage sativa) and yavani.
(Bone 2003)
178
PART 2
FRANKINCENSE (INDIAN)
Common name Frankincense (E), Indian oli–banum (E), Salai guggul (H) Sanskrit Śallakı-,
Kapitthapar. n. ı, Konkanadhu-pa Latin Boswellia serrata–Resina (Burseraceae)
.
179
* Shatavari, rose, safflower for
Chapter 6 PLANT PROFILES
COMBINATIONS SAFETY
* Guggulu, myrrh, turmeric in menstrual pain, cysts and No drug–herb interactions are
inflammatory and arthritic con- fibroids. known.
ditions with kapha–vata aggra-
CONTRAINDICATIONS DOSAGE
vation. This combination may
Caution during pregnancy due 3–9g per day resin in decoction,
also be used in high choles-
to its vigorous ‘moving’ nature. 250–750mg three times per day
terol.
Low dose in pitta prakrti and of a 1:4 concentrated powder, or
* Gokshura, ashwagandha, bala with weakened digestion as gas- 2–10ml per day of a 1:5 @ 90%
for male sexual debility.
tric irritation may occur. tincture.
NOTES
■ Frankincense is a medium-sized tender tree ■ Tastes disgusting when used in decoctions!
growing up to 10m in height. ■ High resin content requires tincture to be at 90%
■ The best-quality frankincense comes from the volume of alcohol.
driest areas, especially Rajasthan and Gujarat, and is ■ If using tinctures add 10% licorice first as a saponin-
gathered at the hottest time of year. containing suspending agent to prevent
■ The resin is extracted as an exudate from the precipitation and to reduce its harsh flavour.
branches.
180
PART 2
GARLIC
Common name Garlic (E), Laśuna (H) Sanskrit Laśuna, Rasona Latin Allium sativum–Bulbus (Liliaceae)
Vr• s• ya Aphrodisiac of kledaka kapha or apana vayu in thrombosis and varicose veins.
Dı-pana Enkindles the digestive the intestines as it clears both Its inclusion in a preventative
fire mucus and gaseous distension. It regime to reduce the chances of
Sa-ra Eases the flow of stool can also stimulate a sluggish liver atherosclerosis in kapha and vata
-
Amana-śaka Destroys toxins (Mills 1991). types seems wise (Mills 1991). As
Pittaraktavardhana Aggravating Lungs The little white bulbs have a circulatory stimulant it warms
to pitta and blood a potent therapeutic effect on the the whole body. This regulatory
Va-tarasa-yana Rejuvenator to vata lungs; the volatile oils actually effect on the circulation and the
Hr• dayarogahara Cures diseases appear on the breath having arteries is further demonstrated
of the heart cleaned the bronchioles and alve- by either lowering or raising
Jvaraghna Destroys fevers oli. It is strongly decongestant. blood pressure depending on the
181
Chapter 6 PLANT PROFILES
condition; it balances, restores CONTRAINDICATIONS direct evidence that garlic and
and regulates. Pregnancy as its hot and sharp warfarin will interact but caution
External With kapha–vata skin qualities can disturb the fetus, but is advised. Caution with
disorders garlic is very useful as it is fine for lactation (Low Dog hypotensive medication as garlic
a paste or oil; ringworm, fungal 2002). Conditions where the blood reduces diastolic blood pressure.
infections, ear infections. An is vitiated; skin conditions or Avoid garlic for 10 days prior to
external oil rub may benefit bleeding. Also in other pitta prob- operative surgery. There may be
arthritis, sciatica, oedema lems, hyperacidity, high blood a positive interaction with statins
(Paranjpe 2001). pressure from heat, ulcers. As it is by increasing the cholesterol
overly stimulating it may also be lowering effects and monitoring
COMBINATIONS
contraindicated in premature ejac- is advised (Low Dog 2002, Braun
* Ginger, fennel, chitraka, hingu, ulation and spermatorrhoea. & Cohen 2003, 2004, Harkness &
black pepper for digestive
Bratman 2003)
weakness. SAFETY
* Pippali, licorice, ajwain for Caution in patients taking DOSAGE
coughs. antiplatelet medication as it may 1–3 cloves per day, 6–15g dry or
* Guggulu, pushkaramoola, arjuna potentiate anticoagulation effects 1–6ml per day of a 1:3 @ 45%
and bibhitaki for the heart. of these medicines. There is no tincture.
NOTES
■ The bulb is pungent, the leaves are bitter, the stem the mind and create desire. It is an inappropriate
is astringent, the tips of the stem are salty and the food for those practising a sattvic or yogic lifestyle.
seeds are sweet. ■ Avoid too much heating activity (exercise,
-
■ As a tonic for vata it is best taken fried with ghee. sunbathing, anger) while taking garlic to maximise
■ It is considered to be extremely rajasic or passion its therapeutic benefits and reduce the chance of
inducing. Its heat and penetrating nature aggravate any aggravations.
182
PART 2
GINGER
-
Common name Ginger (E), Adrakh (H), Sont (H) Sanskrit Ardraka (fresh), Śun.t. hı- (dry), Viśvabhes. aja
Latin Zingiber officinale–Rhizoma (Zingiberaceae)
183
Chapter 6 PLANT PROFILES
It also nourishes the śukra dhatu CONTRAINDICATIONS SAFETY
and reproductive system as a In high pitta with heartburn, Ginger may increase the absorp-
whole. ulcers and sweating. Not more tion of allopathic medication.
than 2g per day of dry ginger in Theoretical interaction with anti-
COMBINATIONS
pregnancy. According to the coagulant medication is not
* Cinnamon, lemongrass for a Commission E monograph even proven by human clinical trials.
cold to induce sweating.
fresh ginger is contraindicated Used at less than 3g per day it is
* Pippali, vasa for a cough with in pregnancy, but this is a theo- safe in patients susceptible to
high kapha and aggravated vata.
retical supposition (Blumenthal haemorrhage or taking warfarin
* Black pepper, pippali as a part 1998, Low Dog 2002). While gin- or aspirin. It may reduce the
of trikat.u, The Three Pungents
ger is widely used during preg- effect of antacids, as it increases
formula used for kapha, low
nancy to alleviate nausea, keep gastric secretions (Mills & Bone
digestion and respiratory com-
the dose low. Apply care and 2000, Low Dog 2002, Bone 2003).
plaints. This is often combined
treat according to the pattern
with honey to add to its drying DOSAGE
presented. Caution in high
effect. Fresh: 1.5–5g per day or 2–10ml
blood pressure, peptic ulcers,
* Arjuna, guggulu in congestive gastro-oesophageal reflux and
per day of a 1:2 @ 90% tincture;
heart conditions and poor cir- dry: 1–2g per day or 0.5–2ml per
skin diseases with inflamma-
culation. day of 1:2 @ 90% tincture.
tion. Not recommended in
* Turmeric, rose for menstrual patients with gallstones due to
pain.
its cholagogue effect.
NOTES
■ Ginger is a perennial that thrives all over India and ■ As it increases digestion of nutrients it may also
Sri Lanka, especially in hot and damp environments. increase assimilation of pharmaceutical drugs.
■ Fresh ginger will not aggravate pitta as much as dry. ■ The anti-inflammatory action is a very good
■ Fresh ginger is better for calming an aggravated va
- example of the prabha-va or ‘unique effect’. Its post-
ta and for sweating. It is harder to digest and better digestive quality is sweet. This means that its long-
as a laxative than dry ginger. term effect is anti-inflammatory and nourishing
■ Dry ginger, being hot, is better for stimulating while its initial activity is warm and stimulating to
agni and clearing kapha; it dries water in the colon digestion. It blocks inflammatory prostaglandins and
(gra-hı-) but it still removes constipation as its thromboxane.
penetrating quality ‘breaks up’ (vibandhabhedinı-)
impacted faeces.
184
PART 2
GOKSHURA
Common name Puncture vine fruit (E), Caltrops (H), Gokhru (H) Sanskrit Goks• ura Latin Tribulus
terrestris–Semen, Herba (Zygophyllaceae)
185
* Ashwagandha, kapikacchu, * Kapikacchu for Parkinson’s
Chapter 6 PLANT PROFILES
SAFETY
tila/black sesame seeds, disease. Caution with antipsychotic
frankincense for male * Neem, manjishtha and gotu drugs (especially MAO inhibitor
reproductive deficiency with kola for inflammatory skin medication) as its harmala alka-
impotence and for encouraging conditions. loid content may speed up the
spermatogenesis. * Equal parts of guduchi and breaking down of the medication
* Shatavari, rose, saffron, mus- amalaki in rasayana curna; in the digestive system, thus
taka for female reproductive a general tonic formula for reducing the effectiveness of the
and gynaecological problems. enhancing immunity and drug.
Also useful post-partum for reproductive strength.
DOSAGE
strengthening the uterus.
CONTRAINDICATIONS 1–9g per day as decoction,
* Brahmi, gotu kola and Dryness. Caution during preg- 3–15ml per day of a 1:3 @ 25%
jatamansi for nervous system
nancy as it moves downwards. tincture.
imbalances.
NOTES
■ Its diuretic effect is balanced by its valuable ■ The fruit, aerial parts and root are used in Ayurveda.
moistening and nourishing effect on the mucous The aerial parts appear to have the widest
membranes. spectrum of rejuvenative activity for the
■ It is a rejuvenative for pitta and a balancer for vāta. reproductive system. The fruits are best known for
It specifically moves apāna vāyu downwards. their lithotropic activity and for their action on the
■ A main ingredient of gokshuradi guggulu. A superb skin.
formula for clearing stagnation and vāta in the
urinary system.
186
PART 2
GOTU KOLA
Common name Indian pennywort (E), Gotu kola (S), Kula kudi (H) Sanskrit Man.d.ūka-par.nı̄
Latin Centella asiatica–Folium (Apiaceae) Syn. Hydrocotyle asiatica
187
Chapter 6 PLANT PROFILES
CONTRAINDICATIONS metabolism it should not be DOSAGE
Large doses can be narcotic and used with benzodiazepines or 1–30g per day as an infusion,
cause a vata headache or dizzi- barbiturates. Caution with hypo- 3–15ml per day of a 1:3 @ 25%
ness. Caution during pregnancy. glycaemic and cholesterol-lower- tincture or 25ml per day fresh
ing medication. juice.
SAFETY
As it inhibits liver enzymes
responsible for barbiturate
NOTES
■ Hydrocotyle refers to the aquatic habitat of this (Namjoshi et al 1978). There seems to be some
perennial creeper and the cup-like shape of the discrepancy in the texts but both Suśruta and
leaves. Another Sanskrit name, man.d.u-kı-, means Va-gbhat.a, as well as the Bha-vapraka-śa, state that
that ‘like a frog’ it is always near water. It thrives the two are different plants but have the same
throughout India and Sri Lanka. There is both a medhya or mind-enhancing activity.
small-leafed and a broad-leafed variety. ■ An excellent herb for rejuvenating and restoring
■ Gotu kola is the Singhalese name. cerebral function often taken with ghee to enhance
■ As gotu kola grows alongside rivers, many of which this effect.
are heavily polluted in India, make sure that your ■ One of the great meditator herbs. High in sattva.
supply is cultivated. ■ Its prabha-va is to optimise brain function (medhya).
■ There is a fair amount of ayurvedic debate as to ■ It is best used as a cold extraction as heat can
whether Bacopa monniera or Centella/Hydrocotyle destroy its properties.
asiatica is the real brahmi. According to The ■ Fresh herb juice is considered the strongest way to
Ayurvedic Formulary of India, Bacopa is brahmi and use gotu kola, so if you are using dried herb the
Centella/Hydrocotyle is Man.d.u- ka-pa-r.nı- leaves must be vital and green to ensure efficacy.
188
PART 2
GUDUCHI
Common name Guduchi, Giloy (H) Sanskrit Gud. u-cı-, Amr. ta-, Cakra-laks. an.a Latin Tinospora
cordifolia–Caulis (Menispermaceae)
189
ance as its sweet post-digestive * Amalaki, licorice in hyperacid-
Chapter 6 PLANT PROFILES
flatulence and malabsorption. Its
bitter yet heating qualities are effect nourishes śukra dhatu. ity and imbalanced agni in pitta
used to stimulate raktadhatvagni types.
COMBINATIONS
and strengthen digestion in pitta * Ginger and aloe vera in gout
types. * Manjishtha, bhumiamalaki, and arthritis.
pippali in hepatitis and liver
Metabolic It regulates blood
degeneration. * Gokshura, shatavari, kapikac-
sugar levels via its direct effect chu, safed musali in male
on rakta and medas-dhatu thus * Guggulu, myrrh, ginger, reproductive problems.
turmeric, ashwagandha in
benefiting diabetes and hypogly-
arthritic amavata conditions. CONTRAINDICATIONS
caemia. Guduchi is very calming
to vata and the nervous system * Kutki and chiretta in immuno- Caution during pregnancy.
deficiency.
via its unctuous nature, soothing SAFETY
nervous irritation. * Coriander, neem, sandalwood No drug–herb interactions are
in sannipata fevers involving all
Reproductive Its ability to clear known.
three dosa.
heat is applied when sexual dys-
* Neem, gotu kola, manjishtha, DOSAGE
function is caused by a hyper-
bakuchi in inflammatory skin 1–15g per day in a decoction or
heat condition. It is often used in
conditions. 3–15ml per day of a 1:3 @ 25%
formulas for male sexual dys-
function caused by pitta imbal- * Gurmar, tumeric, amalaki, shi- tincture.
lajit in diabetes
NOTES
■ It has very interesting energetics. It is bitter, ■ Its prabha-va is to clear toxins (a-ma).
astringent, pungent, yet heating and also sweet ■ Specific for clearing a-ma; + ginger for a-mava-ta,
post-digestively. Its bitter and astringent quality + pipali for a-makapha, + neem for a-mapitta.
clears pitta and kapha, its heating energy burns ■ It is also known as cakralaks.an.a- meaning ‘marked
a-ma, while its enduring sweet effect regulates va-ta with a circle’ as the transverse section of the vine
and gives it an aphrodisiac quality that nourishes stem clearly reveals a cartwheel pattern.
reproductive fluids.
190
PART 2
GUGGULU
Common name Indian bedellium (E), Indian myrrh (E), Guggul (H) Sanskrit Guggulu, Deva-dhu-pa Latin
Commiphora mukul–Resin (Burseraceae)
191
Chapter 6 PLANT PROFILES
to clear infections, reduce sore COMBINATIONS SAFETY
throat and promote the immune * Frankincense, turmeric, Guggullipid is reported to reduce
response. fenugreek for cholesterol and the effect of antihypertensives
Bones As a resin guggulu corre- arthritis. such as propranolol and dilti-
lates to rakta dhatu (the blood tis- * Guduchi, neem, turmeric, azem and so medication should
sue); this is responsible for healing triphala in acne be adjusted accordingly (Low
deep-seated wounds and is tradi- * Arjuna, punarnava, Dog 2002). Caution with hypo-
tionally used for healing fractures pushkaramool for heart glycaemic medication.
and nourishing majja dhatu conditions.
(Bhavaprakaśa. See Frawley & Lad
DOSAGE
* Safflower, mustaka, shatavari for 3–9g per day in a decoction,
1994 for a useful correlation menstrual difficulties.
250mg–3g per day pills,
between the tissues and plant * Guduchi, gokshura and ginger 250–750mg three times per day
parts. Rasa = leaf juice, Rakta = in gout and back pain.
of 1:4 concentrated powder or
resin and sap, Mamsa = softwood, * Haritaki, trikat.u, triphala, 3–10ml per day of a 1:5 @ 90%
Medas = gum and hard sap, Asthi turmeric for mending bones.
tincture. While using guggulu, a
= bark, Majja = leaf, Śukra = flow-
ers and fruits).
CONTRAINDICATIONS pitta-aggravating lifestyle (sour
Acute kidney infections, exces- foods, alcohol, anger and exces-
Cancer Used to treat all growths,
sive uterine bleeding, thyrotoxi- sive sunlight and sexual activity)
accumulations and cancers
cosis. Pregnancy and should be avoided.
(granthi) (Bhavaprakaśa).
breast-feeding (Low Dog 2002).
NOTES
■ Growing in dry, arid areas (Gujarat, Mysore) 0.5–1kg ■ Commonly used in combination with other herbs
of resin is collected annually from each plant. in the ‘guggul’ formulas: triphala guggul,
Guggulu is a small thorny tree that is difficult to gokshuradi guggul, kanchanara guggul.
harvest without damaging it. ■ It is one of the best herbs for va-ta conditions;
- -
■ According to the Bha vapraka śa there are five arthritis, pain, gynaecological inflammations, back
varieties. The dark brown (mahis.a-ks.a) and yellow- pain, urinary system.
brown (kanaka) guggulu varieties are preferred. ■ Va-ta is regulated by its sweet flavour and warm
■ Therapeutically a fresh component (nava guggulu) energy.
and an old component (pura-n.a guggulu, stored for ■ Pitta is alleviated by its astringent taste.
over a year) are used; the new is considered to be ■ Kapha is reduced by its bitter, astringent and
more nourishing and rejuvenative, while the old is pungent tastes.
a specific remedy in cancers and for scraping toxins ■ Its traditional connection with the spiritual realm is
out of the body. affirmed by its other Sanskrit name Devadhūpa, the
■ The purification (śodhana) process is mentioned in incense of the gods.
Bha-rat Bhais.ajya Ratna-kara where the guggulu is ■ Guggullipid is a registered medicine and brand
purified by boiling it in triphala, milk, cow’s urine, name; standardised extract of the oleogum resin
vasa or Vitex nirgundi and turmeric and removing was recently implicated in interfering with
the ‘scum’ that comes to the surface. It is then pharmaceutical drug metabolism.
fried in ghee, dried and ground to become
Suddha guggulu.
192
PART 2
GURMAR
.
Common name Periploca of the wood (E), Gurmar (H) Sanskrit Madhu-vina-śinı-, Mes.a-śr.ngı-
Latin Gymnema sylvestre–Folium (Asclepiadaceae)
193
Chapter 6 PLANT PROFILES
HARITAKI
Common name Chebulic myrobalan (E), Harde (H), Hara (E) Sanskrit Harı̄takı̄, Abhayā Latin Terminalia
chebula–Fructus (Combretaceae)
194
* Cardamom, fennel and
PART 2
CONTRAINDICATIONS DOSAGE
ajmoda for indigestion Do not use during pregnancy 3–9g per day in a decoction,
and bloating. due to its laxative and descend- 250mg–5g as powder, or
* Vasa, anthrapachaka, pippali in ing nature. 3–12ml per day of a 1:3 @ 25%
cough and asthma. tincture.
SAFETY
No drug–herb interactions are
known.
NOTES
-
■ There are seven types of haritaki—vijaya , rohin
-
. ı, ■ It has all flavours bar salty; it is a common feature
- - - - - - -
putana, amr. ta, abhaya, jı vantı and cetakı —which for rejuvenative plants to possess a full spectrum of
grow in different areas of India. Vijaya-, growing in tastes, e.g. amalaki.
the Vindhaya Mountains, is a rounder fruit and is ■ Its special action is to alleviate any excesses and to
said to be the best. Rohin.-ı grows in Northern India balance all three dos.as: pitta due to its sweet, bitter
(Paithan), pu-tana- grows in Southern Pakistan and astringent tastes, kapha due to its astringent,
(Sindhu), amr. ta- and abhaya- varieties grow in bitter and pungent tastes, and va-ta due to its sour,
Bhagalpur district in Eastern India in Bihar, jı-vantı- in sweet and pungent tastes.
Saurashthra in Gujarat, and cetakı- in the Himalayas. ■ Use with rock salt for kapha.
■ Haritaki is a very large tree growing throughout the ■ Use with sugar for pitta.
deciduous forests of India and Sri Lanka at altitudes ■ Use with ghee for va-ta (Bha-vapraka-śa).
up to 2000m. ■ Using it with warm water promotes its anuloma or
■ Images of the Medicine Buddha show him holding laxative effect.
Terminalia chebula. This represents the respect and ■ It is cooked with castor oil (1:4) to make gandharva
awe in which haritaki was held for maintaining haritaki, a demulcent purgative for alleviating va-ta.
health and curing disease. Also combined with amalaki and bibhitaki to make
■ Its ironic activity, both laxative and astringent, reveals triphala.
the diverse actions of this remarkable herb. As a ■ Its prabha-va or unique action is to balance all three
decoction it is more astringent as the tannins are dos.as. Its other prabha-va is that while it is a laxative
water-soluble and as a tincture or powder it is more it is also nourishing. Its sweet post-digestive quality
laxative. nourishes śukra dha-tu and enhances immunity.
■ Used unripe increases its laxative effect (balharitaki)
195
HEMP SEED
Chapter 6 PLANT PROFILES
Common name Hemp seed (E), Bhang ke beej (H) Sanskrit Vijaya- , Siddhi Latin Cannabis indica–Semen
(Urticaceae)
NOTES
■ An annual growing all over India, mainly in Bihar, pitta and va-ta in excess causing insomnia, low
Bengal, Himachala and Uttar Pradesh. libido and sluggishness. It is a vyava-yi, meaning
■ Most modern research points to use of the cold- that it spreads rapidly throughout the system
pressed oil. before being digested (Bha-vapraka-śa).
■ The seed is not a common ayurvedic medicine but ■ It is famously used on Shivaratri, the night of Lord
is used as food in areas where the plants grow. Shiva. It is the festival when social taboos are lifted
■ Medicinally the flowering plant has been used in and devotees get divinely intoxicated (mast) by
India as a traditional medicine in Ayurveda. Known drinking a delicious beverage called t.han.d.a--ı, a
as bhang it is used as an appetite stimulant, for mixture of almonds, pistachios, milk, sugar and
reducing interocular pressure, as an boiled bhang leaves.
antispasmodic, as an aphrodisiac and for relieving ■ The flowering buds and resin are currently illegal
pain. It reduces va-ta and kapha but can aggravate for use in most countries of the world.
196
PART 2
HINGU
.
Common name Asafoetida (E), Devil’s dung (E), Hingu (H) Sanskrit Hingu, Sahasra-vedhı- Latin Ferula
asafoetida/foetida–Resin (Umbelliferae)
197
Chapter 6 PLANT PROFILES
CONTRAINDICATIONS SAFETY DOSAGE
High pitta; inflammatory condi- No drug–herb interactions are Use a low dose—100mg–1g per
tions of the liver and brain; preg- known. day or 1–3ml per day of a 1:3 @
nancy. 75% tincture.
NOTES
■ Primarily from Iran, Pakistan and Afghanistan and inflammatory effects. Raw is fine for chest
some parts of Kashmir. conditions requiring stimulation.
■ Store in an airtight container away from other ■ It is usually blended with flour or maize to be used
aromatic herbs as its smell spreads everywhere. It’s as a powder. Pure hingu should dissolve in water
not known as ‘devil’s dung’ for nothing! leaving a milky-white colour to the water without
■ The resin is collected as an exudate from the root. any residue settled at the bottom of the glass.
■ For digestive, nervous and gynaecological ■ The main ingredient in hiñgvas.t.akacu-rn.a, a major
purposes it should only be used fried in oil or digestive formula for regulating apa-na va-yu.
ghee as this reduces some of its harsher
198
PART 2
JASMINE
Common name Jasmine (E) Sanskrit Ja-tı- Latin Jasminium grandiflorum/officinale–Flos (Oleaceae)
199
Chapter 6 PLANT PROFILES
JATAMAMSI
Common name Indian spikenard (E) Sanskrit Jat.a--ma-m - - -
. sı , Bhuta-jat. a Latin Nardostachys grandiflora
syn. jatamansi–Rhizoma (Valerianaceae)
200
PART 2
CONTRAINDICATIONS SAFETY DOSAGE
Use with caution during preg- No drug–herb interactions are 250–500mg three times per day
nancy. High doses will cause known but caution with sedative, as powder, 1–10g per day dried
nausea, colic and urinary prob- antihypertensive and antidepres- root or 3–12ml per day of a 1:3 @
lems. sive medication. 45% tincture.
NOTES
■ This high Himalayan herb is CITES (Convention on ■ It grows at an altitude of 3000–5000m.
International Trade in Endangered Species of Wild ■ Its lightness prevents some of the dulling effects of
Fauna and Flora) Appendix 3 listed and must be other nervines.
from a cultivated source to be exported from India ■ Its special action (prabha-va) is as a brain
and Nepal. If you buy it without proof of certification rejuvenative.
you are probably depleting natural stocks.
201
Chapter 6 PLANT PROFILES
KALAMEGHA
Common name King of bitters (E), Andrographis (E) Sanskrit Kālamegha Kirāta, Mahātikta, Bhūnimba
Latin Andrographis paniculata–Folium (Acanthaceae)
202
* Manjishtha, neem, daruharidra prove beneficial as a liver pro-
PART 2
Skin Hot, inflammatory skin con-
ditions, sores and eczema are and rose for pitta aggravation tective when taking hepatic-
effectively treated. It can also be of the blood. harmful tricyclic
used externally as a wash or in a * Neem, brahmi and turmeric in antidepressants (Brinker 1998).
cream (Paranjpe 2001). skin problems.
DOSAGE
Urine Useful when pitta aggra- * Punarnava, coriander, rose and 1–6g per day dried or 5–15ml
vates the urinary channel gokshura for urinary infections.
per day of a 1:5 @ 25% tincture.
(mutravahasrotas) causing urinary
infections with dysuria, pyuria, CONTRAINDICATIONS
haematuria and proteinuria Pregnancy. It may aggravate NOTES
(WHO monograph 1999). digestion in some people (vata ■ This small green annual shrub
203
Chapter 6 PLANT PROFILES
KANCHANARA
Common name Mountain ebony (E), Kañchanara (H) Sanskrit Ka-ñchana-ra Latin Bauhinia
variegata–Cortex (Caesalpiniaceae)
204
PART 2
* Guggulu, punarnava, triphala, CONTRAINDICATIONS NOTES
trikat u in lymphatic swelling. Pregnancy; constipation. ■ Kanchanara is a medium-sized
205
Chapter 6 PLANT PROFILES
KAPIKACCHU
Common Name Cowhage (E), Kapikacchu (H) Sanskrit Kapikacchu, Ātmagupta- Latin Mucuna
pruriens–Semen (Fabaceae)
NOTES
■ This creeping twine grows all over India, especially that have MAO-inhibiting (MAOI) activity and
in the tropical regions. hence enhance the efficacy of the L-dopa (Stuart
■ There is a black and a white variety. Fitsimmons MNIMH, pers. comm.).
■ As L-dopa is broken down by MAO in the mucous ■ It can be rajasic or overstimulating in excess.
membranes of the intestines it is traditionally ■ Often combined with milk and honey to add to its
combined with Tribulus terrestris in Parkinson’s restorative effects.
disease. Tribulus contains some harmala alkaloids
206
PART 2
KARAVELLA
Common name Bitter gourd (E), Bitter melon (E), Karella (H) Sanskrit Kāravella Latin Momordica
charantia–Fructus immaturus (Cucurbitaceae)
207
Chapter 6 PLANT PROFILES
208
PART 2
KRISHNA JIRAKA
Common name Black cumin (E), Love-in-the-mist (E), Kalonji (H) Sanskrit Kr• s• n• a-Jı-raka, Ka-lika-, Ka-la-ja-jı-
Latin Nigella sativa–Semen (Ranunculaceae)
209
Chapter 6 PLANT PROFILES
DOSAGE NOTES
1–10g per day dried or 3–12ml of ■ It thrives in the dry climate of western India but originally comes from
a 1:3 @ 45% tincture. the Mediterranean region.
