Ayurveda: Modern Healing Guide
Ayurveda: Modern Healing Guide
Introduction:
 Ayurveda: Ancient Science in Modern Times
                Chapter 1
                 Sleep:
       Optimal Rest and Restoration
                Chapter 2
                   Pain:
            Mind and Body Relief
                Chapter 3
           Respiratory System:
        Breathing into Perfect Health
                Chapter 4
                 Digestion:
  Mouth, Gut, Assimilation, and Elimination
                Chapter 5
                  Skin:
         The Body’s Largest Organ
                Chapter 6
          Reproductive System:
             Healthy for Life
                Chapter 7
Caring for Yourself and Others at Every Age
                 Resources
Acknowledgments
 About the Author
      Index
                                   Introduction
What Is Ayurveda?
Ayurveda is based on the five elements: space, air, fire, water, and earth. These
building blocks of nature are the building blocks of life. Space and air offer us
freedom of movement, unlimited potential, and creativity. Fire ignites our minds,
sparks digestion and metabolism, and creates light. Water and earth establish a
cohesive structure, a foundation to build on, and a layer of protection.
   We call these elemental combinations the doshas—Vata, Pitta, and Kapha—
and we all have our own distinct composition of them. When we are balanced in
our unique makeup, we feel strong in mind and body. When there is too much of
a dosha, it may show up physically and/or mentally as illness, disease, or
discomfort.
   For example, you may be a thin, lanky person who forgets to eat and drink
because your mind is always busy jumping from one idea or project to the next,
leaving you excited about your creativity but ultimately depleted, lacking the
energy to focus or complete a task, let alone feed and care for yourself. This is
an example of too much Vata dosha—cold air and dry wind coursing through
mind and body, disturbing the balance. This leads to disorders such as
constipation, insomnia, and arthritis.
  Dosha Quiz
Try this quiz here to begin the journey. Answer A, B, or C for how you have been for most of your
life. This is called your Prakruti, your primary state of balance. Prakruti is how you have been for
most of your life, your natural-born dosha. Take the quiz a second time, focusing on how you are
currently feeling, which is called your Vikruti, or your natural-born mind/body constitution. Vikruti
is your current state of being, and it will highlight where some imbalances may be in your life right
now.
BODY TYPE
A) Lean and lanky
B) Strong, medium build
C) Heavy, full, large boned
WEIGHT
A) Low; hard to gain weight and keep it on
B) Normal for my height; stable
C) Heavy for my height; easy to gain, hard to lose
EYES
A) Squinty, small; wander when talking or listening
B) Sharp, intense; stare at people when talking or listening
C) Large, round; warm gaze
SLEEP
A) Difficult to fall asleep or stay asleep; mind races
B) Sleeps 5 to 6 hours a night; feels refreshed
C) Sleeps soundly for 9 or 10 hours; difficult to wake up
SKIN
A) Thin and cold to the touch; always needs an extra layer
B) Reddish; warm, even in cold weather
C) Thick, cool; clammy, slightly moist
BOWEL MOVEMENTS
A) Constipated; dry, hard stool; once a day or fewer
B) Loose and sometimes watery; several times a day
C) Well formed, large; once or twice a day
APPETITE
A) Sometimes feels hungry but forgets to eat
B) Wakes up ravenous and gets angry when hungry
C) Rarely hungry, but eats when the clock says to or food is present
UNDER STRESS
A) Scared, anxious, worried, confused
B) Angry, blames others, easily frustrated, impatient with self and others
C) Withdraws, blames self, eats to soothe
RESULTS
Total As: ____________________
Total Bs: ____________________
Total Cs: ____________________
If you have more As, you are primarily Vata.
More Bs, you are Pitta.
More Cs, you are Kapha.
Make a note of both your Prakruti and your Vikruti. It will come in handy as you read through the
remedies and recommendations.
Vata
                                               Pitta
                                       Kapha
    Along with the phases of the moon and the ocean tides, the human body
follows the rhythm of nature. Nature offers us a road map with circadian
rhythms, the natural sleep-wake cycle that is part of the body’s internal clock.
Melatonin is a brain chemical that increases as the day darkens into night. The
less light that enters the eyes, the more melatonin is produced, and the sleepier
we get. We inhibit this reaction if we keep the lights burning and electronic
screens on. It is so important to minimize these as we move into the evening
because, with a little effort, we can help our bodies get back on track. Lower the
lights, switch tablets and phones to night mode, and wind down naturally to
increase melatonin in the brain.
    There are basic guidelines to ensure a good night’s sleep. By following the
good sleep hygiene practices here, you should be able to regulate your sleep at
any age—knowing that as we age, our needs are different. A sixty-year-old will
probably not sleep like a six- or sixteen-year-old! Follow the specific food,
lifestyle, and supplement suggestions along with keeping up good sleep hygiene
practices to ensure deep, healing rest.
Night Mode
Consider removing electronics from your room. For many of us, this may sound
extreme or unnecessary, but it matters. Electronics emit electromagnetic
frequencies (EMF) that may disrupt your brain waves—and they also remind us
of activities and work. One of the best things you can do to improve sleep
hygiene is to keep the computer, television, tablets, and phones out of the
bedroom (or at least keep them as far away from the bed as possible). Even in
airplane mode, most don’t turn off completely.
   If you must look at a screen, put it in night mode, lower the brightness, or
wear amber-colored glasses to block blue light. Don’t read upsetting emails or
address difficult issues in the hours before bedtime. If you have a TV in your
room, cover it with a piece of fabric before sleep and unplug it.
Condition: Insomnia
If you wake in the middle of the night, note the time. We have doshic times of
day and night. The hour when you wake up and can’t fall back to sleep will
correlate with a doshic cycle. If you consistently wake up before 2 a.m., this is
the Pitta phase. If you wake between 2 a.m. and 6 a.m., this is the Vata stage.
Kapha time is 6 a.m. to 10 a.m.
PITTA TIME
A person who can’t fall asleep or who wakes up during Pitta time (10 p.m. to 2
a.m.) is usually dealing with unfinished business, problem solving, resentments,
blame, aggravation, and frustration. Pitta becomes impatient and upset with
themselves or blames others for being awake and not being able to go back to
sleep. They will try to power through it, telling themselves they don’t need any
more sleep. This leaves them hot and bothered. When you wake in this time
frame, try any of the following strategies.
Food
  Avoid hot, spicy food during the day but especially in the evening meal. Stick
  to a balanced mix of mild spices with protein, fiber, carbs, and fat.
  Red wine increases heat. If an alcoholic drink is needed, have a beer or a
  white wine. Or skip altogether and enjoy calming herbal tea blends.
Lifestyle
  Turn on a dim light; red or yellow light bulbs are best. Try journaling thoughts
  onto the page and leave them there.
  Listen to calming music, chants, or mantras. If using a phone or tablet, set a
  timer for it to turn off. Try a podcast to lull you back to sleep.
  Practice cooling sheetali breathing (here).
  Keep the room cool. Use a fan if needed.
  Wear a lightweight, organic cotton nightshirt. Stick to cooling colors such as
  pastels, beige, white, blue, or green. Avoid red, orange, and black, as they are
  not conducive to good sleep.
  Keep a glass of water next to the bed and sip when you wake to avoid
  dehydration.
Apothecary
  Place a few drops of nutmeg or sandalwood oil on your forehead, on your
  pulse points, and at the base of your throat.
  Massage cooling Bhringaraj oil on your head and feet before bed. Pour a
  dime-sized amount into your hand, rub your palms together, and press into
  your scalp. Rub around your ears and neck, then use enough to cover your
  toes and feet and massage in deeply.
VATA TIME
When you wake up in Vata time (2 a.m. to 6 a.m.), the mind ruminates on past
events, reviewing and lamenting past experiences, worrying about the future,
and being anxious about the present. The chatter in the head may be difficult to
quiet down. Vata will feel wide awake, hopeless that they will ever fall back to
sleep, and may become sad or despondent. When you wake in this time frame,
try any of the following strategies.
Food
  Hunger can wake Vata up at night and is the only dosha to benefit from a bit
  of food before bed. Try protein mixed with carbs, like a small baked potato
  with ghee, toast with butter, or a tablespoon (16 g) of nut butter.
  Stay hydrated by sipping some warm water before bed.
Lifestyle
  Sit up and put on a dim light; red or yellow light bulbs are best. Look around
  the room or outside, and allow yourself to come back to the present moment.
  Open a window to allow fresh air into the room to improve blood circulation
  and brain function.
  Write in a journal. Note the past, present, and future thoughts. Then leave
  them on the page.
  Practice alternate nostril breathing (here) to ground yourself and oxygenate
  the blood.
  Listen to a sleep meditation or podcast. Set a timer for the app to turn off.
  If you are in bed with another person, try asking them to hold you, or hold
  them for grounding. A pet is great for this, too. Even stroking another person
  or pet—skin to skin or skin to fur contact—is very soothing. If alone, cross
  your arms over your chest and rub the upper arms up and down. This calming
  practice increases serotonin, oxytocin, and dopamine.
  Get comfortable and snuggle down into bed. Repeat a soothing mantra such as
  “all is right with the world” or “deep sleep is here for me.” Relax and let go.
  Any time of day or just before bed, practice Earthing. Sit or walk outside in
  bare feet on grass, sand, or dirt, for about 10 to 20 minutes. This will help to
  align your body’s natural rhythm with the Earth and the seasons, helping to
  regulate your sleep, calm you, and help you be more in balance with the
  rhythms of nature.
  Wear organic cotton pajamas or a long nightgown to stay warm, and wear
  socks.
  Use earplugs to block out noises as Vata, a light sleeper, wakes up easily.
  Keep a glass of water next to the bed and sip when you wake to avoid
  dehydration.
Apothecary
  Rub a few drops of lavender or rose oil onto your pulse points at the wrist,
  behind the ears, and at the base of the throat.
  Massage Bhringaraj oil into your temples and around your ears.
  Press into the Marma points (see here) at the Ajna point, the third eye, which
  is between your eyebrows. Place a drop of nutmeg oil on the tip of the ring
  finger (the earth element). This can provide grounding. If you are feeling
  overheated, try any finger, except the thumb (fire). Place your finger on the
  point and hold for at least one minute, pressing just enough so that you feel it,
  but it doesn’t hurt. It’s a sensitive point.
  Other Marma points include the space between the second and third toes, on
  the sole of the foot, about one-third up from the heel (this point is effective for
  relieving headaches, leg pain, and stress in addition to insomnia), and the
  palm of the hand.
  Alternatively, you can place your finger on your skull, on a point
  corresponding to the frontal lobe, called the Brahmarandhra point. This point
  is eight fingers back from the brow point. Stack one hand on top of the other
  from the brow and up the forehead to find the point, usually 3 to 4 inches (7.5
  to 10 cm) above the Ajna point. Nutmeg oil works well, as does jatamamsi
  oil, and can quiet the mind as well as emotional disruptions. Hold for at least 1
  minute and remember to breathe deeply.
Put pressure on these Marma points: Apply medium pressure with the index and middle fingers (cooling
air and space), for at least 30 seconds to the base of the thumb joint; then the base of the big toe joint.
Use these two fingers to circle around the navel in a clockwise direction for at least 30 seconds.
                                        Marma Therapy
   Akin to acupressure, acutouch, and acupuncture, Marma therapy accesses the juncture
   between meridian points in the body that promote and amplify healing. In Marma, we use
   our fingers, a wooden pointer, or sometimes a tuning fork to create pressure and facilitate
   healing. Press the desired Marma point for one to two minutes, using medium, steady
   pressure.
      The fingers play a major role when doing the ancient Ayurvedic therapy of Marma. Each
   finger is associated with one of the five elements.
        The thumb represents fire.
        The index finger is air.
        The middle finger is space.
        The ring finger is earth.
        The pinky represents water.
     Become familiar with the power of the elements that you hold in your hands, as well as
   methods to balance physical and even emotional pain.
     If you have a sharp, hot headache, donʼt use your thumb (fire) to rub your temples.
        Apply air (index), space (middle), or water (pinky) to help balance the heat.
     If you have achy, dull pain in your knee, apply light pressure with your thumb to heat
        it up and get the stagnation and blood moving.
     If insomnia is an issue, apply pressure to the palm of your hand with your ring finger
        for grounding.
     When feeling dull and lethargic, use the index and middle fingers at the base of your
        skull, behind your ears to wake you up.
KAPHA TIME
Kapha dosha could be called the cozy dosha. They love to cuddle, snuggle, and
stay in bed wrapped up in a warm blanket. They nest. Kapha time of day is 6
a.m. to 10 a.m. You may notice if you wake up around 6 a.m. or 6:30 a.m., you
feel wide awake and ready to go, just coming off Vata time. But someone who is
primarily Kapha dosha, or has been ill or depressed, or went to bed late, might
prefer to roll over and try to sleep for a few more hours. Upon waking up at 8
a.m., 9 a.m., or 10 a.m., they will feel groggy or lethargic. Kapha time is that
slow time of day when we should ready ourselves for action and activity. Try
some of these remedies to help you shake off that sleepy feeling and find more
energy.
Food
  Eat a light dinner and don’t consume anything except for herbal tea after 6
  p.m. or 7 p.m. at the latest. This is supremely important: it will help you fall
  asleep earlier and be hungrier in the morning.
  Don’t drink alcohol, especially in the evening. Opt for herbal tea instead. Even
  Golden Milk might be too heavy. Less dairy is better, so if you are craving
  Golden Milk (here), enjoy a nondairy option, such as hemp milk, and even
  add a splash of hot water.
  Avoid heavy food (fast, fried, fatty, oily, sweet, and dairy) during the day.
  These increase the weight of Kapha in the mind and body. Eat less sweet,
  salty, and sour foods, and choose more bitter, pungent, and astringent ones.
  Think: less pasta, sugar, wheat, dairy, and nuts; more beans, whole grains,
  fresh fruit, greens, and seeds.
  Try intermittent fasting. Have your last meal of the day by 5 p.m. or 6 p.m.,
  then fast for about 15 hours and have your next meal at 8 a.m. or 9 a.m. This
  is a great way to detox, allow the digestive system to rest, and use up stored
  sources of energy (undigested food). That metabolic rest will help you sleep
  more deeply and wake up earlier, refreshed and rejuvenated.
  Enjoy coffee, green tea, or black tea in the morning. A bit of caffeine helps to
  get Kapha moving: 1 to 3 cups (237 to 710 ml) is fine. Avoid using dairy
  cream and sugar, and don’t have caffeine after 2 p.m.
Lifestyle
  Wear an unrestrictive nightshirt made of organic cotton. Pastel, light green,
  yellow, and orange are best for Kapha sleep. If you feel cold or if you oil your
  feet before bed, wear socks.
  Get up when the sun rises. Waking naturally without an alarm is the best way
  to reset your sleep cycle. Sleep with a window and shades open just enough to
  allow the air and sun to come in. If you live in an area where the sun rises late,
  or if you do not have a window that lets light in, purchase a sunrise lamp,
  which will slowly illuminate to wake you at sunrise.
  Exercise for at least 30 minutes a day. For the greatest benefits, do a mix of
  aerobic exercises, stretching, and strength training throughout the week.
  Before bed, do a series of stretches and micro-movements, such as ankle and
  wrist rotations, seated twists, toe touches, and arm extensions high above your
  head with your back slightly arched. Some balance poses, such as tree pose,
  and even just standing on one foot help to balance both hemispheres of the
  brain before sleep. Hold your poses for at least 10 seconds. If you can’t
  balance for 10 seconds, work up to it; use a chair or wall for support until you
  can manage without.
  Begin your day with breath work. In the morning, a round of ten deep, rapid
  inhalations to the belly followed by full exhalations through the nose is
  enough to really wake you up. Take just a few minutes for some invigorating
  breath work like Bhastrika (here). Caution: Build up slowly and avoid
  altogether if you have high blood pressure or cardiac issues or if you are
  pregnant.
  Stretch to get the blood flowing. Forward bends are great for waking up the
  brain. Bend forward, grasp your elbows, and just hang for 10 or 20 seconds.
  Rise up slowly and raise your arms over your head and point your fingers
  toward the ceiling, shoulders down. Look up. And a few rounds of Sun
  Salutations (here) will definitely get the blood and breath moving!
Apothecary
  Melatonin taken 1 hour before bed will induce sleep and wear off naturally by
  the morning. It’s best to speak to a doctor or Ayurvedic practitioner for a
  specific dose, though typical amounts are between 0.05 and 5 milligrams.
  Use Bhringaraj oil to relax at bedtime. Perform a massage on the scalp and
  feet to help ensure that you fall asleep early and feel rested when you rise
  early.
Food
  Eat a Kapha-reducing diet. This means avoiding all dairy, wheat, and sugar—
  and I really mean avoid it. Take at least thirty days to see the results and
  continue as needed. This alone could cure you. Sustain this diet until you are
  at a normal weight for your height and dosha. See here for details.
  Use a spice mixture of ginger, turmeric, and black pepper. Mix 1 tablespoon
  (15 g) of each in a jar and add it to all of your savory food.
  Do not overeat. Your two or three meals a day should be about two handfuls
  of food. Stop eating at least 3 hours before bed and enjoy a Cumin-Coriander-
  Fennel (CCF) tea (here) or licorice tea (here) to aid digestion.
  Avoid coffee, tea, and caffeinated drinks after 12 p.m. You may be tempted to
  drink coffee because you are sleepy, but don’t.
  Do not drink alcohol. The effects of drinking, especially as the alcohol wears
  off, disturb sleep and breathing.
Lifestyle
  Get regular exercise every day. If you are overweight, try walking every day
for 15 or 20 minutes, building up to longer walks. Add in strength training;
hand weights are great and convenient. Then add in stretching, like yoga. The
more you move, the more you will want to move! Every little bit counts, so
begin with what you are comfortable with and slowly increase when you feel
ready. The benefits of exercise go way beyond the body. As you move, you
detox the lymphatic system, pushing toxins out and allowing the happy
hormones, such as serotonin and oxytocin, to reach the brain. Runner’s high is
a real thing!
Improve air quality. Keep your bedroom well humidified, using a humidifier if
needed. Open windows to bring in healing oxygen and beneficial bacteria.
Quit smoking, and do not be around anyone who smokes.
Make your body comfortable for sleep. Sleep on your left side: This supports
your organs and may help the flap in the back of the throat stay open. Prop
your head up when you go to sleep, either using extra pillows, or if you have a
bed with an adjustable frame, raising the head up to a comfortable level.
Get new pillows, sheets, and a mattress cover. Hypoallergenic, organic bed
coverings may help you breathe easier and block irritants such as dust mites.
Use only natural cleaning products in your house, including detergents,
cleaners, and dusters.
Practice alternate nostril breathing (here) or boxed breathing (here) to learn
how to breathe deeply through your nose. You may feel that you are clogged
and not getting enough air; stay with it and your nasal passages eventually
will open up.
                                  Digestive Teas
Cumin-Coriander-Fennel (CCF) tea is easy to make and can aid a sluggish digestive system.
Add ½ teaspoon each of cumin, coriander, and fennel seeds to 12 ounces (355 ml) of hot
water. Steep for 10 minutes. Strain and enjoy.
   Licorice tea is another simple way to help your digestion. Add ¼ to ½ teaspoon of
licorice to 12 ounces (355 ml) of hot water. Steep for about 5 minutes. Caution: Donʼt take
licorice if you are pregnant.
Apothecary
  Before bed, gargle with either warm water or 1 tablespoon (15 ml) of warm
  sesame seed oil. This will coat the throat and relieve feelings of dryness.
  Mix ¼ teaspoon pippali powder with 1 teaspoon raw, organic honey and lick
  off the spoon twice a day (morning and evening are best). Take every day for
  as long as needed. Pippali, also known as piper longum, is a fruit powder
  related to black pepper. It’s hot and pungent, which helps to burn away toxins,
  stimulating digestion, clearing the lungs, and promoting easy breathing. You
  can find it online from Ayurvedic stores.
  Use nasya oil before bed. Coat the inside of your nostrils with three to five
  drops of the oil. Close the nostrils, pinch them, and take a deep sniff, releasing
  the nostrils and feeling the oil in the back of the throat. Nasya oil comes
  premixed with herbs that open the nasal passages and block toxins. The
  nourishing oils coat the tissues of the sinuses to keep them healthy and
  prepared to block invasions of allergens and environmental toxins. It’s easy to
  find in health food stores or online. You can also use sesame seed oil or ghee
  in the same way.
VATA DREAMS
Vata dreams involve flying, running, moving fast, confusion, anxiety, and worry.
In a Vata-type dream, the person may find themselves falling, being chased, or
being attacked without knowing why or where to turn for help. Air, space, and
movement figure prominently. Vata may not remember their dreams when they
wake up, but they usually recall feelings and emotions of being scared and
confused.
PITTA DREAMS
Pitta is often running, fighting, or involved in a great challenge or competition.
Sometimes violent acts, such as combat or street fighting, will take over the
dreams. They usually are trying to figure a way out, and to understand what is
going on. They are frustrated and impatient at not finding a solution or winning.
These dreams can involve fire, intense heat, lightning, and storms. Pittas usually
have vivid recall of details and may wake up disturbed and angry.
KAPHA DREAMS
Kapha dreams are watery and sensual. Streets turn into rivers and oceans swell
up to encompass everything. Kapha may swim to safety, find that they cannot get
out of the water, or drown. Food has a prominent role, specifically sweet foods
such as cakes, cookies, and candy. They may stuff their mouths uncontrollably or
search for food. Kapha will remember the dreams, and bad dreams may leave
them feeling guilty and sad.
Food
  For Vata dreams: If you are having confusing, unsettling dreams, eat a handful
  of nuts or a small bowl of popcorn with ghee or olive oil before bed. Drink
  warm milk or Golden Milk (here) with ghee.
  For Pitta dreams: If you have violent, scary dreams, have some coconut water
  or CCF tea (here) before bed. Or try a few ounces of dark chocolate.
  For Kapha dreams: Do not eat after 7 p.m. A cup of CCF tea (here) will help
  to settle fears in dreams.
Lifestyle
  Avoid upsetting tasks in the evening. Leave paying bills, balancing your
  checkbook, or having difficult conversations for daytime.
  Don’t watch scary or intense movies or TV shows in the evening. Save them
  for a rainy Sunday afternoon. Definitely stay away from the news. Watch
  comedies, light dramas, or uplifting documentaries. Listening to soothing
  music is a good option.
  Enjoy comforting, enjoyable books, articles, or podcasts. Have some guided
  meditations on hand for sleep and listen in bed.
  Keep a journal at your bedside and jot down any thoughts that are swirling in
  your mind as you prepare for sleep. If you wake up disturbed in the night, jot
  it down and leave it on the page.
  Practice alternate nostril (here) or boxed breathing (here) when you get into
  bed. It will settle you down, quiet the sympathetic nervous system (the fight-
  or-flight reaction), and activate the parasympathetic nervous system, which
  relaxes the body and mind.
Apothecary
  Take two ashwagandha tablets or drink ¼ teaspoon of the powder in warm
  water before bed. This will relax you and promote restful sleep.
  Drink valerian root tea 1 hour before bed. Valerian is an ancient plant that has
  been used to promote sleep for centuries. If you are taking other sleep aids,
  check with your doctor before taking. You can buy leaves or powder. Use
  about ½ teaspoon per 12 ounces (355 ml) of water, and steep for 10 minutes.
  There are plenty of blends on the market for sleep with valerian, lavender, and
  chamomile.
  Place a few drops of lavender essential oil on your pillow. The nanoparticles
  will enter your nasal passages and your bloodstream to help you drift off and,
  hopefully, stay sleeping through the night.
  Keep a window open a bit for fresh air to keep you oxygenated and refreshed
  during the night.
  Do abhyanga massage (here) before bed, with just enough oil to do long, deep
  strokes.
  Use Bhringaraj oil on your feet and scalp before going to sleep. This will help
  keep you cool and calm.
Winding Down
Whether you struggle to get good sleep or you want to benefit from more restful,
restorative sleep, know that it may take some trial and error to find the right fit
for you. Take your time and create your own personal routine. Getting frustrated
or impatient (Pitta qualities) only adds to the problem.
    Try looking at the qualities of Kapha dosha to invite better sleep into your
life. Kapha is sedentary, sensual, caring, and patient. Clean, soft sheets, a warm
comforter, and loose-fitting bedclothes create a sweet sleep space. Fill your
senses with lavender oil on the body or sheets and drink warm milk with ghee,
nutmeg, and turmeric. Take the time for a warm bath and then a slow massage
with vanilla-scented oil.
    Try just one or two suggestions at a time, and add more as you find your way
to what works for you. It took years to create your current habits, so be patient
and gentle with yourself as you embark on a new lifestyle. Slow and steady
creates new habits that will benefit you for a lifetime.
