Skin Diseases of Adolescence

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by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

Adolescence represents a time of the greatest change humans experience during their lifetime--the dramatic shift from childhood to adulthood, with all the attendant reproductive capabilities. At one end of adolescence is an innocent child and at the other end a fully grown man or woman. This dramatic time of transformation effects doshic changes that, more often than not, lead to the skin diseases of adolescence, acne vulgaris and keratosis pilaris.

Puberty, the defining event of adolescence, consists of a number of phases of hormonal change that bring to an end the kapha time of life and usher in the pitta time. The first change, occurring about a year before puberty proper, is adrenarche, the maturation of the adrenal cortex, signalled by the appearance of pubic and axillary hair. Adrenarche involves production of the adrenal androgen dehydroepiandrosterone sulfate (DHEA-S). With DHEA-S to stimulate androgen production, gonadarche or maturation of the hypothalamic-pituitary-gonadal axis (HPG axis) occurs about one year later. The rapid changes of this time provoke vata while the onset of the pitta time of life with its attendant androgens can lead to a state of pitta provocation that endures until the body's physiology learns to adapt to its new, adult state.

Skin diseases of adolescence affect upward of 85% of all adolescents in varying degrees of severity. Acne vulgaris is a nearly universal skin disease afflicting 79% to 95% of the adolescent population in Westernized societies (1,2), while keratosis pilaris affects 50-80% of all adolescents. Appearance is extremely important to adolescents, who may suffer intensely due to even a benign or harmless skin condition. To make matters worse, severe acne may leave scars that are permanently disfiguring. Another pitta condition that soars during adolescence is suicidal depression, which may be exacerbated both by the disfigurement of a facial skin disorder as well as by some of the prescription medications given for these conditions (3).

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Remedies for Menstrual and Premenstrual Problems

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by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

The moon, the tides of the ocean and woman, these three cycle together each month. A woman's monthly bleeding sets her apart from all other females, none of whom have menstruation as part of their reproductive physiology. Mysterious and powerful, a woman's cycle is a source of her deep connection to the moon and the cycles of nature. Yet all too often, her cycle is experienced as troublesome and painful rather than as enriching. One of the most important things an Ayurvedic practitioner can do in the care of a younger woman is to help her have a positive experience of her menstrual cycle. PMS and menstrual cramps rob a woman of the potential richness of this experience and can lead to her feeling negative about her femininity. This in turn can create worse problems such as malignancies in the reproductive system.

Remedies for Allergy Season

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by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

A home medicine chest for allergy season can help get through a time of year that would be delightful were it not for the allergies. To make your kit, first determine whether your allergies--or those of your family or clients--involve vata, pitta or kapha. Then you can build the appropriate home medicine chest with remedies for before, during and after allergy season.

Pitta allergies and hay fever express in very red, sore eyes and sore, red, inflamed and itchy nose. It may feel exactly as if you have been chopping onions. You may run a low fever or feel tenderness throughout your body. The liver area may be sore and tender and you may feel unusually irritable. Exposure to bright sunlight sets off sneezing attacks. There are some allergens that are notorious for setting off pitta allergies in people of any constitution. Citrus blossoms, for example, can initiate a pitta allergy attack because the pollen is so hot, sharp and sour. The same applies to the pollen of anacardiaceae or members of the Sumac family such as mangoes and cashews.

Kapha allergies manifest with a dull, heavy feeling in the head, very stuffy nose and sinuses, a feeling of fullness in the face, swollen eyes, lethargy and sleepiness, and copious mucus production. There may be onset of asthma related to post-nasal drip. Some damp-related allergens such as molds will set off kapha allergies and asthma in susceptible people of all constitutions.

A vata-caused allergy attack could be set off by exposure to dry dust and would typically involve a feeling of excess dryness and pain in the nose and sinuses, as well as a dry, hoarse feeling in the throat. Spasmodic asthma may result in severe cases. However, above and beyond these typical vata manifestations, it is very important to be aware of the role of vata in allergies that appear to be related to pitta or kapha. The doshas that are present throughout the body are not necessarily those that are expressing in the head. It is often the case that vata may push the other doshas to the head. In fact, it is in this situation that Ayurvedic analysis really comes into its own.

Working with Marijuana Smokers

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by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

In the last edition of Banyan Vine, we talked about working as an Ayurvedic practitioner with individuals who smoke tobacco. In this edition, we will look at issues involved in working with Marijuana smokers.