■ In the ayurvedic texts it is classified along with the other ‘cumins’—
210
PART 2
KUSHTHA
Common name Costus root (E) Sanskrit Kus• t• ha, Latin Saussurea lappa–Radix (Compositae)
ENERGETICS
Rasa (taste) Pungent, sweet, bit-
Mu-travirecana Diuretic by virtue of its expansive effect
ter, astringent
Raktaśodhana Purifies the on the pranavahasrotas. Its
V ı-rya (energy) Heating
warming aromatic nature can
Vipa-ka (post-digestive effect)
blood
Kus.t.haghna Alleviates skin dis- help to dry excess kapha secre-
Pungent
eases tions.
Gun.a (quality) Dry, light, pene-
Stambhana Stops leakages Skin As an alterative and
trating
Rasa- yana Rejuvenative for prana circulatory stimulant it can
Dos.a effect VPK=, VP+ in excess
benefit skin conditions with itch-
Dha-tu (tissue) All tissues
and the blood
Stanyajanana Promotes lactation ing and inflammation. Its cleans-
Srotas (channel) Digestive, circu-
ing effect on rakta dhatu benefits
latory, respiratory, nervous BIOMEDICAL ACTION
bhrajaka pitta. It is used exter-
Carminative, digestive, alter-
CONSTITUENTS nally for skin problems from
ative, diuretic, antispasmodic,
Alkaloid Saussurine bacterial infection (Paranjpe
bronchodilator, aromatic, astrin-
Essential oils 2001).
gent, aphrodisiac, analgesic
Phytosterols Stigmasterol Joints Specific usage as a blood
Inulin INDICATIONS purifier and especially for gout
Tannins Digestion Kushtha benefits the as it regulates the urinary
Bitter principle digestive tract and regulates output of inflammatory pitta
(Nadkarni 1954) vata, especially śamana and and irritant vata toxins. It
apana vayu in the centre of the helps to reduce pain in the
AYURVEDIC ACTION abdomen and lower digestive body by reducing inflammation
Lekhanı-ya Toxic residue scraper tract. It clears nervous spasm, and stopping spasms
Śukraśodhana Semen purifier pain, cramps, bloating, flatu- (Bhavaprakaśa).
Va- jı-karan.a Enhances sexual lence and nausea. It is a Gynaecology Used in painful
appetite specific in diarrhoea and menses and for lack of or scanty
Dı-pana Appetiser dysentery. Its bitter flavour periods due to stagnation in
Pa-cana Digests ama helps to regulate liver function artavavahasrotas. It stimulates
Śu-lapraśamana Stops intestinal (Nadkarni 1954). ovulation and promotes a
spasms and pain Lungs It calms ‘marut’, the regular cycle.
Vedana-stha-pana Analgesic wind, and hence reduces Reproduction It benefits śukra
Jvaraghna Alleviates fever spasms and bronchorestriction dhatu and is renowned for puri-
Ka-saśva-sahara Alleviates cough in the chest. Useful in asthma, fying the reproductive system
and breathing difficulties hiccups, wheezing and coughs (Gogte 2000).
211
Chapter 6 PLANT PROFILES
COMBINATIONS CONTRAINDICATIONS NOTES
* Cardamom, fennel, ginger for With excess dryness and very ■ Kushtha grows at 2500–3000m
abdominal bloating, flatulence high vata it should be combined in the Himalayas and thrives in
or pain from obstructed prana with demulcent herbs such as damp places, indicating its
or cold due to excess vata. sesame, shatavari, bala. Caution ability to absorb dampness.
* Manjishtha, kutki, chiretta in with high pitta in the digestive ■ It can cause constipation at
bloody/’mucusy’ stool. tract. high doses.
-
* Triphala, senna, rhubarb to reg- SAFETY ■ It is CITES Appendix 1 listed
ulate peristalsis. and all sales of the herb must
No drug–herb interactions are
* Trikat. u in asthma or allergic known. be validated proving
attacks. cultivation rather than wild
* Guduchi in gout with pitta and DOSAGE harvesting. In China it is
vata conditions of the joints. commonly replaced with
1–9g per day dried or 3–15ml of
* Shatavari, ajwain, turmeric, a 1:3 @ 25% tincture. Vladimiria souliei due to this
rose for uterine spasms. restriction on trade.
* Turmeric, ashwagandha for
benefiting sperm quality.
212
PART 2
KUTAJA
Common name Kutaj (H), Kureya (H) Sanskrit Kut.aja Latin Holarrhena antidysenterica–Cortex, Semen
(Apocynaceae)
213
Chapter 6 PLANT PROFILES
NOTES
■ The kutaja tree with white flowers that comes from Indrayava has a hot energy and is best for digesting
Saharanpur is considered to be the best variety. It a-ma.
grows up to 9m in height. ■ Kutaja is said to have originated from the monkey
■ The bark should come from trees that are more servants of Lord Rāma whose blood turned to
than 10 years old to ensure appropriate activity. amrita, the immortal nectar, after they were slain.
■ It is often confused with Wrightia tinctoria, which is Lord Indra then restored them to life.
not medicinally useful. ■ It is presently banned for use in the UK under the
■ The seeds are called Indrayava, which means 1977 Medicines Order (www.mhra.gov.uk).
‘Indra’s seed’. Indra is the lord of divine realm.
214
PART 2
KUTKI
Common name Picrorrhiza (E), Kutki (H) Sanskrit Kat.uka- Latin Picrorrhiza kurroa,
scrofulariiflora–Rhizoma (Scrophulariaceae)
215
Chapter 6 PLANT PROFILES
NOTES
■ This hardy perennial grows at high altitudes in the ■ Picrorrhiza kurroa is presently CITES Appendix 3
Himalayas, usually 2500–3600m. It should be listed and suppliers must have a certificate to prove
slightly black inside the root. source of cultivation. In light of the increased trade
■ Use with warming aromatic herbs to prevent any in P. scrophulariiflora it is prudent to ensure that
intestinal griping. your supply is also from a cultivated source.
■ Once known as dhanvantarigrasta ‘the plant that
216
PART 2
LEMON AND LIME
Common name Lemon (E), Bara nimbu (H); Lime (E), Nimbu (H) Sanskrit Jambira, Nimbu-ka Latin Citrus
limonum/acida or medica–Fructus (Rutaceae)
217
Chapter 6 PLANT PROFILES
NOTES
■ Although lemon can aggravate a pitta that is already ■ Their general use is as a nourishing as well as a
out of balance it is a world famous cooling remedy. detoxifying remedy; they clear excess acids, toxins
■ Although lemon and lime have slightly different and congestion, while nourishing deficiency and
energetics, with lime being slightly more sour yet weakness.
less pitta-aggravating, they essentially have the ■ They can be used as a vehicle (anupa-na) to send
same therapeutic uses. remedies to the liver.
218
PART 2
LEMONGRASS
Common name Lemongrass (E) Sanskrit Bhu--tr• n• a Latin Cymbopogon citratus–Folium (Graminaceae)
Lemongrass is an aromatic
diaphoretic that relaxes the
peripheral circulatory system and
is useful in fevers. It also benefits
the digestion, lungs and menstrua-
tion. Bhu--tr• n• a literally means ‘earth
grass’.
ENERGETICS
Rasa (taste) Pungent, bitter, sour
V ı-rya (energy) Cooling
Vipa-ka (post-digestive effect) INDICATIONS that can help to remove arthritic
Pungent Digestion The combination of inflammation and pain in the
Gun.a (quality) Light, dry, pene- pungent and bitter flavours in joints (Tisserand & Balacs 2000).
trating lemongrass stimulates agni with-
COMBINATIONS
Dos.a effect VPK−, V+ in excess out aggravating pitta. It regulates
* Fennel, coriander, mint in
Dha-tu (tissue) Plasma, blood, śamana and apana vayu in the
digestive bloating and gas.
muscle, marrow intestines to relieve gas, cramps
and colic (Frawley & Lad 1994). * Pippali, vasa in respiratory
Srotas (channel) Sweat, urinary, conditions.
respiratory, digestive, urinary, Lungs Its pungency dries aggra-
vated avalambaka kapha and helps * Ajwain, fresh ginger, turmeric
female reproductive for menstrual pain.
to expectorate excess phlegm.
CONSTITUENTS The bitterness helps to clear hot * Tulsi, cinnamon in fevers.
Essential oil Citral, limonene lung infections with yellow CONTRAINDICATIONS
(Tisserand & Balacs 2000) mucus. Its broncho-relaxing None known.
AYURVEDIC ACTION effect helps to reduce asthma
SAFETY
Dı-pana Enkindles the digestive (Gogte 2000).
No drug–herb interactions are
fire Fevers Its mild diaphoretic effect
- known.
Amapa-cana Reduces ama clears the displaced heat that has
Vātānulomana Directs the flow of moved from the digestive tract DOSAGE
vata downwards to rasa dhatu. It treats the source 1–9g per day or 5–15ml of a 1:5
Jvaraghna Alleviates fevers of fevers by clearing ama from @ 45% tincture.
Kāsaśvāsahara Alleviates coughs the digestive tract (Frawley &
and breathing problems Lad 1994).
NOTES
Gynaecology Its affinity for rasa
■ Lemongrass thrives in warm
BIOMEDICAL ACTION and raktadhatu helps with painful
Carminative, diaphoretic, climates and produces copious
menses due to inflammation or
febrifuge, analgesic, expectorant, aromatic long leaves.
spasm in the uterus from high
■ It is primarily extracted as a
anti-inflammatory, antispas- pitta and vata. Its nourishing
modic, diuretic, emmenagogue, fragrant essential oil.
effect on rasadhatvagni encour-
■ Use a larger dose for fevers and
galactagogue ages milk production.
a smaller dose for digestive
External The essential oil is a
complaints.
wonderful circulatory stimulant
219
Chapter 6 PLANT PROFILES
LICORICE
Common name Licorice (E), Jethimadh (H) Sanskrit Yas. t. ı-madhu Latin Glycyrrhiza glabra–Radix
(Leguminosae)
220
conditions as ME and chronic * Fennel, shatavari, amalaki, in the blood by decreasing
PART 2
fatigue syndrome (CFS). The kutki for ulcers and GIT plasma clearance and so caution
sattvika nature of licorice calms inflammation. is advised with corticosteroids,
the mind (Frawley & Lad 1994, * Guduchi, manjishtha, pippali especially prednisolone.
Mills & Bone 2000). for liver disorders. Hypokalaemia can occur over
Urine Its cooling action and unc- * Ashwagandha, bala, shatavari extended periods (4–6 weeks)
tuous nature are beneficial in for nervous exhaustion. and so diligence is advised
-
inflammations of the urinary * Triphala for eyewashes. when blood pressure increases
tract and it should be used to in any patient taking licorice, or
CONTRAINDICATIONS
treat cystitis and painful, burn- with elderly patients or those
High kapha. Contraindicated in
ing urination (Gogte 2000). with hypertension, cardiac, renal
choleostatic liver disorders,
Skin It is a useful emolliating or hepatic disease. It can exacer-
hypertension, congestive heart
herb for preventing itching with bate the effects of a high salt
failure or oedema. During preg-
dry skin. Its anti-inflammatory diet. It may counteract the con-
nancy and breast-feeding up to
pitta-reducing effects are com- traceptive pill. It has a positive
3g per day is safe. Be vigilant in
monly employed to treat red, interaction with NSAIDs by
long-term use.
hot, inflamed skin disorders. reducing the gastric irritation
SAFETY and ulceration they can cause
COMBINATIONS Care in osteoporosis as it (Low Dog 2002, Bone 2003,
* Bala, pippali, tulsi, bibhitaki, inhibits calcium and potassium Braun & Cohen 2003, 2004).
haritaki, anthrapachaka for absorption. It can exacerbate
lung congestion. DOSAGE
potassium loss when used with
0.5–10g per day dried, 3–12ml
* Fresh ginger, ephedra for potassium-depleting drugs (thi-
per day of a 1:3 tincture, or
influenza causing lung azide diuretics, laxatives) and
impairment. 2–6ml per day of a 1:1 fluid
this can increase sensitivity to
extract.
cardioactive glycosides. It
extends the activity of cortisone
NOTES
■ Licorice grows all over the world. In northern India strength to the whole formula while also
it is a perennial shrub that has an intense network neutralising any harsh aspects of stronger herbs
of underground creepers. (e.g. bitters/anthelmintics).
■ Specifically classified as useful for the quality of the ■ Often mixed in ghee to enhance its healing effects
eyes and the skin, this action works via its affinity on inflammatory mucous membrane conditions
for calming and cooling pitta while also nourishing and to promote its rasa-yana effect on śukra dha-tu.
va-ta and majja- dha-tu. ■ Licorice’s popularity has caused it to be
■ Traditionally used as a detoxicant herb to overharvested from the wild. Make sure you buy
harmonise a formula and enhance the properties of licorice from a sustainably cultivated source.
the other herbs. Its sweet taste gives balya and
221
Chapter 6 PLANT PROFILES
LOTUS
Common name Lotus (E) Sanskrit Padma, Kamala Latin Nelumbo nucifera–Radix, Nodus, Folium, Semen,
Stamen, Flos (Nymphaeaceae)
222
PART 2
NOTES
■ The lotus grows all over the lakes of India, their heart and reproductive system. The stamen,
flowers opening in the morning and closing at kiñjalka, is astringent, aphrodisiac, and again
dusk. benefits pitta with burning. The flower stalk, mr. n.āla,
■ There are three main medicinal varieties—white, increases breast milk. The root, śa-luka, is astringent,
red and blue. stops bleeding, heals the colon. The roots benefit
■ All parts of the lotus are used. The petals, mu-ladhāra and base chakra tissues, the seeds
sam.vartikā, are best for cooling pitta, bleeding, anāhata and heart chakra tissues.
thirst, painful urination. The seeds, padmabı̄ja, clean ■ Neelota (Nymphoea stellata) is also used in certain
the blood, are good for pitta, and a tonic to the preparations such as chywanaprasha.
223
Chapter 6 PLANT PROFILES
MANJISHTHA
Common name Indian madder (E), Manjith (H) Sanskrit Man-jis• t• ha Latin Rubia cordifolia–Radix
(Rubiaceae)
224
miscarriage and excessive uterine agents helping to draw excess * Guggulu, turmeric for tumours
PART 2
bleeding (Madanaphala Nighantu, calcium from the system. Also and accumulations all over the
Bensky & Gamble 1986). used to stop haematuria body.
Tumours/accumulations (Frawley & Lad 1994, Mills & * Arjuna, licorice, myrrh,
Manjishtha breaks accumula- Bone 2000, Paranjpe 2001). turmeric in fractures.
tions of kapha in the bladder, Mind Its cooling effect on sadhaka * Gokshura and shilajit for blad-
liver and kidneys. pitta has a balancing effect on the der and kidney stones.
Urine Its pitta-reducing quality emotions and is used in epilepsy * Sandalwood, gokshura, corian-
helps to clear pittaja prameha, and agitation with high pitta der for urinary discomfort with
particular types of diabetes (Paranjpe 2001). burning.
involving repeated infections,
COMBINATIONS CONTRAINDICATIONS
boils, inflammatory conditions,
neuropathy, retinopathy and * Neem, turmeric, gotu kola, aloe High vata.
vera in skin conditions with
nephropathy. Also for SAFETY
high pitta.
manjishtha prameha where the No drug–herb interactions are
excessive urination is also * Lotus node, amalaki in bleed- known.
ing with raktapitta.
coloured red. It is also a specific
* Safflower, shatavari, guggulu DOSAGE
for gradually dissolving kidney
in congestion of the uterus with 0.5–10g per day dried or 3–12ml
and bladder stones as the
pain. per day of a 1:3 @ 25% tincture.
anthraquinones act as chelating
NOTES
■ This tall, creeping plant has long thin roots and stimulating property. However, this goes against
grows throughout the subcontinent of India, Nepal, many of its therapeutic activities and my
Iran and Afghanistan. experience and so I have listed it here as cooling.
■ The red root has a specific affinity for the blood and ■ Manjishtha has recently been banned in Germany
all imbalances affecting it. due to concerns about its alizarin content acting as a
■ It is one of the primary herbs used to clear potential carcinogenic. This is despite the fact that the
excessive pitta. studies were carried out on Rubia tinctoria not Rubia
■ In all the texts that mention manjishtha it is cordifolia (Blomeke 1992). As noted above manjishtha
classified as hot (us.n.a) as it has a circulatory- is used for removing tumours in Ayurveda.
225
Chapter 6 PLANT PROFILES
MINT
Common name Mint (E), peppermint (E), horsemint (E), Pudı- na (H), Puthia (H) Sanskrit Pudı-na
Latin Mentha piperita or arvensis–Folium (Labiatae)
226
Organisation (WHO) stones to move into the bile duct
PART 2
DOSAGE
recommends caution in patients and if they are too large they 1–30g per day or 3–20ml per day
with gallstones as it may cause may become stuck (WHO 1999). of a 1:3 @ 45% tincture.
NOTES
■ There are different classifications of the various mints ■ Regarding energetics, the dose and method of
as ‘heating’ or ‘cooling’ (see Aristotle, Galen; Tierra taking the remedy are all important. A low dose is
1992, Bensky & Gamble 1993, Holmes 1999). It is a relaxing, benefiting a va-ta stagnated by
lengthy debate! Mentha piperita appears to have constriction; a medium dose (preferably taken at a
both qualities; its pungency acts as a stimulant cool temperature) benefits the anti-inflammatory
diaphoretic while its sweet and bitter flavour has needs of pitta, and a high dose of a hot drink clears
anti-inflammatory activity. The menthol appears to kapha. This returns us to the human nature of
be both stimulant and anti-inflammatory. herbalism and Ayurveda; it is all about the person,
■ Ayurvedically speaking, peppermint reduces all their individual constitution and condition as well
three dos.as; its warming pungency dries kapha via as the dose of the medicinal herb.
diaphoresis, its sweet cooling effect reduces pitta; ■ Mentha arvensis is also commonly used in India and
and its relaxing sweet pungency reduces va-ta. The has a specific antispasmodic and emmenagogue
stimulating effect of high doses may aggravate action.
va-ta. The Nighan.t.u ratna-kara describes Mentha ■ Mint is not mentioned in the early ayurvedic
arvensis as pungent in taste, hot in energy and literature.
pungent post-digestively.
227
Chapter 6 PLANT PROFILES
MUSTAKA
Common name Nut grass (E), Motha (H) Sanskrit Mustaka, Musta Latin Cyperus rotundus–Rhizoma
(Cyperaceae)
228
* Shatavari, ginger, rose in gynae-
PART 2
and excess pitta in the rasa dhatu. DOSAGE
Its diaphoretic effect can be very cological problems with pain, 0.5–12g per day or 3–15ml of a
useful for clearing ama and intermittent bleeding and an 1:3 @ 25% tincture.
excess heat from the plasma and irregular cycle.
blood while also rectifying the * Guduchi, neem, daruharidra NOTES
digestive fire (Gogte 2000). for liver congestion.
■ Mustaka grows all over India as
COMBINATIONS * Tulsi and kalmegh for fevers a grassy shrub.
from high pitta.
* Sariva, coriander, cardamom in ■ Its aromatic nature moves and
pitta digestive problems. CONTRAINDICATIONS relaxes va-ta. Its prabha-va is to
* Bilva, kutaja, pomegranate rind Do not use a high dose in exces- prevent spasms and muscular
for diarrhoea. sive vata aggravation as it can be constriction caused by nervous
* Hingu, turmeric, cinnamon, too drying. tension.
kutki for yeast and parasite
SAFETY
infections.
No drug–herb interactions are
known.
229
Chapter 6 PLANT PROFILES
MUSTARD SEED
Common name Mustard seed (E) Sanskrit Siddha-rthaka, Sarsapa, Ra-jika Latin Brassica
•
nigra/juncea–Semen (Brassicaceae)
stimulates agni and clears slug- anthrapachaka for lung conges- traditional winter warming diet
gish congestion due to excess tion and high kapha. of north India.
intestinal mucus. It is also used * Guggulu, myrrh, frankincense
to kill worms (Bhavaprakaśa). for arthritis with amavata.
230
PART 2
MYRRH
Common name Myrrh (E), Bdellium gum (E), Bol (H) Sanskrit Bola, Daindhava, Rasagandha Latin
Commiphora myrrha/molmol–Resina (Burseraceae)
231
Chapter 6 PLANT PROFILES
CONTRAINDICATIONS contact dermatitis in sensitive 5–10ml per day of a 1:5 @ 90%
Pregnancy, excessive uterine individuals (Bone 2003). tincture. Only use in the short-
bleeding, kidney problems. term (up to 4 weeks continu-
DOSAGE
ously), as it is hard to digest.
SAFETY 3–12g per day dried resin,
No drug–herb interactions are 250–750mg three times per day
known. May cause nausea or of a 1:4 concentrated powder or
NOTES
■ This desert-loving, thorny shrub is collected as an agent containing saponins such as licorice to
exudate from the branches and then dried for use. prevent this. If using tinctures add 10% licorice first
■ Although similar in use to guggul, myrrh’s primary to prevent precipitation and to reduce its harsh
action is on the female reproductive system flavour.
whereas guggul’s is on arthritic conditions and ■ As a resin it can tax the kidneys, so use
cholesterol levels. intermittently: 6 weeks on, 2 weeks off.
■ Myrrh tastes revolting in decoctions; use as a pill or ■ It is a very strong herb so use it as less than 10% of
concentrated powder when you can. a formula, as traditionally prescribed.
■ The resin in the alcoholic extract precipitates in
water and so it is helpful to add a suspending
232
PART 2
NEEM
Common name Neem (E), Margosa (E), Nim (H) Sanskrit Nimba Latin Azadirachta indica–Folium, Semen,
Cortex, Resin (Meliaceae)
233
Chapter 6 PLANT PROFILES
are used as the Indian tooth- COMBINATIONS CONTRAINDICATIONS
brush. * Turmeric, gotu kola, High vata, wasting and debility.
Fevers Useful in high fever from manjishtha, guduchi, rose for Any condition with cold signs.
pitta and accumulations of ama; inflammatory skin conditions. Considered to be bad for the
especially in the intermittent * Kutki, licorice, shatavari, hari- heart and unpleasant for the
fevers of malaria-like diseases taki, amalaki for intestinal mind by the Bhavaprakaśa.
(Paranjpe 2001). inflammation.
Reproduction As with many bit-
SAFETY
* Myrrh for mouth ulcers and No drug–herb interactions are
ter herbs it reduces śukra dhatu gingivitis.
known.
and lowers sperm count. It has * Black pepper, castor oil in
an affinity for the uterus and can intermittent fevers with ama. DOSAGE
reduce any inflammatory disor- 0.5–5g per day or 3–15ml per
ders. day of a 1:3 @ 25% tincture.
NOTES
■ Neem thrives as a large tree in well-drained soil all inflammation in the skin, muscles and deeper
over India at altitudes up to 1000m. It is a tender tissues.
tree, not surviving in temperate climates where ■ Also a very effective insecticide/fungicide in the
there is excessive rainfall. garden; spray an infusion on the plant for excellent
■ Often confused with Melia azadirachta (this is organic results.
known as maha-nimba in Ayurveda). This is a tree ■ It is a very strong herb. As with all very bitter and
with very similar properties that can survive in concentrated flavours it should only be used short-
hardier climates. term at high doses. Use for up to a month
■ Used in the famous pañcatiktaghr . ta, a medicated maximum. However, if used at a low dose then it
ghee incorporating five bitter herbs used for can be used for longer.
234
PART 2
NUTMEG
Common name Nutmeg (E), Jaiphal (H) Sanksrit Jātı̄ -phala, Mada-śaun.d.a Latin Myristica
fragrans–Fructus (Myristicaceae)
235
Chapter 6 PLANT PROFILES
nd heart palpitations. Caution in 0.5–6g per day or 1–6ml of a 1:3 childhood diarrhoea.
high pitta. @ 45% tincture. ■ Notoriously susceptible to
236
PART 2
PEPPER
Common name Black pepper (E), Kalimirch (H) Sanskrit Marı̄ca Latin Piper nigrum–Fructus (Piperaceae)
237
pepper is prescribed (Harkness
Chapter 6 PLANT PROFILES
lung problems with sticky irritate the mucous membranes.
mucus. Hyperacidity; dryness as it can & Bratman 2003). Other sources
* Tulsi, vamsa lochana, haritaki, aggravate vata in excess. report that in its whole form it
bibhitaki for cough from kapha is a short-term bioavailability
SAFETY
excess. enhancer, increasing nutrient
The piperine content of black
* Tulsi, neem in fevers of the absorption, quickening absorp-
pepper, when used as an iso-
kapha and pitta variety. tion and reducing blood levels
lated ingredient, has been asso-
* Gotu kola, myrrh, turmeric in of medication (Williamson
ciated with enhancing blood
stagnation of the capillary 2002).
levels of certain medication
beds.
such as propranolol, theo- DOSAGE
* Aloe vera juice to stimulate
phylline, and rifampicin, as it 1–5g per day dried or 1–2ml of a
rasadhatvagni and this can help
may inhibit drug metabolism in 1:5 @ 70% tincture. Due to its
treat anorexia, anaemia and
the liver if used over long peri- intense hot quality as well as
amenorrhoea.
ods of time at high doses. Hence safety issues, do not use at a
CONTRAINDICATIONS all patients taking drugs that are high dose (>5g per day) for long
With an excess of heat and metabolised in the liver must be periods of time. A low dose is
inflammation black pepper can carefully monitored if black safe for long-term use.
NOTES
■ This parasitical creeper grows up host plants and ■ Often combined with honey to dry moisture and
thrives in the humid climates of south-west India excessive secretions.
and Sri Lanka. ■ Its stimulating quality is very powerful and its rajasic
■ The fruit is first green, then red, then yellow and quality must be balanced with other sweet herbs.
finally goes black on drying. ■ Chavya (Piper cubeba) is used in formulas to clear
■ Green pepper is less heating, does not aggravate kapha. See candraprabha- va- ti in the formula
pitta and is sweet after digestion. section.