    Remember that when and what we eat plays such a huge role in how we sleep
and this may be the first time you have thought about how food affects your
sleep. Pay attention to your hunger level so that you manage your meals for
optimal sleep. Pitta might be hungry, so have more hearty foods earlier in the
day. Vata may need to eat smaller, more frequent meals. Eat three meals a day,
and a light dinner at least 3 hours before bed. If you are primarily Kapha dosha,
you might find that two meals are enough, especially in spring and summer.
    Many days, especially in summer when agni (digestive fire) is low, I’m not
hungry, so I eat a healthy meal around 10 a.m. or 11 a.m. Sometimes it’s just a
green veggie juice or a fruit smoothie with oat milk, berries, and protein powder.
I have another meal when I’m hungry around 4 p.m. or 5 p.m. This is a great
routine in summer for Kapha or if you are trying to lose weight. Winter
breakfast, or the first meal of the day, is more substantial, such as oatmeal with
flaxseeds and ghee, cornmeal pancakes, or a quinoa bowl with nuts, ghee, and
cooked greens. Play with your meal schedule to find what works best.
   As one of the main pillars of Ayurveda, sleep determines overall health and
well-being, mentally and physically. It simply cannot be overestimated how
important it is. My suggestion to you is if you are struggling with other health
issues, try focusing on your sleep first. It’s terribly difficult to feel well and make
good decisions when your sleep is not good.
   I’ve gone through several periods in my life when I felt off, slightly
depressed, angry, unfocused, and sad. Stepping back and looking at my daily
routine helped me put things into focus. Almost always, my sleep routine was
off, staying up too late, eating a large meal at dinner, snacking in the evening,
drinking alcohol, or watching or reading news before bed. All of that contributed
to poor sleep, which led to unhappy days. If you make the changes outlined in
this chapter, it will help you improve your sleep, your digestion, your decision-
making, and your mood. And with that, you will start to feel healthier and
happier and be more productive. Just a few good nights can be enough to get you
on the path to feeling better. Try it.
                                               2
Include whole grains (e.g., millet, quinoa, brown or basmati rice, oats, and barley) and
pasta.
Eat avocados and seeds (e.g., pumpkin, sunflower, hemp, and freshly ground flaxseeds).
  In moderation, enjoy oily fish (e.g., herring, sardines, salmon, and cod), tofu and soy
  products, cooked mushrooms, eggs, poultry, fresh cheese, and plain whole-fat yogurt.
  Have a sweet tooth? Enjoy 1 to 2 ounces (28 to 55 g) of dark chocolate a day (over 70 percent
  cacao).
  Sip warm or room temperature water throughout the day. Drink white or green tea instead
  of coffee, and only have red wine occasionally.
   Increase hobbies or other activities to get your mind off the pain. If you can,
volunteer with people or animals in need. Giving your time to others is an
incredibly powerful way to lessen your focus on your own problems. Find a
creative release such as painting, journaling, writing to prompts, or listening to
music. Fill your field of awareness with beauty to feed your senses. Flowers,
colorful scarves, music, scents, soft blankets, and clothes create an atmosphere
of healing and happiness.
Condition: Headache
You probably have experienced many types of headaches in your life. Some are
hot and pounding, others dull and throbbing. Hormonal changes, such as
menstruation, can bring on a nauseating headache. Dehydration and not eating
enough create their own forms of headaches.
   When one strikes, take a moment to determine what is going on. Are you
hungry or thirsty? Have you been shallow breathing? You can remedy that pretty
fast. Other types of headaches may need deeper inquiry. I list types of headaches
here that are related to specific doshas. Disregard your specific dosha and look at
the quality of the pain itself. It’s speaking to you about something that needs to
be addressed. Follow the guidelines for the pain you are experiencing, which can
be remedied by appeasing a doshic imbalance.
VATA HEADACHES
Stress, exhaustion, anxiety, and worry types of headaches are specifically related
to Vata dosha.
Food
  Eat and drink. One of the main causes for a Vata-type headache is not eating
  or drinking. Stay on a three-meal-a-day schedule, setting an alarm to remind
  you if necessary. Eat enough at each meal to feel satisfied, about two-thirds
  the size of your stomach, which is two handfuls of food.
  Drink warm beverages throughout the day.
Lifestyle
  Stay warm. Wear layers so you can adjust as needed.
  Always wear a scarf and hat in cool weather.
Apothecary
  Calamus oil is calming, with a scent similar to cinnamon and a slight
  tranquilizing effect. Massage your neck, scalp, and shoulders with it. Always
  use a diluted blend and avoid during pregnancy.
  Haritaki powder is a dried fruit powder, widely available online. Take ¼ to ½
  teaspoon in warm water.
  Oil nasal passages with sesame seed oil or nasya oil once or twice a day.
  Nasya oil, which is easy to find in health food stores and online, lubricates the
  nasal passages and sinuses, blocking environmental toxins and reducing
  inflammation. You can put two to three drops in each nostril or put the oil on
  your pinky and swish it around the nasal passages to coat thoroughly. Apply
  as needed.
  Use Marma point therapy: Gently squeeze the outer rims of the ears down to
  the lobe, then pull slightly down on the lobe. Do this four to six times. Press
  the ear flaps in with the index fingers (as if blocking noise) and hold for 30
  seconds.
PITTA HEADACHES
Burning sensation in the temples, sensitivity to light, and sharp head and neck
pain are results of a Pitta headache.
Food
  Cool down with coconut water and Pitta-pacifying foods such as cucumbers,
  ghee, and cool lime water.
  Stay hydrated by sipping room temperature water throughout the day.
Lifestyle
  Do several rounds of sheetali breathing (see here).
Apothecary
  Massage neck, shoulders, and scalp with coconut oil mixed with a few drops
  of sandalwood oil, eucalyptus oil, or rose oil.
  Use ghee in the nasal passages.
  Apply light pressure to the Marma points at the temples with either the index
  or pinky finger, for cooling. Slowly move your fingers in a clockwise
  direction for 30 seconds, while taking deep, even breaths through the nose.
  Lightly place the index finger to the third eye chakra point between the
  eyebrows, apply light pressure, and hold for 30 seconds to a minute. Breathe
  deeply through the nose.
KAPHA HEADACHES
Facial pain and sinus headaches are a result of too much Kapha.
Food
  Avoid dairy, fast food, fried food, and fatty food.
Lifestyle
  Exercise regularly to keep oxygen and blood moving through the body,
  dilating blood vessels and cleansing the tissues.
  Practice Bhastrika breathing (here) to encourage detoxification through the
  release of CO2, which when built up can cause headaches and a variety of
  disorders.
Apothecary
  Use a neti pot (saline nasal wash) once or twice a day. See here for details.
  Make a steam of 4 cups (960 ml) of hot water with three drops each of
  eucalyptus oil, lavender oil, and tea tree oil. Cover your head with a towel and
  place your face above the bowl at a comfortable distance over the steam.
  Breathe deeply through the nose. Do this for 10 minutes, once or twice a day.
  Apply light pressure to the Marma points just under each nostril with the
  index fingers, and hold for 30 seconds, breathing deeply though the nose. A
  drop or two of the above oils on your fingers is very effective.
  Use your index fingers to place light to medium pressure to the Marma points
  at the base of the skull where there are indentations, next to the spinal column.
  Hold for 30 seconds and release. Breathe deeply to the belly when applying
  pressure, relax your body, shoulders down, and exhale fully.
  A vigorous head massage will lessen headache pain by increasing circulation.
  Look online for the Indian form of head massage, or do it by massaging the
  scalp thoroughly with your fingertips, like washing your hair vigorously.
  Using the essential oils, mentioned here, on your hands will give an extra
  boost to the massage.
FOOD
  Stay hydrated by drinking enough room temperature water throughout the day.
  Half your body weight in ounces is a good measure. So, if you weigh 150
  pounds (68 kg), drink 75 ounces (2.2 L) of water a day.
LIFESTYLE
  Use meditation techniques (here) regularly to reduce pain by learning to
  recognize where the pain is coming from, why it is appearing, and what
  emotions arise.
  Practice deep breathing. Inhale through the nose to the belly, to the count of
  four. Hold for 4 seconds, then exhale through the nose 4 seconds. Hold at the
  end of the exhale for four. Do this five to ten times in a row, whenever needed.
  When you feel ready, increase to 6 then 8 seconds. Deep breathing activates
  the vagus nerve, alleviating tension and flooding the body with calm.
  Do small movements throughout the day to increase blood flow. Notice how
  you hold your phone to your ear and how you sit at the computer or while
  reading. Adjust yourself frequently. Look up from your work and gaze off into
  the distance once an hour, for at least 30 seconds. Take a minute or two to
  look out a window for maximum benefit. Do head circles, gently circling from
  left to right, chin to chest, several times a day—not just when it hurts.
APOTHECARY
  Massage neck and shoulders with an oil blend made of two to three drops of
  eucalyptus, cinnamon, and peppermint oils in 2 to 3 ounces (60 to 90 ml) of a
  base oil such as sesame or jojoba. Or use Tiger Balm liniment. Avoid the eyes.
APOTHECARY
  Dashamula and nirgundi are two widely available Ayurvedic herbal powders
  to take for this type of pain. Mix ¼ teaspoon each in 2 to 4 ounces (60 to 120
  ml) of warm water and drink before eating. Or look for an Ayurvedic pain
  relief blend such as Banyan’s Joint Pain or Lifespan’s Boswellia blend. Take
  two to four tablets a day as needed.
  Use mahanarayan oil with a few drops of Tiger Balm liniment, applied two to
  three times a day directly to the area of pain. Try this after a warm shower or
  bath and allow the oil to penetrate deeply, or place a warm cloth over the oiled
  area and rest.
  Jambeera thailam is excellent for shoulder and joint pain. This specialized oil
  is made from lemons and turmeric. Be aware that it will stain your clothes, but
  it is amazingly effective. Use a small amount, enough to cover the area with a
  thin sheen of oil, and massage in deeply to the joints. Allow it to dry before
  putting on clothes, or wear something that you don’t mind staining yellow.
APOTHECARY
  Soak in a hot bath with 2 cups (448 g) of Epsom salts and ¼ cup (32 g) of
  powdered ginger.
  Apply the oils mahanarayan or jambeera for joint pain. Rest for a few days,
  using gentle movements to avoid stiffness.
FOOD
  Eat a Vata-balancing diet. Avoid cold, dry, and raw food. Your gut needs to
  increase agni (digestive fire) to digest those foods, which takes the heat away
  from the lower back where you need it for circulation and healing.
  Encourage your body to use its natural healing powers by eating food that is
  easy to digest, such as soups and stews, white rice, steamed or roasted
  veggies, and oily fish such as salmon and mackerel. Use ghee, olive oil, and
  avocado oil in your cooking or add them to foods for more lubrication in the
  gut and joints. Avoid white sugar.
  Sip warm fluids throughout the day. One or two caffeinated drinks a day is
  okay, but don’t overdo it. Coffee, black tea, and green tea are dehydrating, so
  be sure to have water to balance them out.
  Add fresh ginger and turmeric to your diet. Use 1 teaspoon each in your
  cooking every day. Or enjoy them as a tea; buy already blended or make your
  own (see below).
                                             Teas
  Ginger-turmeric tea is widely available, and for good reason! Ginger (Zingiber officinale)
  comes from the same flower as cardamom and turmeric. For centuries, ginger has been
  used in Asia not just for cooking, but as medicine too. Sore throats, digestive issues, and
  skin problems can all be healed with different applications of this root. Itʼs also easy to
  grow if you live in a warm climate.
     To make the tea, slice or grate a 1-inch (2.5-cm) piece of turmeric and a 1-inch (2.5-cm)
  piece of ginger into a small sauce pot. Add 12 to 16 ounces (355 to 475 ml) of water. Bring to
  a boil and simmer for about 10 minutes. Strain and drink. To sweeten, add raw honey.
LIFESTYLE
  Move your body regularly but not intensely. Swim. Walk or hike on flat
  ground. Lift light weights and do more reps. Work up a light sweat, not
profusely perspiring. Don’t push through the pain—pull back if you ache or
feel a sharp pain. Even small movements will help synovial fluid flow into the
achy area, lubricating dry joints and reducing inflammation. Always breathe
through your nose when exercising, increasing nitrogen dioxide in the blood,
which is healing. If you get out of breath, pull back until you can breathe
through the nose again.
Wear loose clothing to encourage blood flow to the area, but dress warmly.
Light layers help to keep the lower back warm. Avoid exposing yourself to
cold air and cold water.
If you have access to a therapy pool or hot tub, soak often. Be sure that you
can easily get in and out of the bath or pool, either on your own or with help.
Remember to hydrate during and after your soak.
                                   Panchakarma
If you are suffering from intense pain and cannot find relief, you may want to find a center
where you can receive Panchakarma (Sanskrit for Five Actions). This 5,000-year-old
treatment protocol uses various procedures to penetrate down to the cellular level to
remove accumulated waste, ridding the body of debilitating toxins, and then slowly
rejuvenating the body to a new level of wellness. Through diet, herbs, oils, steam,
purgatives, enemas, nasal and eye washes, and deep rest, Panchakarma will address the
entire body, allowing it to reset and regain function, elevating you at your absolute best.
   It might seem like an indulgence to travel to a center to receive wholesome food, daily
body massages, and encouragement to rest, but I have found this is simply the best way to
address the stressors, environmental toxins, and immune-depleting activities of our daily
lives. Ayurveda says that you cannot fix a machine while it is running. That means we need
to stop, rest, and let someone else feed, oil, and heal us.
Infrared and traditional saunas and steam rooms will help to ease lower back
pain. Again, stay hydrated. Heating pads work well, too.
Don’t sit too long. Get up and move at least once an hour. Do leg lifts, either
seated or holding on to the back of a chair or a table. Forward bends increase
circulation to the lower back (here). Side bends and gentle twists will help,
too. Nothing rigorous—all you need is 5 minutes of micro-movements several
times a day to keep the blood moving.
 Maintain good posture. Walk around for a minute balancing a book on your
 head. Do balance poses such as tree pose. Feel your pelvic bones in neutral as
 you stand and sit tall, erect but not rigid.
APOTHECARY
 Try yogaraj guggulu and dashamula. These Ayurvedic herbs are traditional
 recommendations for back pain because they specifically help to balance Vata
 dosha and relieve pain. Take one to two tablets of yogaraj guggulu a day,
 before food. Dashamula is a combination of ten plant roots. Mix 1 tablespoon
 (15 g) in 4 to 6 ounces (120 to 175 ml) of hot water and let it sit for 5 to 10
 minutes. Strain and drink. The rhizome Musta is another herb to try as it
 promotes healthy blood flow. Take ¼ to ½ teaspoon, two times a day, in 4 to 6
 ounces (120 to 175 ml) of hot water. Do not use any of these remedies if
 pregnant.
 Apply any of the following oils to the area: mahanarayan, ashwagandha bala,
 nirgundi, and karpooradi. These amazing oils not only reduce pain but can
 actually heal injuries and lessen the progression of arthritis. Warm the oil of
 choice by placing the bottle in a glass of hot water or running it under hot
 water in the sink. Apply liberally to the area in pain. Do this three or four
 times a day, as needed. Keep it up every day even after the pain dissipates, as
 the mere act of applying and massaging oil to the skin keeps the tissues well
 lubricated and can prevent further injury.
 After applying oil, use a heating pad to keep the area warm and allow the oil
 to penetrate, for about 10 to 15 minutes. Place a towel or cloth that you won’t
 mind getting oily between you and the heating pad.
Guided Meditation for Pain Relief
A relaxed mind and body can accomplish miraculous things, including reducing the amount
of pain you feel. Meditation allows us to release the gripping, the holding, the tensing up that
contribute to pain. Mind/body techniques help to loosen up and let go.
To use this meditation script for pain relief, read it and follow along with each step, closing
your eyes and practicing each technique. Or record yourself, or have another person read it
into a recorder and listen to it, pausing along the way until you feel you have mastered each
step. Another way to integrate the meditation is simply to write it down yourself, copying it
from this book into a journal.
See what resonates with you. Change or add a few things. For example, include a specific
condition you are experiencing, or a time and place where you felt well. Make this healing
meditation yours!
Find a place where you won’t be distracted and sit comfortably. If you are in bed, try to raise
your head with a few pillows so your body knows it’s not time to sleep. Rather, it is time to
meditate or contemplate.
Take a few deep breaths through your nose to the belly. Feel the air enter your nostrils and
move to the back of your throat and down the windpipe, nourishing your body with each
inhale and exhale. Breathe as deeply as possible.
Beginning with your toes, slowly scan your body. Notice how each segment feels. Wiggle,
move, and stretch. There is no need to change anything you are feeling. Accept all in the
moment, creating awareness. Noticing. Being fully present with what is.
Repeat silently to yourself:
I feel my toes. My big toes, I lift my big toes.
I lift my other toes. I notice how they feel.
I feel my foot. The arch, the sole, the heel.
I feel my ankles. Feeling my ankles connect to the calf and the lower leg.
Notice how this feels, and allow your attention to move up to your knees. Pause and repeat
silently: I feel my knees. Go around your knees in your mind. Back and front and sides. Pay
attention, offering gratitude for the work the knees perform, all the way down, connecting to
your toes.
Reflect here and move up the thighs. Pause and repeat silently: I feel my thighs, the fullness,
the length, the femur bones that carry me around. How is this all connected? What do you feel?
Notice?
Moving from the thighs to the pelvis. Shifting a bit to find neutral. Pause and repeat silently: I
feel my hip bones. I see my pelvis, holding me in place.
The pelvis bowl holds us and is most comfortable not too far back or too far forward. Shift in
your seat and find that open space. Pause. Feel. Notice. Accept the feelings. Does movement
improve pain one way or another? Find your space.
Let your attention flow to your lower back. Pause and notice your lower back and buttocks.
Is there discomfort here? Can you find the exact spot? Any place you feel pain, discomfort, or
unease, pause and breathe into that space. Watch your breath and visualize it moving to that
exact spot, expanding, and releasing.
Move around to your belly. Pause and repeat silently: My soft belly. I let go. Feel the expansion
as you breathe into your belly. Place your hands on your stomach and breathe into your
hands, feeling them rise on the inhale and lower on the exhale. Love your belly. Take three
breaths here.
Move to your chest, lungs, and ribs. Allow the breath to rise to this area. Feel the nourishment
of the breath as it fills the torso and rib cage, as it fills the heart. Offering refreshment.
Replenishment. Whole body healing. Pause and repeat silently: I feel my ribs expand on the
inhale. Filling me with life.
Move your attention to your throat. Pause and ask yourself silently: Do I speak my truth? Is
there constriction? Is it open? Hum. Feel the vibration awaken the vocal cords offering full-
body healing as the hum moves up and down, to your toes and back up to your throat.
Hold the space for an opening as you move your attention to your neck, jaw, ears, cheeks,
eyes, forehead. Loosening. Adjusting. Softening. Opening and closing the mouth. Feel your
tongue move across your teeth and gums. Is there a sound you yearn to make out loud? Find
that sound and emote, or allow yourself to be in silence.
Shift your attention to your entire head. Pause and repeat silently: I feel my scalp. Where is
your mind? Allow it to be wherever it is, without pushing thoughts away. Accept. Recognize.
Be present and aware.
Now that you have scanned your entire body, allow your focus to go where you noticed pain.
Pinpoint the pain with laser focus. Don’t shy away. Feel it. Recognize it. Compartmentalize it.
Does it feel hot or cold? Dull or sharp? Pervasive or concentrated?
Spend some time here, applying your senses to the discomfort. Once you feel it’s in your
focus, give it a shape and a color. Visualize the area surrounding the pain. Is it red, blue,
green, yellow? A square, circle, unformed?
Imagine you can breathe directly into the shape you have created. Breathe deeply. Watch the
area expand and contract with each in breath and out breath. Where would you like it to go?
Are you able to move the pain out of the body? Squeeze and contract it until it disintegrates
into fine particles you can blow away.
Visualize the fragments leaving your body. Maybe it will ease up or perhaps cease entirely.
Let it go where it will. Remember you are in control at this moment. You decide how to
handle the pain.
After you have worked with the pain area, allow your attention to flow where there is no pain.
Spend time in those places and feel the absence of sensations. The space. The void.
Remember what this feels like and when you feel the pain return, summon the void, the
dispersed particles, and the space you have created.
Call to mind a time and place when you felt well. Whole. Fully healthy and happy. Where is
that place?
What do you see? What is the weather like? Do you have a favorite food? What does it taste
like? Are you with loved ones, a pet, or alone? What are you wearing? Are you walking or
sitting? Relaxing? Reading? Watching a sunrise or sunset?
Bring this all to the front of your mind and watch yourself in that state of well-being. This is
you. This is who you are and will always be. Rest in that space. Allow your thoughts to come
and go without attempting to stop them or spend too much time on them, just flowing
through the mind as you watch the show play out. Sit in this comfortable space for a few
minutes. Relaxed. Renewed.
Slowly open your eyes and take in the wide world around you. Notice your part in the big
picture. Take this feeling and perspective with you for the rest of your day. Whenever you feel
the return of pain or discomfort, visualize the shape and color, and allow it to move on. See
yourself as a whole, happy, pain-free being.
Practice this meditation as needed and you will begin to see your pain improve.
                                                3
   If you live in a polluted area, wear a mask like a KN-95 or N-95 when
outdoors. We’ve all become accustomed to these masks during COVID-19, but
people in places such as Delhi, Bombay, and Hong Kong have been wearing
masks outdoors for years as their air quality has deteriorated. They are effective
for prevention.
   Wear clothing appropriate to the climate. Wearing a scarf anytime it’s windy
or there is a touch of a chill in the air can make you less vulnerable to getting
sick. Wear layers that trap warmth against your body, which can also be easily
discarded when the temperature changes. Yes, it’s true that germs cause disease,
but our body can weaken when it needs to rev up its energy for basics like
staying warm, when that energy can be used toward other important immune
functions like metabolizing food and detoxification.
FOOD
  As with most things in Ayurveda, healing begins in the gut. All doshas should
  avoid excessive dairy and lean toward bitter, heating, and astringent foods
  such as bitter leafy greens, cilantro, parsley, lemons, limes, raw honey, and
  ginger.
  Avoid ice, cold, and raw food. Eat soups, stews, rice, or quinoa bowls with
  greens and protein.
                                     Soothing Teas
  Ginger, tulsi, or turmeric tea (with raw honey and lemon) will soothe the throat and reduce
  the inflammatory response for all three doshas. Sip as a hot tea throughout the day or buy
  throat lozenges made from these products.
    Drink licorice tea if you have a lot of mucus and coughing. A hot cup of licorice tea can
 help soothe a hard cough and open up your breathing. Use ¼ to ½ teaspoon licorice
 powder in 10 to 12 ounces (285 to 355 ml) hot water. Sip 1 to 2 cups a day. Do not use if you
 are pregnant.
    Green tea contains many beneficial nutrients, including a natural histamine that
 counters allergies. Enjoy 1 or 2 cups a day to help you through allergy season. Be aware,
 though, that tea is dehydrating so be sure to have a glass of water after your tea.
LIFESTYLE
 Do not smoke, vape, or be around people who are smoking.
 Do yoga poses that open the chest, ribs, and lungs such as cobra, bridge,
 camel, and chest openers, such as lying on a bolster.
 Breathe in fresh air as much as possible. If you are sick in bed, keep a window
 open to allow fresh, clean air to circulate, or use a HEPA (high-efficiency
 particulate air) filter to purify the air.
APOTHECARY
 Sitopaladi is an herb blend used for an unproductive cough, or a cough with
 white or yellow phlegm. It’s a tasty mixture of sugar, cinnamon, cardamom,
 pippali, and bamboo sap, and it is one of the most popular Ayurvedic
 remedies. It is widely available online and in Indian food stores. Take in
 powder form, 1 to 2 tablespoons (5 to 10 ml) either mixed into a paste with a
 bit of hot water and licked off a spoon, or made into a tea with 10 to 12 ounces
 (285 to 355 ml) of hot water. Take it once or twice a day. There are no
 contraindications.
◁ Breathe Free Soup
This recipe combines herbs and spices to clarify the lungs and open the airways. It’s perfect
for seasonal allergy time and for treating coughs and colds.