Despite its illegal status, Marijuana smoking is extremely prevalent in an increasingly wide age group, from the Baby Boomer generation down. Vietnam veterans, old hippies, would-be Rastas, college students and high school students are likely candidates for this habit. Vata smokes Marijuana calm down, pitta to, "Mellow out" and feel less angry and driven, kapha to suppress deep-seated grief. Of the three types, however, pitta, endlessly over-achieving, is the most susceptible to the lure of Marijuana. It is pitta too, who receives the most negative impact from Marijuana, a pitta toxin.

Two common misconceptions support pot smokers in their habit. First is the belief that Marijuana is harmless or even beneficial for health. The second is that ganja or marijuana is sacred and hence its use is not merely condoned, it is even enjoined. In India, where ganja is a native plant, there is a very ancient history of its use under specified conditions. Based on this long experience, Ayurveda is aware of significant physical, emotional and spiritual consequences of Marijuana use.

Alakananda's Basque Pie

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This is a great vegetarian centerpiece for a Christmas or New Year's dinner as well as a fine winter meal.

 

Serves 6-8

 

3 carrots,                                                

3 turnips,

2 rutabegas,                                             

2 Parsnips,

3 medium zucchini,                                  

3 golden beets,

3 celery stalks,                                         

2 heads of broccoli,

2 large portabello mushrooms,                   

2 cloves garlic,

3 medium tomatoes,                                 

1 bunch Italian parsley,                    

1handful rosemary

1 handful  sage                                          

 1 teaspoon salt

½ tablespoon thyme                                  

fresh ground black pepper to taste

3 lbs potatoes organic, Yukon gold are best

4 ounces butter                                        

½ cup whey                          

Sheep pecorino

 

Slice the root vegetables and the  zucchini,  cut the celery in1/2" thick pieces and the broccoli in florets.Lightly sautee the veggies and arrange in bottom of a large baking dish.Add olive oil, chopped herbs, sliced tomatoes, salt, pepper, and garlic cloves.Meanwhile, boil the potatoes.Mash the cooked potatoes with salt, pepper, butter, and whey. Spread on top of the veggies.Grate parmesan on top, cover with foil and bake at 375 degrees for at least 50 minutes or an hour.At the end, take off the foil to brown the top for about ten minutes. Vegans can substitute sunflower oil for butter and rice milk for whey and use a vegan cheese substitute.

 

 

 

 

 

 

 

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Rejuvenating Vata

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by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

Rasayana or rejuvenation for vata is needed in a variety of vata-related situations. In individuals of vata prakruti, during the management of diseases due to vata, in the vata season (autumn) and in the vata time of life, from age fifty onwards, it is important to address vata rasayana. Rejuvenation of vata is also important for those who live in jangala desha, the vata-predominant regions that are arid, with less vegetation and much high wind.(1) In terms of the United States, this description of jangala desha incorporates most of the desert and mountain West, with its high altitudes and arid or semi-arid conditions.

The king of vata rasayana herbs is of course Ashwagandha (Withania somnifera) also known as winter cherry. Ashwagandha is a shrubby plant with greenish-yellow flowers and red berries. "Ashwagandha reduces increased vata and kapha and cures vitiligo, oedema, and wasting. It acts as a tonic and tissue vitalizer. It is bitter and astringent in taste and hot in potency and increases the quality and quantity of semen." (2)

Although it is particularly famed for its action on the deeper dhatus, majja and shukra, Ashwagandha rejuvenates the dhatu agni of all seven dhatus. This broad spectrum activity is perhaps related to the large number of active principles in the herb root. The main active principles in Ashwagandha are steroidal alkaloids and steroidal lactones. At least thirty five different withanolides, or steroidal lactones as well as twelve alkaloids have been identified in Ashwagandha. Withanolides have anti-oxidant and adaptagenic actions and suppress generation of free radicals (ageing factors). They are anti-inflammatory, immunomodulatory and anti-cancer. They act on majja dhatu in supporting nerve regeneration and ameliorate beta amyloid neuronal dysfunction in Alzheimer's disease. (3, 4)

Rakta Shodhan - Blood Cleansing

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by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

Spring is here, and as the sap rises in the trees, its time to consider the sluggish, stagnant energy in the biliary tree. The rakta dhatu, comprising the blood, liver, spleen and gall bladder, needs to be cleansed at this season of the year, just as gardens need to be cleared of dead foliage and trees and shrubs need to be pruned. Rakta shodhan, or blood cleansing, is vital as a preliminary to spring pancha karma. It is also essential for those who suffer from allergies such as hay fever. In the case of allergies, it is best to start a programme of blood cleansing a month before peak allergy season. The liver is the root of the rakta dhatu, so herbs that cleanse the blood also cleanse and remove stagnation from the liver, helping that organ to detoxify allergens. Blood cleansing in spring is also important for prevention of pitta issues such as acne, boils, and eczema, which may otherwise become exacerbated once the hot weather arrives.