■ White pepper comes from soaking the mature fruit
238
PART 2
PIPPALI
Common name Long pepper (E), Pipal (H), Pimpli (H) Sanskrit Pippalı̄ Latin Piper longum–Fructus (Piperaceae)
239
a short-term bioavailability
Chapter 6 PLANT PROFILES
COMBINATIONS SAFETY
* Ginger, black pepper as trikat u The piperine content of long enhancer, increasing nutrient
for low agni, kapha, ama and pepper, when used as an isolated absorption, quickening absorp-
weak lungs. ingredient, has been associated tion and reducing blood levels of
* Haritaki, licorice, with enhancing blood levels of medication (Williamson 2002).
pushkaramoola for allergic certain medication such as pro-
DOSAGE
rhinitis, hayfever and atopic pranolol, theophylline, and
1–5g per day powder or 5–15ml
asthma. rifampicin, as it may inhibit drug
of a 1:5 @ 60% tincture. Due to
* Gokshura, kappikacchu and metabolism in the liver when it
safety issues do not use at a high
ashwagandha for male repro- is used over a long period of
dose (>5g per day) for long peri-
ductive function. time at a high dose. Hence all
ods of time. Low dose is safe for
* Kutki, neem, bhumiamalaki in patients taking drugs that are
long-term use as attested to by
hepatitis. metabolised in the liver must be
the vast amount of ayurvedic
carefully monitored if long pep-
CONTRAINDICATIONS formulas containing pippali.
per is prescribed (Harkness &
Excess pitta and inflammations
Bratman 2003). Other sources
of the intestines.
report that in its whole form it is
NOTES
■ Pippali thrives in more temperate conditions than (1:1 reduced to 1) and drunk daily. 1 long pepper is
black pepper. added daily for 14 days (up to 14 pippali) and then
■ Its sweetness gives it rejuvenative properties and its reduced by the same ratio for 14 days. Excellent for
oiliness make it less drying and not as excessively asthma where there is no dairy intolerance.
heating as black pepper. ■ Pippali moola, Piper longum–Radix, is also used in
■ The fresh green pippali reduces pitta and increases Ayurveda. It has similar properties as the fruit, but is
kapha. a more ‘condensed’ heat. Combining it with trikat.u
■ Often boiled with milk for deficient lungs. Pippali makes chaturushna, The Four Pungents. It has the
vardhanam is a cumulative treatment where 1 long same properties as trikat.u but is slightly stronger.
pepper is boiled in a glass of milk and water
240
PART 2
PIT SHIRISHA
Common name Shirish (H), Siris (H) Sanskrit Pitta-Sı-rs. a Latin Albizzia lebbeck–Cortex (Leguminosae/Mimosa)
241
Chapter 6 PLANT PROFILES
POMEGRANATE
Common name Pomegranate (E), Anar (fruit) (H), Anardana (seeds) (H) Sanskrit Da-d• ima Latin Punica
granatum–Fructus, Semen, Pericarpium (Punicaceae)
242
* Haritaki, amalaki for diarrhoea * Shatavari for the menopause
PART 2
DOSAGE
and acidity with the rind and with the fruit and seed. 0.5–5g of the rind in diarrhoea
fruit juice. and tapeworms. Drink the juice
CONTRAINDICATIONS
* Rhubarb root following a dose Constipation.
freely. 1–3g of the roasted seeds
of the rind to loosen the tape- as an appetiser.
worm from the gut wall. SAFETY
* Arjuna, bala, ashwagandha for No drug–herb interactions are
strengthening the heart. known.
NOTES
■ Originally from Persia, this small tree now grows all ■ Although most herbs with a sour flavour are
over India. classified as aggravating to pitta, pomegranate is
■ Its traditional ayurvedic classification verifies one of the exceptions (As.t.āngahr.daya).
this fruit as truly beneficial to both men and ■ The bark is banned for use in the UK under the
women. 1977 Medicines Order (www.mhra.gov.uk).
243
Chapter 6 PLANT PROFILES
PSYLLIUM
Common name Psyllium husk (E), Isaphgul (H), Isabgol (H), Blond psyllium (E) Sanskrit Aśva-karn• a-bı-ja
Latin Plantago ovata–Semen (Plantaginaceae)
244
PART 2
NOTES
■ This small annual thrives in dry regions and is to an aggravation of kapha and an accumulation
abundantly cultivated in Gujarat. The husk is of a-ma.
separated from the pink seed. ■ Similar usage to Plantago psyllium and P. indica (the
■ As it is very wet and heavy it can dampen the darker brown and black varieties) but P. ovata is
digestive fire when used to excess. This can lead more mucilaginous.
245
Chapter 6 PLANT PROFILES
PUNARNAVA
Common name Indian hogweed (E), Gadhapurana (H) Sanskrit Punarnavā Latin Boerhaavia
diffusa–Radix (Nyctaginaceae)
246
excessive menstrual bleeding. tion of ACE inhibitors
PART 2
CONTRAINDICATIONS
The punarnavoside is considered Diarrhoea. (Williamson 2002).
to be the antifibrinolytic agent
SAFETY DOSAGE
(Paranjpe 2001, Williamson
No drug–herb interactions are 1–10g per day dried or 3–15ml of
2002).
known but caution with seda- a 1:3 @ 25% tincture.
COMBINATIONS tive, antidepressive and
antiepileptic medication. There is
* Arjuna, guggulu, turmeric in
heart deficiency from high vata potential for a positive potentia-
and kapha.
* Coriander seed, gokshura,
guduchi in oedema and kidney
NOTES
infections.
■ This water-loving, creeping, blue. It can be adulterated with
* Coriander, gokshura and perennial flowers during the Trianthema species.
kalamegha in urinary tract
monsoon and grows all over ■ It is the main ingredient in
infections.
India and Sri Lanka. punarnavadi guggulu the
* Guduchi, dry ginger in arthri- ■ Three varieties are discussed in famous ayurvedic formula for
tis, vatarakta and amavata.
the ayurvedic literature; red reducing water retention,
* Guduchi and shilajit in dia- (Boerhaavia diffusa), white congestive heart conditions,
betes.
(Boerhaavia verticillata), and and treating oedematous
* Ashoka, manjishtha in uterine
inflammatory joint diseases.
bleeding.
247
Chapter 6 PLANT PROFILES
PUSHKARAMOOLA
Common name Indian elecampane (E), Poharmool (H) Sanskrit Pus• kara-mu-la, Ka-sa-ri Latin Inula
racemosa–Radix (Asteraceae)
248
PART 2
SAFETY DOSAGE NOTES
No drug–herb interactions are 2–6g per day dried or 3–15ml of ■ It grows in temperate climates
known. a 1:3 @ 25% tincture. and thrives at 2500m in the
Himalayas.
-
■ Also known as kasa ri, an enemy
249
Chapter 6 PLANT PROFILES
RHUBARB
Common name Rhubarb root (E), Revand chini (H) Sanskrit Amla-vetasa, Kan• kus••tha Latin Rheum
palmatum/officinale/australe–Radix (Polygonaceae)
250
* Manjishtha, shatavari, amalaki
PART 2
SAFETY DOSAGE
for high pitta and ulceration in It may reduce the absorption of 0.5g is astringent and constipat-
the GIT. iron (Harkness & Bratman ing, 1g is laxative, 3g+ is purga-
* Turmeric, myrrh, pippali for 2003). It may cause griping and tive and it is also haemostatic
female reproductive stagna- should be used with appropri- when used at up to 9g per day in
tions with ama. ate antispasmodics. Laxatives a decoction. As a tincture use
containing anthroquinone gly- 1–6ml per day of a 1:3 @ 25%.
CONTRAINDICATIONS
cosides should not be used at a
Pregnancy and breast-feeding
high dose for more than 2 NOTES
as emodin is excreted through
weeks at a time due to the ■ It grows at 2500–4000m in the
the breast milk. Vata-type of
potential risk of causing an elec- Himalayas.
diarrhoea with weakness. Gout
trolyte imbalance if diarrhoea is ■ The root should be 3 years old
due to oxalic acid content. Use
caused. Hence caution with car- prior to harvesting.
with caution in intestinal
diac glycoside medication, thi- ■ Originally imported from China
inflammation; never use in
azide diuretics, and concurrent and Tibet as Rheum palmatum
intestinal obstruction with
hyperkalaemia from long-term and officinale, the Indian
abdominal
laxative abuse due to potential species is Rheum australe.
pain of unknown origin. Avoid
problems caused by further ■ Suitable for short-term use only
in physical debility as it drains
electrolyte imbalance (WHO as it can cause habituation of
the energy and prana down-
1999). the bowel.
wards.
251
Chapter 6 PLANT PROFILES
ROSE
Common name Rose (E), Gulab (H) Sanskrit Śata-patrı- Latin Rosa centifolia/damascena–Flos (Rosaceae)
252
PART 2
CONTRAINDICATIONS NOTES
None known, although caution ■ Roses thrive in acidic soil and grow up to 3m in height.
during pregnancy. ■ Out of the hundreds of varieties any fragrant variety can be used
SAFETY medicinally.
It may reduce the absorption of ■ Gulkand—rose petal jam—is highly recommended as a cooling spread
iron (Harkness & Bratman 2003). or drink which also acts as a mild laxative.
■ Traditionally made into an attar which is a divine mixture of
DOSAGE sandalwood oil with rose vapour infused through it— gulab attar.
1–10g per day or 5–15ml of a 1:2
@ 50% fresh tincture. Drink rose-
water freely (5–50ml per day).
253
Chapter 6 PLANT PROFILES
SAFED MUSALI
Common name White musali (E), Musi (H) Sanskrit Musalı- (Safed is Hinate) Latin Asparagus adscendens–Radix
(Liliaceae)
ENERGETICS
Rasa (taste) Sweet, bitter
V ı-rya (energy) Cold
Vipa-ka (post-digestive effect)
Sweet INDICATIONS COMBINATIONS
Gun.a (quality) Moist, unctuous, Reproduction As it directly nour-
heavy * Ashwagandha, bala, kapikac-
ishes the śukra dhatu it is used as chu, frankincense, gokshura,
Dos.a effect VP−, K+ in excess a sweet tonic and rejuvenative guduchi for male reproductive
Dha-tu (tissue) All tissues, espe- for the reproductive system. It problems.
cially plasma, reproductive treats infertility, premature ejacu-
Srotas (channel) Reproductive, * Shatavari, turmeric, bala,
lation, impotence and low sperm licorice for female gynaecologi-
digestive, lactation count. It also nourishes artavaha- cal conditions such as dis-
CONSTITUENTS srotas and promotes healthy ovu- charge, dryness and infertility.
Glycosides Asparagin lation in women (Bhavaprakaśa). * Fennel, ajwain for improving
Saponins Sarsapogenin, dios- Gynaecology Useful during preg- lactation.
genin nancy as a nutritive tonic for * Amalaki, manjishtha, licorice
(Paranjpe 2001) mother and fetus. Post-partum it for intestinal inflammation.
replenishes lost fluids, prana, ojas
AYURVEDIC ACTION CONTRAINDICATIONS
and improves the quantity and
Rasa- yana Rejuvenative, espe- flow of breast milk. It is also
With excess mucus, congestion,
cially to the reproductive system kapha or ama.
used in chronic leucorrhoea.
Jı-vaniya Prolongs life Digestion Its sweet and unctuous
Va- jı-karan.a Aphrodisiac properties treat intestinal inflam- SAFETY
Śukrala Increases sperm produc- mation caused by dysentery and No drug–herb interactions are
tion food intolerances. All cases of known.
Ojovardhana Increases ojas high pitta benefit. It softens the DOSAGE
Pittaśamaka Cools and alleviates stool and may be helpful in pit- 3–15g per day dried or 3–15ml of
pitta taja types of haemorrhoids a 1:3 @ 25% tincture.
Stanya Increases breast milk and (Nadkarni 1954).
eases the flow Urine Its cooling and soothing
BIOMEDICAL ACTION effects are beneficial for mutrava-
Adaptogen, demulcent, anti- hasrotas and conditions involving
inflammatory, aphrodisiac, galac- aggravated pitta with painful
tagogue, diuretic and malodorous urination
(Gogte 2000).
254
PART 2
NOTES
■ There is some dispute over the true species of rejuvenative properties that also benefit the female
musali. Asparagus adscendens grows as a climbing reproductive and menstrual cycle. It is also used
shrub with typical asparagus-like striated leaves in for strengthening the lower back, bones and
northern India. Chlorophytum borivillianum, also of kidneys when boiled with milk (cow or almond) and
the Liliaceae family, is also a contender for the safed mixed with digestive spices to enhance nutritive
musali ‘award’ as it has lily-like like straight leaves quality.
which various textual references state as necessary. ■ Equal parts of kapikacchu, gokshura and safed
■ There is also a black variety, kali musali, that is musali make musalı- cu-rn. a, which is renowned for
considered to be Curculingo orchioides from the its reproductive tonic properties.
Amaryllidaceae family. This has the same virilising
255
Chapter 6 PLANT PROFILES
SAFFLOWER
Common name Safflower (E) Sanskrit Kusumbha Latin Cartharmus tinctorius–Flos (Compositae)
256
PART 2
DOSAGE NOTES
0.5–9g per day dried or 5–20ml ■ Used as a replacement for the more expensive and clinically stronger
per day of a 1:5 @ 25% tincture. saffron (Crocus sativus).
At high doses it clears conges- ■ This is a very useful herb for the skin and blood circulation.
tion in the blood tissues and ■ The dried flowers should only be kept for one year.
channels; at low doses it regu-
lates blood flow.
257
Chapter 6 PLANT PROFILES
SAFFRON
Common name Saffron (E), Kesar (H) Sanskrit Kun• kuma, Ghusr• n• a Latin Crocus sativus–Stigmata (Iridaceae)
258
* Gokshura, licorice for painful
PART 2
SAFETY NOTES
urination. No drug–herb interactions are ■ Saffron is also known as
known. ghusrina as it is sacred to
CONTRAINDICATIONS
Pregnancy, as it stimulates the DOSAGE Ghrishneshvara, Lord Shiva.
flow of blood in the uterus. 100–250mg per day (1–5 ■ It is a very sattvic herb; its
259
Chapter 6 PLANT PROFILES
SALT
Common name Salt: rock, sea, black, Sambar Sanskrit Lavan. a, Saindhava, Sa-mudra-, Vid• a, Sauvarcala,
Sa-kambharı-ya, Audbhijja Latin Sodii chloridum
ENERGETICS
Rasa (taste) Salty, sweet
V ı-rya (energy) Heating (apart
from saindava rock salt, which is
cooling)
Vipa-ka (post-digestive effect)
Sweet
Gun.a (quality) Heavy, wet, pene-
trating
Dos.a effect KP+, V−
Dha-tu (tissue) All tissues
Srotas (channel) Digestive, uri-
nary, nervous
CONSTITUENTS
Sodium chloride INDICATIONS cause water retention. Its iodine
Potassium Digestion Salt stimulates diges- content (especially found in sea
Sodium carbonate tion by increasing digestive salt) plays a part in preventing
Sodium sulphide enzymes and so benefits low goitre (Nadkarni 1954).
Iodine appetite and indigestion. It also Nerves Helps to settle the nerves
Trace minerals works directly on the taste recep- by descending vata and calming
(Nadkarni 1954) tors and clarifies the sense of the emotions.
AYURVEDIC ACTION taste. Higher doses can work as
COMBINATIONS
Dı-pana Appetite stimulant a laxative or emetic. The yogic
. * With digestive herbs to calm
- practice of śankhapraks.alan.a and
Amapa-cana Digests toxins vata. Salt is a crucial ingredient
Srotarodhaghna Clears s.at.karma utilises the osmotic
in the hingashtaka formula.
obstructed channels properties of salt to draw toxins
* Licorice, vasa, ginger for
Suks.maga-mi Penetrates the out of the mucous membranes
mucus congestion.
minute channels of the body prior to purgation (Swami
* Guggulu and frankincense for
Bhedanı-ya Purgative Satyananda).
lumps and masses.
Sles.mala Increases kapha and Lungs Salt has the ability to
liquefy mucus and kapha in the CONTRAINDICATIONS
mucus
lungs. It dislodges deep-seated High blood pressure, acidity,
Anulomana Causes vata to move
phlegm and facilitates expectora- skin diseases.
downwards
Tı-ks.n. a Very penetrating to the tion (Bhavaprakaśa).
SAFETY
subtle channels Tumours Salt has the specific
No drug–herb interactions are
ability to dissolve masses, lumps
known but its ability to cause
BIOMEDICAL ACTION and tumours in the body. As it
high intracellular sodium levels
Digestive, alkaline, expectorant, clears the channels it removes
can antagonise certain diuretics
demulcent, lubricant, laxative, obstructions. Care must be taken
and hypotensive medications.
emetic, water retentive, osmotic, when treating these conditions
irritant, rubifacient with salt due to its tendency to DOSAGE
250mg–10g per day.
260
PART 2
NOTES
■ Saindhava rock salt comes from open mines inland. ■ Sauvarchala salt is made from rock salt with sodium
It is considered the best salt as it is easy to digest chloride, sulphide and carbonate. It has a hot vipa-ka
and does not cause water retention as readily as and stimulates the appetite.
the other types. It is also classified as netrya and is ■ Audbhida (Potassium nitre) is also known as fossilised
beneficial to the eyes. salt. It increases kapha.
■ Sea salt (Sodic muras) contains many trace minerals ■ In excess salt causes oedema, hypertension, high
and aggravates kapha. blood pressure, flaccidity of the skin, early greying
■ Sambar salt comes from lake Sambar in Rajasthan. It and loss of hair, depletion of śukra, impotence,
greatly increases pitta. acidity, bleeding, corruption of plasma (rasa) and
■ Bid lavan
-
. a is also known as black salt or kalanamak blood (rakta).
in Indian markets. It is a manufactured product ■ When used externally as a ‘salt pack’ it reduces
made from rock salt and sodium carbonate kapha, clears fluid swellings and acts as a light and
(sarjaks.ara) with amalaki and haritaki. It directs va-ta drying substance.
downwards. ■ Essential for life in the correct proportions.
261
Chapter 6 PLANT PROFILES
SANDALWOOD
Common name White sandalwood (E) Sanskrit Candana (Śveta), Srı--gandha Latin Santalum
album–Lignum (Santalaceae)
262
* Coriander, gokshura, punar- with the cytochrome P-450
PART 2
COMBINATIONS
* Arjuna, cardamom, guggul for nava for urinary infection with enzyme caution is advised with
chest pain and stagnant prana pitta aggravation. pharmaceutical medications that
vayu. are also metabolised through this
CONTRAINDICATIONS
* Shatavari, amalaki, guduchi, pathway.
None known, but caution during
mustaka for intestinal inflam-
pregnancy due to its moving DOSAGE
mation.
properties. Avoid in kidney dis- 0.5–5g per day of powdered
* Brahmi, gotu kola and eases due to its high volatile con- heartwood or 3–12ml of a 1:3 @
shankhapushpi for nervous
tent. Do not use for longer than 6 50% tincture.
tension and agitation.
weeks due to its dispersing
* Guduchi, manjishtha, kalmegh nature (Tillotson 2001).
for skin inflammations.
* Vasa, anthrapachaka, SAFETY
pushkaramoola for lung con- No drug–herb interactions
gestion. known but as it may interfere
NOTES
■ Native to the south-west Indian region of Mysore as ■ Quality is an issue with the essential oil. The wood
a medium-sized evergreen tree. It is parasitical and contains 2–6% volatile oils. Good quality oil should
requires a host plant to live on for about the first 15 contain 90% santalols but these are often only in
years of its life. the 60–70% reference range.
■ The historical restriction on cultivation has led to an ■ Rakta chandana or red sandalwood (Pterocarpus
illicit trade in this valuable crop and demise in its santalinus) has similar properties that benefit pitta,
population. This limitation has recently been lifted clear heat from the digestive tract and stop
and hopefully we will see the return and bleeding. It is CITES Appendix 2 listed with a special
proliferation of this excellent medicine. proviso on the ban of the trade in logs, wood-chips
■ It must come from a sustainable source where the and unprocessed broken material.
girth of the tree is allowed to reach 60cm and be ■ Sandalwood contains the perfect energetic
over 25 years old. Most sandalwood on the market combination of flavours to balance pitta—bitter,
is not from a sustainable source. Be cautious of astringent and sweet.
adulteration with castor oil and cedarwood oil. ■ Used in religious ceremonies as a purifying scent.
■ A species from Australia, Santalum spicata, has ■ It has a specific effect on a- jña- cakra that is very
recently become available. While there is a useful for pitta/va-ta constitution and enhancing the
replanting programme in place the sustainability of quality of meditation.
this programme is disputed. This species is not as
potent as Santalum album.
263
Chapter 6 PLANT PROFILES
SARIVA
Common name Indian sarsaparilla (E), Sugandhi (H) Sanskrit Sa-riva, Ananta-mu-la Latin Hemidismus
indica–Radix (Asclepiadaceae)
264
helps to increase the quantity * Guduchi, daruharidra and
PART 2
NOTES
and quality of breast milk turmeric for inflammatory
■ Sariva grows throughout
(Bhavaprakaśa). arthritis.
central and south India and in
Male fertility Classified as * Gotu kola, rose, brahmi for Sri Lanka. It is a thin, creeping
śukrala, a sperm-increasing herb, ‘hot’ emotions and disturbed
plant growing up to 3m. It
it is of value in fertility problems pitta.
spreads throughout the
and low libido. Its saponin con- * Ashoka, manjishtha, shatavari,
circulatory system and cools
tent is considered to have a rose for bleeding.
any area of excessive heat.
steroidal effect that enhances the * Gokshura, ashwagandha, safed ■ Another name for it is ananta-
production of testosterone. musali, shatavari in male infer-
mu-la ‘the eternal root’ as its
tility.
COMBINATIONS root spreads for a long way
CONTRAINDICATIONS underground and it survives
* Neem, manjishtha, guduchi, periods of climatic stress (e.g.
gotu kola, sandalwood, licorice None known.
for skin inflammation. droughts).
SAFETY -
■ Śvetasariva, white sariva
* Coriander, gokshura, sandal- No drug–herb interactions are (Hemidismus indicus) and
wood for urinary infections. known. kr.s.n.asa-riva, black sariva
* Coriander, fennel, cumin for (Cryptolepis buchanani) are
pitta digestion. DOSAGE
1–10g per day dried or 3–15ml of mentioned in the texts.
* Haritaki, bilva, kutaja in diar- ■ Its use is very similar to
rhoea. a 1:3 @ 45% tincture.
Jamaican sarsaparilla, Smilax
ornata and dwipautra, Smilax
china.
265
Chapter 6 PLANT PROFILES
SARPAGANDHA
Common name Rauwolfia (E), Indian snake root (E) Sanskrit Sarpagandha Latin Rauwolfia
serpentina–Radix (Apocynaceae)
266
PART 2
NOTES
■ Sarpagandha is a thin shrub growing up to 1m in ■ Only use under the guidance of a trained herbalist
height. It grows all over India and Sri Lanka. as misuse can cause severe reactions.
■ It is an exceptionally powerful herb and must be ■ It has a controversial reputation due to the isolated
used with caution and only when true high blood alkaloid reserpine causing such strong side-effects.
pressure or tension is diagnosed. The whole root is much safer.
■ Check the legal status of using this herb as it is ■ It is CITES Appendix 2 listed and must be sold with
subject to various rulings in different countries. It the appropriate trade documents.
is banned for use in the UK unless prescribed by a
doctor.
267
Chapter 6 PLANT PROFILES
SENNA
Common name Senna (E) Sanskrit Ra-ja-vr• ks• a, Ma-rkan.d. ika Latin Cassia angustifolia–Folium (Leguminosae)
268
SHANKHAPUSHPI
PART 2
Common name Shankhapushpi (H), Shankhahuli (H) Sanskrit Śan• khapuspı-, Śan• khinı- Latin Evolvulus
alsinoides–Folium (Convolvulaceae)
269
Chapter 6 PLANT PROFILES
NOTES
■ Shankhapushpi is a small creeper growing all over listed in Indian Medicinal Plants as shankhapushpi.
wasteland in India. Clitoria ternata is used in south India for
■ Caraka considered this the best of all the nervine shankhapushpi. Although these different species are
herbs. used interchangeably for their medhya properties they
■ The exact species of shankapushpi is used do not necessarily compare in other actions. My
interchangeably around India. In the translation of experience is with Evolvulus alsinoides.
the Bha-vapraka-śa that I have used shankhapushpi ■ All these species are multi-branched, indicating its
is classified as Convolvulus pluricaulis, as it is in the ability to ‘spread’ throughout the nervous system.
Ayurvedic Formulary of India. Evolvulus alsinoides is
270
PART 2
SHATAVARI
Common name Wild asparagus (E), Shatavar (H) Sanskrit Śata-varı- Latin Asparagus racemosus–Radix
(Liliaceae)
271
* Ashwagandha, kapikacchu,
Chapter 6 PLANT PROFILES
Urine Very useful in dysuria with CONTRAINDICATIONS
hot and smelly urine with gokshura, amalaki for boosting Acute lung congestion, high
haematuria. sperm quality and quantity. kapha, low digestive fire, high
Anabolic Shatavari’s rasayana * Fennel, ajmoda for increased ama.
properties increase mamsa dhatu breast milk.
SAFETY
building body mass, muscle tis- * Amalaki, manjishtha, kutki for No drug–herb interactions are
sue and nourishing the blood. It intestinal inflammation.
known.
nourishes ojas and can enhance * Licorice, vasa, neem for lung
immunity in the treatment of heat and high pitta problems. DOSAGE
cancer (Tillotson 2001). * Coriander, sandalwood, gok- 3–30g per day dried or 3–15ml of
Nerves It nourishes majja dhatu shura for urinary difficulty, a 1:3 @ 25% tincture.
and calms the nerves. It specifi- pain, bleeding.
cally nourishes the brain and
reduces vata disorders; spasms,
pain and insomnia.
NOTES
COMBINATIONS
■ Thriving all over tropical India and Asia, it grows a mass of tuberous and
* Ashoka, rose, turmeric, mustaka juicy roots. It is a thorny perennial with striated leaves.
for gynaecological conditions.
■ Top quality shatavari is peeled to become yellow shatavari.
* Manjishtha and ashoka for pre- ■ It is commonly boiled with milk, ghee and digestive spices to increase
venting miscarriages.
its tonic properties and assist in the reduction of pitta.
* Ashwagandha as a uterine -
■ A major ingredient in narayana tail, a massage oil used for high va ta and
tonic and for infertility (male
muscular weakness with dry skin.
and female).
272
PART 2
SHILAJIT
Common name Mineral pitch, vegetable asphalt, bitumen (E) Sanskrit Śila--jit Latin Asphaltum
273
Chapter 6 PLANT PROFILES
SAFETY DOSAGE dose of 12g per day and it needs
No drug–herb interactions are 2–3 pills three times per day or to be taken for two months to
known. 500mg–5g per day. The Caraka attain maximum benefit.
Samhita recommends a minimum
NOTES
■ There are four varieties mentioned in the mountains of Asia and in Europe. These variable
Bha-vapraka-śa; red, yellow, blue and black. The black factors account for the different varieties as well as
variety appears to be the best for medicinal for the variable energetics and chemical
purposes. constituents.