Makes 4 servings
   ½ red onion, chopped
   3 cloves garlic, minced
   1 tablespoon (15 ml) extra-virgin olive oil or ghee
   1–2 tablespoons (7–13 g) chopped fresh ginger
   2 dried red chiles (optional)
   1 teaspoon red pepper flakes
   1 teaspoon ajwain
   1 teaspoon ground turmeric
   1 teaspoon sea salt
   1 teaspoon black pepper
   ½ teaspoon ground cardamom
   Pinch of ground cloves
   6 cups (1.4 L) veggie stock or water
   1 carrot, diced
   1 stalk celery, chopped
   1 (6-inch or 15-cm) daikon radish, chopped
   1–2 teaspoons (5–10 ml) hot sauce (If you are Pitta dosha, go for less)
   2 tablespoons (28 ml) tamari
   Juice of 1 lime
   1 cup (235 ml) canned, full-fat coconut milk
Sauté the onion and garlic in olive oil or ghee in a large soup pot over medium heat for 3
minutes, until softened. Be careful not to burn the garlic. Stir in the spices and cook for 30
seconds, or until aromatic.
Add the stock and stir in the veggies and hot sauce. Bring to a boil, then reduce the heat and
simmer for 20 minutes.
Stir in the coconut milk and simmer for 5 minutes. Blend in the pot with an immersion
blender if you want a smooth soup, or let it cool a bit and carefully add to a blender. Add
tamari and lime juice to taste before serving. Enjoy the soup in a bowl or sip it from a mug.
NOTES
   Play around with the amount of spices to find the best flavor and healing elixir for you.
      Don’t be afraid to try new herbs and spices in various combinations as they are all
      medicinal.
   If you’re not feeling well and soup feels like too much heat, add more water or broth to thin
      it out for more of an elixir.
The ingredients in talisadi are the same as those in sitopaladi, with the
addition of ginger, pepper, and talisa. Use this formula if you have a wet
cough to break up mucus. Talisadi aids upset stomachs, fever, diarrhea, or
indigestion. Take 1 to 2 tablespoons (15 to 30 g) as a paste or in a tea, once or
twice a day.
If you have a sore throat, gargle two to three times a day with warm water, ½
teaspoon salt, and ½ teaspoon turmeric powder. Additionally, gargle with
coconut oil or sesame oil. Take 1 tablespoon (15 ml), gargle three or four
times, and spit the oil into a trash can to avoid clogging pipes.
Rub the chest with a balm containing eucalyptus, camphor, clove, and
menthol. Banyan Botanicals makes an effective product called Breathe Free
with these and other supporting herbs, which you can apply to the chest, back,
and under the nose. You may also mix those essential oils, just two to three
drops each, with 2 ounces (60 ml) of a carrier oil like sesame or jojoba and
apply as directed.
Rest in a warm bath of Epsom salts and a few drops of lung-clearing essential
oils, such as eucalyptus or peppermint. Place a warm washcloth over your
chest while in the bath. If you don’t have a bathtub, put ten drops of
eucalyptus oil around the edges of your shower and take a hot shower.
Always dress appropriately and wear a neck scarf if it is cool or windy
outside. Wear layers to adjust your body temperature to the cold, and it’s
better to stay bundled up if you are suffering from a lung ailment.
                                        Ajwain
Also known as carom seeds, ajwain is considered antiseptic. It is a great remedy for
stomach ailments, digestive problems, colds, and headache. Soak 1 tablespoon (15 g) in 12
ounces (355 ml) of hot water for 30 minutes (or overnight), strain, and drink.
                                Essential Oil Steam
To break up mucus and help the lungs heal, try an essential oil steam: Add three drops
each of lavender, eucalyptus, and tea tree oil to a large bowl of steaming hot water. Drape a
towel over your head, find a comfortable distance from the bowl, close your eyes, and
inhale and exhale deeply for five to ten breaths. Do this two to three times a day. These oils
will help to open the passageways of the bronchial tubes, reduce inflammation, and kill
bacterial infections.
Condition: Sinusitis
Sinusitis symptoms include facial pain, stuffed and inflamed nasal passages,
headache, and pain in the neck and jaw.
   Follow all the guidelines for a cough, cold, and sore throat with these
additional tips:
  Use a neti pot (here) solution of ¼ teaspoon salt and a pinch of baking soda.
  Rinse your nasal passages once or twice a day.
  Consider adding Neti Wash from Himalayan Chandra to your neti pot water. It
  contains eucalyptus, peppermint, and menthol. They also have a wash with
  zinc that may be useful.
  Place a very warm washcloth with a drop or two of eucalyptus or peppermint
  essential oil on your face. Press deeply into your sinus areas, avoiding the
  eyes.
   If the problem persists for more than five days, you may need medical
intervention and antibiotics. Continue the above protocols even if you need to
take antibiotics, Just add in a probiotic. Take one probiotic capsule a day while
on the antibiotic and continue for thirty days.
Condition: Rhinitis
Rhinitis is a disorder of too much water, exacerbated by toxins. The condition
differs from sinusitis as the inflamed tissues are in the mucus membranes of the
nose (as opposed to the sinuses). If you are suffering from rhinitis, you may have
a runny nose, a scratchy or itchy throat, and watery eyes. This reaction is often
caused by environmental toxins such as perfumes, mold, mildew, dust, smoke,
animal dander, and even waste from insects and rodents.
   When you have a general feeling of aches or pains, or sinus, nasal, or throat
issues, and they have no pathological roots, it is a clear indication that something
is wrong in the environment. When I work with clients who feel unwell much of
the time, I ask them to search their home for the root cause. If you are feeling
attacked with symptoms, see if there are any obvious causes in your
environment. If you have recently moved to a new home, check for mold. If you
live in a cluttered space, clean it up and throw out items damaged by water or
infestation. Remove all possible toxins from your environment.
   If gone untreated, rhinitis may lead to nasal polyps and even asthma. Rid
yourself of these symptoms by following all the protocols for respiratory health
(here) and don’t close the door on a cluttered space or push dust under the rug or
bed. We must have a clean home, free of toxins, to maintain our health. A lotus
may be able to grow in the mud, but we can’t function well in a house filled with
clutter, chemicals, and hidden waste. Clean up as best you can.
To treat rhinitis: Take two capsules once a day with food until your symptoms cease.
  To treat acute cases: Take two tablets twice a day, for seven days. Do not take if you are
  pregnant, are breastfeeding, or have kidney issues.
When and How to Use a Neti Pot
A neti pot is a form of nasal irrigation and helps to remove excess mucus, debris, allergens,
and toxins from the nasal passages. It reduces inflammation and irritation, and helps to
detoxify the entire body. The nose is our first line of defense to the environment, so when we
clean it out and oil the tissues, we are providing a clean canvas to catch toxins and prevent
them from entering the body and causing disturbances. Many people use their neti pots for
seasonal allergies, or when they have been in a polluted atmosphere.
Neti pots are widely available online, in health food and grocery stores, and at pharmacies.
Choose one that is ceramic for home and one made of unbreakable material, such as
recycled plastic, for travel to use after being on an airplane or in a polluted city.
   Neti pot
   Boiling water to fill the pot, cooled to warm
   Pharmaceutical-grade salt made for neti pots (Or use a salt that is not iodized.)
   Tissues
   Towel
   Nasya oil, sesame oil, or ghee
Fill the pot with boiled water that has cooled. Stir in ¼ teaspoon of neti pot salt. DO NOT use
iodized salt in your neti pot.
Lean over a sink and tilt your head to the side, with your ear over your shoulder and chin
slightly tucked. Place the tip of the pot in your upper nostril and begin to slowly pour the
water into your nasal passage. Breathe evenly though your mouth. The water should pour out
the lower nostril into the sink.
Continue until the pot is empty. If you feel water in your ear or throat, adjust your head and
the tilt of your chin until the water is just running out of your nose.
Have a tissue handy and blow gently to clear excess water. Refill the pot with your saltwater
mixture. Tilt your head to the other side and repeat.
When you are done, gently blow your nose. Bend at the waist and lean forward, letting your
head hang for a few seconds.
To assist with draining your nose, you can do windmills by touching your left toes with your
right hand and reaching up toward the ceiling with the left arm. Turn your head to the side to
look at the upturned arm. Repeat on the opposite side. Hold on each side for about 10
seconds.
Wait at least one hour for the nasal passages to dry, then apply nasya oil, sesame seed oil, or
ghee. Just place a few drops on your pinky and swirl around the inside of your nose, coating
the tissues and gently coating the sinuses.
If you live in a dry climate, skip the neti pot and just use nasya oil several times a day as
needed. Take nasya oil with you when you travel, as hotels and airplanes are drying.
FOOD
 If you are experiencing a runny nose and watery eyes, avoid all dairy and
 heavy, wet, cold food. That means no yogurt, cheese, milk, butter, or fast or
 fried food. Avoid white sugar. Notice how you feel after eating wheat, such as
 pasta or bread. If you see an increase in symptoms, avoid it.
 Follow a Kapha-reducing plan of less dairy, sugar, and wheat. Add in some
 spicy foods to heat up the excess mucus, such as green chiles, a dash of
 cayenne pepper, and premixed hot curry powder. Add these to rice, soups,
 stews, and veggies.
 Eat leafy greens and vegetables, especially bitter ones, such as dandelion
 greens, mustard greens, radicchio, daikon radish, cilantro, and parsley.
 Make licorice or green tea (here) to sip throughout the day. (Avoid licorice if
 you are pregnant.)
LIFESTYLE
 Clean up your house. Remove anything that might be an allergen, such as
 perfumes or scented cleaners, sprays, dishwashing liquid, and detergents.
 Even soap and shampoo may be what is causing you trouble.
 Use an air filter to purify the air.
 If you have a pet, notice if your eyes get watery or your nose runs while the
 pet is around. If so, you may need to keep the pet off your furniture and the
 bed and vacuum regularly. Homeopathic pet dander remedies are effective as
 well. (I would never tell you to get rid of your pet!)
 Open doors and windows unless it is high pollen season. Allowing fresh air to
 circulate will bring in more oxygen, enabling our bodies to better battle the
 toxins.
 On hot, humid days, run your air conditioner at 74°F (23°C) or less to keep
 the air pure and less humid. On rainy or humid days, use a dehumidifier to dry
 out the air. Less moist air is better for your health in this situation.
 Wash all towels, sheets, blankets, and clothes in nontoxic detergents. If your
 fabrics are contaminated with dander or mildew or are otherwise stained, try a
 wash with borax powder. If that does not work, buy new ones, beginning with
 one set of organic sheets or a new towel. Slowly replace your linens and
 clothes until you are allergen-free.
APOTHECARY
 Use a neti pot with saline water and a pinch of turmeric. This will reduce the
 inflamed tissues in the nose. If your nose is too stuffed, try pouring the water
 in anyway and allow it to run out the same nostril. The turmeric/salt mix will
 still have some effect.
 Do the essential oil steam (here) with three drops each of lavender, eucalyptus,
 and tea tree oil in a large bowl of steaming hot water. Drape a towel over your
 head, find a comfortable distance from the bowl, close your eyes, and inhale
 and exhale deeply for five to ten breaths. Do this two to three times a day.
 Gargle with warm water with ½ teaspoon of salt and ½ teaspoon of turmeric,
 three to four times a day.
Condition: Seasonal Conditions and Allergies
Each season brings on its own set of issues. Winter brings dry noses and throats,
while spring and summer bring runny eyes, sneezing, congestion, and excess
mucus. Ayurveda recommends we practice the opposite attributes of the season.
When it’s cold and damp outside, eat warm and dry food. When it’s hot and dry
out, eat cool and moist food. Hot and humid? Go for cool and dry. In variable
climates, stick to simple, seasonal foods that are easy to digest. All of this will
combat seasonal allergies and conditions as they arise.
FOOD
  Fall and winter are considered dry and cold. This brings on constipation as
  well as dry sinuses and scratchy, sore throats.
  To remedy: Concentrate on foods that are warm, hearty, and heavy. Think
  stews, soups, and some meat. Organic dairy, such as plain yogurt, butter,
  cream, and milk (goat or cow), is more effectively digested in winter, as our
  digestive fires are higher and easily break down these heavier foods. Whole
  grains and complex carbohydrates such as brown rice, oatmeal, potatoes,
  beans, peas, and lentils are included in these heavier foods and prevent winter
  ailments such as cough and cold by feeding the gut what it needs.
  Springtime is considered cool, damp, and variable. Greens and flowers bloom,
  rains fall, roots shoot up, and plant and tree pollen fill the air. These
  environmental changes cause some people to suffer from allergies. Watery
  eyes, excess mucus in the nose, phlegm in the lungs, and even hives and
  rashes from undetermined causes are just some common allergic reactions.
  To remedy: Nature offers so many remedies in spring. Look for spring growth
  of asparagus, ramps, green beans, radishes, spinach, leafy greens, rhubarb,
  peas, and artichokes. All of these foods are nature’s remedies to detox from
  heavy winter intake. Cilantro and parsley help to detox the heaviness of winter
  foods. Raw honey will scrape out excess water and dampness and provide
  nutrients that will please the gut. It’s important to use only raw honey as
  pasteurized honey is heated to such high levels that it kills off the propolis,
  nutrients, minerals, and enzymes that make honey such an amazing superfood.
  Certain fruits, such as apples and pears, help to dry up mucus as well.
 Summer is hot, and it’s humid or dry. Excessive heat and sun cause sunstroke,
 dehydration, sunburn, headaches, and fatigue.
 To remedy: Watermelon, honeydew, and cantaloupe will hydrate the tissues
 just as efficiently as drinking a glass of water. Other hydrating, watery foods
 include coconuts, zucchinis, peaches, mangoes, and plums. Reduce caffeine,
 which increases blood flow to the skin, creating heat. Ghee is cooling and
 sweet, which is the perfect antidote to the heat. Adding freshly ground chia or
 flaxseeds to soups, smoothies, or cereals will quench thirst as they are
 gelatinous and provide moisture.
                                        Nasya Oil
 The dry season irritates the mucosal lining of the nose, and the nose is our first line of
 defense against allergies and respiratory issues. Itʼs important to keep those tissues
 lubricated to help the immune system ward off bacteria.
    Apply nasya oil regularly to keep the nose primed and ready to block invaders. Nasya oil
 comes with a dropper to apply the oil. Just place three to five drops directly into the nose
 and squeeze the nostrils together while taking a quick nasal inhale to absorb and disperse
 the oil. You may also put some drops on your pinky and swirl the oil in the nostrils. Use the
 oil any time you feel you need it.
LIFESTYLE
 Fall and Winter. Warm, fall days lead to cool nights, so wear layers. Always
 wear a scarf to protect your throat from wind and cold.
 In the chill of winter, indoor spaces may be overheated. Use a humidifier in
 your home if it’s dry. This will help keep nasal passages and your throat
 lubricated, which allows more efficient protection from toxins.
 Spring. Spring brings heavy rains, which lead to warm, humid evenings and
 cool mornings. Whenever the weather is changing throughout the day, having
 light layers, like a scarf, is important. Always protect the neck and throat.
 On high pollen days consider wearing a mask outdoors. Inside, keep air
 circulating with fans or use your heat/air system on circulation mode or an air-
 purifying filtration system. If you live in a high pollen area, it’s best to keep
the windows closed, but after a clearing rain, open them wide for the fresh air.
Spring is an ideal time to use a neti pot (see here). Use the pot once in the
morning with a saline wash. Allow the nostrils to dry fully for one hour, then
apply nasya oil, ghee, or sesame seed oil to the tissues inside the nasal
passages.
Summer. Allergens cause havoc in summer because we tend to spend more
time outside. Grass, trees, ragweed, moldy leaves, and freshly cut grass all
cause allergic reactions in some people. When you are outdoors, consider
wearing a mask covering your mouth and nose.
Hot, warm air traps the allergens in the atmosphere and even in your house,
where mold, mildew, and dust mites proliferate. To prevent indoor allergens,
keep the humidity low, between 30 to 50 percent, by running a dehumidifier.
Run the air conditioner and keep the windows closed. Vacuum often and use a
filtration machine. Keep dust at bay by using unscented microfiber dusters.
 Be Free of Allergies Smoothie
 This smoothie is packed with flavonoids, phytonutrients, and vitamin C. The bee pollen and
 raw honey provide enzymes, propolis, vitamins, and minerals. It packs a punch to help your
 system get rid of spring and summer allergens and irritations. Drink this if you are affected by
 seasonal allergies, or as a boost to the immune system. Take on an empty stomach and
 don’t eat again until you feel hungry. If you leave the peel on the orange, it adds extra allergy-
 busting flavonoids and an exciting bitter bite to the drink! If it is your first time using bee
 pollen, use ½ teaspoon for the first week, then gradually add more.
 Makes 2 servings
    1½ cups (355 ml) boxed (not canned) shelf-stable coconut milk or any nondairy milk
    ½ cup (120 ml) warm water, plus more if needed
    1 tablespoon (20 g) raw, organic honey (local if possible)
    ½–1 tablespoon (8–15 g) bee pollen
    1 tablespoon (15 ml) flaxseed oil
    1 unpeeled apple, cored and chopped
    1 orange, chopped or sliced
    ½ cup (75 g) fresh or frozen blueberries
    1-inch (2.5 cm) fresh ginger, peeled
    1 teaspoon turmeric powder
    1 cup (30 g) fresh spinach
 Add the coconut milk, water, honey, bee pollen, and oil to a blender, then add the fruit, ginger,
 turmeric, and spinach. Whir it up until liquefied. Add more warm water if needed. Drink right
 away or, if you need to store it in the fridge, pour into an airtight glass jar. It will be good for
 24 hours. Bring back to room temp or add hot water to warm it up if cold, before drinking.
APOTHECARY
 The allergy regimen I most often prescribe to my clients is a mix of Western
 and Eastern medicine. It seems to work well for all doshas in all seasons. If
 you are having allergic reactions, try this:
    » Take quercetin. This flavonoid acts as an antioxidant with amazing
    powers to combat inflammation and allergy symptoms. It is found in
    grapes, cherries, berries, apples, onions, and even green tea, coffee, and
    red wine. Taking it as a supplement offers the boost needed during
    allergy season. I usually suggest two capsules once or twice a day (500 to
    1,000 mg a day). You may take the same amount during the rest of the
    year for all the other benefits it offers. Taking quercetin with vitamin C
    boosts the benefits, and many brands contain both. There are no negative
    side effects or contraindications.
  » In my personal experience, quercetin doesn’t just block allergy
    symptoms, it heals, allowing you to use the supplement for three to six
    months (if you just want to take for allergy relief), and that’s it! It adjusts
    the body to stop reacting to allergens. Most of my clients report a
    cessation of symptoms. If your allergies do return, take the capsules for a
    few weeks during the highest irritation periods to boost the system and
    prevent further irritation.
  » Try Pollen Protect from Banyan Botanicals. This Ayurvedic remedy is a
    formulation of ten key herbs for suppressing the allergic response,
    reducing inflammation and mucus. I haven’t found a better Ayurvedic
    product. At the onset of the season, take two tablets twice a day after
    food. During acute phases, take three tablets three times a day. Always
    take it with about 10 ounces (285 ml) of water. If you are nursing, consult
    a practitioner before taking. Pollen Protect and quercetin plus vitamin C
    can be taken together.
I do not recommend using antihistamines. Antihistamines or antihistamine
sprays dry out the system and do not address the root cause of the allergens.
Drying the mucosal lining will stop sneezing and nose blowing, but ultimately
leads to far more damage as your natural ability to block toxins is removed.
We need to have moist, lubricated nasal passages. Using oil and other
supplements and following these steps will soothe the nasal passages rather
than irritating and drying them with conventional formulas.
                                                 4
FOOD
  Eat a variety of healthy, seasonal foods. Our guts adjust by constantly sorting
  through good and bad bacteria, feeding most happily on the naturally
  occurring flora and fauna of the season. This feeds the gut microbiome as it
  shifts with the time of year. These good bacteria in the gut help break down
  food into useful components that keep the lining of the stomach and intestines
  healthy, supporting the process that creates a healthy mind and body. Boost
  the microbiome by choosing both prebiotic and probiotic foods, which benefit
  mental as well as physical health.
  Take care of your digestive system. There are many more probiotic and
  prebiotic foods to choose from, so investigate and incorporate. But eating well
  is only half of it. You must be able to absorb the nutrients deep into the
  tissues, bones, and blood. We love to say, “You aren’t what you eat. You are
  what you absorb, digest, and assimilate.” As you metabolize the nutrients,
  toxins move out of the body through bowel movements, urine, sweat, and
  menstrual blood. Food assimilated and waste eliminated.
  Healthy digestion depends on all the links of the system working together.
  Prevent health problems and keep your body strong by choosing organic,
  fresh, seasonal, and varied foods. Use good oils. Eat high-fiber, low-sugar
  foods. Enjoy easy-to-digest proteins, nuts and seeds, fresh fruits, greens, and
  vegetables. If you eat meat, choose organic, humanely raised. And if you eat
  fish, choose wild caught (never farmed as it’s less nutritious, and, frankly,
  horrible for the fish).
  Avoid all processed foods. These contain chemicals and preservatives, food
  coloring, and a variety of harmful additives. A good rule to follow is if the
  food is packaged and has more than seven ingredients, put it back on the shelf.
  If you consistently eat with these guidelines in place, you’ll avoid many issues
  that affect the gastrointestinal system. Your bowel movements will be well
  formed and consistent. Stomachaches will resolve themselves, heartburn will
  disappear, and your weight will stabilize.
                        Probiotic and Prebiotic Foods
All the following will bolster your digestion by feeding the gut microbiome exactly what it
needs to function at the highest level. If you do not already eat these foods, introduce them
slowly into your diet and see how you feel. Increase your intake until they are a regular part
of your everyday routine.
Probiotic Foods
    Unsweetened, full-fat yogurt and kefir from grass-fed cows or goats
    Fermented vegetables, such as sauerkraut or kimchi
    Tempeh (fermented soybeans)
    Miso paste (added to soups, rice, etc.)
    Kombucha
    Pickles
Prebiotic Foods
    Dandelion greens (just like the ones that grow in your yard; without pesticides or
      herbicides)
Berries
Bananas
Garlic, leeks, and onions
Asparagus
Chickpeas, legumes, and lentils
LIFESTYLE
 Take a walk after your meals for at least 10 minutes. To promote healthy
 digestion, get regular exercise—20 to 30 minutes three or four times a week at
 least. It’s important to choose something you like (you’ll be more likely to
 stick with it) and be sure to pace yourself, especially if you’ve been sedentary
 for a while. It can be tempting to overexert before your body is ready for it.
 Ayurveda suggests not overtaxing yourself in this way. Movement after meals
 keeps the blood flowing, which promotes digestion, rather than stagnation.
 Reduce your stress by reducing stressful situations. Easier said than done, but
 make a proactive effort. Only watch as much news as you need to be
 informed. Don’t watch scary or violent movies or TV shows. Read books that
 are uplifting or helpful. Listen to calming music. Look at beautiful images.
 Turn off the computer or tablet at least an hour before bed and snuggle up to a
 loved one or a pet, or write in a gratitude journal.
 Good digestion also relies on healthy sleep patterns. That means being in bed
 by 10 p.m., which is Pitta time of night. During the hours of 10 p.m. until 2
 a.m., your digestive system revs up and metabolizes everything you took in
 during the day. For this process to be completed, it is best to have a light
 dinner, putting less stress on the body to extract nutrients and prepare waste
 for elimination.
APOTHECARY
 Triphala. This is a combination of three Indian fruits that, together, act as a
 bowel toner and cleanser. Most people do well taking two tablets with warm
 water before bed. Triphala can regulate constipation and loose stools, and
 maintain healthy bowel movements. It’s helpful to work with a practitioner to
 get the right dosage for your situation.
 Warm water. Drinking 12 to 16 ounces (355 to 475 ml) of warm water in the
 morning, after your oral care, gets the digestive juices churning. You can add a
 squeeze of lemon or a half teaspoon of apple cider vinegar if you’d like, or
 just drink it straight.
                       Rejoice in Who You Truly Are!
The gut microbiome plays a key role in all digestive and mental health. Your takeaway here
is to eat a wide variety of fresh, whole foods, avoid overeating and night eating, and
introduce probiotic and prebiotic foods into your meals every day. Stay hydrated, avoid
alcohol and sugars, and eat food that is easy on the tummy.
    I promise, if you do all this and reduce stress in your life through proper sleep,
meditation, and movement, many if not all your digestive issues will disappear. Your weight
will stabilize at the right number for you and your dosha. Ignore the BMI. Look at the dosha
to understand your natural-born body type (here).
Teeth and Oral Care
So much of Ayurvedic wellness is about the digestive process. That process begins way
before you put the food in your mouth. It actually starts when you think about food: what you
are craving, how it will be prepared, and when it will be consumed. Saliva forms long before
food is in the mouth and protects your teeth from the assaulting foods. It contains chemicals
that neutralize acids, protecting enamel and fighting off tooth decay.