Since time immemorial, ancient cultures have instituted a spring cleanse as integral to their annual rituals. The Canaanites burnt the old, mouldy wheat and refrained from wheat for eight days while fermenting their new dough starter from fresh winter wheat. Jewish people, in a continuation of that practice, abstain from all gluten grains for eight days, with the exception of matzo--a crisp, dry, more kapha-soothing food. Roman Catholics traditionally used to follow a vegetarian diet for forty days during Lent, while Greek and Russian Orthodox believers follow an even longer and stricter Lent. Sacralized by the dictates of religion, these practices embody the collective prajna in maintaining the health of the community through a regular spring cleansing process. As these traditions teach, blood cleansing brings much more than absence of disease. Mental clarity, emotional joy and spiritual upliftment can be enhanced by blood cleansing.

by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

Introduction
In this paper we will present brief case histories demonstrating how medical testing validated pulse diagnosis. Using the system of pulse reading described in Secrets of the Pulse by Dr. Vasant Lad, we will indicate the original pulse reading, the Ayurvedic diagnosis based on that reading, the initial medical diagnosis and the definitive medical diagnosis based on surgery, biopsy or CAT scan. We will show how skillfully applied pulse diagnosis can be used to dispel needless fears, to prevent relapses and to provide a non-invasive method of early diagnosis of life threatening problems.

In using pulse reading as a tool for early diagnosis, we will frequently refer to a phenomenon known as gandhakal or, "indicator of critical time". Felt at the fifth level or dhatu pulse, this is an irregular quality of beat noted at a particular dhatu. The gandhakal may have either a vata, pitta or kapha quality. It is also possible to note a tridoshic gandhakal, which consists of three irregular beats endowed with the respective qualities of vata, pitta and kapha spikes. This tridoshic gandhakal is an important indicator of a malignancy or other tridoshic disorder in the relevant dhatu.

Polycystic Ovarian Syndrome

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by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

In a previous article we surveyed the field of female infertility. In this article we will look more deeply into one of the most common causes of menstrual irregularity, hormonal imbalances and infertility, a grouping of symptoms known as polycystic ovarian syndrome. We will see how Ayurveda brings added depth to the understanding of this poorly understood condition and can offer treatment options that are more than merely symptomatic.

With a prevalence of 6-10% of the female population, PCOS is a common cause of morbidity, infertility and quite possibly of increased risk of mortality. (1) PCOS is a syndrome characterized by multiple small cysts on the ovaries, menstrual irregularities and features of excess androgen production such as hirsutism (excess facial or body hair), male or female pattern balding, acanthosis nigrans and acne. Not all women affected with PCOS have all thee features but to make a diagnosis of PCOS, at least two of these three characteristics must be present. In terms of menstrual irregularity, menses may be irregular; there may be oligomenorrhoea (reduced frequency of menstruation) or amenorrhoea (periods of six months or more without menstruation). Menstrual irregularity is noted from menarche on. As one menopausal patient noted, "First I was told that my periods were irregular because I was young, then because I was under stress in school, then because I was travelling and then because I was premenopausal. From the day of menarche, my periods were never regular."

Pandemic Influenza: An Ayurvedic Perspective

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by Alakananda Devi (Alakananda Ma), M.B., B.S. (Lond.)

Recorded talk by Alakananda on Pandemic Influenza

Influenza viruses responsible for causing pandemics are influenza A viruses which emerge as a result of a process called "antigenic shift" causing sudden, major change in certain proteins on the surface of the influenza A virus. This change is great enough that the body's immune system finds the new virus unrecognizable. Unlike seasonal or epidemic flu--which causes mortality mainly in elderly or sick subjects--pandemic flu kills young, healthy adults with strong immune systems. The 1919 Spanish flu pandemic killed 20-100 million people--a much greater lethality than WWI. This was caused by a type of H1N1 virus. The virus currently originating in Mexico is also an H1N1, which has mutated to a form never seen before. A vaccine has not been developed for this new virus and there is no certainty that existing flu vaccines will provide protection.

Much of the severity of pandemic flu may result from over-reactivity of the immune system, a process known as 'cytokine storm' which results in severe lung damage and ultimately necrolysis of the vital organs. In this situation it is vital to avoid immune stimulants such as Echinacea or Immune Support which are so valuable in epidemic and sporadic influenza. Honey should not be used for the same reason. Turmeric is the ideal herb to use in this situation since it will both fight the virus and calm the immune response. Tulsi and neem will be valuable for the same reasons.

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