■ The origins of shilajit are not absolutely certain but ■ Its prabha-va is to be able to cure any disease when
it appears to be the result of a complex of factors used with other appropriate medications.
including the composted residue of certain resin- ■ To ‘purify’ it, shilajit is often macerated in a decoction
or latex-containing plants, the local environment of triphala and bhringaraja and left to dry
.
from where it comes, the temperature, the (Sa-rngadhara Sam.hita).
humidity and the geological nature of the rock that ■ Good-quality shilajit should not smoke on burning.
it exudes from. It has been found all over the
274
PART 2
TAGARAH
Common name Indian valerian (E), Tagar (H) Sanskrit Tagara Latin Valeriana wallichi–Radix
(Valerianaceae)
275
Chapter 6 PLANT PROFILES
NOTES
■ Tagarah is a hardy perennial surviving the rigours of ■ It balances all the five va-yu as excessive movement is
the Himalayan climate, growing at an altitude of up restrained and insufficient movement stimulated. By
to 4000m. relaxing constriction it opens the channels for va-ta
■ In prolonged usage (>6 weeks) it can increase to flow freely.
tamas and feelings of inertia and stagnation in the ■ It is traditionally associated with the cerebrospinal
system. fluid, manova-hasrotas and rasa dha-tu.
■ It can be added to a bath to help induce a deep ■ Useful to combine with a light and stimulating herb
sleep. to offset excessive dullness.
276
PART 2
TILA
Common name Sesame seed (E), Til (H) Sanskrit Tila Latin Sesamum indicum–Semen (Pedaliaceae)
277
Chapter 6 PLANT PROFILES
SAFETY NOTES
No drug–herb interactions are ■ Sesame grows as an annual shrub up to 1m in height.
known. ■ There are five varieties: black, white, red, wild and small.
DOSAGE ■ The black variety is considered more nutritious and beneficial to the
278
PART 2
TRIVRUT
Common name Trivrut (H), Nishoth (H) Sanskrit Tri-vr• ta Latin Operculina turpethum/ipomea–Radix
(Convolvulaceae)
279
Chapter 6 PLANT PROFILES
TULSI
Common name Holy basil (E), Tulsi (H) Sanskrit Tulası-, Vis• n• u-priya-, Divya- Latin Ocimum sanctum–Folium
(Labiatae)
280
PART 2
SAFETY NOTES
No drug–herb interactions are ■ Tulsi is a prolific shrub growing to about 75cm.
known, although there is theo- - -
■ There are different varieties: śrı ra ma tulsi is the green variety, krishna
retical evidence that its eugenol tulsi is the red type and vrina tulsi is the larger variety.
content may deplete glutathione ■ It is commonly found in Hindu courtyards and is used as part of the
from the liver. Therefore caution daily ritual to Vishnu, the Lord of Preservation.
should be used in patients using ■ The tea is often combined with honey to aid its decongesting
glutathione-depleting medica- properties.
tion such as paracetamol (WHO ■ It is used externally as a poultice for fungal infections and boils.
1999). ■ The fresh juice is popular in India.
DOSAGE ■ The root and seed are also used, the root in fevers and the seeds as a
281
Chapter 6 PLANT PROFILES
TURMERIC
Common name Turmeric (E), Haldi (H) Sanskrit Haridra- Latin Curcuma longa–Rhizoma (Zingiberaceae)
PART 2
Joints It treats inflammation of DOSAGE
the joints, alleviates pain and inflammatory treatment with a 1–10g per day dried root or
strengthens the joints and ten- kapha–pitta pathology. 3–15ml per day of a 1:3 @ 45%
dons. Useful for treating gout, * Guggulu, arjuna, amalaki for tincture.
arthritis, broken bones and heart conditions such as angina
wounds. and atherosclerosis.
NOTES
Heart Turmeric nourishes the * Neem, kutki, long pepper for
heart by virtue of its raktavardhaka liver disease. ■ Although at high doses it can
283
Chapter 6 PLANT PROFILES
VACHA
Common name Calamus root (E), Sweet flag (E), Vach (H) Sanskrit Va- ca- , Ugragandha Latin Acorus
calamus–Rhizoma (Araceae)
284
PART 2
CONTRAINDICATIONS NOTES
Pregnancy or breastfeeding. Use ■ It is mainly cultivated in north India as an evergreen rhizome.
one month on, one month off. ■ Acorus gramineus also grows in India.
DOSAGE - -
■ Four varieties are mentioned in the Bhavaprakaśa but Acorus calamus is
tincture. ■ Always combine it with other aromatic herbs to offset the emetic
285
Chapter 6 PLANT PROFILES
VAMSA LOCHANA
Common name Bamboo manna, the inner pith of bamboo (E), Vam •
śa-locana (H) Sanskrit Vamśa-
locana, Tavaks• -ırı- Latin Bambusa arundinaceae (Graminaceae)
286
PART 2
VARUNA
Common name Three-leafed caper (E), Varuna (H), Varna (H) Sanskrit Varun.a Latin Crataeva
nurvala–Cortex (Capparidaceae)
287
Chapter 6 PLANT PROFILES
VASA
Common name Malabar nut (E), Vasaka (H), Adusa (H) Sanskrit Va-sa- , Va-saka Latin Adhatoda vasica,
syn. Justicia adhatoda–Folium (Acanthaceae)
288
tussive medication (Braun &
PART 2
CONTRAINDICATIONS NOTES
Pregnancy (safe post-partum); Cohen 2003, 2004). ■ It is exceptionally powerful and
high vata. should only be used under the
DOSAGE
SAFETY 0.5–1.5g per day powdered leaf guidance of a herbalist.
No negative drug–herb interac- or 2.5–7.5ml per day of a 1:5 @ ■ Only use short-term (up to 6
tions are known but it may cause 45% tincture. weeks maximum).
a positive interaction with anti- ■ Excess use can cause
hypotension.
289
Chapter 6 PLANT PROFILES
VIDANGA
Common name Embelia (E), Viranga (H), Vaividanga (H) Sanskrit Vid• an• ga Latin Embelia ribes–Fructus
(Myrsinaceae)
290
* Punarnava, gokshura for doses well the above normal
PART 2
SAFETY
urinary problems. No drug–herb interactions are therapeutic range.
known. Vidanga has been associ-
CONTRAINDICATIONS DOSAGE
ated with damaging peripheral
Pregnancy; pitta aggravation. 1–15g per day or 3–15ml per day
vision when taken at very high
of a 1:3 @ 25% tincture.
NOTES
■ It grows all over India as a small shrub. ■ It is presently banned for use in the UK under the
■ The tincture has proven the most effective way to 1977 Medicines Order.
clear worms.
■ Use a high dose to kill worms and follow with a
purgative.
291
Chapter 6 PLANT PROFILES
VIDARI
Common name Vidarikand (H) Sanskrit Vida- rı- Latin Pueraria tuberosa–Radix (Fabaceae)
292
Burstein NL, et al 1984 Expert Eye Research 39:745
PART 2
References
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and pharmacology. Art of Medicine Press
Ayurvedic Pharmacopoeia of India 2001
Government of India Duke J 2004 Phytochemical database. Online.
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Bagchi GD, et al 1992 International Journal of
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Bartram T 1995 Encyclopedia of herbal medicine. Dwivedi S et al 1989 International Journal of Crude
Grace Publishers Drug Research 27:217
Bensky D, Gamble A 1993 Chinese herbal medi- Dwivedi S, Jauhari R 1997 Beneficial effects of
cine: materia medica. Eastland Press Terminalia arjuna in coronary artery disease. Indian
Heart Journal 49:507–510.
Bhattacharya A, et al 1999 Antioxidant activity of
active tannoid principles of P. emblica (amla). Frawley D, Lad V 1994 The Yoga of herbs: an
Indian Journal of Experimental Biology Ayurvedic guide to herbal medicine. Lotus Press
37:676–680 Gogte V 2000 Ayurvedic pharmacology and
Bland J 1985 Preventative Medicine March/April:1 therapeutic uses of medicinal plants. Bhavan’s
Book University
Blomeke B 1992 Formation of genotoxic metabo-
lites from anthraquinone glycosides present in Gupta et al The Journal of the Association of
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Blumenthal M 1998 The complete German Harkness R, Bratman S 2003 Handbook of drug-
Commission E monographs; therapeutic guide to herb and drug supplement interactions. Mosby
herbal medicines. American Botanical Council Holmes P 1989 The energetics of western herbs.
Bone K 1996 Clinical applications of Ayurvedic Snow Lotus
and Chinese herbs. Phytotherapy Press Khopde SM, et al 2001 Characterizing the antioxi-
Bone K 2003 A clinical guide to blending liquid dant activity of amla (P. emblica) extract. Current
herbs. Churchill Livingstone Science 81:185–190
Bown D 1995 The encyclopedia of herbs and their Koul IB, Kapil A 1993 Evaluation of the liver pro-
uses. Dorling Kindersley tective potential of piperine, an active principle
of black and long peppers. Planta Medica
Brala PM, Hagen RL 1983 Effects of sweetness per-
59:413–417.
ception and caloric value of a preload on short
term intake. Physiology and Behavior 30:1-9 Lad V 1998 The complete book of Ayurvedic home
remedies. Piatkus
Braun L, Cohen M 2003 Drug-herb interaction
guide. Journal of Complementary Medicine Low Dog T 2002 Safety, toxicity, drug interactions
Nov–Dec:78–86 and contraindications of botanicals. Proline
Botanicals
Braun L, Cohen M 2004 Complementary medicine
interactions Part 1. Journal of Complementary McGuffin M, Hobbs C, Upton R, Goldberg A 1997
Medicine May–June:78–85 American Herbal Products Association’s botanical
safety handbook. CRC Press
Brinker F 1998 Herbal contraindications and drug
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internal medicine, Volume 2, University of Western
British Herbal Medicine Association 1983 British
Sydney
herbal pharmacopoeia. BHMA
Mehrotra R et al 1991 Indian Journal Medical
British Herbal Medicine Association 1992 British
Research 93:71
herbal compendium. BHMA
293
Tierra M 1992 Planetary herbology. Lotus Press
Chapter 6 PLANT PROFILES
Mills S 1991 The essential book of herbal medicine.
Penguin/Arkana
Tillotson A 2001 The one earth herbal sourcebook.
Mills S, Bone K 2000 The principles and practice of Twin Streams
phytotherapy. Churchill Livingstone
Tisserand R, Balacs T 2000 Essential oil safety.
Murray M 1992 The healing power of herbs. Prima Churchill Livingstone
Health
Trease GE, Evans WC 2002 Pharmacognosy.
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Prakashan
Treasure J 2000 Herb-drug interactions of common
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India. Government of India Press .com/herb.drug.pdf
Paranjpe P 2001 Indian medicinal plants: forgotten Tripathi RM, Sen PC, Das PK 1979 Studies on the
healers. Chaukhamba Sanskrit Pratishthan mechanism of action of Albizzia lebbeck, an
Indian indigenous drug used in the treatment of
Plaskett LG 1996 The health and medicinal use of
atopic allergy. Journal of Ethnopharmacology
aloe vera. Life Science Press
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Shanmugasundaram ERB, et al 1990 Use of
Tripathi YB et al 1988 Assessment of the beta
Gymnema sylvestre leaf extract in the control of
blocking activity of Inula racemosa. Journal of
blood glucose in insulin-dependent diabetes melli-
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Venkataraghavan S et al 1980 Journal of Research
Shishoo CJ 1997 Indian Journal of Pharmaceutical
in Āyurveda and Siddha 1:370
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Thatte UM, et al 1988 Comparative study of
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Findings in Experimental and Clinical
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therapeutic evaluation of indigenous drugs.
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Indian Journal of Medical Research Section B
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294
Chapter Seven
-
Asava, aris.t.a: medicated Kva-tha: decoctions 311
wines 295 Siddha ghr. ta: medicated
Avaleha: medicinal jams 296 ghees 313
Cu-rn.a: powder Siddha taila: medicated
preparations 297 oils 314
Guggulu: pills made Vat.ı-: tablets 315
with Commiphora mukul 304 References 316
This section examines some of the most popular They enter the blood quickly, are tonifying and
ayurvedic formulas, listing their ingredients, build strength in each particular organ or tissue
dosage and therapeutic uses. They are grouped system. The normal dose range is 12–24ml twice
according to formula category in alphabetical order. per day.
The creation of specific formulas is at the heart of See Chapter 3 to read more about asavas and
the ayurvedic tradition and practice. These tradi- aristas.
tional formulas are the repository of knowledge
passed down by generations of ayurvedic doctors. Some common formulas and their indications are
They are formulated to have multiple and synchro- listed in Boxes 7.1 and 7.2:
nous actions on the dosa, dhatu, agni and ama as per
the required treatment strategy. Their precise
formulation has left herbal creations that are Box 7.1
ayurvedic works of art. -
ASAVAS
Diseases, be they inherent, invasive, or internal Candanaa- sava: Urinary and reproductive problems,
to the body, are said to originate from karma, urinary tract infections, burning sensations, bleeding
the dos.a, or from both. To cut through them, disorders, reproductive problems, reproductive tonic.
one should use the best compounds, made of Dra- ks.a- sava: Digestive disturbances, indigestion,
the finest ingredients, which take away suffering. sluggish digestion, lack of appetite, bloating,
constipation.
The method of preparation enhances the Hiñgva- sava: Digestive disorders, bloating, flatulence,
potency of the formula colic, appetite-stimulant.
. Kanaka- sava: Respiratory disorders, asthma,
Śa-rngadhara Sam.hita-
bronchitis, cough, wheezing.
See Chapter 3 for a description of how these for- Kuma- rı-a- sava: Liver disorders, jaundice, ascites,
mulas are made. hepatitis, cirrhosis.
Pippalı-ya- sava: Lung disorders, coughs,
A-SAVA, ARIS.T.A: MEDICATED WINES malabsorption, fevers.
Punarnavaa- sava: Urinary disorders, water balance
These self-generated alcoholic fermented prepara-
disturbance, lung problems caused by high kapha.
tions are a favourite part of ayurvedic treatment.
295
Chapter 7 52 COMMON AYURVEDIC FORMULAS
296
used as a prophylactic in times of excessive sexual CU-RN.A: POWDER PREPARATIONS
PART 2
activity as well as a tonic in cases of debility. Use - -
AVIPATTIKARA CURN.A
when there is infertility, low libido and sexual
weakness.
Box 7.4
COMBINATIONS Ingredients
■ Usually combined with a personalised treat- Each 1g contains:
ment regime. Shunthi Zingiber officinale 12.9mg
Maricha Piper nigrum 12.9mg
CONTRAINDICATIONS Pippalı- Piper longum 12.9mg
Avoid in hot weather for pitta types or with indi- Haritakı- Terminalia chebula 12.9mg
gestion. Bibhitakı- Terminalia belerica 12.9mg
Amalakı- Emblica officinalis 12.9mg
DOSAGE Musta Cyperus rotundus 12.9mg
1–3tsp (5–20g) morning and evening. Bida Sodii chloridum 12.9mg
Vidanga Embelia ribes 12.9mg
NOTES Ela Elettaria cardamomum 12.9mg
■ The herbs are a mixture of phlegm-clearing, Tamalpatra Cinnamomum tamala 12.9mg
ama-reducing, digestive-fire-increasing and Lavanga Syzygium aromaticum 143mg
reproductive tonics. Trivrut Operculina turpethum 286mg
■ It is taken with milk as a vehicle to help carry it Sharkara Saccharum officinalis 429mg
deep into the tissues. Try with almond milk if
dairy is unsuitable. Method of preparation
■ Often used in winter as a tonic. All the herbs are made into fine powder and mixed
■ There are numerous formulas for together to make a homogeneous mixture
cyavanapraśa. Caraka Samhita is the first source (Bhais• ajya Ratna-valı-: amlapitta-dhika-ra)
of this legendary formula, and it is also
•
mentioned in Astangahrdaya Samhita, ENERGETICS
•
Bhaisajya Ratnavali and Śarngadhara Samhita with Rasa (taste): Bitter, pungent, astringent
some minor changes. It is not mentioned Vı-rya (energy): Cooling
in Suśruta Samhita. Vipa-ka (post-digestive effect): Sweet
■ Certain plants mentioned in Caraka have Gun.a (quality): Light, dry
a doubtful identity, such as jeevanti. Other Dos.a effect: PV−
herbs including agaru (Aquilaria agallocha), Dha-tu (tissue): Plasma, blood, muscle
gambhari (Gmelina arborea), kakanasa (Martynia Srotas (channel): Digestive, excretory
diandra), karkatashringi (Pistacia interrima),
kushta (Saussurea lappa), kaghu kantakari AYURVEDIC ACTION
(Solanum xanthocarpum), mashaparni (Teramnus Dı-pana Enkindles the digestive fire
labialis), mudgaparni (Phaseolus trilobus), naga Pa- cana Digestive
keshara (Mesua ferrea), nilotpala (Nymphoea Pittaśamana Pacifies pitta
stellata), patala (Stereospermum suaveolens), Pittaśodhana Clears pitta from the body
prishniparni (Uraria picta), shalparni Amlapittana-śaka Clears acidity
(Desmodium gangeticum), shyonaka (Oroxylum Virecana Laxative for pitta
indicum), varahikand (Dioscorea bulbifera) and Anulomana Redirects rebellious vata downwards
yashthimadhu (Glycyrrhiza glabra) and are also BIOMEDICAL ACTION
mentioned in Caraka Samhita but for reasons Carminative, antacid, laxative, cholagogue,
of sustainability, availability and manufacturer antiemetic, neuralgic
choice, are not always included. There is a
solid history of variation within the INDICATIONS
cyavanapraśa formula and so appropriate Gastrointestinal tract Avipattikara curna is a
amendments appear acceptable. useful laxative for pitta aggravation with heat, thirst
297
. -
Chapter 7 52 COMMON AYURVEDIC FORMULAS
and constipation. It mildly purges the bowel HINGVAS.T.AKA CURN.A: The Asafoetida
carrying inflammatory acid toxins out of the Eight-herb Formula
intestines. In signs of nausea, hiccups, belching and
vomiting, pacaka pitta is being pushed upwards. Box 7.5
Avipattikara’s ability to direct apana vata downwards Ingredients
alleviates such discomfort. It directly treats the cause 100g contains:
of pitta digestive problems by balancing the Shunthi Zingiber officinale 12.5g
digestive fire. Black Pepper Piper nigrum 12.5g
Acidity It is a specific remedy for reducing acid Pippali Piper longum 12.5g
and burning in the stomach and chest region. Ajamoda Apium graveolens 12.5g
It pacifies tiksnagni or a digestive system that is Saindhava Sodii chloridum 12.5g
too intensely active. It is the guiding formula for Jiraka Cuminum cyminum 12.5g
signs of acid regurgitation, a sour taste in the Krisna jiraka Nigella sativa 12.5g
mouth, undigested food, thirst and other bilious Hingu Ferula asafoetida 12.5g
symptoms.
Method of preparation
Headaches Pain behind the eyes, at the side of the
All the herbs are made into fine powder and mixed
head, on the temples and in the forehead are signs
together to make a homogeneous mixture
of pitta aggravation due to disturbance of the
(Yogaratna-kara, Bhais• ajya Ratna-valı-:
digestive fire. Avipattikara curna flushes this down-
agnima-ndyaroga-dhika-ra)
wards.
ENERGETICS
COMBINATIONS
Rasa (taste): Pungent, salty
■ Aloe vera juice as a carrier to soothe the mucus
Vı-rya (energy): Hot
membranes.
Vipa-ka (post-digestive effect): Pungent
■ Licorice and shatavari for ulcers.
Gun.a (quality): Light, dry, penetrating
■ Kaiśor guggulu for inflammation caused by pitta
Dos.a effect: VK−, P+
leaving its site in the small intestine and causing
Dha-tu (tissue): Plasma, blood
hot swellings.
Srotas (channel): Digestive, excretory, respiratory
AYURVEDIC ACTION
CONTRAINDICATIONS
Dı-panı-ya Enkindles the digestive fire
Pregnancy. -
Amapacana Digests intestinal toxins
Va-ta-nulomana Redirects vata downwards
DOSAGE Śu-lahara Alleviates pain
2–5g three times per day.
BIOMEDICAL ACTION
NOTES Carminative, digestive, laxative, anthelmintic, anti-
■ Trikat.u enkindles agni. spasmodic, expectorant
■ Triphala cleans the intestines and clears acids.
■ Musta reduces pitta. INDICATIONS
■ Vidanga clears pitta and is a mild laxative. .
Gastrointestinal tract Hingvastaka is a superb rem-
Use rhubarb root instead if vidanga cannot edy for digestive disturbances that have a nervous
be used. component. Symptoms such as bloating, flatulence,
■ Ela and tamalapatra reduce acidity. Use fennel borborygmus, lower intestinal pain and constipa-
instead of tamalapatra if it is unavailable. tion are all signs of apana vayu not regulating the
■ Lavanga increases the digestive fire without descent of the digestive energy. Other signs might
aggravating pitta. be frequent belching, hiccups and indigestion. It
■ Trivrut is the main herb in the formula can help people who are prone to a ‘nervous stom-
and purges the bowel. Sugar is cooling and ach’, who eat on the move, and who have erratic
clears acid. Take with warm water to prevent .
digestion. Hingvastaka helps to regulate samana vayu
griping from aggravated vata. operating in the middle of the abdomen and this
298
PART 2
allows apana vayu to descend easily. It can also help Haridra Curcuma longa
floral imbalances by eradicating pathogenic bacte- Guduchi Tinospora cordifolia
ria such as Candida albicans, Entamoeba histolytica Dhanvyas Fagonia cretica
and Shigella spp. This helps to clear ama, a dirty Katuka Picrorrhiza kurroa
coating on the back of the tongue and bad breath. Parpat Fumaria indica
Lungs Its positive effects on correcting the flow of Neem Azadiracta indica
vata can help with various respiratory disorders. Yastimadhu Glycyrrhiza glabra
By reducing mucus in the lungs it clears the way Kutaja Holarrhena antidysenterica
for prana to flow freely. It can be included in for- Chitraka Plumbago zeylanica
mulas to treat asthma, bronchitis and shortness of Usheer Vetivera zizanoides
breath. Vacha Acorus calamus
Devadaru Cedrus deodara
COMBINATIONS
Kantakari Solanum xanthocarpum
■ Extra trikat.u for more kapha-related mucus disor-
ders in the lungs and digestive system. Method of preparation
■ Avipattikara curna when there are heat, acidity All the herbs are made into fine powder and mixed
and pitta problems. together to make a homogeneous mixture
■ Triphala when there are more systemic signs of (Bhais• ajya Ratna-valı-: Jvara-dhika-ra).
ama.
ENERGETICS
CONTRAINDICATIONS Rasa (taste): Bitter, pungent, astringent
Pregnancy, due to its descending action and hing Vı-rya (energy): Cooling
content; aggravated pitta. Vipa-ka (post-digestive effect): Pungent
Gun.a (quality): Light, dry
DOSAGE
Dos.a effect: PK−, V+
1–2g three times per day.
Dha-tu (tissue): Plasma, blood
Srotas (channel): Respiratory, water
NOTES
■ All the herbs stimulate agni, direct vata down-
AYURVEDIC ACTION
wards and clear ama.
Jvarahara Alleviates fevers
■ It is the ayurvedic digestive enzyme.
Yakr.duttejaka Tonifies the liver
■ Used before a meal it helps to stimulate the -
Amapacana Removes ama; especially pitta-
appetite and descend apana vayu helping to
inflammatory toxins
reduce anorexia and lack of appetite.
Pittaśodhana Clears pitta from the system
■ Used in the middle of a meal it helps regulate
Raktaśodhana Cleans the blood
samana vayu.
Caks.us.ya Benefits the eyes
■ Used at the end of the meal it helps to remove
ama and undigested food. BIOMEDICAL ACTION
Alterative, febrifuge, antipyretic, cholagogue,
- - antiviral, diaphoretic, diuretic, decongestant
MAHA SUDARŚANA CURN.A: The Formula For
Creating Lustre
INDICATIONS
Fever Mahasudarśana clears inflammatory toxins
Box 7.6
from the body via the skin and urine. It directly
Ingredients
clears heat from the system that has built up due
Including •
to a displaced agni circulating in the plasma and
Triphala Three Fruits
blood. The low agni commonly causes ama block-
•
299
influenza, acute phases of myalgic encephalo-
- -
PUS.YANUGA CURN. A
Chapter 7 52 COMMON AYURVEDIC FORMULAS
300
Śvetapradara Gynaecological pacifier
PART 2
CONTRAINDICATIONS
-
Artava śamana Treats leucorrhoea Constipation; very high vata.
Stambhana Prevents leakage of fluids
Kas.a-ya Astringent DOSAGE
1–5g three times per day with rice water.
BIOMEDICAL ACTION
Haemostatic, vulnerary, uterine tonic, circulatory NOTES
regulator, menstrual regulator, vasoconstrictor, ■ This is a complex formula involving multiple
alterative, anti-inflammatory, antispasmodic actions. Astringents such as amrabija, arjuna,
lodhra, bilvamool, kutaja, nilotpal and patha all
INDICATIONS hold blood in its proper channels and clear
Gynaecology Pus yanuga is indicated for all female kapha congestion.
menstrual disorders involving congestion in the ■ Cooling herbs such as sariva, chandan,
artava srotas (female reproductive channel). daruharidra and yastimadhu help to clear pitta.
Conditions involving excessive bleeding such as ■ Menstrual regulators such as mustaka, lodhra,
metrorrhagia, fibroids and endometriosis are and patha help to normalise the cycle.
treated with this formula. Excess water stagnation ■ Antispasmodic vata-reducing herbs such as
with uterine tumours, ovarian cysts and leucor- katphala, mustaka, yastimadhu, and sunthi help
rhoea are dried up and reduced. Dysmenorrhoea with pain and uterine tension.
due to high pitta and kapha is regulated as the ■ Tonics such as sariva, draksa, yasthimadhu,
obstruction causing the pain is removed. arjuna and mustaka all help to nourish rasa and
Menstrual irregularities such as mid-cycle bleeding rakta, hence building the blood count.
and perimenopausal flooding are normalised. All ■ It is known as pusyanuga as the plants in this for-
inflammations and irritations, such as in thrush mula should be collected when the moon is in the
and vulvodynia, are treated. pus.ya constellation in December and January.
Pregnancy With a restless fetus and mid-term
- -
bleeding pus yanuga is indicated. It is also of great SITOPALADI CU RN.A: The Sweet Cough
benefit post-partum to astringe the uterus muscles Powder
and purify the stanya srotas (lactation channel).
Blood Conditions involving excess bleeding, Box 7.8
especially from the bowel and urinary system, are Ingredients
astringed and rectified. It specifically focuses on Each 100g contains:
rakta dhatu, and the reckless movement of blood Pippali Piper longum 13g
flooding out of its channel is addressed by Twak Cinnamomum zeylanicum 5g
reducing the stagnation that is causing the over- Vamsa lochana Bambusa arundinacea 25g
flow. The blood nourishing action of the herbs help Elae Elettaria cardamomum 7g
to treat anaemia. As a vasoconstrictor it tonifies the Sitopala, Rock candy Saccharum officinalis 50g
capillaries and assists the relaxation–contraction
cycle in the capillary beds. Method of preparation
Nerves Irritations of the nervous system causing All the herbs are made into fine powder and mixed
pain and uterine spasms are soothed. together to make a homogeneous mixture
.