That is just one reason why oral care is paramount to good health. Tooth decay may affect
the heart and other organs. Be vigilant about oral hygiene and care for your gums, teeth, and
tongue. Like the gut, the mouth is teeming with good and bad bacteria called the oral
microbiome. When you are healthy, saliva produces bacteria that will protect your enamel
and increase digestibility. Eating too many sugary, sticky, gummy-like foods harms your teeth
and impedes digestion. This includes soda, hard candy, milkshakes, coffee drinks, alcohol,
and even dried fruit.
The best way to begin your day is to wash your mouth the Ayurvedic way, before you eat or
drink anything. As the metabolism digests food during the night, bacteria will build up on the
tongue, gum, and cheeks. Remove that waste before eating or drinking to avoid swallowing it
back into the gut. Try this morning routine to maximize all the other modalities discussed
here. If you can’t fit all this in, just pick a few and notice the benefits.
      1. Open your mouth and inspect your tongue. If it has a gray or black coating, you
         have excess Vata. A yellow coating means too much Pitta. A whitish coating is
         excessive Kapha. The coating can help you discern what is out of balance. If you
         are taking medication, that may be the culprit, or it is eating food that has a
         negative impact on your health.
      2. Use a metal or copper tongue scraper to clean this coating off your tongue. Grasp
         the ends and place it as far back on your tongue as possible, press firmly, and
         scrape forward. Do this three or four times, and rinse the scraper. If there is a
         heavy, thick coating on the scraper, do it a few more times.
      3. Brush your teeth with an Ayurvedic herbal toothpaste, one containing only natural
         cleansers, or neem-based toothpaste or powders. Popular conventional brands
         contain chemicals, preservatives, and sweeteners. Brush the natural way. A pea-
         sized amount of toothpaste on your brush is all you need.
      4. Take a tablespoon (15 ml) of sesame seed or coconut oil and hold it in your mouth
         for 10 to 15 minutes. Swish gently and pull between your teeth and gums. This is
         called oil pulling. When done, spit the oil into a trash can, not your sink (it will clog).
         Notice it is viscous as it has pulled bacteria out of your cheeks, tongue, and gums.
      5. Take another tablespoon (15 ml) of oil and gargle with it, three or four times, and
         spit into the trash. Rinse with a pinch of baking soda in 2 ounces (59 ml) of water if
         you want to get the oil taste out of your mouth, but it’s not necessary.
      6. Now you are set for the day. The thin coating of oil that remains in the mouth is
         antimicrobial and will protect your teeth and gums from bad bacteria.
      7. In the evening, floss your teeth with a neem-infused, mint-coated, or regular dental
floss. Brush with your preferred toothpaste. A good trick is to brush after dinner so
that you won’t eat anymore!
Condition: Bad Breath
Poor food choices and weak agni (digestive fire) lead to bad breath. When food
is not digested properly, it becomes a toxic residue called ama. This ama may be
in your gut, liver, colon, intestines, and even your cheeks, gums, and tongue,
resulting in breath that smells putrid. If your digestive fires are low, food will
ferment and rot in your gut. The cure for bad breath is to stoke your digestive
fires, digest your food completely after each meal, and clean the mouth properly.
FOOD
  Balance your pH. We often wake up acidic, so we want to bring the system
  back to basic, which is a balance between acid and alkaline. Too much acid
  can cause damage to the kidneys and other organs and an imbalance in the
  blood. If we had not-so-healthy food the day before, we may wake up too
  acidic. It’s important to keep the pH balanced to function at the optimal levels.
  Begin your day with a cup of warm water with a squeeze of lemon or lime, or
  ½ teaspoon of apple cider vinegar. This will act to balance the pH in your
  system.
  Avoid dairy. This includes yogurt, milk, cheese, and butter. Ghee is not a
  problem as the milk solids have been removed.
  Eat only cooked foods. Cooking your food makes it easier to digest. Bake,
  poach, sauté, and roast. Don’t fry or grill over high heat; both create a
  chemical called acrylamide, which is cancerous. Avoid microwaving, as it
  kills nutrients in the food.
  Eat a simple diet. Center your diet around healthy ingredients. Make sure to
  get enough fiber and carbs through beans, grains, and greens.
  Never have iced drinks or cold food, as these will extinguish the digestive
  fires. Reheat food on the stove or in the oven, or allow cold foods to come to
  room temperature before consuming.
  Ignite your agni. Eat a slice of fresh ginger with a bit of lime or lemon juice
  and a few grains of salt before a meal.
  Only sip water or a warm drink with your meal. If you drink too much water
  or liquids with meals, you wash away your saliva. Saliva is a natural barrier to
  harmful microbes and bacteria.
 Don’t eat late. Always have your last meal at least 3 hours before you go to
 bed.
LIFESTYLE
 Breathe through your nose. Mouth breathing is a cause of bad breath. Air
 inhaled through the nose passes through a filtration process, and inhaling
 through the mouth does not provide that cleanse. Breathing through the mouth
 kills the good bacteria, resulting in not only bad breath, but in gingivitis, tooth
 decay, and even bone deformities. Look for mouth tape to close the mouth at
 night to train yourself to breathe through your nose exclusively. Only use tape
 designed for this practice.
 Practice sheetali breathing. See here for details. This practice will cool and
 freshen the breath.
 Follow the practices for good oral care detailed here.
APOTHECARY
 Chew a small handful of roasted fennel seeds or one or two cardamom seeds
 after meals. This will aid digestion and freshen breath.
 Place one or two drops of clove oil or tea tree oil on your finger and massage
 your gums once a day. Spit out any excess. Both are antibacterial and
 antifungal.
 Rinse your mouth with a simple solution of baking soda and water. Use ½
 teaspoon in 2 to 3 ounces (60 to 90 ml) of warm water.
 Neem is antifungal, antimicrobial, and antibacterial and can help to rebuild
 healthy tissues. Use neem toothpaste and neem sticks. Chew on the stick until
 you split the bark, then rub the stick all over your teeth and gums.
 Drink 2 tablespoons (30 ml) of aloe vera juice every morning. Aloe cleanses
 the gut, which may be the source of your bad breath.
 Coconut oil is antimicrobial and will help you have fresh breath. Oil pull with
 coconut oil daily. Place 1 tablespoon (15 g) of coconut oil in your mouth,
 allow it to melt, and slowly swish and pull it through your gums and teeth for
 15 to 20 minutes. Spit the oil into the trash when you are done.
Condition: High Cholesterol
For some people, high cholesterol is inherited. For others, it is caused by their
food choices. Stress also raises cholesterol. The ancient Ayurvedic texts don’t
use the word “cholesterol”; rather, they look at fat or adipose tissue (called meda
dhatu in Sanskrit). Meda dhatu is one of the seven dhatus, which means
“tissues” in Sanskrit (see here), that make up our constitution. In modern
Ayurveda, fat tissue gives us an indication of what is happening in the body,
along with the LDL and HDL numbers. But it’s the triglycerides that we really
rely on.
    Before I began practicing Ayurveda, my cholesterol was 240. The ratio
between the HDL (the good one) and LDL (the bad one) was decent, but the
overall count was too high. In Ayurveda, we use numbers and measurements as
guidelines; I was about fifty pounds overweight, and the weight, on top of the
high cholesterol, was troublesome. In conjunction with my weight loss, my
cholesterol plummeted to 160. The result was astonishing—eighty points lower
on my cholesterol. If I wasn’t already a believer, I became one then!
    Remember cholesterol is essential to our bodies and performs many important
functions. If you are overweight, your cholesterol ratio may or may not be high,
but it is important to pay attention and notice any changes. If you are
underweight, you may or may not have enough cholesterol. Again, watch your
numbers and aim for a healthy ratio by following the guidelines.
FOOD
 Reduce sugar. Basically, sugar turns to fat and fat raises your triglycerides and
 causes other damage. When there is too much simple sugar in the blood, it
 will glycate, meaning the sugar will attach to amino acids and proteins and
 become a sticky compound. Having something sticky in your bloodstream is
 not a good sign. Say no to sugar—white, brown, and even raw—it’s all the
 same. Read labels and pay attention to how much processed sugar is in your
 food.
 Use natural sweeteners like raw honey, jaggery, or Sucanat (which stands for
 sugar cane natural). These are good alternatives to processed sugar. You may
 also try dates, molasses, maple syrup, pumpkin puree, yacon, agave nectar,
 stevia, coconut palm sugar, Florida crystals, and fruit jams and pulps as
 alternatives.
 Eat fatty fish, which is high in omega-3 fatty acids. Wild-caught mackerel,
 herring, tuna, salmon, sardines, anchovies, and trout are good sources of
 omegas.
                                   Wild-Caught Fish
 Eat 8 ounces (225 g) of fish two to three times a week. Bake, poach, or sauté, but donʼt fry.
 Canned fish that is wild caught and less expensive can be just as good; carefully read the
 labels to make sure the wild catches are sustainable. Farmed fish does not contain the same
 amount of nutrients, is less beneficial overall, and is cruel to the fish. Caution: Pregnant and
 nursing women should be aware of possible mercury content in wild-caught fish and not eat
 too much. Speak to your doctor or practitioner.
LIFESTYLE
 Reduce stress. Stress does horrible things to the body, and elevating bad
 cholesterol is one of them. A good way to learn how to reduce stress is to let
 go of the past and live more in the present moment, which may be easier said
 than done. Holding on to regrets, guilt, and shame do extreme harm to the
 mind and body. Meditation, exercise, or even petting and gazing into the eyes
 of a dog, horse, or animal you love helps immensely. Bird-watching or
 looking at fish in a pond or aquarium is also calming. Find a stress reduction
 path that works for you and incorporate it into your daily routine.
 Eat meals on a regular schedule. The body and mind function best when they
 know they are going to be fed. Two to three meals a day suits most people;
 avoid snacking, and eat only when hungry.
 Incorporate exercise and movement into your routine. Ideally, exercise every
 day; even bits throughout the day for a total of 30 minutes to one hour will
 make a difference. A combination of aerobics (e.g., swimming, walking, or
 jogging), using weights, and stretching, like yoga, will produce the best
 results.
 Quit smoking. And avoid being around people who are smoking—including
 vaping.
 Sleep at regular hours. If your work permits it, sleep on a regular schedule: 10
 p.m. to bed and rise at 6 or 7 a.m. Don’t sleep during the day as that disrupts
 the natural circadian cycle.
APOTHECARY
 Amalaki is an Indian fruit that has the highest amount of vitamin C compared
 to other fruits and vegetables and has been shown to keep blood sugar and
 cholesterol at healthy levels. Studies show it actually lowers triglycerides and
 LDL and raises HDL. The fruit is found at Indian stores or taken as a
 supplement. Eat one or two fruits a day if you can get them (preferred), or
 take the tablets, one or two a day with food. There are no contraindications.
 Shilajit, take two tablets once a day. Shalajit is a mineral resin that cleanses
 the blood and strengthens many organs in the body and reduces LDL while
 supporting HDL. Avoid if you have hypoglycemia or are pregnant.
 Guggulu, take ¼ teaspoon of the powder in 4 to 6 ounces (118 to 177 ml) of
 warm water once a day. Guggulu, a resin from tree bark most commonly
 found in India, is said to scrape toxins out of the body, including LDL, to
 balance your cholesterol. As a scraper, it’s also excellent for weight loss and
 removing excess Kapha. Do not take if nursing or pregnant.
 Psyllium husk (insoluble fiber), take 1 or 2 teaspoons (5 to 10 g) once a day,
 with 8 ounces (235 ml) of water. Mix well and drink immediately.
Vata
    Pitta
    Kapha
    Ayurveda says that if you are of normal weight, you should drink half your
weight, in ounces of water, every day. So, if you weigh 150 pounds (68 kg),
drink 75 ounces (2.2 L) of water a day. You may need more or less depending on
your activity level and where you are in the world. If you are overweight, drink a
bit less. Excess weight is Kapha, which is earth and water, so we avoid adding
more water than necessary to Kapha.
FOOD
 Many foods and seeds have hydrating qualities. Chia and flaxseeds, when
 soaked, create a gel that your body will readily absorb. Soak 1 tablespoon (15
 g) of seeds for about 20 minutes. They will become gelatinous. Add this to
 yogurt or over cereal, stir it into soup, or add it to a smoothie.
                                   Hydrating Foods
 Zucchini, squash, green beans, lettuce, celery, watercress, mushrooms, and okra all have
 high water content. Cruciferous vegetables, such as broccoli and cauliflower, fall into this
 category as well. Add in some sweet juicy plums, peaches, kiwis, mangoes, and nectarines
 too. These foods deliver the right amount of minerals and water to your cells and tissues,
 resulting in a well-hydrated body.
 Watery veggies are a must on hot days and during dry seasons, such as fall
 and early winter. Look for fruits and vegetables that have the highest water
 content and choose the freshest (plump, not shriveled) or go for frozen. If they
 have been sitting on a store shelf or trucked across the country (or the world),
 the produce may have dehydrated.
 Eat a good assortment of prebiotic and probiotic foods to feed your gut
 microbiome (see here). Do not drink caffeinated drinks or alcohol when you
 are dehydrated.
LIFESTYLE
 Avoid exercising in the heat of the day when your body may sweat out more
 fluid than it can replenish. Overexercising in a heated gym or doing hot yoga
 is excessive. Moderation is the best.
 Wear light-colored, loose, organic cotton or linen so that your skin can
 breathe.
 Sip water throughout the day to stay hydrated consistently. Carry a container
 with you at all times in all climates. Even in winter, heated homes, offices, and
 shopping malls are dehydrating.
 Extreme Hydration Smoothie
 Hydrate and replenish with this tasty, nutritious drink.
    ½ cup (120 ml) coconut milk
    2 teaspoons (14 g) rose petal jam
    ⅓ cup (13 g) fresh basil leaves
    ¾ cup (113 g) fresh or frozen blackberries
    Juice from ½ a lime
    ½ teaspoon flaxseed oil
    Pinch of sea salt
    Splash of apple cider vinegar
    1 cup (235 ml) filtered water
 Combine all the ingredients in a high-powered blender. Enjoy immediately, or store in an
 airtight jar in the fridge for up to 1 day.
APOTHECARY
 Try this Ayurvedic remedy for keeping you hydrated or when you feel
 excessively thirsty: Take 16 ounces (455 ml) of water and add 1 teaspoon of
 Sucanat or jaggery (or any of the natural sugars), a pinch of sea salt, and a
 squeeze of lime juice. Sip this throughout the day.
 Massage your skin with coconut oil to cool down the body from the outside
 and sip unsweetened coconut water to replenish the inside.
 Soak ¼ teaspoon each of coriander, chia seeds, and flaxseeds in 12 ounces
 (340 ml) of warm water for 15 minutes. Strain and drink.
Condition: Gastroesophageal Reflux Disease (GERD)
/ Acid Reflux and Heartburn
It is reported that more than 40 percent of the US population has some form of
heartburn. GERD, reflux, and heartburn share similar symptoms, including a
burning sensation in your esophagus and chest, difficulty swallowing, coughing
when you eat, and, in some cases, vomiting due to reflux of the stomach acids.
The symptoms worsen when lying down or bending over.
    Reflux happens on a full or empty stomach. This is because the valve
between the stomach and esophagus is not closing properly. Too much food
pushes acid out; too little food and the overproduction of acid will cause it to
come back up into the esophagus.
    This burning feeling is connected to Pitta Dosha. GERD is too much fire, or
acid, in the belly. The fire is necessary to digest food properly, but it is out of
control if you have heartburn symptoms. Foods that are processed, hot, spicy,
fried, or made with unhealthy oils all create excess fire. It may be tricky to find
the right balance.
    GERD, reflux, and heartburn may also be caused by too much heat in the
mind—stress, anxiety, anger, frustration, and impatience. Remember that the
brain and the gut are connected via the vagus nerve. These remedies are not only
to heal GERD, but to prevent it in the first place.
FOOD
  Eat two to three meals a day, with no snacks in between, so your gut knows
  when to expect food and when to make hydrochloric acid. If you snack
  throughout the day, you are producing copious amounts of acid all day long. A
  meal is about two handfuls of food. Do not overeat. When you burp, you are
  full. Put the fork or spoon down and push the plate away.
  Reduce consumption of hot, spicy food and drink, red wine, and alcoholic
  drinks. Choose white wine or beer instead. Riesling or any sweet wine can be
  smoother, but don’t overdo it. Stick to one serving of alcohol a day, maybe
  two to three days a week. If you are going through a bad period of reflux or
  GERD, cut it out completely.
  Don’t use ice. The cold tamps out the natural digestive fires and puts the
 stomach in overdrive to create more juices to break down the food.
 Avoid sour and acidic foods, such as tomatoes, eggplant, peppers, lemon,
 soda, aged cheese, red meat, and grilled and processed foods.
 Eat a light dinner, at least 3 hours before bed. Easy-to-digest, light foods
 include soups, cooked vegetables, and grains, like rice or quinoa. Eat your
 meals in a comfortable setting, away from TV, radio, or stressful
 conversations.
 Reduce or eliminate coffee. Drink decaf or herbal tea instead.
                                   Balancing Teas
 Some anti-inflammatory and acid-reducing/alkaline herbal teas may help remedy GERD,
 reflux, or heartburn. Try one of the following:
     Chicory: soothing to the gut
     Peppermint: works to enhance digestion for some (but not everyone); brew it light
     Ginger: works well for most people to regulate digestive acids
     Licorice: soothes the lining of the stomach; avoid if pregnant
     Roasted fennel seeds: steep in boiling water for cooling effects and to help with excess
       acid
     Chamomile: calms the tissues of the stomach and soothes the mind
     Marshmallow: coats the stomach and reduces overproduction of acids
LIFESTYLE
 Promote digestion by sleeping on your left side. This position supports your
 organs and reduces the risk of acid escaping into the esophagus.
 Raise your head with an extra pillow, or if you have a bed with an adjustable
 frame, raise the head to a comfortable level.
 Breathe deeply and evenly as you move toward sleep, using the cooling breath
 sheetali (see here), sipping cool air through a rolled tongue and exhaling
 through your nose. If you cannot roll your tongue, just purse your lips and
 inhale, then exhale through the nose.
 Get to sleep by 10 p.m., which is the time of night the metabolic juices begin
 to break down all you took in during the day.
                              Digestive Visualization
 Visualize the digestive process taking place, the valve closing properly between the stomach
 and the esophagus. See the fire in the belly cooling down. Allow your thoughts to gravitate
 toward cool scenes and cleansing, healing waters. Notice what emotions arise when you
 feel reflux or heartburn. Is it anger or frustration? Resentment? Impatience? Try to find the
 emotion(s) and meditate on that, without allowing them to take over your mind. By noting
 without attachment, begin to diffuse the feelings. Place your awareness on your gut—this is
 where our happy hormones come from. Imagine your gut bathed in feel-good hormones to
 balance and harmonize your digestive fires, reaching up into your brain. Feel the negative
 emotions wash away, leaving behind a healthy gut to receive, metabolize, and transform
 food and emotions that will fully nourish you.
 Quit smoking and vaping. Immediately. And quit soda and sparkling water
 too. Immediately.
 Move. If you find yourself winded after just 5 or 10 minutes of movement,
 pull back and breathe normally through your nose. Slowly build up until you
 are breathing comfortably in and out through your nose when exercising.
 Reduce stress and find healthy ways to cope with unwanted, negative, hurtful
 feelings and emotions with mindfulness practices and visualizations.
 Wear loose-fitting clothes. Avoid tight underwear and bras, jeans, and
 anything that makes you suck your tummy in to zip or button up. This doesn’t
 mean that you should keep buying larger clothes. If you need to lose weight,
 read the section here.
APOTHECARY
 Put a pinch of baking soda into about 4 ounces (115 ml) of water and drink all
 at once. This will alkalinize the acid in the stomach. This is a once-in-a-while
 cure, maybe once or twice a week.
 A traditional Ayurvedic spice mixture called Avipattikar churna is ideal for
 cooling the stomach. It contains fifteen herbs, including Indian jalap root,
 cardamom, clove, ginger, black pepper, cinnamon, and other Ayurvedic herbs.
 Combine ½ teaspoon of the mixture with warm water and drink once or twice
 a day. Take for as long as needed, but please address the root causes so that
 you do not need to take digestive aids forever.
  Chew on a small handful of roasted fennel seeds. This is why you always see
  a dish of these at the door when you leave an Indian restaurant. They cool the
  stomach and promote digestion.
  Rub the belly with coconut or castor oil when feeling discomfort. The
  massage and cooling oil will help to reduce feelings of reflux. Use a drop of
  sandalwood oil, or eucalyptus for even more cooling sensations. Rub your
  palm across the belly in a clockwise motion, the same direction as peristalsis,
  the flow of digestion through the gastrointestinal tract.
   It’s important to know that GERD, reflux, and other intestinal issues that
cause acid to back up into your esophagus and mouth are serious. The acid
causes damage and erosion and even bleeding. If you are experiencing serious
symptoms, please see your doctor. Conventional medicine, such as a proton
pump inhibitor, for a period of time, may be necessary while you heal and make
the lifestyle changes outlined here.
FOOD
  All doshas should reduce fried and processed foods, red meat, dairy, oil
  (except for small amounts of ghee and olive oil), fatty foods, and hot spices
  (e.g., chiles, cayenne, hot curries).
  Consume high-fiber foods, including oatmeal; split mung beans or lentils
  (cooked with a pinch of hing); fruit, such as cooked apples or pears; berries
  and sweet, juicy fruits such as peaches, plums, watermelons; dates; and figs. If
  you notice adverse effects from these foods like gas and bloating, reduce or
  avoid them.
                                     Hing
 Hing, also known as asafoetida, is a spice derived from tree resin. It is often used in South
 Asian cooking to increase digestibility.
                                                 Lumpy, sausage-like
TYPE 2
                                                 SLIGHTLY CONSTIPATED
Add foods on the probiotic and prebiotic list (here) to your diet. Introduce
them slowly so that your gut builds up the enzymes to assimilate the new
foods.
Avoid hard, dry foods such as crackers, pretzels, and raw vegetables. Eat only
easy-to-digest foods—your gut will tell you!
Eat on a regular schedule, and do not overeat. The kitchen closes at 7 p.m.,
except for tea and water.
Always hydrate. Drink plenty of room temperature water. Coconut or
cucumber water in warm climates is great (unsweetened, of course). Sip
herbal teas such as ginger or chamomile throughout the day. Avoid caffeine,
carbonated drinks, and alcohol.
LIFESTYLE
 Relax. Activate the vagus nerve through deep, paced breathing: Inhale 4
 seconds, hold 4 seconds, exhale 4 seconds—all through the nose.
 Move the body in ways to get rid of gas and bloating. Do seated twists,
 downward dog, cobra, and cat/cow poses.
 Eat a light dinner and get to bed by 10 p.m. so your body digests all the intake
 from the day and your system isn’t overwhelmed.
APOTHECARY
 Drink aloe vera juice on an empty stomach—2 ounces (60 ml), twice a day.
 Buy the juice, not the gel you rub on your skin.
 Take one to two triphala (a blend of three Indian fruits) tablets before bed,
 with warm water. Try one tablet if you are having loose stools and two if you
 are constipated. You should notice a change in your bowel movements within
 a few days. Triphala detoxes, tones, and cleanses the colon, increasing the
 absorption of nutrients. There are no contraindications.
 Take Slippery Elm tablets—one or two in the morning, with food. This will
 help to calm a spastic stomach and relieve constipation. Slippery Elm bulks up
 stool and increases mucus to establish its passage is easy. Take the tablets at
 least 1 hour before medication as it coats the stomach and may decrease
 absorption of your medicine. There are no contraindications.
Condition: Gastric / Peptic Ulcer
Conventional Western medicine says that gastric (aka peptic) ulcers are caused
by the Helicobacter pylori (which is commonly called H. pylori) bacteria or the
overuse of NSAIDS such as ibuprofen, aspirin, and naproxen sodium. The
bacteria and NSAIDS cause the stomach lining to weaken and tear, creating a
painful sore. The mucosal layer, which is usually thick, will thin out if digestive
acids erode the protective lining. As the acids eat away at the tissue, an ulcer
appears in the intestines or the stomach.
    In Ayurveda, we believe ulcers may be caused by bacteria and medicines, as
well as Vata or Pitta being out of balance. As with most gut issues, the mind
plays a starring role. Stress and anxiety, Ayurveda says, cause a thinning of the
lining of the stomach. Excess acid is produced when we are stressed out, angry,
impatient, or upset. This creates gastric imbalances and Pitta ulcers. Pitta ulcers
lead to burning and gripping pain and cause reflux and low agni (digestive
strength).
    A Vata ulcer is caused by skipping meals, not eating on a proper schedule,
eating tiny amounts, not having food in the stomach for long periods of time, and
ignoring hunger. Because of the lack of food in the stomach, the acids build up
and accumulate, increasing the likelihood of erosion of the stomach lining and
tissues, causing an ulcer.