(Śa-rngadhara Sam.hita-).
COMBINATIONS
■ Kañcanara guggulu with fibroids, endometriosis
and fibroids. ENERGETICS
■ Kaiśor guggulu with breast cysts and uterine
Rasa (taste): Sweet, pungent
tumours with heat signs. Vı-rya (energy): Heating
■ Punarnavadi guggulu in leucorrhoea, water reten-
Vipa-ka (post-digestive effect): Sweet
tion and swollen breasts. Gun.a (quality): Light, unctuous
■ Shatavari and ashwagandha for infertility and
Dos.a effect: VPK=, P+ in excess
menstrual irregularity. Dha-tu (tissue): Plasma, rakta
Srotas (channel): Respiratory, digestive
301
■ Sitopala literally means ‘rock candy’ and refers
Chapter 7 52 COMMON AYURVEDIC FORMULAS
AYURVEDIC ACTION
Ka-saśva-sahara Alleviates cough and asthma to the cooling, demulcent pitta- and vata-reliev-
(pitta-type) ing properties of the preparation.
Pratisa-rahara Clears colds and allergies ■ With high pitta signs include more pitta-
Dı-pana Enkindles the digestive fire reducing herbs.
Jvaraghna Alleviates fevers
Da-haghna Reduces burning sensations CONTRAINDICATIONS
None known.
BIOMEDICAL ACTION
Expectorant, antiasthmatic, antiallergenic, DOSAGE
febrifuge, diaphoretic, bronchodilator 1–5g three times per day.
INDICATIONS -
Lungs Sitopaladi is the classic formula for coughs TRIKAT.U CURN.A: The Three Spices Formula
and colds arising from an excess of vata, pitta and
kapha. It is useful when there is shortness of breath, Box 7.9
asthma with wheezing from contact with cold Ingredients
weather, bronchitis and chest congestion due to 100g contains:
high kapha. When prana vayu is obstructed due to Shunthi Zingiber officinale 33.3g
aggravated ślesaka and avalambaka kapha then this Maricha Piper nigrum 33.3g
formula clears the congestion and frees the flow of Pippali Piper longum 33.3g
air. It is a specific for coughs with copious white or Method of preparation
yellow-tinged sputum, sore throat, high fever and All the herbs are made into fine powder and mixed
a muzzy head. together to make a homogeneous mixture
Nose Use sitopaladi curna for sinus congestion, (Bha-vapraka-śı-a, Bhais• ajya Ratnavalı-:
a dull headache that feels as though there is a paribha-s.a-prakaran.a).
tight band around the head, and a runny
nose.
ENERGETICS
Allergies For seasonal and allergic rhinitis from
Rasa (taste): Pungent
allergies to dust, mould and airborne pathogens,
Vı-rya (energy): Heating
combine with other herbs to reduce mast cell
Vipa-ka (post-digestive effect): Pungent
proliferation.
Gun.a (quality): Light, dry
Dos.a effect: VK−, P+, can aggravate V in excess
COMBINATIONS
Dha-tu (tissue): Plasma, blood, muscle, fat
■ Trikat.u for severe mucus.
Srotas (channel): Digestive, respiratory, fat,
■ Mahasudaśana when there is fever and inflam-
eliminatory
mation from high pitta.
■ Pitshirisha, anthrapachaka and haritaki for
AYURVEDIC ACTION
allergic reactions that affect the respiratory
Dı-pana Awakens digestion
system.
Pa-cana Digests toxins
-
Amana-śaka Destroys toxins
NOTES
Ka-saśva-sahara Alleviates coughs and asthma and
■ Use with 1⁄4 teaspoon of honey to enhance its
benefits breathing
transport to the lungs.
Sthaulyamedoghna Removes fat and obesity
■ The vamsa lochana helps to alleviate pitta
Rasa-yana Rejuvenative, especially to kapha and the
fevers, infected phlegm and haemoptysis. It is a
lungs
very effective expectorant.
Pinasaghna Alleviates nasal congestion
■ Cardamom, long pepper and cinnamon help to
reduce kapha and vata.
BIOMEDICAL ACTION
■ Long pepper helps to rejuvenate the under-
Carminative, appetiser, digestive, expectorant,
lying weakness in the repiratory system
bronchodilator, diaphoretic
( pranavahasrotas).
302
INDICATIONS ■ Use before meals as a dipaniya, a digestive
PART 2
Gastrointestinal tract Trikatu is the remedy for stimulant, and after meals as a pacaniya, an aid
stimulating a sluggish agni. It is indicated when- to digestion.
ever there is low digestive activity with sluggish-
ness, bloating, abdominal pain and flatulence due
- -
to high kapha or vata. It also helps in conditions of TRIPHALA CURN.A: The Three Fruits Powder
poor nutritional assimilation due to parasites, a
leaky gut or low enzyme secretions. May help in Box 7.10
IBS, Candida albicans, diarrhoea from cold or food Ingredients
intolerances to damp, wet and heavy foods. It is a Each 100g contains:
specific remedy to help burn ama and undigested Haritaki Terminalia chebula 33.3mg
toxins in the digestive tract and bloodstream. Bibhitaki Terminalia belerica 33.3mg
When there is nausea due to excess phlegm this Amalaki Emblica officinalis 33.3mg
can help.
Method of preparation
Lungs As trikat.u rejuvenates the lungs it is used
All the herbs are made into fine powder and mixed
whenever there is a cough, wheezing or breathing
together to make a homogeneous mixture
difficulties with clear, sticky and white phlegm.
(Bha-vapraka-śa).
Used in asthma, bronchitis, pneumonia, cough and
colds. A superb remedy for hayfever and acute
allergic rhinitis as an immediate way of drying up ENERGETICS
the copious nasal secretions; it has antiallergenic Rasa (taste): Sweet, sour, pungent, bitter, astrin-
effects. Also used in sinus congestion and chronic gent
nasal blockage. It has an affinity for all the orifices Vı-rya (energy): Cooling
of the head and clears a muzzy head, clears Vipa-ka (post-digestive effect): Sweet
blocked ears and treats sore throats. Gun.a (quality): Light, dry
Metabolic With low metabolism, hypothyroid and Dos.a effect: VPK=
the concurrent increase in weight, low energy, and Dha-tu (tissue): All tissues rejuvenated
lowered immunity, trikat.u can be part of a treat- Srotas (channel): All channels cleansed, especially
ment strategy. Where there is high cholesterol it channels of elimination
may be indicated to encourage digestion of the
excess lipids via enkindling medas-dhatu agni. With CONSTITUENTS
any feeling of coldness trikat.u can help to warm Tannins, alkaloids, sennoside, ascorbic acid
the body. (Vitamin C), bioflavonoids, mucilage
NOTES INDICATIONS
■ Traditionally combined with honey to make a Digestion Traditionally used for maintaining a
paste. Honey is said to clear mucus and help healthy digestive tract. Use when there are signs of
with cleansing. sluggishness, constipation, bloating, flatulence,
303
■ Taken at night it has a milder aperient effect.
Chapter 7 52 COMMON AYURVEDIC FORMULAS
CONTRAINDICATIONS
Caution in pregnancy. ENERGETICS
Rasa (taste): Bitter, sweet, astringent, pungent
DOSAGE Vı-rya (energy): Neutral
2–3 capsules 2 or 3 times per day; 0.5–5g of powder Vipaka (post-digestive effect): Neutral
per day. Gun• a (quality): Dry
Dos• a effect: VPK=
NOTES Dha-tu (tissue): Plasma, blood, muscle, fat, bone,
■ Triphala is one of the most famous preparations nerve, reproductive
from the ayurvedic formulary. Srotas (channel): Urinary, water
■ Triphala means ‘three fruits’.
■ Some of its therapeutic action is believed to AYURVEDIC ACTION
come from its possessing five of the six tastes Lekhana Scrapes toxins
(all but salty). It causes an enduring and deep Śodhana Purifies the blood
cleansing of the tissues. Mu-trala Diuretic
■ Although sometimes classified as a laxative it is Vrkka aśmarı-hara Treats renal calculi
•
very mild, does not cause dependency and thor- Vr.s.ya Increases sexual potency
oughly detoxifies the digestive tract. Prameha Antidiabetic
■ It is commonly taken by soaking a teaspoon of Va-tavya-dhı- Alleviates neurological disorders
the powder in water overnight as a cold infu- Śveta pradara Treats leucorrhoea
sion. This is then drunk on rising to promote a Mu-trakrccraghna Alleviates painful urination
•
PART 2
BIOMEDICAL ACTION
Diuretic, anti-inflammatory, antibacterial, litha- membranes that this damages.
gogue, aphrodisiac ■ It reduces the adhesions and accumulations of
kapha by scraping them away and clearing
INDICATIONS downwards.
Urine A traditional tonic for the genitourinary ■ Drink with musta decoction or coriander seed
tract. Indicated in infections; cystitis, nephritis, cold water infusion
incontinence with burning, frequency, cloudy
urine, albuminaria, bleeding, excessive or KAIŚOR GUGGULU
obstructed urination with high vata–pitta. Used to
prevent and reduce stones caused by kapha. Box 7.12
Reproductive Specific application in male sexual Ingredients
dysfunction; premature ejaculation, nocturnal Each 250mg pill contains:
emissions, spermatorrhoea. Used for prostatitis Haritaki Terminalia chebula 7.75mg
and benign prostatic hypertrophy. Also used in Bibhitaki Terminalia belerica 23.26mg
female disorders such as leucorrhoea, endometrio- Amalaki Emblica officinale 7.75mg
sis and infertility. It is a superb rejuvenative for the Guduchi Tinospora cordifolia 11.63mg
reproductive system when there is any weakness Shunthi Zingiber officinale 5.81mg
due to obstruction in the reproductive (śukravaha- Marich Piper nigrum 5.81mg
srotas) or urinary (mutravahasrotas) channels. Pippali Piper longum 5.81mg
Back Lower back problems, lumbago and kidney Vidanga Embelia ribes 5.81mg
infections with high vata. Jaypala Croton tiglium 0.73mg
Trivrut Operculina turpenthum 0.73mg
COMBINATIONS Suddha guggulu Commiphora mukul 186.05mg
■ Shilajit in sexual dysfunction. Triturated with the decoction of:
■ Punarnavadi guggulu in bladder and kidney Haritaki (Terminalia chebula)
stones. Bibhitaki (Terminalia belerica)
■ Sandalwood and coriander in enlarged prostate. Amalaki (Emblica officinalis)
Guduchi (Tinospora cordifolia)
CONTRAINDICATIONS
Pregnancy. Method of preparation
All the cu-rn.a are made into fine powder and mixed
DOSAGE with suddha guggulu to make a homogeneous
500mg–1g three times per day. mixture that is triturated with triphala and guduchi.
The mixture is then dried, powdered, and made into
NOTES tablet form (Śa-n• gadhara Sam.hita-, Bhais• ajya Ratna-valı-:
■ Gokshura guides the other herbs to the genito- va-tarakta-dhika-ra).
urinary system and is a renowned strengthen- Guggulu Śodhana reference: Bha-rat Bhais• ajya Ratna-kara
ing, lithotropic and sperm-purifying herb that
alleviates urinary disorders.
■ Guggulu acts as a cleaning resin that purifies all ENERGETICS
accumulations of ama. Rasa (taste): Bitter, astringent, sweet, pungent
■ Triphala clears ama and detoxifies the bladder Vı-rya (energy): Heating
and kidneys via the mutravahasrotas (urinary Vipa-ka (post-digestive effect): Pungent
channels). Gun.a (quality): Dry, light
■ Trikat.u enkindles agni in all the tissues. Dos.a effect: VPK−, balances all three dosa
■ Mustaka specifically moves in mutravaha, artava Dha-tu (tissue): Plasma, blood, muscle, lipid, bone
vaha and śukravahasrotas and therefore supports Srotas (channel): Circulatory, skin
gokshura in guiding the formula downwards.
■ It calms an overactive vata and tonifies the AYURVEDIC ACTION
depletion this causes. Pittaśamana Pacifies pitta and inflammatory
conditions
305
■ Trikat.u digests the toxins in the tissues and
Chapter 7 52 COMMON AYURVEDIC FORMULAS
306
PART 2
BIOMEDICAL ACTION DOSAGE
Anti-inflammatory, lymphatic, antitumour, 500mg–1g three times per day.
antiplatelet, diuretic, reduces cholesterol, alter-
ative, decongestant NOTES
■ This is the anti-kapha formula when there is such
INDICATIONS a degree of stagnation that the ama has con-
Growths Kañcana-ra guggulu is a specific for clear- gealed to form a palpable mass.
ing all growths and fluid-based accumulations in ■ Kanchanara is very astringent and dries excess
the body. It specifically reduces swellings and kapha and reduces the lipid tissue.
lumps (soft/hard/palpable/fixed/moveable) by ■ Guggulu scrapes the adhesive tissue away from
drying the excess kapha. It is a favoured formula the channels and works especially on mamsa
used in cancer caused by excess kapha. Also and medas-dhatus.
consider it in anal fistulas, abscesses and chronic ■ Triphala, trikat.u, varuna, ela and twak all aid the
skin lesions. digestion and elimination of the excess kapha by
Thyroid It is also a specific herb for hypo- and enkindling the digestive fire as well as clearing
hyperthyroid. It has a balancing activity on thyrox- the toxins out through the urinary channel and
ine production; increasing any deficient production the bowel.
and decreasing any excess. It also clears swellings
in the neck and goitre. PUNARNAVADI GUGGULU
Lymph It is a specific herb for swollen lymph
Box 7.14
nodes, cervical adenitis, scrofula, Hodgkin’s dis-
Ingredients
ease and swollen glands in general. When medas-
Each 250g pill contains
dhatu-agni becomes deficient and kapha becomes
Triphala Three Fruits 16.86
aggravated then lymphatic accumulations and
Guduchi Tinospora cordifolia 22.47mg
growths can occur. It effectively flushes the lym-
Trikatu Three Spices 16.86
phatic system of toxins, sluggishness and accu-
Vidanga Embelia ribes 5.62mg
mulated wastes. It may also be beneficial as a
Dantimool Croton tiglium 11.24mg
decongestant where the sinuses are blocked
Trivrut Operculina tarpenthum 56.78mg
because of a sluggish lymphatic system.
Shuddha guggulu Commiphora mukul 89.89mg
Gynaecology Used for polycystic ovary syndrome
Chitrakmool Plumbago zeylanicum 5.62mg
(PCOS), fibroids, and vaginal discharge. It is a fan-
Saindhav Sodium chloride impure 5.62mg
tastic remedy for treating endometriosis as the
Suddha bhallatak Semicarpus anacardium 5.62mg
kanchanar astringes the bleeding while the other
Punarnava Boerhaavia diffusa 11.24mg
ingredients scrape and eliminate the adhesions.
Skin In inflammatory skin disorders with oozing Triturated with the decoction of:
this is a very effective formula. When toxins are Punarnava Boerhaavia diffusa
obstructing the deeper tissues of medas-dhatu and Shunthi Zingiber officinale
the fat tissue then kañcana-ra guggulu is the Eranda mool Ricinis communis radix
appropriate formula. Method of preparation
Obesity When there are signs of excess weight All the cu-rn.as are made into fine powder and mixed
with a sluggish lymphatic system and high choles- with suddha guggulu to make a homogeneous mix-
terol, kañcana-ra guggulu is indicated. ture that is then triturated with punarnava, shunthi
and eran.d.a mula. The mixture is then dried, pow-
COMBINATIONS
dered and made into tablet form (Bhais• ajya Ratnavalı-,
■ Turmeric, myrrh and frankincense for growths
Śodhana reference: Bha-rat Bhaisajya Ratna-kara)
and cancers. •
307
Vipa-ka (post-digestive effect): Pungent It also helps to remove blockages in the sweat
Chapter 7 52 COMMON AYURVEDIC FORMULAS
308
PART 2
ENERGETICS Arthritis Triphala guggulu treats rheumatoid and
Rasa (taste): Bitter, pungent, astringent, sweet osteoarthritis that have symptoms that are aggra-
Vı-rya (energy): Heating vated by cold, wet, damp conditions when vata
Vipı-ka (post-digestive effect): Pungent and ama have accumulated. It has a specific action
Gun.a (quality): Light, dry on ślesaka kapha and the synovial fluid in the
Dos.a effect: VPK=, P+ in excess joints.
Dha-tu (tissue): Plasma, blood, muscle, fat
Srotas (channel): Circulatory, digestive, respiratory, COMBINATIONS
excretory ■ Bitters in pitta aggravations; kaiśor
guggulu.
AYURVEDIC ACTION ■ Demulcent tonic herbs in vata aggravations;
Lekhana Scrapes toxins yogara- ja guggulu, bala
Śodhana Blood purifier ■ Diuretics in kapha aggravations; punarnavadi
Bhagandara Treats anal fistula guggulu. Use bitter and pungent flavours.
Śothaghna Alleviates oedema
Arśoghna Treats haemorrhoids CONTRAINDICATIONS
Srotorodhaghna Alleviates obstructions to the Caution in aggravated pitta. Contraindicated in
channels conditions caused by dhatu kasaya when there is
Va-taghna Alleviates vata weakness of the tissues.
Immunity Used as part of a strategy to strengthen breaks the repetitive cycle of eating and then
the whole system by removing the causes that craving more, not due to real hunger but due
necessitate a response to accumulated pathogens; to stagnation in the fat tissue. The flow of prana
combats allergies, repetitive colds, boils and infec- in the body is smoothed. Its ability to encourage
tions in kapha types by strengthening agni and elimination points to its use in all forms of
clearing mucus toxins. congestion.
309
–
Chapter 7 52 COMMON AYURVEDIC FORMULAS
310
PART 2
NOTES AYURVEDIC ACTION
■ Guggulu is the leading herb and combines with Va-taśamana Pacifies vata and nervous system
triphala, chitraka and vidanga to clear vata toxins Anulomana Directs the flow of vata downwards
from the joints and muscles. Ka-saśva-sahara Alleviates cough and asthma
■ Karchur, hapusha, devadaru and twak all Jvarahara Alleviates fevers
encourage circulation to the joints. Śu-laghna Alleviates pain
■ Shatapushpa, dhanyaka, jirak, talispatra, ela,
ajmoda and ajwain all act as antispasmodics to BIOMEDICAL ACTION
reduce vata. With saindav they all help to digest Expectorant, antiasthmatic, nervine, febrifuge,
the formula and treat the root cause of the analgesic
problem.
INDICATIONS
■ Maricha, shunthi, lavanga, citraha, pippali and
Nerves Daśamula is indicated for aggravations of the
pippalimool all warm the coldness in the joints.
nervous system and pain when there are signs of
■ Ashwagandha, lohabhasma, yavkashar and
debility. It is used as a decoction or enema for lower
shatavari all nourish the nerve, bone and muscle
back pain, sciatica, tremors, Parkinson’s disease and
tissues to aid regeneration.
inflammation in the pelvic and sacral region.
■ Guggulu, usheer, amalaki, goksura and musta
Lungs For dry cough and respiratory weakness
all help to clear inflammation.
when there is high vata daśamula can be used as a
KVA-THA: DECOCTIONS
tonic to strengthen the system.
- - Fevers When the immune system is depleted
DAŚAMULA KVATHA: The Decoction of Ten and is not throwing off fevers the decoction can
Roots cause diaphoresis and release the trapped ama
Box 7.17 toxins.
Ingredients
Equal parts of the roots of: COMBINATIONS
Kantakari Solanum xanthocarpum ■ Bala or ashwagandha oil as a massage for lower
Bruhati Solanum indicum back pain.
Shaliparni Desmodium gangeticum ■ Punarnavadi guggulu when back pain is
Prushniparni Uraria picta complicated by water stagnation.
Gokshura Tribulus terrestris ■ Trikat.u and vasa for respiratory problems.
Bilwa Aegle mermelos ■ Tulsi for fevers.
Shyonaka Oroxylum indicum
Patala Stereospermum suaveolens
CONTRAINDICATIONS
Kashmari Gmelina arborea
Not in pregnancy.
Agnimantha Clerodendron phlomoidis
Method of preparation
DOSAGE
1 part of the formula is decocted in 16 parts water
50ml of the decoction twice per day with long
until 4 parts remain. This is then strained and stored
pepper powder.
(Bhais• ajya ratnavali: kasarogadhikara)
NOTES
ENERGETICS ■ Daśamula is the formula for vata conditions with
Rasa (taste): Astringent, sweet pain.
Vı-rya (energy): Warming ■ This collection of nourishing roots acts as an
Vipa-ka (post-digestive effect): Pungent antispasmodic and muscle tonic to alleviate
Gun.a (quality): Heavy, dry the weakness of the tissues caused by
Dos.a effect: VK− overstimulation and weakness.
Dha-tu (tissue): ■ It is a collection of roots from five big trees
Srotas (channel): Respiratory, nerve, digestive known as brhat pañchamula, reducing vata
311
Raktapittaśamaka Reduces bleeding
Chapter 7 52 COMMON AYURVEDIC FORMULAS
PART 2
Box 7.19
- pregnancy to enhance the strength of the mother
ADDITIONAL KVATHAS
Mahamañjis.t.adi kva-tha: Skin disorders from high
- - and the fetus. Also used in other gynaecological
pitta, itching, inflammation and infection. problems when there are inflammations and exces-
Maha-sudarśana kva-tha: Chronic fevers, coughs. sive bleeding.
Varun.a- di kva-tha: Urinary stones, cystitis, burning,
painful urination, prostatitis. ŚAT DHOUTA GHR. TA
Ghee washed 100 times in pure water (Ayurveda
Therapy)
SIDDHA GHR.TA: MEDICATED GHEES Apply externally
AMR. TA GHR. TA
Guduchi, dry ginger Uses Apply wherever there is burning, redness
-
(Cakradatta: Amavata cikitsa) and inflammation.
10–20g per day with warm water
- -
ŚHATA VARI GHR.TA
Uses Used in all aggravations where vata has Shatavari juice and root, milk and ghee
entered the blood causing skin, joint and nerve dis- (Bharat Bhaisajya Ratnakara)
orders. Also used to kill worms and to clear the 10–20g per day with warm milk
system of ama.
Uses A specific remedy for menstrual insufficiency
- -
BRAHMI GHR. TA that manifests with amenorrhoea, dysmenorrhoea
Brahmi, vacha, shankapushpi, kushtha, old ghee and weakness. A superb rejuvenative to all seven
. dhatu with a specific effect on the reproductive tis-
(Astangahrdaya Samhita)
10–20g per day with warm water sue, hence assisting in both male and female infer-
tility. Also used for male reproductive problems
Uses Superb remedy for mental tonification and such as low sperm count. Used for acidity
enhancing memory, concentration and clarity. Use (amlapitta), it is safe for heartburn during
in degenerative and behavioural disorders; pregnancy and digestive disorders resulting in
Alzheimer’s, motor neurone, anxiety, stress, insom- inflammatory blood disorders such as gout and
nia, epilepsy, attention deficit and hyperactivity colitis.
disorder (ADHD), Asperger’s syndrome, autism,
depression from weakness and other pitta disorders. TIKTA GHR. TA
Bitter ghee including neem, katuka, daruharidra,
- mustaka, chiretta, chandan.
MAHATIKTA GHR. TA
Bitter and alterative herbs including aragvada, (Astangahrdaya Samhita)
katuka, mustaka, neem, parpat, phandan, darvi, 10–20g per day with warm water and aloe vera
shatavari, sariva, guduchi, chiretta, yasthimadhu, juice
amalaki
(Bhaisajya Ratnavali: Kusthadhikara) Uses Skin problems due to high pitta, swellings,
10–20g per day with warm water and aloe vera juice redness, burning, itching, thirst, abscess, ulcers,
inflamed tumours, anal fistula, bleeding piles.
Uses All chronic skin diseases that are deep in the -
plasma, blood and muscle tissue with red erup- TRIPHALA GHR. TA
tions and itching. May also benefit acidity, fever, Three Fruits Ghee including triphala, bhringaraja,
metrorrhagia, cervical lymphadenitis. vasa, grapes, licorice, guduchi, manjishtha, vetiver,
sariva, devadaru
PHALA GHR. TA (Bhaisajya Ratnavali: netrarogadhikara)
Manjishtha, triphala, daruharidra, kutki,
Uses Use in ophthalmic diseases, blurred vision,
yastimadhu with ashwagandha, shatavari, tagara
keratitis, itching, strained eyes, conjunctivitis,
and other herbs
styes, night blindness. It reduces all three dosa,
(Astangahrdaya Samhita)
especially kapha aggravations where there are
10–20g per day with warm water
313
-
Chapter 7 52 COMMON AYURVEDIC FORMULAS
sluggish bowels, low digestive fire, diabetes and KSI RABALA TAILA
obesity. Bala decoction, milk and sesame oil
- (Astangahrdaya Samhita: vatarakta cikitsa)
YAS. T. YADI GHR. TA Apply twice per day
Licorice ghee including sandalwood, sariva and
milk Uses A classic formula for exhaustion of the
(Bharat Bhaisajya Ratnakara) nervous system with spasms, pain, lower backache,
2–3 drops applied into the nostrils sciatica. Can be used in enemas for the above
conditions.
Uses When pitta is aggravated causing a sharp - - -
temporal headache or migraine affecting the eyes MAHANARAYAN.A TAILA
and forehead. A large formula for reducing vata with appropriate
herbs including ashwagandha, saffron, vacha,
tagar, yastimadhu, sandalwood, shatavari, jata-
SIDDHA TAILA: MEDICATED OILS mansi, guggulu, bala, gokshura and bilva
ANU TAILA (Bhaisajya Ratnavali: vatavyadhyadhikara)
A large formula containing a decoction of devadaru, Apply twice per day or take 2 teaspoons internally
cinnamon, sariva, daruharidra, licorice, cardamom, for oleation therapy or asthma
vetiver, mustaka, sandalwood, triphala, bilva, lotus
stamen and other herbs decocted in sesame oil Uses Where there is pain in sciatica, gout, breath-
(Astangahrdaya Samhita) ing problems, lung congestion and impotence.
Apply 2 drops to each nostril twice -
MARICYADI TAILA
Uses Specifically for clearing toxins and congestion Black pepper formula including musta, jatamansi,
from the head. Used in sinus congestion, recurrent trivrut, turmeric, devadaru, red sandalwood and
colds and headaches. mustard oil.
(Bhaisajya Ratnavali: vatavyadhyadhikara)
AŚVAGANDHA TAILA Apply 5–10 drops to the affected area.
Ashwagandha decoction and sesame oil
(Ayurveda therapy) Uses For disrupted pigmentation in vitiligo, ring-
Apply twice per day worm, psoriasis (dry type).