    Gastric ulcers are difficult to diagnose as the symptoms are similar to those of
heartburn and gastritis. Those symptoms include a burning sensation in the
stomach, severe abdominal pain, nausea, vomiting, burping, blood in the stool,
quick satiety, bloating, and weight loss. See your doctor or a gastroenterologist
for the proper diagnosis. Along with conventional treatment, which may include
antibiotics, use Ayurveda for support and to avoid a recurrence.
FOOD
  Avoid spicy and sour foods, including citrus, hot chiles, and peppers. Steer
  clear of fast food and fried foods, red meat, processed meats and snacks, and
  carbonated drinks. Stay away from red wine and coffee as they both irritate
  the stomach lining.
  Eat more blueberries, strawberries, raspberries, blackberries, apples, red
  grapes, bananas, green tea, kale, cabbage, carrots (and carrot juice), and leafy
 greens. Also include dark chocolate (at least 70 percent dark), 1 to 2 ounces
 (28 to 85 g), in your diet a day. These foods are high in polyphenols, which
 are healing for the gut.
 Raw honey is especially healing to the gut lining. Take 1 to 2 tablespoons (20
 to 40 g) on an empty stomach, once a day. Manuka honey is highly effective.
 Remember to use only raw honey, as pasteurized honey is heated to a level
 that kills nutrients, minerals, and propolis.
 Review the prebiotic and probiotic food list (here) and incorporate them into
 your diet to help heal an ulcer.
 Try this garlic/milk mash to replenish the stomach lining. This ancient
 Ayurvedic recipe says to cook six medium-sized garlic cloves in 2 ounces (60
 ml) of whole milk and 8 ounces (235 ml) of water. When the garlic is soft,
 mash it in the pot and keep cooking until the liquid is reduced to 2 ounces.
 Strain and drink the remaining liquid.
LIFESTYLE
 Quit smoking and don’t be around others smoking or vaping. Smoke erodes
 the stomach lining.
 Meditate or practice breathing exercises, such as sheetali (here) and alternate
 nostril breathing (here). The idea is to calm down, reduce stress, and be happy
 or content.
 Eat three meals a day on a regular schedule. Dinner should be light but
 enough to fill your stomach. Remember that a meal is two handfuls of food.
 So, dinner could be a bowl of soup, rice and vegetables, or sautéed greens
 over grains and beans.
 Do not skip meals, even if you are overweight. Keep to the three meals, no
 snacks rule, which will help to balance out the production of gastric acids.
 Get enough sleep. For most people, this is 7 to 9 hours of good sleep, which
 has you feeling rested when you wake up. Your body needs to rest to repair.
 Wear nonrestrictive clothing. Loose waistbands are good. Women should
 avoid underwire bras. Don’t wear any clothing that creates tension and
 restriction on the torso. All undergarments should allow freedom of motion
 for breath and intestinal movements.
 Replenishing Rice Kanji
 A soothing, healing rice recipe, kanji is great for settling stomach acids and feeling nourished.
 Basically, this is rice that is cooked for a long time to break it down. It’s a go-to dish for me
 whenever I am having gastric issues. It’s easy to digest, nourishing, and surprisingly tasty.
 Kanji is thought to build a strong immune system, keep you healthy, and aid in recovery from
 many ailments.
    1 cup (185 g) white rice (basmati and jasmine are good options)
    5 cups (1.2 L) water
    Salt
    Pinch of ground turmeric, ground cumin, and ground ginger (optional)
    1 teaspoon ghee (optional)
 Rinse the rice two or three times under running water. Add it to a large pot with the water.
 Bring it to a boil over high heat, then lower the heat to a simmer with the cover slightly askew
 to let some steam out. Add salt to taste, and simmer for 30 minutes. Don’t drain the water,
 that’s very important!
 After 30 minutes, it will be a thick rice soup. Stir in the spices and ghee (if using) or eat it
 plain. This is great for breakfast, lunch, and/or dinner.
 NOTE
 Do not use brown rice in this recipe. With the hull attached to the grain, brown rice is more
 difficult to digest than white rice. For this purpose, we suggest white to ease and aid
 digestion. There are many varieties of rice to choose from, so explore!
APOTHECARY
 Cranberry capsules or gummies fight bacteria. Take one or two a day with or
 without food. You may also drink 1 cup (235 ml) of unsweetened cranberry
 juice instead.
 Mix ¼ teaspoon of licorice with a teaspoon of honey or a teaspoon of ghee.
 Drink two or three times a day. This will help to replenish the mucosal lining
 of the stomach. Avoid licorice if pregnant.
Slippery Elm bark comes in tablets or powder and heals the stomach lining.
Mix a teaspoon with hot water, or take two tablets once a day, with or without
food.
Moringa is known for treating gastrointestinal disorders and is antibacterial.
Moringa seed pods may also be known as the Indian vegetable called
drumstick, which can be found in Indian grocery stores. Moringa tea is widely
available, as are moringa supplements. See the packaging for dosage. There
are no contraindications.
Turmeric will reduce inflammation and may fight H. pylori. Take as a
supplement or use in your food—1 teaspoon a day. Make your own turmeric
tea by adding ½ teaspoon of turmeric powder to 1½ cups (355 ml) of boiling
water. Let it steep for 5 minutes before drinking.
Roasted fennel seeds are great for balancing stomach acids. Chew on a small
handful after each meal. Dry roast on a frying pan over medium heat for 3
minutes, or until aromatic.
Ginger aids digestion and stokes the digestive juices. Eat a dime-sized piece
of fresh ginger with a sprinkle of salt and a squeeze of lime juice about a half
hour before a meal.
                                                 5
FOOD
  Eat a Pitta-reducing diet: Avoid hot, spicy, and fried foods, which will only
  exacerbate the problem.
  Eat foods that naturally hydrate with cooling juices, such as coconut, celery,
  cucumbers, romaine, and juicy fruits. Eat leafy greens every day to hydrate
  and detoxify.
  Avoid alcohol and spirits especially when you have an outbreak. Alcohol
  creates a lot of heat, which will erupt on your skin. A good substitute for a
  drink is kombucha or KeVita, which is a water-based kefir drink.
LIFESTYLE
  De-stress. Stress creates hormonal surges that erupt on the skin, causing red
  patches, itching or burning hives, acne, and even dry patches. By getting the
  hormones under control, the skin stays calm, cool, and collected. Do this by
  learning to meditate, or even just sitting still for 5 or 10 minutes a day.
  Meditation doesn’t need to be a rigid practice. Focus on breathing. You may
  look at a candle, a flower, or a photo of a beautiful scene. Let go. Relax.
  If you have long hair, pull it off your face at all times. The oils and chemicals
  from shampoos, gels, and other products will aggravate the skin, face, and
  neck.
  After sweating or exercising, splash your face with water and pat dry. Don’t
  wash your face with cleanser every time you sweat. Water will rinse away the
  toxins. Soap will exacerbate the problems.
APOTHECARY
Never scrub, rub, or exfoliate as that will only add to the problem. Avoid
harsh chemicals, treatments, and peels. This causes an overproduction of oil,
creating clogging in the sebaceous glands, resulting in more acne.
Several Ayurvedic companies have tablets containing herbs to support healing
and maintain healthy skin. Look for the following:
  » Manjistha is the ultimate herb for a healthy complexion, balancing heat
    and supporting detoxification of the liver and kidneys. Mix ¼ teaspoon
    of powder into a small amount of warm water and drink once or twice a
    day, after food. There are no contraindications.
  » Neem repairs and maintains healthy skin. Take two tablets once a day
    after food. Avoid if pregnant or nursing or if you have hypoglycemia.
  » Turmeric supports skin and nourishes the tissues, creating that healthy
    glow. Take a turmeric tablet once or twice a day or add at least 1
    teaspoon a day to food, ideally tempered in oil. Avoid the tablets if you
    are pregnant or have gallstones.
Condition: Sunburn
When I was kid growing up in the seventies, a summer ritual with my sisters was
to take a two-sided record album cover, wrap it with tinfoil, cover ourselves with
baby oil, and sit in the backyard with the foil reflecting the sun on our faces. We
would do this for hours and we had a sunlamp for the winter months. Sometimes
I wonder how I got out of childhood alive, and with decent skin! I can’t even
imagine the damage that my sisters and I did to our skin, but we somehow
survived with no major disasters. Maybe it was genetic.
    Of course, now we all know better and wouldn’t even think of putting our
faces in the sun without a natural sunscreen and certainly not in the middle of the
day. A serious sunburn causes blistering, fever, vomiting, dehydration, and
shaking. If you are displaying any of these symptoms, call your doctor. But
many people still risk it, aching for that tanned “healthy” look. They use tanning
beds and spray-on tans too. Let’s get real. A tan does not in any way mean you
are healthy. A tanning bed is known to cause cancer with both dangerous UVB
and UVA rays, while tanning sprays and creams may contain harmful chemicals.
    But we need the sun to live, to activate our circadian rhythm, and to produce
vitamin D.
FOOD
  If you have sunburn, avoid all hot, spicy food, caffeine, and alcohol until you
  have recovered.
  Eat cooling foods such as cucumbers, coconut, fresh greens, cilantro, and
  sweet juicy fruits.
  Stay hydrated by sipping cool coconut water or regular water throughout the
  day.
LIFESTYLE
  Avoid being in direct sun from 10 a.m. to 3 p.m. Wear lightweight, light-
  colored clothes with long sleeves and long pants if you need to be out midday.
  Wear a wide-brimmed hat to protect your face, ears, and neck from damaging
  sun rays.
  Allow the sun to be on your face and limbs in the morning and late afternoon
 hours. This will help flood your body with natural vitamin D. Vitamin D is
 essential for strong bones, and to promote everything from a robust
 cardiovascular system to balancing sugars, elevating mood, and preventing
 cancer.
APOTHECARY
 When you are out in the sun, use a natural sunblock such as neem oil or
 coconut oil. Use neem that is in a carrier oil such as coconut, sesame, or
 sunflower. Make your own by adding five to ten drops of neem oil to 4 ounces
 (120 ml) of the carrier oil. Shake well. This will prevent bug bites as well.
 Use aloe vera gel on sunburned skin. Ancient Ayurveda also suggests using
 cream or goat or cow milk on sunburned skin. Soak a cloth or gauze in milk
 and lay it directly onto the skin.
 Mix equal parts sandalwood and turmeric powder with cool water and create a
 paste to apply directly to the skin. Be aware that this will stain your skin,
 clothes, and towels. Pure sandalwood powder is difficult to find. If you cannot
 locate it, just use turmeric.
 If you are craving a natural, healthy glow, attain it by eating well or you can
 buy it. You can find bronzing products that are plant-based and fair-trade.
Condition: Hives and Rashes
Hives, also known as urticaria, are a vexing symptom. They are easy to
diagnose, but it’s challenging to uncover the cause and find a cure. In Ayurveda
we say that hives are cold taking over hot, so we must find the cause of each and
create balance. Hives are called sheetapitta in Sanskrit—sheeta means cold, and
pitta means hot.
    Often, they appear and disappear on their own, sometimes showing up as
white, pink, or red welts or bumps on the skin. They often burn, itch, or cause
extreme discomfort. In Ayurveda our goal is to get to the root cause. After
stripping away layer after layer of possible causes, such as allergens, detergents,
medications, or food, we investigate psychological issues, stress, tension, and
lifestyle choices. Usually, I peel back one thing at a time to help find the culprit
—often it’s a combination of factors, like food, drink, and lifestyle.
    Sometimes the root cannot be identified and the hives are thought of as
coming from an indeterminate cause. In rare cases hives result from thyroid
problems or even cancer. If you have hives for longer than six weeks, make an
appointment with your GP for blood and lab work.
FOOD
  Hives are hot, so remove all that is spicy, pungent, and acidic. This includes
  red wine, hot mustard, and red meat. Sour foods may cause hives as well.
  Avoid citrus, vinegar, and tart fruits like cherries and cranberries. Avoid acidic
  foods such as tomatoes, salsas, yogurt, and kimchi.
  Peanuts, eggs, nuts, and shellfish should be removed from the diet and
  brought back in slowly once the hives have disappeared to see if they may be
  the cause. Avoid all processed foods. The preservatives, dyes, and chemical
  flavorings wreak havoc on the body, causing hives and allergic reactions.
  Eat only warm and cooked food. Cold, raw foods will be difficult to digest
  and disrupt the system. Stick with plant-based milks while healing. Eat
  complex carbs, organic grains, split mung beans, and lentils. Sauté spices such
  as turmeric, fennel seed, and cumin in ghee and add them to your greens,
  beans, or grains.
  Drink plenty of warm water and stinging nettle tea, which will help to combat
  the allergens. Eat bitter foods, which are highly detoxifying, such as dandelion
 greens, cruciferous vegetables, raw cocoa powder, and green tea. Bitter gourd
 can be found in Indian and Asian food stores and is worth a try.
 Cut back on salt intake. Use cooling spices such as cardamom, cinnamon,
 fennel seed, and turmeric instead. Use raw honey instead of sugar. Excessive
 sugar intake is widely thought to cause hives. This includes cakes, cookies,
 and pastries.
 Stop smoking immediately, as the poisonous heated chemicals in the tobacco
 may erupt as skin rashes.
                                      Eladi Tailam
 Eladi Tailam is an oil blend of many Ayurvedic herbs. Studies show it to be highly effective
 for many skin disorders, including hives, acne, dark under-eye circles, and rashes. It is
 widely available from Ayurvedic companies. For hives, rashes, and itchy skin, use the Eladi
 Tailam that is prepared in sesame seed oil, as opposed to coconut oil. There are no
 contraindications and it is safe for children, but test on a small patch of skin first. Wait a
 few hours and make sure there is no allergic reaction. Apply once or twice a day.
LIFESTYLE
 Begin a meditation practice to calm the mind. Hives are mentally and
 physically aggravating. Even 5 minutes of sitting still once or twice a day
 helps the body heal. Sit quietly and focus on your breath. Use a mantra,
 calming words of your choice, on the in breath and out breath (through the
 nose) to keep you focused.
 It is advised not to sleep during the day. Ayurveda says this increases Kapha,
 which may play a role in the imbalance. If you must nap, do it sitting up rather
 than lying down, and for less than 20 minutes.
 Wear loose clothing made from natural fibers. If you have hives around your
 torso, waist, or genitals, you may want to avoid underwear, bras, and
 camisoles for a time.
 Bathe a few times a week in warm water, pat dry, and apply recommended
 oils. Do not use soaps or scrubs.
 Don’t eat after 7 p.m. and go to sleep by 10 p.m. Wear a loose nightgown or
 shirt, or sleep naked on organic cotton or flannel sheets washed in plant-based
 detergent.
APOTHECARY
 Try coconut, neem, or mustard oil for a few days to see which brings you the
 most relief. Apply liberally all over the hives to help quell the outbreak.
 Triphala is known as a colon cleanser and toner, and a remover of toxins from
 the blood and tissues. Take two tablets before bed. If this causes loose bowels,
 take one tablet. If it causes constipation, make sure you drink a large glass of
 warm water when you take a tablet.
 Take neem tablets twice a day or mix ¼ teaspoon of neem powder in a small
 amount of warm water and drink twice a day, for four weeks, with or without
 food. Keep taking the tablets for an additional week or two, even if the rash
 clears up, to continue strengthening and cleaning the cells, blood, and tissues.
 Avoid neem if you are nursing or pregnant.
 Ashwagandha nourishes the entire mind/body, making it a wonderful
 supplement for the sometimes hard-to-diagnose hives issues. For hives, take
 two, with or without food, every day for at least four weeks. Ashwagandha
 has the added benefit of deeply relaxing the nervous system. Do not take if
 you are pregnant.
Condition: Dry Skin
When things get out of balance in the body, Vata is usually to blame. With dry
skin, it’s clearly a Vata disorder, but there are hints of Pitta too, especially if
there is red, flaky, inflamed skin. The sebaceous glands in the face produce
sebum, the layer of oil that protects the facial skin from damaging toxins. It
keeps the skin moist, and in most environments, it is able to adjust the amount of
oil produced to keep the skin healthy and glowing. Even in cold and dry or hot
and dry climates, when working well, our skin should be well oiled with a
healthy sheen.
    For some reason, though, we scrub, rub, tug, and exfoliate, spending
hundreds, if not thousands, of dollars on serums, soaps, and solutions that strip
the skin of its natural oils and good bacterial microbiome. I’m here to tell you
stop that! We wash too much and disturb the skin’s ability to breathe, hydrate,
and oil itself.
    Dry skin is caused by aging, cold weather, harsh chemicals, a poor diet, and
even bathing in hot water. You may notice dried cracked lips, wrinkles, itchiness,
flakes of skin on your face, and perhaps even cracks that bleed. Legs and arms
may have dry patches, especially on the elbows and knees. It may come and go,
or be worse in cold and dry weather. Stress and not eating well can also make it
worse.
    Identifying the cause helps to repair the damage. Home remedies are often
cheaper and more effective than anything on the market. And what you eat is just
as important as what you use on your skin. Remember that the skin, in Sanskrit,
is called the anamaya kosha, the layer derived from food. If the body is well fed,
it is reflected on the skin.
FOOD
  Keep hydrated by drinking room temperature or warm water throughout the
  day. Drink consistently rather than having large amounts of liquids every few
  hours. Warmer water is more easily absorbed in the tissues than cold, iced
  drinks. Certain teas, such as chamomile, ginger, fenugreek, and lemongrass,
  are especially beneficial for the skin and complexion.
  Consume hydrating foods such as melon, cucumber, and coconut. Add chia
  and flaxseeds to your meals.
                                    Eat Warm Food
 To help remedy dry skin from the inside out, try eating a fruit compote with apples or
 pears. To make, boil a small pot of water, then add one chopped up apple or pear with a
 pinch of cinnamon or nutmeg. Bring to a boil, reduce to a simmer, and cook until the fruit
 is soft. Stir in a spoonful of raw honey or maple syrup if you want it sweeter. Eat the fruit
 and drink the liquid.
 Eat soup in cold months, at least once a day. All food should be warm. It is
 especially important in winter that food be cooked and warm so that the body
 does not need to generate more heat to digest. Cold food needs to be warmed
 up in the gut to break it down and digest. In the winter, we need to conserve
 that energy to keep the rest of the body warm.
 Use ghee, coconut, sesame, and avocado oil for roasting vegetables, sautéing
 greens, or adding to rice and grains. Olive oil becomes rancid when exposed
 to high heat; add it to cooked foods, such as pasta or vegetables, or use it on a
 low or medium heat.
 Enjoy unctuous foods such as avocado, sweet potatoes, yams, and bananas.
 Butter, whole milk, and ghee are good choices. Nuts are great and full of fat
 and nutrients. Try soaking the nuts for an hour or overnight, to make them
 even more digestible.
 Avoid Vata-provoking foods that are frozen, cold, or dry, such as crackers,
 pretzels, cold cereals, uncooked vegetables, as well as Brussels sprouts,
 mushrooms, raw onions, and tomatoes.
LIFESTYLE
 Sleep is a pillar of Ayurveda: When we sleep, the body repairs itself, including
 the skin. Get to sleep by 10 p.m., and sleep for 7 to 9 hours.
 Reduce showers and baths until they are necessary. Oil the body before or
 after. Use warm to lukewarm water. Hot water exacerbates dry skin
 conditions. Use a mild soap just in the areas you need to, like under the arms
 and breasts, the groin area, and the soles of the feet. Otherwise, just let it be,
 unless you are dirty from activity! Apply body oil, like coconut, sesame,
 neem, and Vata herbal, to damp skin. Do not use neem essential oil directly on
 the skin if it is not in a carrier oil.
 Wash your face once a day with mild soap or cleansing oil. Splash with cool
 water, but only use a cleanser once a day or every few days if you have very
 sensitive skin. Do not use a washcloth. Pat dry and apply oils as noted above.
 Avoid excessive air travel, as that is an extremely dry atmosphere. If you must
 fly, hydrate before, during, and after the flight. Carry your own thermos and
 refill with warm water as needed. Don’t drink alcohol on the plane as it is also
 dehydrating.
 When traveling, use oil in all of your orifices to create a barrier for moisture
 loss. Using ghee or sesame seed oil, oil the nasal passages, ears, anus, and
 vagina. Just place a few drops of oil on your finger and apply every few hours.
 Follow the oral care steps here. The most important ones for dry skin are oil
 pulling and gargling. When we create an oil barrier to keep moisture in any
 part of the body, even the cheeks and gums, it will help overall dry skin
 conditions.
 If you swim, apply oil, like coconut oil, to your entire body, including your
 scalp, beforehand. Coconut oil protects you from the sun’s harmful rays and it
 will put a barrier between you and the chemicals in the swimming pool.
APOTHECARY
 Apply aloe vera gel to dry skin. Drink 2 to 4 tablespoons (30 to 60 ml) a day
 of aloe vera liquid.
 Manjistha cleans the blood and liver of toxins, having an especially powerful
 effect on the complexion. Buy the powder to use as a face mask, and to make
 tea. Take ½ teaspoon in a mug of hot water twice a day. For a super cleanse,
 try ½ teaspoon of manjistha and ½ teaspoon of neem powder. Mix with warm
 water and drink two to three times a day.
 Hibiscus is a natural skin booster. Use the powder to make tea or paste for a
 face mask. For the tea, take ½ teaspoon in a mug of warm water once or twice
 a day. To make a paste, add a teaspoon of powder to your palm and keep
 adding drops of water until a thick paste forms. Hibiscus is also great for the
 hair and scalp. Add a few tablespoons (7.5 g) of the powder to a cup of water
 (240 ml) for a hair rinse. There are no contraindications.
 Licorice tea, made from ¼ teaspoon of licorice powder in a mug of water,
 once or twice a day, will lubricate the tissues in the body, helping you stay
hydrated from the inside out.
Conventional supplements such as vitamin E, vitamin C, vitamin B, and zinc
improve dry skin. It’s always preferable to eat food containing these nutrients,
but in a pinch, the supplements work too.
Ideal Face Wash Routine by Dosha
Vata skin tends to be dry, thin, sensitive, and lacking in
elasticity. Pitta and Kapha both have more oil naturally
occurring in their skin, but Pitta skin leans toward redness
(rosacea, heat rash), while Kapha skin is more cold,
clammy, and slightly thicker than the other doshas. Note:
Particular oils, herbs, and washes can either calm or
irritate. Go slowly.
VATA
Daily: Splash your face with warm water in the morning
without cleanser. Pat dry but leave slightly moist. Apply a
Vata-calming oil, such as olive, coconut, ghee, or sesame,
to a damp face. Alternatively, spray a hydro-mist onto your
face or palms and mix with three to five drops of oil. Oil your lips and the inside of your
nostrils. Press your palms into your cheeks, forehead, neck, and around and under your nose.
Pressing ensures the skin absorbs the oil.
Once or twice a week: Combine 1 tablespoon (20 g) of raw honey with 1 tablespoon (15 g) of
triphala powder. Mix with a small amount of warm water. Blend and apply in an even layer to
your face and neck. Allow it to dry anywhere from 15 to 30 minutes. Rinse with warm water,
pat dry, and apply a thin layer of Vata-calming oils. Or use a banana-egg face mask. This
mask is packed with nutrients for your skin. In a blender, blend a ripe banana, an egg yolk,
and 1 tablespoon (20 g) of raw honey. Whip and apply to your face and neck for 15 to 30
minutes. Allow it to dry and rinse with warm water.
PITTA
Daily: Splash your face and eyes with cool water morning and evening to calm the heat of
Pitta. In the morning, after splashing, pat dry and apply Pitta-calming facial oil such as
hibiscus, olive, sesame, or ghee to a damp face. Alternatively, spray a hydro-mist onto your
face or palms and mix with three to five drops of oil. Oil lips and nostrils, too. In the evening,
apply oil to cleanse the face. Use any of the oils above or neem in a carrier oil. Gently
massage the oil into your face in a circular motion. Allow it to be absorbed for a minute or
two, then take a warm washcloth and gently press it onto the skin to absorb excess oil and
any dirt or makeup from the day. For an emotional boost, as well as a skin cooler, pat two to
four drops of grapefruit essential oil onto the face and neck, and around the ears.
Once or twice a week: Make a face mask from 1 tablespoon (15 g) of hibiscus powder and 1
tablespoon (15 g) of neem powder. Mix with a small amount of water to make a paste. Apply
an even layer to your face and neck. Allow it to dry anywhere from 15 to 30 minutes. Rinse
with warm water, pat dry, and apply a thin layer of any Pitta-calming oils. A cooling mask for
Pitta, especially beneficial in summer, is an avocado-cucumber mask. Blend a cucumber and
the pulp of one avocado. Apply to your face and neck, allow it to dry, then rinse off.
KAPHA
Daily: Kapha rarely has dry skin as they naturally have more oil than the other doshas, but
they get more dry as they move more into the later years of life (associated with Vata dosha).
If this is the case, follow the guidelines above for Vata. Even if you are not experiencing dry
skin, it is always wise to not overwash. A splash of water in the morning, followed by a few
drops of sesame seed oil or jojoba oil, with herbs or essential oils like grapefruit, clary sage, or
bergamot, reduces oil and sebum production. Using wet palms, press the oil into the skin. In
the evening, rinse with a mild soap like a neem or lavender soap, pat dry, and apply oil under
the eyes or wherever it’s needed.
Once or twice a week: Apply a mask made from 1 tablespoon (15 g) of triphala powder and 1
tablespoon (20 g) of raw honey mixed with warm water to create a paste. Apply an even layer
to your face and neck. Allow it to dry anywhere from 15 to 30 minutes. Rinse with warm
water, pat dry, and apply a thin layer of a Kapha-calming oil.
                                 Nourishing Massage
One of the easiest and most enjoyable ways to maintain healthy skin is to do an Ayurvedic
massage called abhyanga (here), every day if possible.
Vata
    Sesame seed oil or an herbal blend designed to reduce Vata.
Pitta
    Combine coconut and sesame seed oils.
Kapha
    Add some mustard seed oil to sesame seed or sunflower oil for an extra boost.
Put about a quarter-sized amount of oil in your palm and apply the oil to your body,
beginning with your scalp, neck, and face and working your way down. Add more oil as
needed. Use long, deep strokes and cover your entire body with the oil, moving up and
down over the long bones and in a circular motion over your joints, tummy, and hips.
Concentrate on areas that may be achy or have pains. Press the oil deep into your skin.
If you have the time, allow the oil to penetrate the skin deeply by leaving it on for 15 to 20
minutes before showering or bathing. If you do not have time for a full-body massage,
focus on massaging your joints, head, and feet.
After the massage, shower or bathe to remove most of the excess oil. No need to use soap.
Leave a thin layer of oil on the skin to stay moisturized, keep environmental toxins out, and
allow the skinʼs microbiome to flourish.
If applying after bathing, allow the oil to sink into the skin before putting on clothes. You
may dab excess oil off with a towel prior to dressing.
Condition: Toenail Fungus
Toenail fungus appears in several ways: thickening of the toenail, yellow or
white discolorations, or a foul odor akin to a dirty socks smell. There can be
pain, especially in ill-fitting shoes. I am including it here under skin conditions,
as it affects not only the nail and the nail bed, but penetrates the epidermis as
well. As a yeast infection primarily, this condition is challenging to clear up.
Keep up these practices daily as fungus growing on our skin disrupts the entire
system. It can take months to eradicate so stay vigilant, and with time, it can be
healed.
FOOD
  Reduce sugar. Yeast thrives in that sweet environment. Avoid white sugar
  completely and eat sweet fruits in moderation. Consume raw honey, especially
  Manuka honey, as it has extremely nourishing, antibacterial properties. Apply
  it topically as well.
  Eat only slow-burning complex carbohydrates such as greens, peas, beans,
  and whole grains.
  Avoid greasy, fast, fried, and processed foods. These will create ama (toxins)
  in your gut and further the spread of bacteria. A clean diet will help to clean
  up the fungus.
LIFESTYLE
  Wash your feet every day and be sure to dry them completely, especially the
  area affected by the fungus.
  As often as possible, keep your toes exposed to the air by wearing sandals or
  other open-toed shoes.
  If you must wear socks, use only organic materials, such as cotton or hemp,
  and change frequently so the fungal area stays dry. Avoid all synthetic
  materials, such as polyester or Lycra, as they trap moisture against the toes.
  Some sport socks have moisture-wicking material, which may be effective.
  If your shoes are old and dirty, get rid of them. Keep feet and shoes clean and
  dry.
  Make sure your shoes are the right size. Have some space between the toes
 and the front of the shoes. Air and space are important in preventing the
 fungus from growing.
APOTHECARY
 There are many home remedies for toenail fungus. Try each one for about two
 months. If you don’t see any relief in that time, move on to the next one.
 Fungus is tricky and hard to pin down. Hopefully one of these will work for
 you!
 Turmeric may help get rid of fungus: First, dust the area with turmeric powder
 and rub it into the affected area. To make a paste, add ½ teaspoon of turmeric
 powder to a small amount of water and mix. Apply this once or twice a day.
 After it dries completely, wash it off and dry the feet thoroughly.
 Tea tree oil is antifungal and reduces signs of infection. In the morning and
 evening, apply a few drops of oil onto a cotton ball and dab it all around the
 area. Allow it to dry before putting shoes or socks on.
 Mix 1 teaspoon of olive oil with a few drops of oregano oil, which is
 antifungal, antibacterial, and antiviral. Other oils to mix with olive oil include
 lavender, tea tree, calendula, clove, neem, and chamomile. Apply twice a day
 and allow it to be absorbed before putting on shoes or socks.
 Ayurvedic herbs, triphala and guggulu, pack a huge detoxifying punch. Use ½
 teaspoon of each powder and some warm water to make a thick paste. Apply
 twice a day, allow to dry completely, then wash and dry.
 Create a foot soak with baking soda, apple cider vinegar, and warm water. Use
 ¼ cup (60 g) of baking soda, 1 cup (235 ml) of apple cider vinegar, and 10
 cups (2.4 L) of warm water. Mix these using a bucket or foot soak tub and
 place your feet in the soak for 30 minutes. Do this once a day until the fungus
 is gone. Remember to dry your feet completely.
Conditions: Scars, Burns, and Wounds
We all get a few bumps and bruises in our lifetime, but some people suffer
serious injuries and accidents that leave their mark on the skin forever. When I
was thirteen years old, I fell through a glass door, nearly severing my left arm
completely and deeply lacerating my back and legs. After the incredible medical
team put me back together and casts and braces came off, I was left with an
astonishing array of scars.
   While physical recovery was the focus of my healing, I was, of course,
consumed by the scars on my skin. At thirteen years old a pimple could throw
me for a week, but now I had to deal with over 400 stitches’ worth of thick, red,
uneven, bumpy, long scars. I was told that after the stitches were removed and
the scars began to heal, I could apply shea butter and vitamin E to help further
the healing. Over-the-counter options seemed suspicious and even smelly, so
shea butter and vitamin E it was, for years. I wish I had known about Ayurveda
then, but I’m glad I do now.
   This advice is for non-emergencies. If you have a serious accident, cut, or
broken bones, seek medical attention immediately. Use the information for
healing scars once you are treated and recovering.
   If you are hurt, clean the wound immediately with warm water and soap and
gently dry. Apply pressure to stop bleeding. After taking the normal steps for a
cut, burn, or wound, follow these protocols for healing and scar reduction only.
Treat the wound as soon as possible to lessen the chance of a prominent scar.
FOOD
  Eat a balanced diet with carbohydrates, protein, fiber, and fats. You may need
  more protein while healing.
  Add bone broth into your daily routine while healing. One cup a day of beef
  or chicken bone broth will deliver collagen and protein, which are both key to
  wound healing.
  To heal your skin, get more vitamin C through foods such as strawberries,
  Brussels sprouts, cabbage, cauliflower, broccoli, and citrus fruits. Zinc is also
  important to wound healing and can be found in pumpkin seeds, peanuts,
  cashews, almonds, eggs, chocolate, whole milk, meat, shellfish, chickpeas,
  lentils, and legumes. Omega-3 fatty acids contain antioxidants and retinols,
 which reduce inflammation and help scars heal faster as well. Eat salmon,
 anchovies, sardines, and mackerel, which have high omega-3 content.
 Add a teaspoon a day of turmeric into your diet. Sauté it in ghee and add to
 savory foods or make a hot drink, such as Golden Milk (here) with ½ teaspoon
 of turmeric in 12 ounces (355 ml) of whole milk. Add a pinch of cinnamon,
 nutmeg, and black pepper, and ½ teaspoon of ghee for better absorption.
LIFESTYLE
 When the wound is healing, expose it to fresh air as soon as possible. The
 oxygen and air will help to re-establish the microbiome.
 Wear loose clothing over the area. All-natural fibers are best.
 Avoid swimming in chlorinated pools until the wound is completely healed.
 Never use harsh soaps or scrubs on the area. Always pat dry.
 Be sure to get enough sleep. That’s 7 to 9 hours for most people. Our bodies
 heal while we sleep.
APOTHECARY
 Try turmeric. Make a paste from turmeric powder and apply it directly to the
 wound. Cover with a clean cloth or bandage. Make sure the bleeding has
 stopped before applying.
 For minor cuts and scrapes, apply tea tree oil directly to the injury—just a
 drop or two as this is a powerful antiseptic.
 Apply aloe vera gel to wounds with pain or swelling, or a minor burn. Look
 for one that doesn’t have dyes or any other additives.
 Ghee works well for minor burns. Apply a thin layer and leave open to the air.
 Neem oil is an antiseptic and accelerates healing. Applying neem early to an
 injury will reduce your chances of getting a scar.
 After the wound has begun to heal, gently massage the area two to three times
 every day with coconut oil.
 The Ayurvedic herb gotu kola also is a great healer of scars. Apply as a paste
 or take as a tea or oral supplement. Gotu kola acts like a steroid to heal the
 tissues, without the negative side effects. Take one or two tablets a day (60 to
 150 mg) while healing. This is not recommended for pregnant women.
 Apply castor oil directly to wounds to increase the lymphocytes around the
 wound, which will increase healing and reduce scarring.
                                      Case Study
Laura came to me for depression and nearly constant stomachaches. Almost everything
she ate gave her cramps, and she never knew when she would need to use the bathroom.
She hated eating out and hesitated to have people over to her house. This exacerbated her
depression and grief at losing a loved one a few years prior.
   Why am I including this scenario under the topic of skin? Because it was revealed during
our intake session that Laura had been taking antibiotics for more than twenty years. Daily.
For more than twenty years. I nearly fell off my chair. A doctor had prescribed her the drug
for adult-onset acne and Laura, now forty-five years old, was afraid that if she stopped the
acne would return.
   Besides the fact that I simply could not believe a doctor would continue this for two
decades, it all made sense to me. Every symptom Laura had was related to antibiotic use.
Antibiotics work for acne because they wipe out bacteria in the system, including bacteria
that causes acne. Out with the bad is out with the good. Her body was struggling daily to
replenish the gut and skin microbiome but was losing out to the daily antibiotic. Not only
did her doctor not warn her about the possible resistance to future antibiotic use, but he
did not discuss probiotic benefits or even skin care.
   The result was decades of diarrhea, gut issues, lethargy, and indecisiveness. She stayed
too long in situations that were not healthy for her and was unable to move forward in life.
The depression was likely caused by the compromised microbiome in the gut, where our
“happy” hormones are produced, like serotonin, dopamine, and oxytocin. Not to mention
the long-term damage to her liver, where the antibiotics were processed. I call the liver the
washing machine of the body. If it is constantly under attack, we suffer because the liver
cannot properly process everything else that enters the machine—our body.
   Working with her doctor, we devised a plan for Laura to stop taking the antibiotics and
begin a regimen to detox her gut and liver. She took the powerful Ayurvedic herb
manjistha, which has amazing healing properties for both the skin and liver. This blood
purifier detoxes and supports blood circulation to create a clear, healthy complexion.
Other powerful herbs she took included neem and bhumyamalaki, both known to clean the
blood and liver, and provide general detox, completing the supplement package to heal her
skin and gut. She stayed on these herbs for six weeks.
   After the Ayurvedic herbs cleansed the liver and gut, Laura took a powerful probiotic
called Trenev Trio to repopulate her gut with trillions of live bacteria. Her symptoms really
turned around, and she seemed like a new woman. Additionally, instructions were given
(and followed) to leave her skin alone! The temptation to overwash is great, but the skin is
happiest with the occasional use of gentle oils and cleansers to rebuild its microbiome of
healthy bacteria, enabling it to fight off environmental toxins. Using tender methods of
cleaning the skin, including oils mixed with hydrosol waters, patting dry, and pressing the
oil/water mixture into the skin once a day, we were able to find the right balance.
   For Laura, the process was to wash her face once a day with neem and aloe soap. Just a
small amount of soap rubbed into the face and neck, then splashed with water. No
washcloth, no scrubbing. Pat dry with a fully organic cotton towel and apply two to three
drops of neem oil with sandalwood hydrosol spray to the face and neck. Pat and press the
oil/water mix gently into the skin.
   Lauraʼs gut issues took about three months to resolve, which is amazing after twenty
years of abuse, but the body is resilient and, given time, herbs, and proper care, it will
bounce back. Her depression lifted as she incorporated plant-based foods into her diet and
reduced dairy, unhealthy oils, and non-organic wheat. As the gut improved, circulation and
detoxification improved and, on top of everything else, Lauraʼs skin looked beautiful.
   There was no need to continue any of the herbal supplements or the probiotic after the
symptoms cleared up. Laura was able to maintain a healthy balance by eating prebiotic and
probiotic foods, continuing a gentle skin-care routine, and following a regimen for her
dosha.
                                                6
LIFESTYLE
  Sleep is essential to all aspects of life, libido included. If you do not sleep well
  at night and wake feeling unrested, the rest of your physical, emotional, and
  spiritual functions will be limited.
  Connect with your partner on a deeper level by meditating, listening to guided
  meditations, and even listening to podcasts dealing with relationships,
  sexuality, and erotica. By participating in these activities together, you are
  creating trust, which is key to a robust libido. You may also consider seeing a
  counselor, couple’s therapist, or sex therapist to help you uncover issues and
  create deeper bonds.
  All genders should see a doctor to rule out low libido as an indicator of
  serious issues, and be certain to get enough physical exercise to maintain
  healthy airways, blood flow, and stamina.
APOTHECARY
Please note: These recommendations are widely available on the internet, but
should be taken under the guidance of an Ayurvedic, Traditional Chinese
Medicine, functional medicine, or homeopathic practitioner or naturopath.
  Traditional Ayurveda recommends an herb called safed musli, which has been
  called an alternative to Viagra. However, in addition to increasing blood flow
  and other physical components, safed musli acts on the mind as an
  aphrodisiac.
Gokshura comes from a small shrub and is found worldwide. It will increase
lubrication, arousal, and desire and can be used by all genders. In powder
form, add ¼ to ½ teaspoon to warm water and drink once a day before food.
Do not take if you are pregnant or nursing.
Brahmi is known as a brain tonic, supporting memory and the nervous system.
As such, it supports a healthy libido. One exceptional by-product is that it is
great for your hair, too! Another is its ability to promote awareness and
alertness that help you to be mindful of you and your partner, allowing for
more trust and openness. Take one to two tablets a day after food.
While food, herbs, and supplements nudge you in the right direction,
aphrodisiacs are not the final solution. Take a deeper look into your personal
relationships and note where you might improve your connections. Be better
equipped to make good choices and live a stress-free life by staying healthy
mentally and physically. This will boost your sexual desire too.
Ojas-Replenishing Treat
While sex can be amazing it also can sap energy and leave us feeling drained. In Ayurveda,
when we expel a huge amount of energy, we look to nourish and replenish ourselves. Ojas is
that essence of life, and when we feel drained, even from a good thing, it means we have
used up a good amount of ojas. Don’t despair! Here is a treat that restores ojas, increases
energy, and is delicious. This recipe serves two, but feel free to increase it for more.
Serves 2
   6 large Medjool dates, pitted
   6 almonds, soaked in hot water, and peeled
   1 tablespoon (15 g) ghee
   ½ orange, juiced
Open the dates and insert one almond into each. In a frying pan, melt the ghee over medium
heat. Place the dates in the pan, turning once or twice to coat them in ghee. Add the orange
juice to the ghee and dates and stir gently so as not to knock the almonds out of the dates.
Sauté the dates in the mixture for about 3 to 5 minutes, or until hot. Remove and place on a
plate. Allow them to cool just a bit and enjoy!
Condition: Infertility
I could write an entire book on Ayurveda and fertility, and several people have.
It’s such a vast and important topic as so many struggle with the ability to get
pregnant. We live in a world where people postpone trying to get pregnant until
they are past the age of their highest fertility. In addition to that, stress, the
environment, poor food and drink choices, and hormones in the foods we eat all
play a role.
    If you are having trouble getting pregnant, I suggest you visit an Ayurvedic
practitioner who specializes in this area. There are so many reasons for the
condition, and individual care is necessary to help you be successful. On the
journey to motherhood, please consider these steps.
FOOD
  Keep the tissues nourished by eating a diet rich in good fats such as ghee,
  avocado and olive oil, nuts, and seeds. Eat foods high in folic acid such as
  beans, peas, lentils, and eggs, and low in mercury, like some types of fish.
  High-fiber foods are key, so eat veggies, oatmeal, and whole grains.
  Avoid processed meats, alcohol, and simple carbohydrates such as syrups,
  candy, and sweeteners.
LIFESTYLE
  Being overweight or underweight negatively impacts your chances of getting
  pregnant. Try to maintain a weight that is reasonable for your frame. This
  means thin for Vata, medium build for Pitta, and slightly larger/curvier for
  Kapha.
  Meditate for stress reduction and use visualization to see yourself as fertile,
  becoming pregnant, and birthing a healthy baby.
  Make sure you get the right amount of sleep, which is usually between 7 and 9
  hours a night. Sleeping at the appropriate times is important for the highest
  level of body function. Get to sleep by 10 p.m.
  Relax. Have date nights. Talk about all the possible ways of having a baby,
  including IVF, surrogates, and adoption. Know that there are options. Enjoy
  the company of your partner, if you have one, or good friends and family who
 do not put pressure on you. Try not to put pressure on yourself.
APOTHECARY
 Herbs that support the female reproductive tissues include shatavari, brahmi,
 vidari kanda, and guduchi. These should be taken under the advice of a
 consultant who is familiar with any other medication you are taking.
 Do abhyanga self-massage (here) daily with sesame or almond oil. Apply the
 oil to the entire body and allow it to seep into the skin for 20 minutes, then
 rinse off.
Condition: Vaginal Dryness
This painful condition usually occurs during menopause as estrogen decreases
and the vaginal tissues thin. It may also occur due to medication, medical
conditions, or extreme Vata imbalance. A dry, thin vaginal wall makes it very
uncomfortable to have intercourse, exercise, and even urinate. Diet, oils,
supplements, and some lifestyle changes will help you find relief.
FOOD
  Follow all the food rules for menopause. Avoid becoming dehydrated by
  sipping warm or room temperature water throughout the day. Incorporating
  watery foods, such as zucchini, watermelon, chia seeds, and flaxseed, in your
  diet helps.
  Eat a Vata-pacifying diet that includes nutrient-dense foods such as dairy, nuts,
  nut butters, healthy grains, some meat, avocados, and sweet juicy fruits.
LIFESTYLE
  Wear loose, 100 percent organic cotton underwear. Avoid tight pants and
  jeans. Allow for natural air flow.
  Use wet wipes after urinating rather than toilet paper, and pat rather than
  rubbing. Do not use soap on or around your vagina. Just rinse the area with
  warm water. Harsh chemicals will hurt and increase dryness.
  Be sure to use a natural laundry detergent and avoid all perfume, powder, and
  lotions in the vaginal area.
  Avoid tampons and notice if certain condoms make the condition worse.
  Remember to talk to your partner about your condition and let them know
  what hurts and what feels better. Taking your time during foreplay or using
  coconut oil or ghee increases lubrication.
  Quit smoking ASAP.
APOTHECARY
  Our favorite female rejuvenative, shatavari, is a lifesaver. It naturally increases
  lubrication. Take two tablets before food, once or twice a day.
  Specific oils as topical applications help each dosha. Use organic oils only,
such as sesame, coconut and ghee. Apply to the labia area as needed. Eat more
ghee, too.
Drink 2 ounces (60 ml) of aloe vera juice in the morning on an empty stomach
daily.
Drink licorice tea or take licorice powder (½ teaspoon) once a day before
food. Do not take licorice if you are pregnant.
Perform abhyanga massage (here) every day. This external oiling of the body
penetrates through the tissues and will help to ease all dryness in the body.
Condition: Vaginal Yeast (Candida) Infections
Yeast, or Candida, lives in our bodies, usually in harmony with the other bacteria
until something comes along and disrupts it. Infections take root when one has
sluggish, low digestive fire, called manda agni in Sanskrit. The result is ama,
meaning undigested food that will eventually become a toxic, fermenting mess
in the gut, disrupting the microbiome, spreading out to the rest of our tissues,
and creating a host of unhealthy microbial activity. This leads to overgrowth of
yeast, which may show up in the digestive track, the blood, eventually into skin
folds, the anus, and the vagina. Other causes are antibiotic use, stress, poor sleep,
high sugar intake, and obesity.
    The white, sticky qualities of a yeast infection point to a Kaphic imbalance.
Kapha is heavy, unctuous, sticky, wet, and cold, just like yeast. Some yeast
infections look more Pitta in nature with a thinner, milky discharge and slightly
yellow. This means that some of both Kapha and Pitta food guidelines must be
followed.
    One must be vigilant in following the protocols as yeast infections are
notoriously difficult to eradicate. Conventional medicine is effective, but the
chemicals used to clear up the Candida may have negative side effects, such as
killing all the Candida, rather than re-creating the balance that once existed. If
you have a stubborn yeast infection that will not clear up, despite having
followed the treatments, a combination of Western and Eastern may be needed.
    If you have had one, you know that yeast infections cause burning when
urinating, a foul odor, unbearable itching, inflammation, irritation, and/or a thick
white or thinner, yellow discharge. The discomfort might last for weeks as one
searches for a cause (often diagnosed as vaginitis) and a cure. Nearly 75 percent
of women will have a vaginal yeast infection in her lifetime. Mine came when
using the “sponge” for birth control in the 80s. Those spermicidal chemicals did
not suit my body, and I found myself with a terribly difficult-to-cure reaction: a
raging yeast infection. I applied yogurt, sat in apple cider vinegar baths, and
probably did a few other home cures.
    In the end, though, I remember taking Diflucan (fluconazole) by mouth. I’m
sure my gut suffered, but back then I didn’t know how to support myself while
taking a drug that wipes out fungus. There are legions of home remedies, but
sometimes the pain and discomfort win out and we turn to an over-the-counter
cream or a prescription drug. I share these details with you hoping that if you
need to take a Western drug, you can follow the guidelines here to help rebuild
your gut microbiome and get you back into balance.
FOOD
  Strictly follow a diet containing no sugar, including fructose, honey, jaggery,
  coconut palm sugar, maple syrup, or date syrup. This means no fresh or dried
  fruits or fruit juices. Candida thrives in sugar, so to wipe it out, cut off its food
  source.
  Stay away from fermented foods, yeasted breads, and crackers (anything with
  yeast in the ingredients). Kapha-genic (food that increases Kapha) foods
  should be avoided, including dairy, wheat, and sugar. Avoid mushrooms,
  vinegar, pasta, hard cheese, peanuts, and baked goods. Gluten-free is best.
  Avoid heavy, oily foods, fried food, and fast food.
  Eat lots of dark, leafy greens and nonstarchy vegetables such as broccoli,
  cauliflower, kale, romaine lettuce, and green, yellow, and red peppers. Avoid
  squash, corn, potatoes, yams, cassava, parsnips, and sugary veggies such as
  beets and carrots.
  Use ghee, sesame seed oil, or olive oil. Be sure to include these spices in your
  diet: turmeric, ginger, cinnamon, cardamom, cumin, and hing (asafoetida).
  Eliminate caffeine as it is a diuretic. Drink hot water with lemon or lime and
  herbal teas. Try to stay consistently hydrated as that will help to detox the
  body. Avoid drinking alcohol as it converts to pure sugar. A good substitute
  for a sparkling drink is kombucha or KeVita, which is a water-based kefir
  drink.
LIFESTYLE
  Wear loose organic cotton or other breathable material for underwear. Don’t
  wear tight pants (including yoga pants) or leggings, tights, or stockings. The
  vaginal area must be allowed to breathe and air out.
  Get 7 to 9 hours of sleep a night; go to sleep no later than 10 p.m. Sound sleep
  is healing for the entire system. Sleep on organic cotton sheets and go without
  underwear.
  Relax and rest. The body has been invaded by an overgrowth of fungus. You
  may feel depleted, so give in to it and take it easy. Avoid naps, but if you feel
  sleepy in the daytime, try resting sitting up for 10 to 15 minutes.
 Don’t have sex until the infection is completely cleared. Yeast infections are
 not contagious, but sex will further irritate the area and make it uncomfortable
 or painful.
APOTHECARY
 Take a good probiotic that contains live bacteria, including Lactobacillus
 acidophilus and Bifidobacteria bifidum.