- - -
Uses For strengthening the muscle tissue in weak- NARA YA N.A TAILA
ness, wasting, excess sporting activity, impotence. Includes ashwagandha, bala, bilwa, gokshura,
Specific for vata disorders. punarnava, neem, sandalwood, vacha, rock salt,
devadaru, tagarah, shatavari decocted in sesame oil
. -
BHR. NGRA JA TAILA (Bhaisajya Ratnavali: vatavyadhikara)
Bhringaraja with triphala, sariva and coconut oil. Apply twice per day
(Bhaisajya Ratnavalı-: ks.udrarogadhikara)
Apply to the scalp twice per day Uses Useful formula for vata aggravations with
arthritis, muscular pain, sprains, lung congestion
Uses Rejuvenates the hair and prevents early grey- with asthma and enemas to clear vata from the
ing and balding due to high pitta, aggravations of colon.
the bone tissue.
PARIBHADRA OIL
- - Neem leaves decocted in sesame oil
BRAHMI TAILA
Brahmi with tagar, mustaka and sariva in coconut oil (Ayurveda therapy)
(Ayurveda therapy) Apply to the affected area as necessary
Apply to the head, nostrils and ears twice per day
Uses For inflammatory skin conditions with itch-
Uses A fantastic application for nervous aggrava- ing, supperation and redness from aggravated pitta
tion, insomnia, disturbed vata and falling hair. such as eczema, psoriasis and ringworm.
314
- -
PART 2
VACA TAILA Loha bhasma Ferrum 14.4mg
Acorus oil decoction and sesame oil Khandasharkara Saccharum officinalis 28.8mg
(Ayurveda therapy) Shilajit Asphaltum 57.6mg
Apply 2 drops into the nostrils Shuddha guggulu Commiphora mukul 57.6mg
Uses Use as a nasya treatment for blocked channels Method of preparation
in the head. Use in depression, sinusitis, muzzy All the herbs and minerals are made into fine powder
head, rhinitis and headaches. and mixed with each other to make a homogeneous
mixture. This is then bound with a binding agent such
VAT. I: TABLETS . -
as acacia gum (Śha-rngadhara Sam.hita-, guggulu Śodhana
CANDRAPRABHA VAT. I: The Pill Giving the reference: Bha-rat Bhais• ajya Ratna-kara)
Glow of the Moon
315
Chapter 7 52 COMMON AYURVEDIC FORMULAS
316
Appendix One
TABLES
Table A1.1 Dhatu dusti: corrupted tissues 320
Table A1.2 Signs and symptoms of deficiency and excess in the tissues (dhatu) 321
Table A1.3 Specific herbs for each tissue (dhatu) when disrupted by each dosa 322
Table A1.4 Herbs for agni and ama by dosa 322
Table A1.5 Herbs that generally increase and decrease the tissues (dhatu) 323
Table A1.6 Vata-reducing herbs 324
Table A1.7 Pitta-reducing herbs 326
Table A1.8 Kapha-reducing herbs 328
Table A1.9 Tridosa-balancing herbs 330
Table A1.10 Ayurvedic weights and measures and their metric equivalents 333
319
320
Appendix 1 TABLES
TABLE A1.1 Dhatu dusti: Corrupted tissues (dhatu): signs and symptoms of the dosa invading and corrupting the dhatu
-
DHATU Va-ta in the dha-tu Pitta in the dha-tu Kapha in the dha-tu
RASA Eczema, psoriasis, dry cough Acne, urticaria, dermatitis Asthma, bronchitis, eczema
Upadha-tu: menses, breast milk Vitiates the skin: dry, cracks, rough, dark patches, Causes red and inflamed skin, yellowish Aggravates the skin and lungs: warts, cysts,
Kit.t.a: kapha poor peripheral circulation, thin skin, itching discoloration, high fevers, swollen lymph fungal infections, wet eczema, damp skin,
from dryness, lack of sweating, pricking pains, nodes sore throat, fever facial oedema. Cough with white sputum,
numbness. swollen glands, nausea
RAKTA Gout, varicose veins, heart disease, Red and oozing skin inflammations, boils, Anaemia, bile congestion, gallstones
Upadha-tu: tendons, blood hypertension jaundice, hepatitis, haemophilia, anaemia Causes coagulation of the blood, high
vessels Dries the blood, causing blood clots, varicose Aggravates the blood, rushing blood, heat cholesterol, hypertension, arteriosclerosis,
Kit.t.a: pitta veins, hard arteries, arteriosclerosis, easy bruising, in the hands and feet, hot flushes, bleeding blood clots, leukopenia
palpitations, poor circulation, cold extremeties, disorders
slow-healing wounds
-
MAM . SA Bell’s palsy, spasms, paralysis, myomas Colitis, ulcers, myocardial infarction Tumours, oedema, heart disorders
Upadha-tu: ligaments Causes weakness and wasting of the muscles, Pitta invades the muscles and causes Causes heavy, tired and swollen muscles,
Kit.t.a: ear, nose, eye lintel cramps, twitches, tics, tiredness, lack of inflammation, abscesses and pain; gingivitis, tumours, congestive heart failure and oedema
flexibility, myalgia gastritis, enteritis, colitis, appendicitis,
myocarditis, fibromyalgia
MEDAS Diabetes, consumption, tuberculosis, lipoma Abscess, tumours, diabetes Obesity, diabetes, tumours
Upadha-tu: omentum Causes drying of the fat tissue, severe Causes infections in the fat tissue, excess Causes excess fat tissue with excess weight,
Kit.t.a: sweat emaciation, lack of sweating, sunken eyes, sweating, excess urination, kidney infections, heaviness, tiredness, cold sweat, fibroids,
prominent bones, hard and small lumps haematuria lipomas, fatty liver
ASTHI Arthritis, osteoporosis, bone tumours Osteomyelitis, periostitis, arthritis Bone spurs, osteoma, arthritis
Upadha-tu: teeth Brittle bones, frequent breaks, sensitive teeth, Burning and pain in the joints and bones; Causes swollen arthritic joints, excess hair,
Kit.t.a: nails, hair brittle nails, dry hair, loss of hair red, inflamed type of arthritis bone cancer
MAJJĀ Nervous disorders, MS, epilepsy, sciatica, Neuritis, meningitis, sciatica Hydrocephalus, multiple sclerosis
Upadha-tu: eye fluid neuralgia Pitta heat burns the nerves and marrow Causes lack of nervous sensitivity, slow
Kit.t.a: tears Causes weak nerves, fear, anxiety, tremors, affecting red blood cell count, and causing responses, lethargy, nervous system problems,
dizziness, tinnitus, blurred vision, tingling, numbness, headaches depression
numbness, loss of memory
ŚUKRA Infertility, impotence, low immunity Menorrhagia, low sperm count, low immunity Sexual dysfunction, infertility
Upadha-tu: ojas Oligo/azoo/asthenospermorrhoea, Causes burning and hence drying of the Uterine tumours, cysts, fibroids, leucorrhoea.
Kit.t.a: smegma spermatorrhoea, prostatitis, testicular or reproductive fluids and resultant lowered ojas. Hydrocoele, benign prostatic hypertrophy.
prostate tumours. Dysmenorrhoea, scanty or Painful, hot, frequent periods, mid-cycle Lowered immunity, benign tumours
lack of menstrual flow, uterine cysts or tumours. bleeding. Swollen testicles or prostate, blood in
Fear, anxiety, feeling unloved semen
TABLE A1.2 Signs and symptoms of deficiency and excess in the tissues (dhatu)
-
DHATU Signs of deficiency Signs of excess
RASA Increased va-ta, dryness, rough skin and lips, strange taste in the mouth, Increased kapha, srotorodha, increased phlegm, low agni, nausea,
Upadha-tu: menses, breast milk fatigue, emaciation, palpitations, tremors, heart pain and empty feeling, a-ma congestive toxins
Kit.t.a: kapha sensitive to sounds, ringing in the ears, insufficient breast milk,
amenorrhoea, oligomenorrhoea, infertility, heart, blood, lymph, skin,
mucous membranes
RAKTA Low blood pressure, pale skin, anaemia, tight tendons, easily startled, Skin heat, abscess, bleeding, gout, hepatitis, jaundice,
Upadha-tu: tendons, blood vessels dry or rough skin, increased va-ta, desire for sour foods, slow pulse, inflammation of the spleen and liver, high blood pressure,
Kit.t.a: pitta pale tongue tumours, jaundice, low agni, increased pitta with red or yellow
discolorations of the skin, discharges of the lungs, urine, stool,
uterus, rapid pulse, red body of the tongue
-
MAM . SA Emaciation, fear, increased va-ta, muscular atrophy, lack of coordination Tumours, fibroids, goitre, swollen muscles, large liver, irritable,
Upadha-tu: ligament inflamed tissues, abscesses, lymphadenitis, lymphadenopathy,
Kit.t.a: ear, nose, eye lintel increased pitta and kapha
MEDAS Increased va-ta, emaciation, cracking joints, joint weakness, fatigue, brittle Kapha increased, obesity, pendulous breasts, abdomen and
Upadha-tu: omentum hair, bones, nails and teeth buttocks, sexual debility, asthma, poor mobility, fear,
Kit.t.a: sweat hypertension, diabetes
ASTHI Weak bones and teeth, osteoporosis, dwarfism, painful and loose joints, Bone spurs, extra teeth, arthritis, joint pain, bone cancer,
Upadha-tu: teeth falling hair, early grey hair, brittle nails, falling or decaying teeth, gigantism
Kit.t.a: nails, hair va-ta increased
MAJJĀ Va-ta increased, feeling ungrounded, porous bones, joint pain, bone Kapha increased, hypertrophic growths, heavy limbs, non-healing
Upadha-tu: eye fluid lightness, dizzy, eye floaters, dark patches around the eyes, blindness, sores, deep infections, fatigue
Kit.t.a: tears low sex drive, fear, loss of memory
ŚUKRA Low sex drive, impotence, infertility, sore back, low energy, low ojas, fear, Excess sexual desire, urinary calculi, prostatitis, anger, pitta
Upadha-tu: ojas lack of love, vata increased, premature ejaculation, low sperm count, increased, acne, greasy hair and skin, malodorosity, a short
Kit.t.a: smegma low sperm motility, prostatitis, amenorrhoea, leucorrhoea, dysmenorrhoea, menstrual cycle
clotted menstrual blood
PART 3
321
TABLE A1.3 Specific herbs for each tissue (dhatu) when disrupted by each dosa
Appendix 1 TABLES
-
DHATU Va-ta Pitta Kapha
RASA Ginger (fresh) Neem Ginger (dry)
Upadha-tu: menses, breast milk Tulsi Aloe Kanchanara
Kit.t.a: kapha Mahasudarshana Peppermint Trikatu
RAKTA Amalaki Neem Manjishtha
Upadha-tu: tendons, blood vessels Shatavari Manjishtha Kutki
Kit.t.a: pitta Lohabhasma Guduchı Daruharidra
Licorice Amalakı Myrrh
Ashoka Ashoka
-
MAM . SA Ashwagandha Guduchi Kañcana-ra guggulu
Upadha-tu: ligament Bala Kaishor guggulu Arjuna
Kit.t.a: ear, nose, eye lintel Ghee Turmeric Turmeric
MEDAS Licorice Neem Kutki
Upadha-tu: omentum Vidarı kandha Turmeric Shilajit
Kit.t.a: sweat Shatavari Manjishtha Triphala- guggulu
Ashwagandha Shankapushpi Gudmar
ASTHI Yogara-ja guggulu Kaiśor guggulu Punarnavadi guggulu
Upadha-tu: teeth Ashwagandha Gotu kola Goksura-di guggulu
Kit.t.a: nails, hair
-
MAJJA Jatamamsı Jatamamsi Brahmi
Upadha-tu: eye fluid Ashwagandha Brahmi Vacha
Kit.t.a: tears Vacha Gotu kola Frankincense
Bhringaraja
ŚUKRA Ashwagandha Shankapushpi Shilajit
Upadha-tu: ojas Kapikacchu Rose Kapikacchu
Kit.t.a: smegma Vidarı Guduchi Gokshura
Bala Safed musali Ashwagandha
Shatavari Ashoka
Ashoka
322
TABLE A1.5 Herbs that generally increase and decrease the tissues (dhatu)
Dha-tu Herbs that increase the dha-tu Herbs that decrease the dha-tu Dos.a-specific treatment: for when the
dha-tu are invaded by the dos.a
RASA Shatavari, licorice, bala, linseed, sesame oil, Pungent, expectorants, pippali, Rasagatavāta = Agni stimulants and
Upadha-tu: menses, breast milk demulcents amalaki, salt, fruit juice, dairy dry ginger, black pepper, nourishing demulcents
Kit.t.a: kapha products, aloe vera bitters and astringents Rasagatapitta = Alteratives, anti-inflammatories
Rasagatakapha = Pungent, bitter, astringent herbs
RAKTA Amalaki, shatavari, saffron, shilajit, Bitter alteratives, neem, kutki Raktagatavāta = Blood builders
Upadha-tu: tendons, blood vessels turmeric ghee, arjuna, spirulina, manjishtha, guduchi, gotu kola Raktagatapitta = Alteratives, anti-inflammatories
Kit.t.a: pitta iron Raktagatakapha = Pungents and bitters
-
MAM . SA Ashwagandha, bala, licorice Blood movers; guggulu, turmeric, Mām
. sagatavāta = Antispasmodics, muscle relaxants
Upadha-tu: ligament ghee, grains, protein, amalaki aloe vera, musta, manjishtha, Mām
. sagatapitta = Alteratives, anti-inflammatories
Kit.t.a: ear, nose, eye lintel urad dal arjuna Mām
. sagatakapha = Pungent herbs, scraping
MEDAS Black gram, dates, vidarı kandha Antispasmodics; jatamamsi, brahmi Medosgatavāta = Sweet tonics
Upadha-tu: omentum shatavari, safed musali, ashwagandha bitter and pungent reduces ama- Medosgatapitta = Bitters, laxatives
Kit.t.a: sweat licorice, demulcents lekhan; old guggulu, old honey, shilajit Medosgatakapha = Pungent, scraping, diuretics
ASTHI Ghee, dairy products, nuts, seeds Trikat.u, triphala-, sweating Asthigatavāta = Warm demulcents and sesame oil
Upadha-tu: teeth minerals; calcium, zinc, magnesium, boron guggulu, frankincense, turmeric Asthigatapitta = Clear damp heat; bitter laxatives
Kit.t.a: nails, hair milk, sesame seeds, seaweeds Asthgatakapha = Clear damp cold; warming diuretics
MAJJĀ Ashwagandha, walnuts, Majjāgatavāta = Nerve tonics, grounding sedatives
Upadha-tu: eye fluid ghee, almonds, ashwagandha Vacha, diuretics Majjāgatapitta = Cooling nervines
Kit.t.a: tears nervines, blood tonics Majjāgatakapha = Channel-opening aromatic herbs
ŚUKRA Jatamamsi, bala, shatavari Pungents and bitters; dry ginger, Śukragatavāta = Sweet tonics
Upadha-tu: ojas ashwagandha, kapikacchu, safed musali, kutki, neem Śukragatapitta = Alteratives, diuretics
Kit.t.a: smegma ghee, almonds, dairy products, Śukragatakapha = Pungent diuretics
pippali, saffron, guduchi
PART 3
323
324
Appendix 1 TABLES
PART 3
325
326
Appendix 1 TABLES
PART 3
327
328
Appendix 1 TABLES
PART 3
329
330
Appendix 1 TABLES
(Continued)
PART 3
331
332
Appendix 1 TABLES
BIOMEDICAL ACTIONS Alterative, antibilious, Demulcent, emollient, Antispasmodic, aromatic, Stomachic, purgative, Anthelmintic, astringent,
carminative, diaphoretic, laxative, diuretic diuretic, emmenagogue, emmenagogue, anthelmintic, antispasmodic, carminative,
diuretic, stomachic nervine, carminative refrigerant, vulnerary expectorant, diuretic,
alterative
PART 3
TABLE A1.10 Ayurvedic weights and measures and
their metric equivalents (based on the magadha mana
of the Bhavapraka-śa Nighantu)
Ayurvedic weight Metric weight
(volume also
equivalent)
30 paramanu 1 trasarenu, 1 vamshi 0.0367mg
6 trasarenu 1 marichi 0.22mg
6 marichi 1 rajika 1.30mg
3 rajika 1 sarshapa 3.91mg
8 sarshapa 1 yava 31.25mg
4 yava 1 gunja 125mg
2 gunja 250mg
4 gunja 500mg
8 gunja 1 masha, 1 hemadhanyaka 1g
4 masha 1 shana, 1 dharana, 1 tanka 4g
12 masha 1 karsha, 1 tola 12g
2 karsha, 2 tola 1 shukti 24g
2 shukti, 4 tola 1 pa-la 48g
2 pala, 8 tola 1 prasriti 96g
2 prasriti 1 anjali, 1 kudava 192g
1 kudava 1 manika, 1 sarava 384g
2 manika 1 prastha 768g
4 prastha 1 adhaka 3.072kg
4 adhaka 1 drona 12.288kg
2 drona 1 surpa 24.576kg
2 surpa 1 droni 49.152kg
4 droni 1 khari 196.608kg
100 pala 1 tula 4.8kg
2000 pala 1 bhara 96kg
333
Appendix Two
TREATMENT GLOSSARY
The conditions are listed alphabetically with some ■ Dry type: guggulu, trikat.u, castor oil, gand-
of the basic treatment principles listed after each harva, haritaki, triphala, licorice, ashwagandha,
condition. Relevant herbs follow. bala, yogaraja guggulu, mahanarayan oil
■ Hot type: guggulu, triphala, guduchi, sariva, aloe
For dosage, restrictions and contraindications vera, manjishtha, kaiśor guggulu, castor oil
please refer to the relevant Plant Profiles.
ASTHMA
ACIDITY Reduce wheezing, phlegm, and kapha, enhance
Reduce burning, clear heat, soothe inflammation, breathing, and calm vāta
reduce pitta
Acute
■ Licorice, amalaki, shatavari, mustaka, car-
■ Sip 1⁄2 tsp mahanarayan oil in licorice water
damom, haritaki, psyllium, rhubarb root, rose,
peppermint, sandalwood
Chronic
■ Wet type: pushkaramoola, vasa, anthrapachaka,
ACNE pippali, mustard seeds, bibhitaki, cinnamon,
Reduce redness, swelling, pain, pus, clean rasa- tulsi, ephedra
rakta dhatu ■ Dry/nervous type: licorice, amalaki, bala, ash-
335
BLEEDING ■ Dry type: licorice, bala, shatavari, ajmoda,
Appendix 2 TREATMENT GLOSSARY
dhattura, honey
Stop bleeding, increase circulation, calm pitta and
■ Hot type: sitopaladi, mahasudarshan, vasa,
rakta
licorice, neem, vamsa lochana
■ External: apply turmeric, manjishtha, haritaki,
bilva powders CYSTITIS
■ Internal: manjishtha, rhubarb root, turmeric, Reduce pain, incontinence, bleeding, clear pitta
bilva, kushtha, safflower
■ Guduchi, coriander seed, neem, manjishtha,
BREASTFEEDING gokshura
Nourish reproductive tissue, clean breast milk,
DANDRUFF
enhance flow
Reduce dryness, nourish rasa-asthi dhātu, clear fun-
■ Shatavari, fennel, ajmoda, ajwain, turmeric, gal infection
bala, licorice, almonds, ghee all help to increase
the quantity and quality of milk ■ External: neem oil, bhringaraj oil
■ Internal: hemp seed oil
CHOLESTEROL
DEPRESSION
Increase medosdhātvgni, clear toxins, regulate
bowels Awaken mind, clear stagnation, regulate liver,
increase ojas
■ Guggulu, garlic, turmeric, fenugreek, shilajit,
trikat.u, triphala guggulu ■ Damp type: vacha, turmeric, chitraka, ginger,
punarnava, gotu kola
COLDS/FLU ■ Nervous type: tagarah, jatamamsi, brahmi, gotu
kola, tulsi, ashwagandha
Remove phlegm, reduce āma, reduce fever, induce
■ Hot type: guduchi, daruharidra, rhubarb root,
sweating, clear bowels
brahmi oil nose drops, shatavari
■ Wet type: tulsi, pippali, cinnamon, dry ginger,
ephedra DIABETES
■ Dry type: cardamom, cinnamon, fresh ginger, Regulate blood sugar, promote insulin, increase
castor oil circulation, protect nerves
■ Hot type: sitopaladi, mahasudarshan, lemon-
grass, vasa, kalmegh ■ Gurmar, karavela, turmeric, black pepper,
shilajit, punarnava, guduchi, kutki, copper
CONSTIPATION water
Clear obstruction, relax the colon, stimulate peri-
DIARRHOEA
stalsis
Astringe the bowel, arrest bowel motions, correct
■ Wet type: triphala, punarnava, vacha, pippali, agni
senna
■ Dry type: triphala, castor oil, haritaki, psyllium, ■ Wet type: bilva, nutmeg, bibhitaki, psyllium,
linseed, hemp seed kutaj
■ Hot type: rhubarb root, kutki, daruharidra, aloe ■ Hot type: manjishtha, rhubarb root, shatavari,
powder, aragvad amalaki, psyllium
COUGH DIZZINESS
Clear phlegm, ease breathing, clear throat Calm nervous system, regulate digestion, build
blood
■ Wet type: pippali, tulsi, pushkaramoola, cinna-
mon, cloves, mustard seeds, dhattura, devadaru, ■ Nervous type: tagarah, jatamamsi, gotu kola,
honey hing, ashwagandha, triphala
336
■ Digestive type: licorice, amalaki, shatavari, HANGOVERS
PART 3
ghee, sandalwood
Clear pain, rehydrate tissues, regulate liver, reduce
■ Blood type: shilajit, sariva, amalaki, cya-
heat
vanaprasha, iron, ghee
■ Tagarah, shatavari, vidari kandha, gotu kola,
EARACHE jatamamsi, neem
Reduce pain, calm vāta, clear infection
HEADACHES
■ External: garlic oil, neem oil, hing, onion juice
Clear pain, prevent spasms, clear muzzy head,
■ Internal: turmeric, garlic, neem, vacha
reduce inflammation
EYES ■ Wet type: vacha, trikat.u, cinnamon, eucalyptus
oil, camphor oil, guggulu
Reduce eyelid inflammation, dryness, clear pitta,
■ Nervous type: tagarah, jatamamsi, nutmeg
regulate the liver
■ Heat type: aloe vera, chrysanthemum, brahmi,
■ External: rose water drops, castor oil drops, bhringaraja
triphala wash
■ Internal: guduchi, shatavari, daruharidra, HEART
chrysanthemum, aloe vera
Tonify heart muscle, regulate rhythm, clear conges-
tion
FLATULENCE
■ Congestive type: guggulu, arjuna, turmeric,
Reduce bloating, clear gas, increase agni, regulate
frankincense, bibhitaki, punarnava, gold water,
apana vayu
amalaki
■ Ajmoda, ajwain, cumin, hing, cardamom, gin- ■ Arrhythmic-deficient type: tagarah, jatamamsi,
ger, fennel, baking soda, hinvastaka, triphala pushkaramoola, arjuna, ashwagandha, bala,
cyavanaprasha
GUMS ■ Inflammatory type: aloe vera juice, arjuna,
Reduce inflammation, stop bleeding, prevent neem, sariva, amalaki
receding, clear infection
HICCUPS
■ Myrrh, haritaki, manjishtha, triphala, bilva,
neem, turmeric Prevent spasms, descend vāta
■ Ginger, asafoetida, cardamom
HAEMORRHOIDS
Reduce pain and bleeding, strengthen agni and HIGH BLOOD PRESSURE
venous return Lower blood pressure, relax arteries, control blood
■ Dry type: hinvastaka, dashmoola, aloe vera, flow, reduce congestion, stress and irritation
triphala, triphala guggulu, psyllium, linseeds, gin- ■ Wet type from plaque: guggulu, pushkaramoola,
ger arjuna, bibhitaki, turmeric, ginger
■ Hot type: aloe vera, daruharidra, guduchi, ■ Dry type from tension: guggulu, tagarah, jata-
neem, coconut oil mansi, brahmi, sarpagandha, hemp seed oil
■ Hot type from inflammation: guduchi, aloe
HAIR vera, neem, daruharidra, amalaki
Nourish hair, tonify asthi dhatu
HYPOGLYCAEMIA
■ Bhringraja, amalaki, gotu kola, ashwagandha,
bakuchi, cyavanaprasha Reduce pitta and calm vāta
■ Aloe vera juice, guduchi, neem, licorice tea, jata-
mamsi, shankapushpi, brahmi
337
IMMUNITY ■ Nervous type: jatamamsi, tagarah, ginger, ash-
Appendix 2 TREATMENT GLOSSARY
338
STRESS ■ Ashwagandha, kapikacchu, shatavari, ginger,
PART 3
safed musali, cyavanaprasha
Calm nervous system and vāta and nourish majja
dhatu
ULCERS
■ Tagarah, jatamamsi, brahmi, gotu kola, licorice, Reduce inflammation, clear pain, heal ulcer, reduce
almonds, cyavanaprasha pitta
339
Appendix Three
GLOSSARY OF TERMS
Acute disease Any disease with a sudden onset, Aromatic A fragrant herb, containing essential oil,
intense symptoms and brief duration. that tonifies digestion and reduces flatulence.
-
Agni The digestive fire with the function of A rtava The menstrual channel, tissue and ova.
regulating digestion, absorption and assimilation. .
As.t.a-ngahr.a-daya Sam -
. hita The Eight-Limbed Heart
- -
Ahara rasa The food essence created after agni Sutra written by Vagbhata c.600CE; a collated work
transforms food into an absorbable form. It on the essence of Ayurveda.
nourishes all the tissues.
Asthi dha-tu Bone tissue, giving support to the body.
Allopathic System of medicine that uses
Astringent An agent that causes cell contraction,
treatments that oppose the pathology, i.e. anti-
used to dry discharges and reduce leakages.
inflammatories to treat inflammation. Also refers
Astringent herbs are usually tannin-rich.
to modern scientific medicine.
- Avalambaka kapha The aspect of kapha that
Alocaka pitta The aspect of pitta residing in the
resides in the heart and lungs, supports ojas and
eyes. It assimilates visual impressions.
is connected with immunity.
Alterative A herb that alters the chemical state of
Ayurveda The traditional medical system of India,
the blood; blood cleanser.
meaning the ‘science of life’.
Āma Undigested food, herbs or experiences that
Bhasma An alchemical tonic compound usually
create disease-forming toxins.
made from metal or gems.
Āma-śaya The stomach.
Bha-vapra-ka-śa Written by Bhavamishra around
Amenorrhoea Absence of menstruation. 1596CE. The most important ayurvedic materia
medica treatise, listing the energetics of herbs and
Anabolic Describes an agent involved in the
foods.
building phase of metabolism.
Bhra-jaka pitta The aspect of pitta that resides in
Analgesic A pain-relieving agent.
the skin and gives awareness of touch, skin
Anthelmintic An agent that kills parasitic worms. colour and lustre.
Antibiotic An agent that kills bacteria. Bhu-ta-gni The aspect of agni that resides in the liver
and is responsible for transforming the elements
Antipruritic An agent that stops itching.
of earth, water, fire, air and space.
Antipyretic An agent that reduces fever.
Bodhaka kapha An aspect of kapha that resides in
Antispasmodic An agent that relieves muscular the tongue and mouth that facilitates taste and
spasms and contraction. digestion.
Apa-na va-yu The aspect of vata responsible for Borborygmus Rumbling sounds from the
moving downwards and eliminating stool, flatus, intestines caused by movements of fluid and gas.
urine, menses and the fetus.
Carminative An agent that relieves gas, spasms
Aperient A mild laxative. and helps digestion.
Aphrodisiac An agent that tonifies the Catabolic Describes the destructive phase of
reproductive system. metabolism.
341
Cathartic A strong laxative that causes a complete of the pan. The ghee is ready when the liquid is
Appendix 3 GLOSSARY OF TERMS
342
Majja- dha-tu Nervous tissue and bone marrow, aggravated it creates burning, inflammation
PART 3
giving nourishment to the nervous system and and anger.
unctuousness to the nerves.
Prabha-va The unique action of a plant above and
Ma-m -
. sa dhatu Muscle tissue, giving strength and beyond its energetic qualities.
binding the body together.
Prajña-para-dha A crime against wisdom that is a
Manas prakr.ti The mental constitution regulated formative factor in disease; acting against your
by sattwa, rajas and tamas. inner knowledge.
Manda-gni A slow and deficient digestive fire, Prakopa The second stage of the disease process,
characteristic of kapha disorders. which irritates and aggravates organs in the body.
The term dosa prakopa is commonly used to
Materia medica The materials of medicine. The
indicate an imbalance in the humours.
study of the drugs or substances that are used to
treat disease. Commonly used to refer to books Prakr.ti The manifest aspect of reality that is
that are collections of herbal materials. expressed in matter, nature and creation. Also
used to describe the individual constitution and
Medas-dha-tu (also written correctly as medodha-tu)
inherent nature of every person.
Fat tissue, which protects the organs and other
tissues and lubricates the body. Pra-n.a The subtle essence of the life force.
It travels on the breath and is absorbed from the
Menorrhagia Excessive menstrual bleeding.
air, food and nature. It is responsible for vitality
Nervine An agent that nourishes and calms the and cellular communication. It is the link
nervous system. between the body and the mind. The ultimate
result of perfectly digesting vata foods and
Ojas The essence of all digestion that maintains the
experiences.
inherent immunity and strength of the body. The
ultimate result of perfectly digesting kapha foods Pra-n.a va-yu One of the five aspects of vata that is
and experiences. responsible for inspiration and drawing things
into the body. Its main seat is the brain and it
Organoleptic Describes the use of the senses to
operates between the navel and throat. It
perceive the qualities of matter.
regulates mental functions and respiration.
Pa-caka pitta The aspect of pitta that resides in the
Pra-n.a-ya-ma The yogic practice of breathing with
small intestine, acting from the stomach to the
awareness. The focus is on extending the length
ileocaecal valve, and facilitates the digestion of
of breath and balancing the rhythm.
food.
Purus.a The subtle aspect of consciousness that is
Pañca karma The five cleansing techniques of
ever still and watchful. This is the witness to all
therapeutic emesis, purgation, enemas, nasal
of creation, detached, yet ever conscious.
cleansing and blood-letting.
Rajas The quality of nature responsible for
Pañcamaha-bhu-ta The five great elements of space,
movement, passion and energy.
air, fire, water and earth that make up the
material universe. Created from a division of Rakta dha-tu The blood tissue responsible for
purusa and prakrti. giving life and colour to the tissues.
Peristalsis Wave-like motions through the Rañjaka pitta The aspect of pitta that lives in the
channels of the body, notably the colon. liver and spleen and affects the quality of blood.
Pitta dos.a The humour comprised of water and Rasa The taste of a substance. The six tastes of
fire. It is hot, wet and light and its main site is sweet, sour, salty, pungent, bitter and astringent
the small intestine. It is responsible for the are used in Ayurveda to classify the quality of
metabolic processes of the body. When healthy foods and herbs. Also used to mean the essence
it adds zest, clarity and energy to life, but when of something.
343
Rasa dha-tu The plasma tissue, which nourishes -
. hita A detailed surgical text written
Appendix 3 GLOSSARY OF TERMS
Suśruta Sam
the other tissues in the body and has a direct c.100–500CE by the great Suśruta.
effect on the skin and the menstrual cycle.
Svastha Health.
Rasa-yana A substance that tonifies and nourishes
Tamas The quality of nature that reflects dullness,
the whole system.
inertia and darkness.
Rejuvenative A substance that tonifies and
Tantra A spiritual path for deifying the body,
nourishes the whole system.
utilizing all the senses. Successfully practised,
Roga Disease. this results in being carried across to the other
side of existence, the shores of liberation.
Sa-dhaka pitta The aspect of pitta that lives in the
heart and is responsible for awareness and Tarpaka kapha The aspect of kapha that lubricates
intelligence. and nourishes the brain. Responsible for memory
retention.
Sama-na va-yu One of the aspects of vata responsible
for regulating the flow of prana in the middle of Tejas The essence of the fire element. The result of
the abdomen. This helps to support the digestive the perfect digestion of all pitta-natured foods,
process. which gives consciousness and clarity to the
mind.
Sampra-pti The pathology of a disease.
Tı-ks.n.a The quality of sharpness that can penetrate
Sa-m
. khya The philosophical system from which deeply into the tissues.
Ayurveda draws the cosmological understanding
of matter and evolution. Tı-ks.n.a-gni The nature of the digestive system when
it is overactive. This can lead to rapid digestion,
Sara Denotes tissues of a high quality.
hunger, hypoglycaemia and over-metabolism.
Sattva The quality of nature reflected in The tendency of pitta aggravation is to have a
compassion, light and intelligence. tı-ks.n.agni.
Sedative A substance that tranquillises the Uda-na va-yu The quality of vata that resides in the
function of the nervous system. throat and upward movements, regulates speech
and exhalation.
Śakti Meaning ‘energy’; represents the dynamic
feminine vitality throughout the universe. The Vasodilator An agent that encourages the
natural and balancing opposite to Shiva. relaxation of blood vessels.
Shiva Meaning the ‘auspicious one’, Shiva is one Va-ta The humour made from space and air
of the main Hindu deities and represents the elements. It is light, dry and cold and resides in
energy of destruction and transformation. the large intestine. It is responsible for all
Śukra dha-tu The reproductive system relating to movement in the nervous system, muscles, heart
sexual function; sperm in men, ova in women. and mind. When out of balance it creates
bloating, erratic digestion, constipation and
Śles.aka kapha The aspect of kapha that lubricates anxiety; when in balance it creates inspirational
and protects the joints. creativity and flexibility.
Srota-m
. si The channels that carry nutrients, prana, Vikr. ti The current state of a person’s health or the
tissues and wastes around the body. They present state of imbalance, as opposed to the
interlink the body as a network of tubes. Srotam.si prakrti, which is the life-long constitution.
is plural—’channels’, and srotas is singular—
’channel’. Vipa-ka The post-digestive energetic effect of the
tastes.
Stimulant Increases metabolism, circulation and
the function of an organ. Vı-rya The energetics of a herb: hot or cold.
Suppuration The formation of pus or fluid leaking Vis.ama-gni The nature of the digestive fire when
from a wound. it is erratic; sometimes digesting well and at
344
Vya-na va-yu The quality of vata that is responsible
PART 3
others not digesting efficiently. Common in vata
disorders. for spreading outwards. It regulates the circulation,
nervous system and all joint movements.
Vitiate To disturb the function or structure of a
dos.a, dhatu or mala. Yoga The practice of unifying the mind and body,
self and cosmic self. Commonly practised as
Vr.ddhi A condition of excess in the humours,
postures, breathing techniques and meditation
tissues or wastes.
practices to harmonise the health of the body and
Vulnerary Helps the healing of wounds. mind.
345
Appendix Four
RESOURCES
If you have any queries regarding this book please Planetary Formulas: Global formulas from Michael
contact me at sebastian@pukkaherbs.com and I Tierra
will be happy to answer any questions that you Tel: +1 800 606 6226
have. Information about my herbal practice is at
Blue Sky Clinic: 01225 835068. Herbalist and Alchemist: High-quality herbs
Tel: +1 908 689 9020
AYURVEDIC & HERB SUPPLIERS
UK GERMANY
Pukka Herbs: Pioneers in the organic ayurvedic Amla International: High-quality herbs and
field. High-quality herbs, tinctures, capsules, gug- ayurvedic products
guls, oils and essential oils sourced from organic
farms and fairly traded. Norfolk Natural Products Ltd, German office:
Tel: +44 (0)1275 461950 Waldstr. 4, D-21255 Tostedt, Germany
Email: sales@pukkaherbs.com Tel: +49 4108590666
Website: www.pukkaherbs.com Email: norfolk@amla.de
347
PRACTITIONERS AND HERBAL ORGANISATIONS
Appendix 4 RESOURCES
348
YOGA CENTRES
PART 3
AUSTRALASIA
Australasian Institution of Ayurvedic Studies in
Satyananda School of Yoga-UK
New Zealand
Yoga in the tradition of yoga.
Post Box: 23047, Papatoetoe, Auckland, New
Tel: +44 (0)20 8673 4869
Zealand
Tel: +64 9 2793591
USEFUL WEBSITES
Email: courses@shreeayurveda.co.nz
ENVIRONMENTAL SITES
Ayurveda College The Royal Botanic Gardens, Kew:
Post Box: 322, Casino, NSW 2470, Australia www.rbgkew.org.uk
Tel: +11 612 66671221 United Plant Savers: www.unitedplantsavers.org
Email: ayurveda@nor.com.au Convention on International Trade in Endangered
Species of Wild Fauna and Flora: www.cites.org
Australian College of Ayurvedic Medicine www.trafficint.org
19 Bowey Avenue, Enfield SA 5085, Australia
Tel/Fax: +11 618 83497303 AYURVEDIC SITES
Email: suchi-karma@picknowl.com.au Herbal Ayurveda: www.herbalayurveda.com
Pukka Herbs: www.pukkaherbs.com
INDIA Banyan Botanicals: www.banyanbotanicals.com
Central Council for Research in Ayurveda The Ayurvedic Institute: www.ayurveda.com
& Siddha European Institute of Vedic Studies: www.atreya.com
Ministry of Health & Family Welfare, Government Ayurvedic Nutrition: www.ayurvedicnutrition.com
of India, Jawaharlal Nehru Bhartiya Chikitsa Avum
Homeopathy Anusandhan Bhawan, No 61–65 My favourites for all herb research
Industrial Area, Opp. ‘D’ Block, Janakpuri, New Planet Herbs: www.planetherbs.com
Delhi 110058, India Michael Tierra’s site. First-class information on
western herbalism, Ayurveda and traditional
Institute of Postgraduate Education & Research Chinese medicine. My teacher and a true pioneer
in Ayurveda of energetic herbalism.
294/3/1 Acharya Prafulla Chandra Road, Calcutta,
West Bengal, India The Virtual Herbal: www.christopherhobbs.com
Tel: +91 33 350 4159 This is the work of a prolific writer and master
herbalist. Great reviews on medicinal mushrooms.
International Academy of Ayurveda
Runs great short courses on Ayurveda. One Earth Herbs: www.oneearthherbs.com
NandNandan, Atreya Rugnalaya, M.Y. Lele Alan Tillotson’s site. The words of a great herbal-
Chowk, Erandawana, Pune: 411 004, India ist. Lots of information on Ayurveda, TCM and
Tel: +91 212 378532 western herbs. Very detailed knowledge of oph-
Email: avilele@hotmail.com thalmology.
349
Appendix 4 RESOURCES
350
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353
Appendix Six
356
.
Jat.a--ma-m.sı- Man.d.uka-par.n.ı- 187
PART 3
Bhr.ngraja 141 200
Bhu-myamalakı- 143 Ja-tı- 199 Man- jis. t.ha 224
Bhu--nimba 155 Ja-tı--phala 235 Marı-ca 237
Bhu-nimba 202 Jı-raka 167 Ma-rkan.d. ika 268
.
Bhu-ta-jat.a- 200 Jvala 156 Mesa-śr.ngt 193
Bhu--tr. n.a 219 Kakubha 130 Met.hika- 177
Bibhı-takı- 145 Ka-la-ja-jı- 209 Musalı- 254
Bilva 147 Ka-lamegha kira-ta 202 Musta 228
Bola 231 Ka-lika- 209 Mustaka 228
Bra-hmı- 149 Kamala 222 Na-ga-damanı- 169
Cakra-laksana 189 Ka-ñchana-ra 204 Nimba 233
.
Candana (Śveta) 262 Kankus. t.ha 250 Nimbu-ka 217
Citraka 156 Kapikacchu 206 Padma 222
Da- d. ima 242 Kapitthapar.n.ı- 179 Pippalı- 239
Daindhava 231 Ka-ravella 207 Pitta-Sı-rs.a 241
Damanaka 169 Ka-sa-ri 248 Pudı-na 226
Da- ru-haridra- 170 Kat.uka- 215 Punarnava- 246
Da-ru-sita- 160 Keśa-ra-ja 141 Pus.kara-mu- la 248
Devada- ru 171 Kira-ta-tikta 155 Ra-ja-vr. ks.a 268
.
Deva-dhu-pa 191 Konkanadhu-pa 179 Ra-jika 230
Dhanya-ka 165 Kr.s.n.a-Jı-raka 209 Rasagandha 231
Dha- trı- 126 Kuma-rı- 124 Rasona 181
.
Dhattu-ra 172 Kunkuma 258 Sahasra-vedhı- 197
Divya- 280 Kus. t.ha 211 Saindhava 260
Ela- 151 Kusumbha 256 Sa-kambharı-ya 260
Eran.d. a 153 Kutaja
. 213 Śallakı- 179
Ghusr. n.a 258 Laśuna 181 Sa-mudra- 260
357
Śatavarı- COMMON
Appendix 6 INDEX OF PLANT NAMES
358
PART 3
Eclipta 141 Indian hogweed 246 Lime 217
Elaichi 151 Indian ipecac 128 Long pepper 239
Embelia 290 Indian madder 224 Lotus 222
Ephedra 173 Indian myrrh 191 Love-in-the-mist 207
Fennel 175 Indian oil–banum 179 Maka 141
Fenugreek 177 Indian pennywort 187 Malabar nut 288
Frankincense 179 Indian sarsaparilla 264 Manjith 224
Gadhapurana 246 Indian snake root 266 Margosa 233
Garlic 181 Indian spikenard 200 Marking nut 139
Giloy 189 Indian valerian 275 Methi 177
Ginger 183 Isabgol 244 Mineral pitch 273
Gokhru 185 Isaphgul 244 Mint 226
Gotu kola 187 Jaiphal 235 Motha 228
Guduchi 189 Jalabrahmi 149 Mountain ebony 204
Guggulu 191 Jasmine 199 Mugwort 169
Gulab 252 Jethimadh 220 Musi 254
Gundandi 158 Jira 167 Mustard seed 230
Gurmar 193 Kalimirch 237 Myrrh 231
359
Appendix 6 INDEX OF PLANT NAMES
360
Appendix Seven
Diacritical marks have been used only to show both long and short vowels; glottal, palatal, lin-
the correct pronunciation of the Sanskrit words. gual, dental and labial stops, all of which can be
They have not been done according to convention, aspirated, unaspirated, voiced, or unvoiced. The
i.e. compound words have not been broken accord- table lists the primary sounds according to where
ing to convention and the rules on sandhi (word- they are pronounced in the throat and mouth;
junctions within the compounds) have not been whether they are voiced, unvoiced, aspirated and
systematically observed. In this respect translitera- unaspirated in the relative combinations; and length
tions should not be copied from this work, or be of the vowels (short or long). The table (A7.1) is to
used for any other purpose other than learning the be read both down and across, i.e. ‘ka’ is a glottal
correct pronunciation of the word. stop, pronounced in the throat, it is unvoiced and
unaspirated; ‘bha’ is a labial stop, pronounced at
The following list gives readers an indication of the lips, it is both voiced and aspirated.
correct pronunciation of Sanskrit, which contains
Box A7.1
Additional sounds and diphthongs
Anusva-ra and Visarga
Anusva-ra
m. Anusva-ra, the ‘nasal glide’ follows a vowel and represents the nasal relative to the class of the consonant that follows it, i.e.
am.jali = añjali.
Visarga
ah. Visarga follows a vowel and is pronounced as an expulsion of breath made in the articulatory position of the preceding
vowel. It has the characteristic of an echo.
Diphthongs
e e is a combination of a and i pronounced like ‘ey’ in ‘they’. Given the position of the component vowels it is pronounced
in the glottal and palatal positions.
ai ai is a combination of a and the diphthong e, pronounced like ‘ai’ in ‘aisle’. Given the position of the component vowels it
is pronounced in the glottal and palatal positions
o o is a combination of a and u, pronounced like ‘o’ in ‘note’. Given the position of the component vowels it is pronounced
in the glottal and palatal positions.
au au is a combination of a and the diphthong o, pronounced like ‘ai’ in ‘aisle’. Given the position of the component vowels
it is pronounced in the glottal and palatal positions
361
Appendix 7 A NOTE ON THE TRANSLITERATION AND PRONUNCIATION OF THE SOUNDS
362
INDEX
363
Ātmagupta (kapicacchu), 206
INDEX
364
Body
INDEX
Caper, three-leafed (Crataeva Chrysanthemum (Chrysanthemum
frame types, 28 nurvala), 287 indica/morifolium), 158–9
seven supportive tissues, 34–41 Caraka Samhita, 9–10, 12–13 Chrysanthemum indica/morifolium
symmetry assessment (akrtı̄ plant actions, 73 (chrysanthemum, gundandi),
pariksa), 91 post-digestive effect, 68 158–9
Bodyweight, 28–9 Cardamom (Elettaria cardamomum), Cikitsa (ayurvedic treatment), 87
Boerhaavia diffusa (punarnava, Indian 25, 65, 151–2 Cilantro (Coriandrum sativum),
hogweed, gadhapurana), actions, 75 165–6
246–7 kapha-reducing, 328 Cinnamon (Cinnamomum
Bol (Commiphora myrrha/molmol), 231–2 light quality, 69 zeylanicum/cassia), 93, 160–1
Bola (myrrh), 231–2 Carriers, herbal (anupana), 73 vata-reducing, 325
Bone disorders Cartharmus tinctorius (safflower), Cinnamomum zeylanicum/cassia
guggulu, 192 256–7 (cinnamon, cassia, dalchini),
kanchanara, 204 Carum compticum/roxburghianum/ 93, 160–1
shilajit, 273 ajowan (ajwain), 122–3 vata-reducing, 325
tila, 277 Cassia (Cinnamomum Circulatory problems
Bone tissue (asthi dhatu), 40 zeylanicum/cassia), 160–1 arjuna, 130
Boswellia serrata (frankincense, Indian Cassia angustifolia (senna), 268 black pepper, 237
olibanum, salai guggul), 65, Cassia fistula (aragvadha, aragwad, cinnamon, 160
179–80 purging cassia), 102, 129 ephedra, 173
Brahmi (Bacopa monniera), 4, 26, Caste system, 8 guggulu, 191
149–50 Castor oil (Ricinus communis), 76, pippali, 239
actions, 75 153–4 turmeric, 282
fresh juice, 70 purgation, 102 Citraka (chitraka), 156–7
Brahmi ghr.ta, 313 vata-reducing, 324 Citrus limonum/acida (lemon, lime,
Brahmi taila, 314 Caya (accumulation), 57 bara nimbu, nimbu), 217–18
Brain Cedar wood, Himalayan (Cedrus Cleansing, autumn, 54
brahmi treatment, 149 deodara), 171 Clove (Syzygium aromaticum), 75,
gotu kola treatment, 187 Cedrus deodara (devadaru, 162–3
manjishtha treatment, 225 Himalayan cedar wood, actions, 76, 77
shankapushpi treatment, 269 deodar), 171 Codes of conduct for herb growing,
vacha treatment, 284 Celery seed (Apium graveolens), 120–1 81
see also mental conditions; mind Centella asiatica see Hydrocotyle Codification of Ayurveda, 7, 8, 9
(manas) asiatica Cold (śita), 67
Brassica nigra/juncea (mustard seed), Central Council for Ayurveda, 11 ginger treatment, 183
230 Certification of herbal medicines, 79 Colds
Breastfeeding see lactation Challenges to ayurvedic community, mint, 226
Brihami (Bacopa monniera) fresh juice, 11, 12 treatment, 336
70 Channels (srotamsi), 41–2 Coleus (Coleus forskohlii), 164
Brmhana (tonification), 102 Cherry, winter (ashwagandha), Coleus forskohlii (coleus), 164
Buddhi, 17 133–4 Collection of herbs, 78–81
Buddhism influences, 8 vata-reducing, 324 general standards, 80–1
Chest conditions guidelines, 77
chitraka, 156 wild collection, 79
C sandalwood, 262 Wild Collection Plant
Cakra-laksana (guduchi), 189–90 see also lung conditions Monographs, 78
Calamus root (Acorus calamus), 284–5 Chiretta (Swertia chirata), 155 see also harvesting of herbs
vata-reducing, 325 pitta-reducing, 326 Colleges, ayurvedic, 11
Caltrops (Tribulus terrestris), 185–6 Chita/chitraka (Plumbago Commiphora mukul (guggulu, Indian
Cancer zeylanicum), 156–7 bedellium, Indian myrrh,
ashwagandha, 133 actions, 74, 75 guggul), 4, 27, 71–2, 103,
guduchi, 189 kapha-reducing, 328 191–2
guggulu, 192 Cholesterol treatment, 336 actions, 75, 76
kaiśor guggulu, 306 fenugreek, 177 astringent taste, 66
kañcanara guggulu, 307 frankincense, 179 bitter taste, 65
rhubarb, 250–1 guggulu, 191 kapha-reducing, 329
shatavari, 272 haritaki, 194 pills, 304–11
turmeric, 282 pill giving the glow of the moon śamana herbal therapy, 103
see also tumours (candraprabha vati), 316 Commiphora myrrha/molmol (myrrh,
Candana (sandalwood), 262–3 psyllium, 244 bdellium gum, bol), 231–2
Candraprabha vati (pill giving the rhubarb, 250 actions, 74
glow of the moon), 315–16 trikat.u, 303 kapha-reducing, 328
Cannabis indica (hemp, bhang ke beej, triphala, 304 Conception, 113
ganja), 196 trivrut, 279 Consciousness evolution, 16–18
actions, 77 turmeric, 282
365
INDEX
366
lemon/lime, 217 Empiricism, 8–9
INDEX
Dosage (matra vicara), 73, 74, 75, 106
licorice, 220 Dosas, 20, 21, 22–7 Endocrine system, 112–13
lotus treatment, 222 accumulation, 57 Enemas (anuvasana and niraha), 102
mint, 226 aggravation, 57 Energy levels, 32
mustaka, 228 reduction, 49 Enumeration (samkhya), 16
mustard seed, 230 balance, 33 Enzymes, 112
nutmeg, 235 characteristics, 27–32, 33, 34 Ephedra (Ephedra sinensis/gerardiana),
pippali, 239 clearance from system, 47 173–4
pomegranate, 242 daily cycle, 49 Ephedra sinensis/gerardiana (ephedra),
psyllium, 244 definition, 23 173–4
punarnava, 246 derangement, 96 Ephedra vulgaris (somalata)
pushkaramoola, 248 excess, 33, 96 actions, 76
rhubarb, 250 imbalance, 56 UK law, 81
rose, 252 meanings, 41 Equal–opposite principle
safed musali, 254 post-digestive effects of tastes, 68 (samanya–vaiśesika), 93
salt, 260 relocation, 57 Eranda (castor oil), 153–4
sandalwood, 262 seasonal fluctuations, 47 Essences of nature, 23–4
sariva, 264 spreading, 57 deficiency signs, 96
senna, 268 three, 24–7 Ether (akaśa), 18–19, 24, 112
shankhapushpi, 269 treatment, 95–9 Evidence-based medicine, 5
shatavari, 271 Dravya karma (plant actions), 73–7 Evolution, 15–16
tagarah, 275 Dravyas (substances) classification, Evolvulus alsinoides (shankhapushpi),
tila, 277 13 269–70
trikat.u, 303 Drk pariksa (eye assessment), 91 Excess vs deficiency balance, 92–3
triphala, 303–4 Drsti (sight), 28 Exercise (vyayama), 48, 105
triphala guggulu, 309 Drug–herb interactions, 82 Expression of unique characteristics
trivrut, 279 Dryness (ruksa), 69 of disease (bheda), 57–8
tulasi, 280 Duality theory, 9 External therapies
turmeric, 282 Dysmenorrhoea case study, 109 brahmi, 149
vacha, 284 damanaka, 169
varuna, 287 fenugreek, 178
vidanga, 290 E garlic, 182
Dinacarya (seasonal daily regimes, Ears jasmine, 199
daily activities), 47–9 earache treatment, 337 lemongrass, 219
Dipana (enkindling the digestive tinnitus treatment, 339 saffron, 258
fire), 103 Earth (prthví), 19, 112 turmeric, 283
Disease Eating (ahara), 49 Extracts, alkaline (ksara, guduchi
aetiology (roga karana), 56 Ebony, mountain (Bauhinia variegata), sattva), 72
aetiology/causation (nidana), 93, 204–5 Eye assessment (drk pariksa), 91
94 Eclipta alba (bhringarja, eclipta, Eye conditions
causes, 55 bhangra, maka), 141–2 aloe vera, 125
expression of unique herbal paste, 70 castor oil, 153
characteristics, 57–8 tridos. a-balancing, 331 chrysanthemum, 158
manifestation, 57 Eightfold examinations coleus, 164
pathogenesis (samprapti), 93, 95 (astasthanapariksa), 87–92 haritaki, 194
pattern, 93–5 Ela (cardamom), 151–2 treatment, 337
process, 93–5 Elaichi (Elettaria cardamomum), 151–2 triphala, 304
prodromal symptoms (purvarupa), Elecampane, Indian (Inula racemosa),
93, 94 248–9
six stages (samprapti), 56–8 Elettaria cardamomum (cardamom, F
symptomology (rupa), 93, 94 elaichi), 25, 65, 151–2 Faeces assessment (mala pariksa),
treatment (vyadhi), 101 actions, 75 89–90
Distribution of herbs, kapha-reducing, 328 Fasting (vrata, ksun–nigraha), 104
pharmacokinetic, 83 light quality, 69 from liquids (trsna, trn nigraha), 105
Diuretics, 84 Elimination, 48, 83 Fat tissue (medas dhatu), 39–40
Divine origins, 4, 5, 10 Embelia ribes (vidanga, embelia, Fennel (Foeniculum vulgare), 175–6
Divya (tulasi), 280–1 vaividanga), 290–1 actions, 74, 76
Dizziness treatment, 336–7 UK law, 81 Fenugreek (Trigonella foenum-
DNA regulatory function, 111–12 Emblica officinalis (amalaki, malaki), graecum), 177–8
Doctors 26, 52, 63, 126–7 vata-reducing, 325
caste, 8 actions, 75, 76 Fertility, male
separation from priests, 7–8 aphrodisiac quality, 106 ashwagandha, 133
Doctrine of signatures, 51 pitta-reducing, 326 gokshura, 185
Dosa dusya sammurcana (disease Embryo, 113 kapikacchu, 206
process), 93–5 Emesis, therapeutic (vamana), 102 safed musali, 254
367
INDEX
INDEX
community standards in growing
purgation, 102 areas, 81–2 kutki, 215
taste, 66, 67 compatibility, 82 shatavari, 272
tridos. a-balancing herbs, 330–2 cultivation, 79, 81 treatment, 338
Harvesting of herbs elements, 61 triphala guggulu, 309
general standards, 80–1 growing, 79, 81–2 Impotence treatment, 338
managerial responsibility, 79 sustainable, 77 Indian culture, 3
over-harvesting, 78 incompatibility, 82 before Ayurveda, 5–6
sustainable, 80–1 kapha-reducing, 328–9 classical philosophies, 9
see also collection of herbs nomenclature, 70, 334 Indigestion treatment, 338
Hathayoga, 10, 11 organic, 81 Indriya (set of eleven senses), 18
Head conditions pitta-reducing, 326–7 Infections
avipattikara curna, 298 protection, 77 guggulu, 191–2
bhringaraja, 141 pungent, 65 sandalwood, 262
bibhitaki, 145 qualities, 68–9 turmeric, 283
sweet cough powder (sitopaladi reaching tissues, 34–7 Inflammation
curna), 302 scientific use, 3 frankincense, 179
Headache treatment, 337 sourcing, 77 hemp seed, 196
Health of the body (arogya), 9 thermal action (virya), 67–8 turmeric, 282–3
Heart conditions, 337 tissue increase/decrease, 323 Infusions
amalaki, 126 trade controls, 77 cold (hima), 71
arjuna, 130 tridos. a-balancing, 330–2 hot (phanta), 71
ashoka, 132 vata-reducing, 324–5 Innovation in Ayurveda, 9–10
bala, 137 see also collection of herbs; Insomnia
bibhitaki, 145 harvesting of herbs bibhitaki, 145
damanaka, 169 Herpestis (Bacopa monniera), 149–50 case study, 108
garlic, 181–2 Heterodoxy, 6–7, 8 treatment, 338
guggulu, 191 Hiccups treatment, 337 Integrity management plan, 78–9
hemp seed, 196 Hima (cold infusions), 71 International Union for the
hingu, 197 Hinduism influences, 8–9 Conservation of Nature
jatamamsi, 200 Hing/hingu (Ferula asafoetida/foetida), (IUCN) Red List, 78
kutki, 215 76, 197–8 Inula racemosa (pushkaramoola,
.