 Wash with triphala powder for Kaphic, thick white, smelly discharge. Take 1
 tablespoon (15 g) of triphala powder in 2 cups (475 ml) of warm water. Allow
 the triphala to steep for 10 minutes. Soak a washcloth in the mix and apply to
 the vagina, gently allowing the solution to cover the entire area. Keep bathing
 in the mix for 5 minutes. Neem or licorice powder can be substituted for
 triphala.
 Use a mix of diluted tea tree oil with honey. In a small bowl add 1 cup (235
 ml) of warm water to three to five drops of tea tree oil and 1 tablespoon (20 g)
 of raw honey. Use Manuka honey if you have it. Apply to the vagina with a
 cloth and allow it to penetrate the area for 10 to 15 minutes, then rinse off and
 pat dry.
 Wipe clean with a cool washcloth. Some women prefer a cool washcloth. If
 the above application is not comfortable, allow the compounds to cool off, or
 add cool water.
 Some people swear by full-fat, organic plain yogurt. Apply liberally to the
 entire vaginal area. Eat a small bowl every day too. Make sure the yogurt has
 live bacteria.
 For itchy, inflamed infections, use aloe vera gel or coconut oil topically
 several times a day. Allow the gel or oil to dry completely before getting
 dressed.
 Apply apple cider vinegar with a washcloth or cotton balls. Leave it on for 5
 minutes and wipe off, twice a day. Drink 1 teaspoon ACV in warm water once
 a day, on an empty stomach.
Condition: Andropause
Over the years, my male clients have come in with a host of symptoms with
seemingly “no cause” to pin them to. It’s just growing old, some will say. When
I point out that they are of the age of andropause, most of them have never heard
of the term. Some have heard about “male menopause,” but andropause remains
elusive and not well understood by many.
    Andras in Greek means “human male,” and pause in Greek means
“cessation”; andropause is defined as a syndrome associated with a decrease in
sexual satisfaction or a decline in a feeling of general well-being with low levels
of testosterone in older men. With aging, hormone levels change to
accommodate what is required of the body. As men and women grow older and
pass the age of fertility, when robust hormone production to procreate is no
longer needed, fewer hormones are produced, causing a host of issues.
    As we live longer, we more acutely notice the changes, and some will go to
extraordinary lengths to boost hormone production and try to stay youthful
longer. Our bodies and minds have innate systems that keep us healthy and vital
at each stage of life, but we sometimes fight against it, desiring to feel like we
did at twenty-five when we are sixty-five.
    Ayurveda is a beautiful system that allows us to age gracefully and naturally
while protecting the tissues, keeping them robust and functioning as they were
meant to be. We may want to fight against this with hormone injections and
supplements, but ultimately, the body will win. Appreciate the wisdom of the
body and allow nature to do its job. Appreciate all the stages of life, embrace
changes, and work with them rather than against them. I am a big believer in
flowing downstream instead of struggling to swim upstream against the tide. If
we follow the guidelines for healthy eating, moving, and sleeping, we are
flowing.
FOOD
  Eat Vata-pacifying food such as milk, ghee, eggs, poultry, fresh fruits, nuts,
  grains, greens, and lots of cooked vegetables. Reduce red meat consumption
  and eat more fish. If you are overweight, consume a bit less of these foods.
  If you do not suffer from Pitta issues, such as heartburn, increase intake of
  foods and fruits high in lycopene and vitamin C, such as tomatoes, cherries,
 melons, oranges, and citrus.
 Reduce alcohol intake, excessive sugar, and all processed foods. Stay hydrated
 to keep the tissues robust. Sip water or herbal tea throughout the day or drink
 kombucha or KeVita (a water-based kefir drink).
LIFESTYLE
 Create a daily routine and try to stick to it: Sleep and consume meals on a
 regular schedule. Exercise at the same time of day. This will help your body
 regulate to the hormonal changes.
 Reduce stress by not pushing yourself so hard to perform in the areas of sex
 and exercise. Strenuous activity of any kind creates imbalances in mind and
 body. Try not to go to extremes, such as running in the heat of day or staying
 out late and getting up too early.
 Do not suppress natural urges, including belching, flatulence, coughing, bowel
 movements, urination, sneezing, yawning, sleeping, crying, orgasm, hunger,
 and thirst. Allow your body to express itself naturally. Holding in natural
 urges increases toxins in the mind and body. We should follow this rule at
 every age.
 Watch your weight. Being overweight or severely underweight will negatively
 affect your hormonal balance and other bodily functions. Be aware of any
 changes and adjust your lifestyle to stay at a steady and healthy weight.
 Muscle mass decreases as testosterone decreases. Stay on top of this by
 working out with weights and aerobics and stretching. Yoga plus strength
 training is a great combination to stay strong and flexible.
 Don’t smoke.
APOTHECARY
 Daily self-massage on the joints with Vata-reducing oil will keep the tissues
 nourished and flexible while enabling the body to detox properly. Try to do a
 whole-body massage a few times a week and rinse off the excess oil after it
 has been on the body for 20 minutes. See here for details.
 It is just as important for men to maintain a healthy reproductive system as it
 is for women. For healthy prostate, urine flow, and aphrodisiac effects, try the
 Ayurvedic herbs ashwagandha, gokshura, amalaki, guggulu, licorice, and
 vidari kanda. See an Ayurvedic practitioner for more precise dosing for your
unique condition.
Condition: Menopause and Hot Flashes
Menopause is a natural transition that all women, if they have a uterus and live
long enough, will pass through. I say pass through because you will get through
it! With a few helpful steps along the way, you may find that you come out
happier, stronger, and wiser on the other side.
    Menopause is when a woman ceases to have her menstrual period, usually
recognized as full-on menopause when there has been no menstrual bleeding for
one year. The hormones progesterone and estrogen drop around the age of thirty-
five, when most women enter perimenopause, which is the time before the
complete cessation of periods as most of the eggs a woman is born with have
been depleted. Women’s sex hormones decrease as they enter the stage when the
eggs are no longer needed to create babies. Don’t despair. It’s not all lost, and
you can rebuild in a different way.
    Some women are relieved to be over the fertile stage of life, but many desire
to remain sexually active, which supports healthy tissues, moist skin, strong
bones, heart health, and emotional satisfaction. A robust reproductive system is
necessary to keep women from “drying out” and “shriveling up.” Harsh words, I
know, but through the actions in this section, you can stave that off and thrive.
    Women still can create estrogen even after menopause; it’s just less than was
needed when fertile. The less stress in your life, the more tissue-nourishing
hormones stay in the inventory. Stress depletes in every way, busting the
adrenals and producing excess cortisol (these are not good things) and using up
precious estrogen and progesterone. By relaxing and chilling out, your sex drive
will increase, hot flashes may be lessened, and you’ll support more youthful,
nourished cells in your entire body.
   Remember that it is never too early to begin building a foundation for a
smooth menopause. By following the guidelines for healthy eating, stress
reduction, and exercise, expect your transition from fertile to perimenopause to
menopause and post-menopausal to be easier. Don’t wait until you are in the
throes of hot-flash city to make changes—lay the groundwork now.
   It is at the end of the Pitta stage of life and the onset of the Vata stage of life
that we find menopause. Perhaps hot flashes are the dying gasps of flames
licking at the tissues, searching for depleted hormones, angry and feeling
deprived. The winds of Vata fan the embers, increasing heat and hot flashes, as
the tissues lose hydration and lubrication.
   Some major concerns for women in their menopausal and post-menopausal
years are vaginal dryness, low libido, and hormonal fluctuations that cause hot
flashes, night sweats, and uncharacteristic behavior—such as emotional hot
flashes. Menopause marks a moment in a woman’s life where she is given
permission to stop looking outward, stop taking care of everyone else, and begin
an inward gaze to put her own needs first and take the time to investigate what,
exactly, those needs and desires are. Take a look at these remedies and see which
ones suit your needs and fit your lifestyle.
                                Doshic Stages of Life
 In Ayurveda, we regard the stages of life according to the doshas—the mind/body
 constitutions. We are born into a Kaphic stage of life—Kapha comprises the elements of
 earth and water. As we grow and enter puberty, we begin the Pitta time of life. Pitta is fire
 and water. We go through school and college or choose a career or lifestyle—headstrong
 and plowing through the world as if we know best! We may have children or choose not to,
 move to new places, take on challenges, and make lifestyle decisions that may or may not
 be best for us.
    In the mid-fifties and sixties, we enter the Vata stage of life. Vata has a lot of movement,
 space, and air, which allows for great expansion of the mind and the ability to share
 wisdom gathered over the years. The elements of Vata stoke creativity and a sense of “I
 donʼt care what anyone else thinks of me. I am living my life on my terms.”
FOOD
 Eat estrogenic, supportive foods that are rich in phytoestrogens. Spice your
 foods with cumin, fennel, hing, turmeric, and coriander to aid digestion.
 Increase consumption of tofu, tempeh, edamame, miso, flaxseeds, chickpeas,
 lentils, oats, barley, rice, wheat bran, rye, quinoa, garlic, berries, peaches,
 yams, dried fruit, and cruciferous veggies. Eating large amounts of soy (more
 than 16 ounces [450 g] a day) has been linked to an increase in breast cancer,
 but moderate amounts, 4 to 8 ounces (113 to 225 g) a day, have proven to be
 beneficial.
 Focus your diet on easy-to-digest foods. These create less heat and improve
 absorption of liquids, increasing your juiciness! Avoid raw, cold, processed
 foods. Eat simple meals with just a few ingredients.
 Shift your diet to Pitta-reducing and Vata-increasing foods. This means
 avoiding acidic, hot, spicy foods. Lean more toward warm, cooked, lightly
 spiced foods. Choose white basmati rice over brown. Add ghee (a teaspoon
 for Kapha, more for Vata and Pitta) to just about everything. No refined
 sugars, but naturally sweet, juicy foods and fruits are good.
 Stay hydrated. This is so important to stave off dryness in the body, internally
 and externally. Drink water. For good measure, drink half your body weight in
 ounces.
 For tea, drink 1 to 3 cups a day. Try CCF tea (here). Or drink peppermint and
 spearmint tea or water with a squeeze of lime or with a splash of apple cider
 vinegar or any of the amazing vinegars on the market. Avoid alcohol, please!
Nothing good comes from it during menopause. (Believe me. I tried.) Avoid
caffeine too—sorry! If you cannot avoid it completely, at least reduce
consumption.
Eat to detox. Menstruation is one of nature’s ways to release toxins from the
body. Shedding blood releases excess Pitta, so without that function, find
other ways to do it. Eating more bitter and astringent foods like dandelion
greens, radicchio, kale, spinach, or cruciferous vegetables (lightly cooked for
easy digestion) will support detoxification as well as deeply nourish your
body. Use more cilantro and parsley and eat more fiber.
Reduce pungent, spicy foods and totally avoid processed foods, fried food,
and food made with unhealthy oils. Eat healthy, nutrient-dense foods, such as
sweet fruits, berries, avocados, dates, figs, nuts, seeds, ghee, and olive oil, to
increase ojas, which is the essence of life that flows through the body. Look
for foods naturally high in calcium, such as bone broth, cottage cheese, and
sesame seeds, for bone health. Include choices from bitter and astringent
foods (think leafy greens) in every meal.
 Hot Flash Soother Smoothie
 This recipe contains foods that are proven to reduce hot flashes and lessen other symptoms
 of menopause. Avocado is rich in nutrients and oils to combat dryness. Tofu, with its
 phytoestrogen, replaces estrogen lost to hormonal changes. Blueberries have flavonoids and
 vitamins for your brain to alleviate brain fog. Coconut milk is cooling to reduce heat in the
 body. Flaxseeds and raw honey pack a punch of nutrients. Make enough to drink twice a day.
 Experiment with plant-based milks to see what works best for you.
 Makes 1 to 2 servings
    1 ripe avocado, skinned and pit removed
    ½ cup (75 g) fresh or frozen blueberries (or any berries)
    ½ block (6 ounces, or 170 g) silken tofu
    1 teaspoon raw flaxseeds
    1 tablespoon (20 g) raw honey
    1 cup (235 ml) coconut milk
    Extra water, if needed
 Add all the ingredients to a blender. Blend and split into two servings if you’d like, or drink the
 entire amount. Enjoy on an empty stomach and don’t eat again until you are hungry.
 NOTE
 If you are lacking fiber in your diet, stir in a tablespoon of psyllium husk (5 g) just before
 drinking.
LIFESTYLE
 Good sleep habits will lessen foggy brain and hot flashes. Get outside as much
 as possible as nature fosters balance and increases awareness. Walk or jog just
 enough to get your heart rate and breathing up—about 20 to 30 minutes.
 Breathe in and out through your nose to increase nitric oxide, which will boost
 your immune system and clear the cobwebs. Studies show that mouth
 breathing increases stress and anxiety and a host of dental issues as well.
 Nadi shodhana, or alternate nostril breathing (here), reduces hot flashes and
 slows the mind down. It is crucial for finding balance and peace, especially
 when mental flare-ups, mood swings, and intense irritability increase when
 sleep decreases.
 Avoid weight gain but don’t make yourself crazy. As hormones find a new
 level, you may gain a few pounds and cholesterol may increase and then
 stabilize. Keep up the good habits listed here and be kind to yourself. Two- to
 three-day seasonal cleanses using the Ayurvedic vegetarian stew called
 kitchari (here) or occasional juice fasts are beneficial, as is eating two to three
 meals a day and no snacking. Use a juicer only in spring and summer, just a
 few days a week, as juice contains a lot of sugar and is low in fiber (even
 though it is high in vitamins and minerals). Avoid juicing in the winter as we
 need more fiber to keep the body warm.
 Use a wet wipe and pat the vagina to dry after urinating, if you have dryness.
 Some of my clients have reported great success applying ghee or organic
 sesame seed oil to the labia throughout the day. Use lubricants to help with
 intercourse as well.
 Make peace with your past through meditation. Let go of old resentments,
 anger, and victimhood. These emotions are only damaging you. Through
 loving-kindness or Metta meditation, make amends with yourself and others.
 Send love, happiness, safety, and good health to yourself, to your loved ones,
 to strangers, and to those you have difficulty with. Repeat the phrases “May
 you be healthy. May you be happy. May you be safe. May you be loved” to all
 those on the list—and mean it.
APOTHECARY
 Banyan Botanicals formulates some of the best Ayurvedic treatments.
 Women’s Natural Transition and Women’s Support are two I highly
 recommend for keeping the reproductive organs nourished. The herbs in the
 formulas include shatavari, vidari kanda, ashwagandha, vetiver, brahmi, and
 others that smooth out menopausal issues as well as deeply replenish and
 detoxify the tissues. Take two tablets about a half hour before meals, two or
 three times a day. Do not take shatavari if you are allergic to asparagus, as it
 comes from the root. (Shatavari, by the way, translates as “she who has 100
 husbands”!)
 Valerian root, chamomile, and ashwagandha all calm the mind and promote
 good sleep. Banyan Botanicals’ I Sleep Soundly compound will help you do
just that. Don’t take ashwagandha if you are pregnant.
Use Bhringaraj oil for a scalp and foot massage before bed. This incredibly
powerful oil cools and calms the entire nervous system, promoting peaceful
rest. Another benefit is that this oil is known for supporting hair growth and
keeping your locks lustrous.
Do abhyanga, a full-body massage, every day (see here). Use a Vata-reducing
herbal oil, such as sesame, and apply oil to your limbs in long, slow, deep
strokes and in a circular motion around your joints, torso, lower back—
everywhere you can reach. Face, neck, ears. Soles of the feet, around your
toes and ankles. Allow the oil to penetrate your skin deeply for 20 minutes,
then rinse off—or not. Whatever feels best for you!
                                      Case Study
The menopause story I know best is one I am deeply familiar with. It is my own. My
periods began when I was twelve years old at summer camp in Asheville, North Carolina,
USA, in 1975. Ironically, synchronistically, or magically, my last period was in Asheville in
February 2015, where I was attending a booksellersʼ conference. Of course, I did not know
that was going to be my last period until a year later—officially in menopause.
   Those final twelve months were sometimes scary as I could have still been fertile, but
the odds of getting pregnant were around 1 percent. I had so far avoided having children; I
love kids but chose not to have any. Having married at forty-seven, I figured the pressure
was off. But I still bought pregnancy test kits and kept them in the bathroom cabinet,
testing myself every month—truly petrified I would be one of those few women pregnant in
her fifties.
   Thankfully that didnʼt happen. But this is a reality for some women who think they are
off the hook (read Hot Flashes Warm Bottles by Nancy London if you donʼt believe me!).
Other changes occurred. Emotional rages sometimes overtook me—I saw myself being
pushed aside by another version of myself who was livid over something/nothing, and I
would just stand back and watch. My poor, dear husband married an outspoken,
independent, really nice girl. Just three years later, she turned into some sort of evil twin
neither of us recognized. But she was living with us, so we had to deal with her.
   I knew I had to understand what was happening and, as we do in Ayurveda, get to the
root cause. I looked at my daily routine and examined every aspect. I was determined to be
present for my menopause in a way that I was not during my raging puberty years. I
wanted to pay attention, see what exactly was going on, and not shy away from the
experience. It felt like something really important was happening to my body and mind,
and I wanted to be there for it!
   Through tears and fears I explained to my husband, Larry, that I was just exhausted and
could not handle even the tiniest conflict, perceived conflict, or maybe just a word or a
look. Or the sound of him chewing. Or snoring. All that threw me into a rage or sobs. I
would feel the heat begin in my abdomen, like someone flicking on a furnace. It would
spread in my chest and crawl up my face and scalp, enveloping me. This could happen as I
drifted off to sleep, or began an engaging project, or in the car—the switch would flick, and
my alter ego would arise like a phoenix from the flames.
   I finally understood that so much of this disturbance came from a lack of sleep: one or
two hours, then boom, hot flash, covers off, window open. Then finally sleep again and
boom, over and over and over again until I was in tears. Just a wreck. Sleep. I needed to
sleep, then all would be better, I assured myself.
   So how to get good sleep? I am an Ayurvedic practitioner! I should know this! But I was
so busy helping others at the expense of my health. Finally, at this stage of life, I allowed
myself to slow down for a minute, stop pushing forward so relentlessly, and heal myself.
   Sleep is a culmination of everything that happens to you during the day. You need a
balanced diet, movement, meditation, or some sort of mindfulness practice, and herbs and
supplements if required. Ayurveda taught me to oil my body daily and massage my head
and feet with cooling oil at night. I embraced all my practices, took the tools out of the
toolbox, and used them. And to all this, I added a few drops of CBD/THC tincture before
bed. Regretfully but productively, cutting out wine in the evening and coffee in the
morning helped.
   I came out the other side of menopause wiser, with more creativity and a drive for new
adventures. I am so grateful for everything I went through, knowing that this stage of life is
a passage into greater things. I began writing books post-menopause. I embraced new
forms of creativity and expression. I opened up to my husband emotionally and sexually in
ways I didnʼt even think were possible before. Menopause is just another doorway women
pass through in life.
   The reproductive system is never not important. Through every stage of life, we need to
optimize nutrition and lifestyle to enhance and sustain the ability to assimilate nutrients
into the deepest layers of our tissues. Itʼs never too early to prepare for fertility,
menopause, and andropause. The sooner we begin, the easier the transition will be.
                                                7
SHEETKARI BREATH
This method is for those who aren’t able to roll their tongues. With the same
seated position, chin level, smile wide, and teeth slightly apart, place the tip of
your tongue on the roof of your mouth just behind your front teeth, and pull air
into your cheeks. Then close your mouth and exhale through the nose. Repeat
six to ten times.
   This cooling breath is contraindicated for those with constipation as it cools
the nerves required for bowel contractions, exacerbating the problem. Do not try
this if you have low blood pressure, asthma, or disorders of the heart. Practice
only in the warmer months and avoid in cold climates.
  Raise your right hand to your nose, keeping the pinky, ring finger, and thumb
  extended, and fold your index and middle fingers into the palm. Gently close
  your right nostril with your right thumb and inhale deeply through the left
  nostril, expanding your belly. Exhale fully through the same nostril keeping
  the right nostril closed, then inhale deeply again to the belly, and at the top of
  the inhale, close the left nostril with the right ring finger, open the thumb on
  the right, and exhale through the right nostril. At the end of the exhale, pause,
  then inhale deeply again through the right nostril, close your right nostril with
  your thumb and exhale left. Inhale left, close, and exhale right.
  To add extra benefit for grounding and stress reduction, pause between
  inhales, pinching both nostrils shut and holding your breath for 6 to 8 seconds,
  then release one side and exhale and continue the process.
  Try to do ten cycles. Each inhale/exhale is a cycle. If you feel dizzy, lower
  your hand and breathe normally. When you feel steady, begin again. Work
  your way up over time to twenty cycles.
  Do not practice if you have a full stomach or high blood pressure.
BHASTRIKA
Bhastrika breath is the opposite of sheetali. It literally stokes the fires in the belly
and the brain, helping to heat you up and wake you up! It’s great for Kapha
dosha and ideal to practice in winter or anytime you are feeling cold, dull,
lethargic, and unmotivated. Known to increase lung capacity, Bhastrika dumps
oxygen into the blood and facilitates the effective removal of carbon dioxide,
which helps to cleanse and tone the tissues, blood, and cells. The intensity of the
breathing clears the nasal passages and may eliminate constipation. Deep
abdominal breathing increases and improves circulation.
  Sit comfortably with hands resting on your thighs or knees. Lower the
  shoulders to open your chest. Feel your spine elongate and sit straight but not
  rigid. Chin is level with the ground. Close your eyes and breathe normally
  through your nose. Have a tissue nearby as you may expel some mucus during
  the practice.
  Take several deep, full belly inhalations through the nose, exhaling through
  the nose completely. When you feel ready, take in a deep breath and forcefully
  expel the air on the exhale (all through the nose). Let the belly contract on the
  exhale, pushing the air out. Feel the belly button go back toward the spine.
  Your whole torso may even contract a bit. Then do a rapid, deep nasal inhale
  to the belly and forceful expulsion of air again.
  If this is your first time, do this for just three to five rounds to begin with and
  work your way up over days and weeks, getting up to ten cycles. No need to
  breathe rapidly as you begin the practice. Go slowly at first and work your
  way up to a faster practice. In the beginning, take one breath every 1 or 2
  seconds. Don’t push it. At the end of your practice, take a deep, slow inhale
  and a deep, slow exhale and relax, finding your natural breath. Sit quietly for a
  few minutes and feel how your body and mind have changed. You may feel
  tingles and feel more awake and aware.
  If you don’t have a teacher, try watching videos to master the technique.
   This practice is quite intense and should not be done if you are pregnant or
have your period. Do not practice this if you have glaucoma, high blood
pressure, hernias, heart disease, or detached retinas or have had recent surgery,
especially to the abdominal area. Bhastrika breathing is contraindicated for
asthma, epilepsy, vertigo, or bronchitis or if you are at risk for stroke.
BOXED BREATHING
Boxed breathing is a gentle practice that calms you down, and helps you sleep or
fall back to sleep. The process involves counting and visualizing, which
increases concentration and helps you be fully in the moment.
  Be seated or lying down. Whichever your posture, begin with a few deep
  breaths through the nose to the belly. Let your tongue rise to the ridge behind
  the front teeth to relax your jaw and open your airways. Notice the gentle rise
  and fall of your chest or belly. Focus on bringing the inhale down to your
  belly and allowing it to expand like a balloon. When you feel ready, inhale to
  the count of four and visualize a straight line as you mentally begin to draw a
  box. At the top of the inhale, hold your breath for 4 seconds and draw the
  second line of your box. Exhale through the nose slowly to the count of four,
  and draw line three of the box. Holding your breath at the end of the exhale,
  pause for 4 seconds and complete the box drawing in your mind.
  Continue with the practice until you feel relaxed, focused, or sleepy,
  whichever outcome you are aiming for. Keep visualizing the box and keep the
  inhales and exhales steady and slow, through the nose, allowing for a gentle
  pause as you hold the breath between inhales and exhales.
   There are no contraindications for this practice.
FORWARD BEND
This pose is deeply relaxing as well as rejuvenating. Encouraging the blood to
flow to the brain, it’s a great pose to refresh after work, bring enthusiasm and
creativity to the forefront, or wash away a busy mind. This is a great pose for
grounding and coming more deeply into yourself and the present moment.
  Stand with feet hip-distance apart and find your balance by focusing on the
  four corners of your feet: the pad under the big toe, the pad under the pinky
  toe, the right side of the heel, and the left side of the heel. If you need to,
  widen your stance. Place your hands on your hips, inhale through the nose,
  and exhale through the nose as you slowly bend forward from the waist,
  keeping the chin aligned with the floor as you move. As you deepen the bend,
  allow your head to gently fall forward, chin toward the chest, with the crown
  of your head toward the floor.
  Remove hands from the waist and gently clasp your elbows with the opposite
  hands. To deepen the pose, bring your palms to the floor or place your fingers
  under your toes. Knees should be soft. Bend slightly if that feels better. Sway
  a little, move your head and neck around, whatever feels comfortable with
  you. Stay in this pose as long as it’s comfortable. Thirty seconds is a good
  amount of time.
   To come up, bring your hands to your waist, keep your chin tucked, and
slowly lift. The head should be the last to come up. Rise, one vertebra at a time.
Breathe and allow your hands to fall to your side.
   If you have blood pressure issues, hypertension, or glaucoma, avoid forward
bends.
SUN SALUTATION
One of the best overall combinations of poses to exercise the entire body is the
Sun Salutation. When done vigorously and repeated a dozen times or more, it is
a true workout. But even four or five rounds will get your blood and breath
moving. As the name signifies, this pose is perfect for welcoming the day. Face
east and the rising sun energy will infuse the practice. Best done on an empty
stomach or 2 hours after a meal.
  Place your feet slightly less than hip-distance apart, firmly on the ground.
  Head erect, ears over the shoulders, pelvis in neutral, bring hands up to your
  chest in prayer pose, thumbs against the heart chakra. Focus here and breathe
  in and out through your nose. On an inhale, reach for the sky, the upper arms
  close to the ears, palms facing each other. Slightly arch the back, moving the
  hips forward.
  On an exhale, lower your arms and bend forward, placing the hands alongside
  the outside of your feet. Bend your knees if you need to. Chin is toward the
  chest. Look out then look down again.
  Exhale and swing your right leg forward and plant the right foot under the
  right knee. Lower the left knee to the ground, toes on the left foot flexed.
  Look ahead and breathe.
  Push yourself up and swing the right leg back in line with the left leg, raise the
  hips, and come into downward dog. Your buttocks and hips move up into the
  air and your arms are outstretched in front of you at an angle. If possible,
  place your feet flat on the floor.
  Bring the hips down parallel to the floor, and on an exhale, swing the left leg
  forward, ankle aligned with the knee. Right knee comes to the ground for
  support. Hands flat on the floor next to the forward foot. Breathe.
  Inhale and swing the right leg next to the left and exhale and fold forward,
  palms on the floor into a forward bend. Bend knees if necessary.
  Inhale and bring the arms up, upper arms next to the ears, palms facing each
  other, slight arch in the back. Exhale and bring the hands down to the center of
  your chest in prayer pose. Rest, breathe, and repeat the sequence.
   There are no contraindications for this practice.
CHILD’S POSE
Children naturally fall forward and rest their heads and chests on the floor.
Doing this pose as an adult brings those feelings of “floppy” back. Just resting.
Being, not doing. Falling forward and into ourselves, this pose slows us down,
gives permission to do nothing. Breathing slows naturally, and we rest. Do this
pose anytime you feel unmoored, ungrounded, or overwhelmed. It’s the perfect
pose to do in between more challenging poses. As in all things in life, we need a
period of rest to recover. Best to do on an empty stomach.
  Lower yourself to the floor to an all-fours pose, on hands and knees. Flex the
  spine in cat and cow a few times to loosen up. Inhale as you raise the hips up
  and round your back (cat), and exhale as you come down, belly toward the
  floor (cow). The head and chin come up on cow, and the chin tucks in cat.
  When you feel loose, bring your awareness to your breath, breathing in and
  out gently through the nose. Sit back and rest your buttocks on your heels.
Spread your knees wide and allow your big toes to touch each other (if you
are pregnant, only do this pose with knees spread wide, or avoid altogether). If
it’s uncomfortable to spread the knees, it’s fine to keep them close.
Sitting straight, extend the spine to its full length. Exhale and fall forward,
bringing your torso toward the floor, between your thighs. Your forehead will
come to the floor or to a block or blankets for support. Your chest will rest on
your thighs.
Extend your arms out, alongside your head, palms down, or keep them back
and by your side, palms facing up. Keep your buttocks as close to your heels
as possible. Place a rolled-up towel or blanket between your butt and your
heels for support if needed.
Rest, relax, and feel the stretch from the hips to the arms. Close your eyes.
Breath normally.
Feel the back open and expand with every breath. Stay in the pose as long as
needed, or for at least 30 seconds.
To release, walk your hands toward your torso, come upright to sit back on
your heels.
To get up from the floor, come back into tabletop by extending your arms and
bringing the knees in. Walk your hands toward your feet and push up.
There are no contraindications for this practice.
Creating a Healthy Community
The system is not fair. People live in food deserts with no access to fresh,
organic produce and affordable, healthy options. We know that sugar-laden fruit
juice or sodas, processed foods, chemical preservatives, dyes, and excess salt
make people sick. And when a pandemic hits, they are the first to suffer and die.
   We are all in this together. If we do not address these issues, we are doing
ourselves irreversible harm. So how do we find solutions and help each other?
  Ask for what you need by networking. Talk to your neighbors, friends, family,
  church, synagogue, or spiritual community. Social media sites such as
  Nextdoor and Facebook can be used to access goods and services that may not
  be readily available to you.
  Grow your own! Some herbs and leafy greens are able to be grown in your
  house on a windowsill or a balcony. Learn about vertical garden growing so
  you have your own fresh produce in your house.
  Join a community garden. Urban and suburban community gardens have
  established themselves around the country. If you don’t have one near you, go
  online and learn how to start your own in your neighborhood.
  If you live in a food desert, try online shopping for what you need to be
  healthy. Learn where to order fresh produce and have it delivered to your door.
  For nonperishable items, try Vitacost, Eden Foods, and even Amazon. Order
  rice, beans, olive oil, coconut oil, natural soaps, shampoos, and more.
  Instead of buying wild-caught fish, which may be expensive, buy canned.
  Look for the safe-catch label.
  Organic produce is often pricey. Print out the lists of the Clean Fifteen and the
  Dirty Dozen from the Environmental Working Group (ewg.org). Use these
  guidelines to work within your budget and avoid pesticides.
  Local ethnic markets such as H Mart and Indian food stores have great prices
  and amazing food. Look for beans, spices, noodles, and rice that you may
  have never tried. A lot of the ingredients I write about in the remedies are in
  these stores.
Disease-Free Longevity for All
Ayurveda initially was known as healthcare for royalty, and it is still mainly
accessible to the rich. I hope that this book will put power into the hands of all
people. If you don’t have time to do abhyanga massage every day, maybe find a
couple of minutes to care for yourself. Start small and add what you can: A pinch
of turmeric or ginger is well within reach. Drinking warm water with lime,
instead of drinking soda, may be the start of subtle yet profound health benefits.
   Please help me put this book and these ideas into the homes, hospitals,
military bases, and schools for those who really need it. We are a team. Let’s
support each other along the way. Little acts will move us toward sustainable
changes and healthy communities no matter where you live. This, my friends,
increases longevity, boosts the immune system, and supports you in staying
hearty and healthy as you age.
   All the guidelines are here in the remedies for eating well, sleeping properly,
eliminating toxins and waste, reducing stress and anxiety—fully healing your
mind, body, and spirit. Rely on this book as a life manual and share it. Carry this
timeless wisdom with you as you age robustly and help others along the way.
                                Resources
ARC underwear and more: Garments for all shapes and sizes, sewn in the US
  from certified organic, recycled, and/or deadstock materials. shoparq.com
Auromère toothpaste: auromere.com
Banyan Botanicals: banyanbotanicals.com
Blue Zones. How to live to 100: Recipes, lifestyle articles, secrets of longevity.
   bluezones.com
Coyuchi sheets and towels: Organic sheets, towels, and even nightwear.
  coyuchi.com
Dr. Bronner’s organic body products: drbronner.com
Evanhealy skin care: Holistic, therapy-focused formulations. evanhealy.com
Himalaya products: himalayausa.com
Kerala Ayurveda: keralaayurveda.store
Maharishi Ayurveda: mapi.com
Organic India: organicindiausa.com
ProTren: Trustworthy probiotics. protren.com
Pukka Tea: pukkaherbs.com/us/en
Pure Indian Foods: pureindianfoods.com
Soapwalla: Handmade body products from the field to your body.
  soapwalla.com
B
beverages. See also foods
  acid-reducing teas, 107
  alcohol, 30, 35, 37, 43, 91, 92, 98, 103, 106, 110, 111, 116, 126, 127, 133, 151, 153, 157, 160, 164
  Be Free of Allergies Smoothie, 84
  black tea, 35
  caffeine, 35, 83, 116, 127, 157, 164
  chamomile tea, 22, 28
  Cumin-Coriander-Fennel (CCF) tea, 37, 38, 41, 164
  dashamula tea, 55, 59
  dehydration, 51, 57, 71, 101–105, 133
  Extreme Hydration Smoothie, 104
  ginger tea, 50, 57, 71
  Golden Milk, 22, 24, 25
  gotu kola tea, 143
  green tea, 35, 71, 80, 85, 98, 119, 129, 151
  herbal tea, 24, 30, 35, 106, 111, 160
  hibiscus tea, 134
  Hot Flash Soother Smoothie, 165
  licorice tea, 37, 38, 71, 80, 134, 156
  manjistha tea, 134
  non-asthmatic breathing problems and, 71
  stinging nettle tea, 129
  talisadi tea, 74
  turmeric tea, 57, 71, 121
  Vaidyagrama Morning Tea, 173
  valerian root tea, 22, 28, 41
breathing. See respiratory system
C
conditions
  acid reflux, 105–110
  acne, 125–126, 144
  allergies, 81–85
  andropause, 159–161
  arthritis, 55
  bad breath, 94–95
  burns, 141–143
  Candida infections, 156–159
  colds, 70–75
  cough, 70–75
  dehydration, 101–105
  dry skin, 131–134
  gastric (peptic) ulcers, 118–121
  gastroesophageal reflux disease (GERD), 105–110
  headache, 51–54
  heartburn, 105–110
  high cholesterol, 96–99
  hives, 128–131
  hot flashes, 162–167
  infertility, 153–154
  insomnia, 30–36
  irritable bowel syndrome (IBS), 112–117
  joint pain, 55
  lower back pain, 56–59
  low libido, 150–153
  menopause, 162–169
  muscle aches and strains, 56
  neck pain, 54–55
  nightmares, 40–42
  non-asthmatic breathing problems, 70–75
  peptic ulcers, 118–121
  rashes, 128–131
  rhinitis, 76–81
  scars, 141–143
  seasonal conditions, 81–85
  sinusitis, 76
  sleep apnea, 37–39
  sore throat, 70–75
  sunburn, 127–128
  toenail fungus, 139–141
  vaginal dryness, 155–156
  vaginal yeast (Candida) infections, 156–159
  wounds, 141–143
D
digestion. See also foods
  acid reflux, 105–110
  agni, 87, 88, 94
  ajwain, 74
  ama, 156
  Avipattikar churna, 109
  bad breath, 94–95
  bowel movements, 90, 113
  clothing and, 108, 116, 121, 125
  dehydration, 101–105
  exercise and, 90
  fennel seeds and, 121
  gastric (peptic) ulcers, 118–121
  gastroesophageal reflux disease (GERD), 105–110
  ginger, 121
  guggulu, 99
  heartburn, 105–110
  high cholesterol, 96–99
  hing (asafoetida), 112
  hormones and, 88
  H. pylori, 118, 121
  irritable bowel syndrome (IBS), 112–117
  kanji, 120
  licorice tea, 38, 106, 121
  manda agni, 156
  menopause and, 164
  mental health and, 88, 91
  microbiome, 89, 144
  moringa, 121
  oil pulling, 93, 95
  oral microbiome, 92–93
  peptic ulcers, 118–121
  polyphenols, 119
  psyllium husk, 99
  shilajit, 99
  sleep and, 91
  slippery elm, 117, 121
  stress and, 90, 108, 110
  teeth, 92–93
  triglycerides, 96
  triphala, 91, 111, 117
  turmeric tea, 121
  vagus nerve, 88, 105, 117
  visualization and, 108
  weight loss, 111
F
foods. See also beverages; digestion; recipes
  acid reflux and, 106
  acne and, 125–126
  aging and, 182
  allergies and, 81–83
  amalaki, 99
  andropause and, 160
  appetite, 22
  bad breath, 94
  blood flow and, 151
  breakfast, 24
  Breathe Free Soup, 72–73
  burns and, 141
  Candida infections and, 157–158
  colds and, 70
  cough and, 70
  dehydration and, 102–103
  dreaming and, 41
  dry skin and, 132–133
  ethnic markets, 182
  fish, 21, 57, 67, 90, 97, 124, 148, 153, 160, 172, 182
  food deserts, 182
  gastric (peptic) ulcers and, 119
  gastroesophageal reflux disease (GERD) and, 106
  headaches and, 51, 52, 53–54
  heartburn and, 106
  high cholesterol and, 97–98
  hing (asafoetida), 112
  hives and, 129
  hot flashes and, 164, 166
  hydration and, 102, 125, 103, 132
  infertility and, 153
  insomnia and, 30
  irritable bowel syndrome (IBS) and, 112, 116
  junk foods, 124
  kitchari, 114–115, 166
  longevity and, 172
  lower back pain and, 57
  low libido and, 151
  lunch, 24
  menopause and, 164, 166
  neck pain and, 54
  nightmares and, 41
  non-asthmatic breathing problems, 70
  omega-3 fatty acids, 21, 67, 97, 124, 142
  omega-6 fatty acids, 21
  omega-9 fatty acids, 21
  organic foods, 15, 39, 81, 90, 114, 159, 182
  pain reduction with, 47
  peptic ulcers and, 119
  pesticides and, 182
  prebiotics, 89, 90, 91, 103, 116, 119
  probiotics, 89, 90, 91, 103, 116, 119, 145, 158
  processed foods, 90, 111
  pyramid, 48
  rashes and, 129
  reproductive system and, 151
  respiratory system and, 67
  rhinitis and, 80
  root chakra and, 148
  sacral chakra and, 148
  saturated fats, 98
  scars and, 141
  seasonal conditions and, 81–83
  skin and, 124, 127, 132–133, 142
  sleep and, 21, 24, 30, 31, 35, 43
  sleep apnea and, 37
  snacking, 22, 43, 47, 98, 106, 110, 111, 119, 166
  solar plexus chakra and, 148
  sore throat and, 70
  spicy foods, 129
  sugar, 97, 98, 129, 139
  sunburn and, 127
  supper, 24
  timing of, 24
  toenail fungus and, 139
  tryptophan in, 22
  vaginal dryness and, 155
  vaginal yeast (Candida) infections and, 157–158
  weight loss and, 111
  wounds and, 141
  yogurt, 159
K
Kapha dosha
  abhyanga massage, 138
  appetite and, 22–23
  arthritis, 55
  bhastrika breathing, 176
  Candida infections, 156, 157, 158
  definition, 13
  dehydration and, 102
  digestive health, 22–23, 88, 112
  dosha quiz, 11–12
  dreaming, 40, 41
  elemental combinations as, 10
  ghee and, 164
  headaches, 53–54
  healing and, 13
  high cholesterol, 99
  hives, 130
  infertility, 154
  insomnia, 35–36
  introduction, 10
  irritable bowel syndrome (IBS), 112
  joint pain, 55
  nightmares, 41
  oral care, 92
  pain response, 46
  personality, 13
  rashes, 130
  respiratory system, 66, 67
  rhinitis, 80
  skin care, 135, 137, 138
  sleep, 30, 35–36, 37, 41, 42, 43
  sleep apnea, 37
  stage of life, 163
  tongue and, 92
  vaginal yeast (Candida) infections, 156, 157, 158
  wash routine, 137
  weight and, 101, 102, 111, 154
P
pain
  abhyanga massage, 50
  ajwain, 74
  awareness, 46
  body scan, 49
  causes, 46
  clothing and, 50, 58
  doshic response, 46
  exercise as response to, 49
  food for reduction to, 47
  headaches, 51–54
  hobbies as response to, 50
  joint pain arthritis, 55
  lower back pain, 56–59
  Marma therapy, 52, 53
  massage and, 50
  meditation and, 49, 60–63
  muscle aches and strains, 56
  natural relief, 50
  neck pain, 54–55
  Panchakarma protocol, 58
  professional advice, 49
Pitta dosha
  abhyanga massage, 138
  acid reflux, 105
  acne, 125
  andropause, 160
  appetite, 22–23
  arthritis, 55
  Candida infections, 156
  definition, 13
  digestive health, 22–23, 88, 91, 105, 112, 118
  dosha quiz, 11–12
  dreaming, 40, 41
  dry skin, 131
  elemental combinations as, 10
  gastric (peptic) ulcers, 118
  gastroesophageal reflux disease (GERD), 105
  ghee and, 164
  headaches, 52–53
  healing and, 13
  heartburn, 105
  infertility, 154
  insomnia, 30–31
  introduction, 10
  irritable bowel syndrome (IBS), 112
  joint pain, 55
  lunch and, 24
  menopause, 163, 164
  menstruation, 164
  oral care, 92
  pain response, 46
  peptic ulcers, 118
  personality, 13, 42
  respiratory system, 66, 67
  skin care, 131, 135, 136, 138
  sleep and, 30–31, 40, 41, 42
  stage of life, 163
  tongue and, 92
  vaginal yeast (Candida) infections, 156
  wash routine, 136
  weight and, 101, 154
R
recipes. See also foods
  Be Free of Allergies Smoothie, 84
  Belly-Pacifying Kitchari, 114–115
  Breathe Free Soup, 72–73
  Cumin-Coriander-Fennel (CCF) tea, 38
  dashamula tea, 59
  Extreme Hydration Smoothie, 104
  ginger tea, 50
  ginger-turmeric tea, 57
  Golden Milk, 25
  hibiscus paste, 134
  hibiscus tea, 134
  Hot Flash Soother Smoothie, 165
  kanji, 120
  kitchari, 114–115
  licorice tea, 38, 71
  Ojas Replenishing Treat, 152
  Put Me to Bed Bathing Routine, 29
  talisadi tea, 74
  turmeric tea, 121
  Vaidyagrama Morning Tea, 173
reproductive system
  abhyanga massage, 154, 156, 167
  alcohol and, 151
  aloe vera juice and, 156
  amalaki, 161
  andropause, 159–161
  aphrodisiacs, 150, 151, 153
  ashwagandha, 150, 161, 167
  Bhringaraj oil and, 167
  blood flow and, 151
  brahmi and, 153, 154, 167
  Candida infections, 156–159
  chamomile and, 167
  clothing and, 149, 155, 158
  gokshura, 153, 161
  guduchi, 154
  guggulu, 161
  hot flashes, 162–167
  infertility, 153–154
  licorice and, 156, 161
  love and, 150, 151
  low libido, 150–153
  menopause, 155, 162–169
  ojas, restoration of, 152
  perimenopause, 162, 163
  root chakra and, 148
  sacral chakra and, 148
  safed musli, 151
  shatavari, 149, 154, 156, 167
  sleep and, 151, 154, 167, 169
  solar plexus chakra and, 148
  Triphala powder, 158
  vaginal dryness, 155–156
  vaginal yeast (Candida) infections, 156–159
  valerian root and, 167
  vetiver and, 167
  vidari kanda, 154, 161, 167
  weight and, 151, 154, 161
  yogurt and, 159
respiratory system
  aging and, 172
  ajwain, 74
  allergies, 81–85
  alternate nostril breathing, 31, 38, 41, 68, 119, 166, 175–176
  antihistamines, 85
  bad breath, 95
  Be Free of Allergies Smoothie, 84
  bhastrika breathing, 36, 53, 176–177
  boxed breathing, 38, 41, 68, 177–178
  Breathe Free Soup, 72–73
  Charaka Samhita on, 66
  cleaning chemicals, 68
  clothing and, 68, 69, 80, 83
  colds, 70–75
  cough, 70–75
  deep breathing, 54, 66, 177
  dosha ailment variations, 66, 67
  environmental issues, 77, 80
  essential oil steam, 75
  gandusha (oil pulling) and, 69
  hot flashes and, 166
  insomnia and, 31, 36
  kavala, 69
  licorice tea, 71
  longevity and, 172
  masks, 69, 83
  nasya oil for, 39, 82, 83
  neti pot, 76, 78–79, 81, 83
  non-asthmatic problems, 70–75
  omega-3 fatty acids and, 67
  quercetin, 69, 77, 85
  rhinitis, 76–77, 80–81
  seasonal conditions, 81–85
  sesame seed oil for, 69
  sheetali breathing, 30, 52, 68, 95, 107, 119, 174–175
  sheetkari, 175
  sinusitis, 66, 76
  sitopaladi powder, 71
  sleep apnea, 37–39
  sore throat, 70–75
  talisadi powder, 74
S
skin
  abhyanga massage, 138
  acne, 125–126, 144
  alcohol and, 126
  aloe vera, 134, 143, 145
  antibiotics, 144
  ashwagandha, 131
  burns, 141–143
  castor oil, 143
  clothing and, 125, 127, 130, 142
  dry skin, 131–134
  Eladi Tailam blend, 130
  exfoliating, 126
  foods and, 124, 125–126, 132–133, 139, 142
  ghee, 143
  gotu kola, 143
  guggulu, 140
  hibiscus, 134
  hives, 128–131
  injury care, 141, 143
  licorice tea, 134
  manjistha, 126, 134, 144
  meditation and, 130
  microbiome, 125, 142
  neem, 126, 131, 133, 143, 145
  oil pulling, 134
  omega-3 fatty acids and, 124
  over-washing, 125
  rashes, 128–131
  sandalwood, 128
  scars, 141–143
  sleep and, 133
  stress and, 126
  sunbathing, 125
  sunblock, 128
  sunburn, 127–128
  supplements for, 134
  tanning, 127
  tea tree oil, 140, 143
  toenail fungus, 139–141
  triphala, 131, 140
  turmeric, 126, 128, 140, 142, 143
  vitamin C, 142
  vitamin D, 127
  washing, 125, 126, 131, 133, 135–137, 140, 145
  wounds, 141–143
  zinc, 142
sleep
  abhyanga massage, 42
  acid reflux and, 107
  age and, 18, 19, 20
  aids for, 28
  alternate nostril breathing, 31
  bathing routine, 29
  benefits, 18, 20, 21, 43
  beverages and, 22, 24, 25, 28, 37, 38, 41
  breathing and, 36, 38
  CBD/THC tincture, 169
  cholesterol and, 99
  circadian rhythms, 19
  clothing and, 42
  Cumin-Coriander-Fennel (CCF) tea, 38
  deep sleep, 18, 20
  didgeridoo and, 39
  digestion and, 91
  electronics and, 19, 27–28
  exercise and, 20, 36, 38
  fats and, 21, 24
  foods and, 21–22, 24, 30, 31, 35, 37, 41, 43
  gastric (peptic) ulcers and, 121
  gastroesophageal reflux disease (GERD), 107
  Golden Milk, 25
  grounding and, 32
  head position, 27
  heartburn and, 107
  heart rate variability (HRV), 19
  insomnia, 18, 20, 30–33, 35–36
  journaling and, 27, 31
  libido and, 151
  light sleep, 18
  Marma therapy, 32, 33, 34
  massage, 34, 42
  melatonin, 19, 27, 28, 36
  memory and, 20
  menopause and, 167, 169
  monitoring, devices for, 19
  natural rhythm, 19
  nightmares, 40–42
  rapid eye movement (REM), 18
  reproductive system and, 151, 154
  sheetali breathing, 30
  skin and, 133
  sleep apnea, 37–39
  space for, 27, 42
  stages, 18
  support for, 19
  temperature and, 20, 27
  tryptophan, 22
  Vastu Shastra and, 27
  waking consciousness, 18
V
Vata dosha
  abhyanga massage, 138, 174
  andropause, 160, 161
  appetite and, 22–23
  arthritis, 55
  definition, 10
  digestive health, 22–23, 88, 112, 118
  dosha quiz, 11–12
  dreaming, 40, 41
  dry skin and, 131, 133
  elemental combinations as, 10
  gastric (peptic) ulcers, 118
  ghee and, 164
  headaches, 51–52
  healing and, 13
  hot flashes, 163, 164, 167
  infertility, 154
  insomnia, 31–33
  introduction, 10
  irritable bowel syndrome (IBS), 112
  joint pain, 55
  lower back pain, 56, 59
  menopause, 163, 164, 167
  oral care, 92
  pain response, 46, 50, 51–52, 56, 59
  peptic ulcers, 118
  personality, 10
  Put Me to Bed Bathing Routine, 29
  respiratory system, 66, 67
  skin care, 131, 133, 135, 138
  sleep and, 30, 31–33, 40, 41, 42
  stage of life, 163
  tongue and, 92
vaginal dryness, 155
wash routine, 135
weight and, 101, 154
To Larry, for making our home a healing place and our
hearts a loving space.
Quarto.com
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