myrrh, 231 Hingvastaka curna (asafoetida eight- Indian elecampane,
pomegranate, 242 herb remedy), 298–9 poharmool), 248–9
punarnava, 246 History, 5–14 Invocation, 7
punarnavadi guggulu, 308 timetable, 6 Ipecac, Indian (Tylophora
pushkaramoola, 248 Hogweed, Indian (Boerhaavia diffusa), indica/asthmatica–Folium), 128
safflower, 256 246–7 Irrigation transmission theory (kedara
saffron, 258 Holarrhena antidysenterica (kutaja, kulya), 36, 37
sandalwood, 262 kureya), 213–14 Irritable bowel syndrome (grahani), 94
sarpagandha, 266 Homeopathic approaches, 92–3 Isabgol (Plantago ovata), 244–5
tagarah, 275 Homeostasis, 113–14 Isaphgul (Plantago ovata), 244–5
triphala guggulu, 309 Honey
tulasi, 280 actions, 77 J
turmeric, 283 herbal carrier, 73 Jati-phala (nutmeg), 235–6
vamsa lochana, 286 Hormones, 112 Jaiphal (Croton tiglium), 102
vasa, 288 Horsemint (Mentha piperata/arvensis), Jaiphal (Myristica fragrans), 235–6
Heaviness (guru), 69 226–7 Jalabrahmi (Bacopa monniera), 149–50
Heavy metal toxicity, 165 Hot (usna), 67 Jambira (lemon, lime), 217–18
Hemantaśiśira (winter, ayurvedic), classification, 68 Jams, herbal (paka, leha, avaleha), 71,
54–6 Hydrocotyle asiatica (gotu kola, Indian 296–7
Hemidismus indica (sariva, Indian pennywort, kula kudi), 187–8 Jasmine (Jasminium
sarsaparilla, sughandi), 264–5 actions, 76 grandiflorum/officinale), 199
actions, 77 tridos. a-balancing, 330 cold infusion, 71
cold infusion, 71 Hypoglycaemia treatment, 337 Jasminium grandiflorum/officinale
Hemp (Cannabis indica), 196 (jasmine), 199
Herbal medicines cold infusion, 71
certification, 78 I
Jata-mamsi (jatamamsi), 200–1
importance, 78 Immune conditions Jatamamsi (Nardostachys grandiflora
threats to, 78 anthrapachaka, 128 syn. jatamansi), 78, 200–1
toxicology, 84 ashwagandha, 133 tridos. a-balancing, 332
Herbs bhumiamalaki, 143 Jatharagni (thirteen agni), 44
actions, 59–60 cyavanapraśa, 296 Jati (jasmine), 199
classification, 13 garlic, 181 Jellies, herbal (paka, leha, avaleha), 71,
combinations, 82 guduchi, 189 296–7
369
INDEX
370
lemon/lime, 217 Mind (manas), 18
INDEX
Mañjisthadi kvatha, 312
licorice, 220 Margosa (Azadirachta indica), 233–4 ashwagandha, 133
mustard seed, 230 Marica (black pepper), 237–8 ayurvedic, 46
neem, 233 Maricyadi taila, 314 brahmi, 149
nutmeg, 235 Markandika (senna), 268 frankincense treatment, 179
pippali, 239 Marking nut (Semecarpus gotu kola treatment, 187
pit shirisha, 241 anacardium), 139–40 manjishtha treatment, 225
psyllium, 244 Marma points, 42, 43 memory treatment, 338
pushkaramoola, 248 Maruta seva (wind-bathing), 105–6 shankapushpi, 269
salt, 260 Masses vacha treatment, 284
shatavari, 271 krishna jiraka, 209 see also brain; mental conditions
sweet cough powder (sitopaladi see also lumps; tumours Mineral pitch (Asphaltum), 273–4
curna), 301 Mastitis treatment, 338 Mineral remedies (rasaśastra), 11, 72
tagarah, 275 Materia medica, 59, 60 Mint (Mentha piperata/arvensis), 226–7
tila, 277 Matra vicara (dosage), 73, 75 pitta-reducing, 327
trikat.u, 303 Matter (prakrti), 16, 17, 23 Mitochondria, 112
triphala, 304 Measures, ayurvedic, 333 Modern Ayurveda, 11, 12
triphala guggulu, 309 Medas dhatu (fat tissue), 39–40 Modern medicine, 5
tulasi, 280 Medicinal preparations, ayurvedic, Momordica charantia (karavella, bitter
vacha, 284 70–2 gourd, bitter melon, karella),
vamsa lochana, 286 Medicine 207–8
vasa, 288 empirical system, 4, 8–9 Mouth conditions, 233–4
vidari, 292 timeless system, 4 Mucous membrane conditions
Lymphatic conditions Meditation (dhyana), 48–9 haritaki, 194
formula for creating lustre Melon, bitter (Momordica charantia), myrrh, 231
(mahasudarśana curna), 300 207–8 rhubarb, 250
kañcanara guggulu, 307 Memory treatment, 338 Mucuna pruriens (kapikacchu,
myrrh, 231 Mendicants, wandering (śramanas), 8 cowhage), 77, 206
pit shirisha, 241 Menopause, pomegranate treatment, aphrodisiac quality, 106
varuna, 287 242 Mugwort (Artemesia vulgaris), 169
Menstrual problems, 338 Musali, white (Asparagus adscendens),
Mental conditions 254–5
M Musali (safed musali), 254–5
frankincense, 179
Madanphala (Randia dumentorium) vacha treatment, 284 Muscle tissue (mamsa dhatu), 39
actions, 77 see also brain; mind (manas) bakuchi treatment, 135
emesis, 102 Mentha piperata/arvensis (mint, Musi (Asparagus adscendens), 254–5
unique action, 69 peppermint, horsemint, Musta (mustaka), 228–9
Mada-śaunda (nutmeg), 235–6 pudina, puthia), 75, 226–7 Mustaka (Cyperus rotundus), 228–9
Madder, Indian (Rubia cordifolia), pitta-reducing, 327 actions, 75, 76
224–5 Mesa-śrngi (gurmar), 193 pitta-reducing, 327
Madhu vinaśini (gurmar), 193 Metabolic disorders Mustard seed (Brassica nigra/juncea),
Madhura (sweet taste), 61, 62, 63 amalaki, 126–7 230
Madhurika (fennel), 175–6 ashwagandha, 133 Mutra pariksa (urine assessment), 89
Mahanarayana taila, 314 daruharidra, 170 Myristica fragrans (nutmeg, jaiphal),
Mahasudarśana curna (formula for fenugreek, 177 235–6
creating lustre), 299–300 guduchi, 190 Myrobalan
Mahat (universal intelligence), 17 guggulu, 191 beleric (Terminalia belerica), 145–6
Mahatikta (kalamegha), 202–3 gurmar, 193 chebulic (Terminalia chebula), 194–5
Mahatikta ghrta, 313 hemp seed, 196 Myrrh, Indian (Commiphora mukul),
Majja dhatu (nerve tissue), 40 karavella, 207 191–2
Maka (Eclipta alba), 141–2 neem, 233 Myrrh (Commiphora myrrha/molmol),
Makandi (coleus), 164 pill giving the glow of the moon 231–2
Mala pariksa (faeces assessment), (candraprabha vati), 316 actions, 74
89–90 punarnava, 246 kapha-reducing, 328
Malabar nut (Adhatoda vasica), 288–9 shilajit, 273
Malaki (Emblica officinalis), 63 trikat.u, 303
Mallow, Indian country (bala), 137–8 N
Metabolism of herbs, 83
Mamsa dhatu (muscle tissue), 39 Methi (Trigonella foenum-graecum), Nadi pariksa (pulse assessment), 88
Manas (mind), 18 177–8 Naga-damani (mugwort), 169
Manas prakrti (ayurvedic mind), 46 Methika (fenugreek), 177–8 Nails, 30
Manduka-parni (gotu kola), 187–8 Milk Narayana taila, 314
Manifestation (vyakti), 57 decoctions (ksirapaka kalpana), 71 Nardostachys grandiflora syn.
Manjishtha (Rubia cordifolia), 26, 224–5 herbal carrier, 73 jatamansi (jatamamsi, Indian
actions, 75, 76 Milk and curd transformation theory spikenard), 78, 200–1
pitta-reducing, 327 (ksira-dadhi), 35–6 tridos. a-balancing, 332
371
Pepper
INDEX
372
Pitta, 22, 26–7, 112–13 guduchi treatment, 190
INDEX
Punica granatum (pomegranate, anar,
aggravation, 97 anardana), 64, 242–3 hingu treatment, 197
balancing, 97–8 actions, 75 kapikacchu treatment, 206
herbs reducing, 326–7 Purgation (virecana), 102 kustha, 211
manas prakrti, 46 Purusa (passive awareness), 16–17 lotus treatment, 222
relief, 98 Puskara-mula (pushkaramoola), neem treatment, 234
spring, 49–50 248–9 nutmeg treatment, 235
treatment, 97–8 Pushkaramoola (Inula racemosa), pill giving the glow of the moon
Pitta-sirsa (pit shirisha), 241 248–9 (candraprabha vati), 315–16
Plantago ovata (psyllium husk; Pusyanuga curna, 300–1 pippali treatment, 239
isaphgul, isabgol), 26, 244–5 Puthia (Mentha piperata/arvensis), pomegranate treatment, 242
tridos. a-balancing, 332 226–7 rose treatment, 252
Plants Purvarupa (disease prodromal safed musali, 254
actions (dravya karma), 73–7 symptoms), 93, 94 saffron, 258
botanical identity, 12–13 sariva treatment, 265
Sanskrit names, 13 shankhapushpi, 269
unique action (prabhava), 69–70 Q shatavari, 271
see also herbs Quality control, 73, 74 shilajit, 273
Plasma tissue (rasa dhatu), 37–9 vidanga treatment, 290
Plumbago zeylanicum (chitraka, white Respiratory conditions
R
leadwort, chita), 156–7 chitraka, 156
actions, 74, 75 Rajas, 18, 20 sandalwood, 262
kapha-reducing, 328 Raja-vrksa (senna), 268 see also lung conditions
Poharmool (Inula racemosa), 248–9 Rajika (mustard seed), 230 Revand chini (Rheum palmatum),
Pomegranate (Punica granatum), 64, Rakta dhatu (blood tissue), 39 250–1
242–3 Raktamocana (blood-letting), 102 Rheum palmatum/officinale/australe
actions, 75 Randia dumentorium (madanphala) (rhubarb, revand chini), 26,
Post-digestive effect (vipaka), 68 actions, 77 250–1
Powder, herbal (curna), 70 emesis, 102 actions, 76
preparations, 297–304 unique action, 69 pitta-reducing, 326
Prabhava (specific action of plant), Rasa (tastes of nature), 60–1, 62, 63–7 Rhubarb (Rheum
69–70 Rasa dhatu (plasma tissue), 37–9 palmatum/officinale/australe),
Prajñaparadha (crimes against Rasagandha (myrrh), 231–2 26, 250–1
wisdom), 56 Rasaśala, 70–2 actions, 76
Prakopa (aggravation), 57 Rasaśastra (mineral remedies), 72 pitta-reducing, 326
Prakrti (matter), 16, 17, 23 Rasayana (rejuvenation), 11, 102 Ricinus communis (castor oil, rendi),
Prana, 23–4 Rasayana (tonics), 106 76, 153–4
Prasara (spreading), 57 Rasona (garlic), 181–2 purgation, 102
Praśna (asking), 31–2 Rauwolfia serpentina (sarpagandha, vata-reducing, 324
Prayer, 7 Indian snake root), 266–7 Rising, 48
Pregnancy, pusyanuga curna, 301 UK law, 81, 267 Ritual practices, 3, 4
Priest-doctors, 7 Recognition of Ayurveda, 4–5 medicine, 7
Priests, 8 Rejuvenation (rasayana), 11, 102, 106 Vedic sacrifice, 8
separation from doctors, 7–8 tila, 277 Ritual purity, 8
Prostatitis treatment, 338 vidari, 292 Rock salt, 260–1
Prthví (earth), 19, 112 Religion Roga karana (disease aetiology), 56
Psoralea coryfolia (bakuchi), 135–6 fundamentalist groups, 5 Rosa centifolia/damascena (rose,
tridos. a-balancing, 331 heterodox/orthodox tradition, 6–7 gulab), 26, 252–3
Psoriasis treatment, 164 Relocation (sthana samśraya), 57 actions, 75, 77
Psyllium husk (Plantago ovata), 26, Remedies, potency, 60 Rose (Rosa centifolia/damascena), 26,
244–5 Rendi (Ricinus communis), 153–4 252–3
tridos. a-balancing, 332 Reproductive tissue (śukra), 40–1, 338 actions, 75, 77
Ptychotis ajowan (ajwain), 122–3 arjuna treatment, 130 Rtucarya (seasonal behaviour), 47–56
Pudina (Mentha piperata/arvensis), ashwagandha treatment, 134 Rubia cordifolia (manjishtha, Indian
226–7 bakuchi treatment, 135 madder, manjith), 26, 224–5
Pueraria tuberosa (vidari, vidarikand), bala treatment, 137 actions, 75, 76
292 bhallataka treatment, 139 pitta-reducing, 327
Pulses, 28, 29 bhringaraja treatment, 142 Ruksa (dry), 69
assessment (nadi pariksa), 88 cyavanapraśa, 296–7 Rupa (disease symptomology), 93, 94
Pulse-taking, 11 cloves, 162
Punarnava (Boerhaavia diffusa), 246–7 fenugreek treatment, 177
Punarnavadi guggulu, 307–8 frankincense treatment, 179 S
Puncture vine fruit (Tribulus ghee treatment, 313 Śabda (sound), 28
terrestris), 185–6 gokshura treatment, 185 Śabda pariksa (voice assessment), 91
Pungent taste (kaţu), 64–5 goksuradi guggulu, 305 Sacrifice, ritual Vedic, 8
373
INDEX
374
Sparsa (touch), 28
INDEX
Tavaksiri (vamsa lochana), 286 Touch (sparśa), 28
Sparśa pariksa (skin assessment), 91 Tejas (fire element), 23–4, 112 Toxicology of herbal medicines, 84
Spikenard, Indian (Nardostachys Tenfold assessment (daśavidha Toxins (ama), 44–6
grandiflora syn. jatamansi), 78, pariksa), 92 herbs for, 322
200–1 Terminalia arjuna (arjuna), 66, 130–1 reduction, 103–4
Spiritual emancipation (moksa), 10 actions, 75 removal (amapacana), 101–2, 103
Spreading (prasara), 57 dry quality, 69 Trachyspermum ammi syn. copticum
Spring, ayurvedic (vasanta), 49–51 tridos. a-balancing, 331 (ajwain, Bishop’s weed), 122–3
Spring routine (vasanta rtucarya), Terminalia belerica (bibhitaki, beleric Tradition in Ayurveda, 9–10
50–1 myrobalan, baheda), 66, 145–6 Trauma treatment, 256
Śramanas (wandering mendicants), 8 kapha-reducing, 328 Treatment, ayurvedic (cikitsa), 87
Sri-gandha (sandalwood), 262–3 post-digestive effects of tastes, 68 allopathic approaches, 92–3
Srotamsi (channels), 41–2 Terminalia chebula (haritaki, chebulic excess vs deficiency balance, 92–3
Status of Ayurveda, 4–5 myrobalan, harde, hara), 13, homeopathic approaches, 92–3
Sthana samśraya (relocation), 57 26, 27, 194–5 principles, 92
Stock, herbal (panaka), 71 actions, 76, 77 signs of successful, 107
Stomach acidity, 83 post-digestive effects of tastes, 68 strategies, 95–106
Stone breaker (Phyllanthus amarus), purgation, 102 techniques, 92
143–4 taste, 66, 67 Tribulus terrestris (gokshura,
Stress treatment, 339 tridos. a-balancing herbs, 330–2 puncture vine fruit, caltrops,
Substances (dravyas), classification, Texts of Ayurveda, 7, 9–10, 12–14 gokhru), 26, 185–6
13 Great Triad, 9–10, 12 actions, 76
Sugandhi (Hemidismus indica), 264–5 Lesser Triad, 12 reproductive essence, 93
Śukra (reproductive tissue), 40–1 Thermal action of herbs and foods tridos. a-balancing, 330
Suksma ela (cardamom), 151–2 (virya), 67–8 Tridosas, 24–7
Summer, ayurvedic (grisma), 51–2 Thermal quality, 32 herbs balancing, 330–2
Summer routine (grisma rtucarya), 52 Thorn apple, white (Datura Trigonella foenum-graecum (fenugreek,
Sunbathing (atapa seva), 105 metel/stramonium), 172 methi), 177–8
Śunthi (ginger), 183–4 Three fruits powder (triphala curna), vata-reducing, 325
Suśruta Samhita, 9–10, 12, 13 303–4 Trikat.u, 70
post-digestive effects of tastes, 68 Three spices formula (trikat.u curna), Trikatu curna (three spices formula),
qualities of herbs, 69 302–3 302–3
Sustainable management, 79–82 Thyroid conditions Triphala, 70, 71
Svarasa (fresh juice), 70 coleus, 164 actions, 76
Svasthavrtta (lifestyle), 47 kañcanara guggulu, 307 Triphala curna (three fruits powder),
Sweet cough powder (sitopaladi Tiksna (penetrating/sharp), 69 303–4
curna), 301–2 Tikta (bitter taste), 65–6 Triphala ghrta, 313–14
Sweet taste (madhura), 61, 62, 63 Tikta ghrta, 313 Triphala guggulu, 308–9
Swertia chirata (chiretta, kirat), 155 Tila (Sesamum indicum), 277–8 Trituration, 71
pitta-reducing, 326 Tinctures, 71 Tri-vrta (trivrut), 279
Sympathomimetic agents, 84 Tinnitus treatment, 339 Trivrut (Operculina
Syzygium aromaticum (clove, lavang), Tinospora cordifolia (guduchi, giloy), turpethum/ipomea), 76, 279
75, 162–3 66, 189–90 Trn nigraha/trsna (fasting from
actions, 76, 77 actions, 76 liquids), 105
alkaline extracts, 72 Tulasi/tulsi (Ocimum sanctum), 69,
cold infusion, 71 280–1
T asthma treatment, 107
gugguls, 71
Tablets (vati), 72, 315–16 tridos. a-balancing herbs, 330 fever treatment, 101
Tagarah (Valeriana wallichi), 76, 275–6 Tiredness treatment, 339 fresh juice, 70
vata-reducing, 324 Tissue disorders kapha-reducing, 329
Tamas (immobile, still, stuck quality), arjuna, 130 Tumours
17, 20 ashwagandha, 133 guggulu, 191
Tanmatras (seed elements), 18 Tissues (dhatu) kaiśor guggulu, 306
Tantric practice, 11 corrupted, 320 kañcanara guggulu, 307
Taraxacum officinalis (dandelion), 51 deficiency signs/symptoms, 321 kanchanara, 204
Tastes of nature (rasa), 60–1, 62, 63–7 excess signs/symptoms, 321 krishna jiraka, 209
astringent, 66 herbs that increase/decrease, 323 manjishtha, 225
bitter, 65–6 meanings, 41 safflower, 256
dosage effect, 74 metabolism, 37, 38 salt, 260
functions/effects, 61 specific herbs, 322 turmeric, 282
post-digestive effects, 68 treatment, 100–1 see also cancer
pungent, 64–5 Tongue, 30–1 Turmeric (Curcuma longa), 51, 282–3
salty, 64 assessment (jivha pariksa), 88–9 actions, 75
sour, 63–4 Tonics (rasayana), 106 kapha-reducing, 329
sweet, 61, 62, 63 Tonification (brmhana), 102 śamana herbal therapy, 103
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INDEX
Twak (cinnamon), 160–1 Vajikarana (aphrodisiacs, virilisation), Water (ap), 18, 19, 21, 112
Twenty qualities of matter, 20 11, 106 herbal carrier, 73
Tylophora indica/asthmatica Valerian, Indian (Valeriana wallichi), Waters, distilled (arka), 71
(anthrapachaka, Indian 275–6 Weights, ayurvedic, 333
ipecac), 128 vata-reducing, 324 Wild Collection Plant Monographs,
Valeriana wallichi (tagarah, Indian 79
valerian), 76, 275–6 Wind (vayu), 20, 21, 24, 112
U
vata-reducing, 324 Wind-bathing (maruta seva), 105–6
Ugragandha (vacha), 284–5 Vamana (therapeutic emesis), 102 Wines, medicated (arista, asava), 71,
Ulcers, treatment, 339 Vamsa lochana (Bambusa 295, 296
Unctuousness (snigdha), 69 arundinaceae), 286 Winter, ayurvedic (hemantaśiśira),
Unity, indivisible, 9 Vamśa-locana (vamsa lochana), 286 54–6
Universal constituents (guna), 17–20 Varna/varuna (Crataeva nurvala), Winter routine (hemanta rtucarya),
Upaśaya (diagnosis by trial and 287 55–6
error), 93, 94 Vasanta (ayurvedic spring), 49–51 Wisdom, crimes against
Urinary problems Vasanta rtucarya (spring routine), 50–1 (prajñaparadha), 56
ajwain, 122 Vasa/vasaka (Adhatoda vasica), 288–9 Withania somnifera (ashwagandha),
ashoka, 132 actions, 75, 76 54, 133–4
bakuchi, 135 Vata (regulator), 22, 24–6, 111–12 actions, 75, 76, 77
bala, 137 aggravation, 96 aphrodisiac quality, 106
bhumiamalaki, 143 balance, 96–7 heavy quality, 69
brahmi, 149 herbs reducing, 324–5 milk herbal carrier, 73
cardamom, 151 manas prakrti, 46 tonic quality, 106
celery seed, 120 relieving, 97 vata-reducing, 324
cinnamon, 160 spring, 49–50 Wood apple tree (Aegle marmelos),
coriander, 165 treatment, 96 147–8
cystitis, 336 Vati (tablets, pills), 72, 315–16 Woodfordia fruticosa (dhataki), 71
fennel, 175 Vayu (wind), 20, 21, 24, 112 World Health Organization (WHO),
gokshura, 185 Vedas, 7 Good Agricultural Collection
goksuradi guggulu, 305 Vedic knowledge, 5 Practices (GACP), 79
kalamegha, 203 Vedic medicine, 7
karavella, 207 Vedic period, 6
licorice, 221 Vedic tradition, heterodox/orthodox, Y
manjishtha treatment, 225 7 Yastimadhu (licorice), 78, 220–1
pill giving the glow of the moon Vegavarodha (restraint of natural Yastyadi ghrta, 314
(candraprabha vati), 315–16 urges), 56 Yavani/yavanika (ajwain), 122–3
psyllium, 244 Vegetable asphalt (Asphaltum), 273–4 Yeast infections, treatment, 339
punarnavadi guggulu, 308 Vida (salt), 260–1 Yoga, 10–11
safed musali, 254 Vidanga (Embelia ribes), 290–1 autumn routine, 53–4
saffron, 258 UK law, 81 spring routine, 50–1
sandalwood, 262 Vidari/vidarikand (Pueraria summer routine, 52
sariva, 264 tuberosa), 292 winter routine, 55
shatavari treatment, 271 Vijaya (hemp), 196 Yogaraja guggulu, 310–11
shilajit, 273 Vipaka (post-digestive effect), 68 Yogis, ascetic, 8
vacha, 284 Viranga (Embelia ribes), 290–1
vamsa lochana, 286 Virecana (purgation), 102
varuna, 287 Z
Virilisation (vajikarana), 11
vidanga, 290 Virya (thermal action of herbs and Zingiber officinale (ginger, adrakh,
vidari, 292 foods), 67–8 sont), 20, 25, 64–5, 183–4
Urine assessment (mutra pariksa), 89 Visnu-priya (tulasi), 280–1 actions, 74, 75, 77
Usna (hot), 67 Viśvabhesaja (ginger), 183–4 asthma treatment, 107
Vitis vinifera (grape), 93 digestion actions, 83
Voice assessment (śabda pariksa), 91 fresh juice, 70
V kapha-reducing, 328
Vrata (fasting), 104
Vaca (vacha), 284–5 Vyadhi (disease treatment), 101 śamana herbal therapy, 103
Vaca taila, 315 Vyakti (manifestation), 57 thermal action, 67
Vach/vacha (Acorus calamus), 27, 69, Vyayama (exercise), 48, 105
284–5
actions, 75, 76
emesis, 102 W
vata-reducing, 325 Walnut (Juglans regia), 106
Vaividanga (Embelia ribes), 290–1 Washing (snana), 48
376