Showing posts with label Ayurvedic Medicine. Show all posts
Showing posts with label Ayurvedic Medicine. Show all posts

Saturday, December 14, 2013

Calming the Vata winds of the holiday season!

The festive season of fall and winter is a time of reflection on the year gone by and a time to be thankful for one’s blessings. It is also a time of overindulgence in seasonal treats, which compromises the body. To counteract these effects, traditional cultures of the world have devised some simple lifestyle techniques that I use in my Integrative Medicine practice.

Integrative Medicine is the coalescence of modern Allopathic medicine with an upcoming field of medicine called Functional Medicine and traditional and complementary healing methods like Ayurveda. Traditional Chinese Medicine, Acupuncture, Mind-Body healing techniques like yoga, meditation, and healing touch, to name a few.  These tools in the tool-box of any Integrative Medicine practitioner are pulled out at the appropriate time. Integrative Medicine is truly “whole”ness in medicine. It is as individualized as it gets! While my main area of focus is Functional Medicine (finding out the root cause of illness, i.e. the ‘how’ and ‘why’ of any disease process), I do integrate it with other ancient healing arts, my favorite being Ayurvedic Medicine, which was an integral part of my upbringing in India.

Ayurveda, a 5000-year-old consciousness based healing tradition from India, is made up of two Sanskrit root words, Ayus (life), and Veda (knowledge) — Ayurveda means the knowledge or wisdom of life. Ayurveda’s premise is that we are an inseparable part of the universe, so are most certainly impacted by even the subtlest of changes in our environment.

According to Ayurveda, at the time of conception each one of us is infused with a different proportion of the five great elements (known as “The Panch Mahabhutas”) — Space (Akasha), Air (Vayu), Fire (Tejas), Water (Jal) , and Earth (Prithvi) which contributes to three major mind-body constitutions or body types of Ayurveda (Doshas) namely, Vata (preponderance of space and air), Pitta (preponderance of fire and water), and Kapha (preponderance of water and earth). While detailed discussions of these three Ayurvedic mind-body types and their subtypes is beyond the scope of this article, it is pertinent to state that the objective of any integrative physician should be to understand and evaluate their patient’s unique Dosha and to try and restore it back into balance.
Environmental changes are very closely mirrored by our body systems. During such transition periods it is of utmost importance to give our body as much nourishment as we can, so with minimal effort it continues to maintain harmony of all organ systems. At these times, I would prescribe an individualized regimen of lifestyle, diet, sleep, exercise, and mind-body techniques to match, balance and support my patient’s individual constitution.

Fall and winter is Vata season (November through February). Vata Dosha controls all movement in mind and body, i.e. blood flow, breathing, waste elimination, movement of thoughts, to name a few. It even governs the movement of Pitta and Kapha Doshas, hence Vata is rightly considered the leader of the three. It is imperative to keep Vata in a balanced state at all times since when out of balance, it pushes the other two Doshas out of balance very easily. The qualities of Vata Dosha are: cold, dry, rough, light, windy and irregular, so an increase in these qualities during the Vata season can cause dry, cracking, dull and rough skin; exacerbate worry, anxiety, irritability, spaciness and sleeplessness (insomnia) in some; cause slowing or irregularity of the bowel transit time leading to constipation, gas, bloating and IBS-like symptoms; cause spells of forgetfulness; painful joints and even easy fatigability.

If one is predominantly of Vata constitution, that is, eating mainly a Vata-aggravating diet (cold, raw foods and liquids), living a Vata-aggravating (irregular schedules) lifestyle, or is in the Vata time of life (from 60 years of age on up), the effect of Vata imbalance on skin, mind and all body organs is even stronger. To counter these, Ayurveda suggests some simple but very effective techniques that reduce the chances of forming toxic residues (Ama) and enhance the flow of vital life force energy (Praana) and build the sweet essence of health and vitality (Ojas) within us:
Abhyanga: Daily full-body self-massage using warming and heavy Dosha specific Ayurvedic essential oils
•Stay warm, keeping the skin, head and ears covered to prevent further drying and loss of moisture;
•Preferentially using natural silk or wool clothing rather than synthetics;
•Using sweet and floral essential oils in your warm bath regularly;
•Diet:  Ayurveda recommends cooking with Dosha specific herbs and spices; drinking warm fluids throughout the day; eating fresh, warm and well-cooked foods and avoiding raw and cold foods like salads. Most certainly avoid processed, stale foods including left-overs as they have no life force or Praana left in them.
•Eat largest meal around noon when the digestive fire (Agni) is at its strongest. To pacify Vata, sweet, sour and salty tastes are best eaten at this time. Eat your meals in a peaceful environment.
•If you are expecting some dietary indiscretions in the day, sip ginger tea or eat some sliced ginger a few minutes before your meal.
•Avoid all stimulants: caffeine, nicotine;
•Practice breathing exercises (Pranayama) daily, especially when stressed and anxious;
•Meditate; practice Yoga daily;
•Maintain regular sleep-wake schedule in spite of irregular and demanding holiday schedules. Routine is the key!
•Ensure regular daily bowel elimination to prevent build up of toxins.
•Keep some “me” time in the midst of the chaos.

My aim is to help explore these expansive wonderful fields of Integrative Medicine and Functional Medicine with the intention to empower one with the basic knowledge of how ‘real’ food and a nourishing lifestyle not only prevents illness but creates a positive impact towards leading “whole-istic” lives.

Cheers to a blessed, healthy and safe ‘Vata’ season in this New Year!

This article by Dr. Manisha Ghei was first published in HUM Magazine.

Saturday, October 22, 2011

"Integrative Medicine…...Oh, you mean Alternative Medicine"!

Whenever I mention that I am an Integrative Medicine physician, I am asked the question, "what is that"?  The next statement usually is, "you mean you practice Alternative Medicine" or "is that Holistic Medicine"?  So, I thought that I should begin this exciting journey with my new blog on..... What exactly is Integrative Medicine? 

Integrative Medicine, as the name suggests, is an integration of modern Allopathic medicine with a new and upcoming field of medicine called Functional Medicine and age old traditional and complementary healing methods like Ayurveda, Traditional Chinese Medicine, Acupuncture, Herbology, Energy Medicine and Mind-Body healing techniques like yoga, meditation and  healing touch among others. This is truly "whole"ness in medicine. 

I am a Board Certified Internal Medicine Physician who after graduating from medical school and residency, started my private practice of Internal Medicine and over years cared for thousands of patients in an out-patient set up as well as in the hospital, which included caring for them in the Intensive Care Unit. Throughout this time, I was constantly plagued by the feeling that something was missing in the way we were treating our patients. I finally realized that, the system of using the paradigm of acute care medicine towards treating chronic conditions was totally flawed and failing. In many instances it led to creation of new problems, due to long term mindless drug therapy, without delving into the real cause for the illness. I had decided that I was not going to be a party to this "band-aid" system of medicine where symptoms were being covered without finding the root cause.  Hence, began my journey into the field of Integrative Medicine and Functional Medicine( please see my website praanaim.com for more information on What is Functional Medicine). 

I am also board-certified in Integrative and Holistic Medicine and now practice Internal Medicine with an integrative and functional medicine approach. My patient and I are in a healing partnership where I am there to listen to them with empathy, advise and empower them with lifestyle tools, but the patient understands and takes the ultimate responsibility for the impact of his/her lifestyle choices and decisions on their health.  As an integrative physician, I am a part of a small but rapidly growing body of medical doctors who are trained to dig deep down and try to find the fundamental  causes for the disease process. In my experience most of these are related to poor nutrition and lifestyle choices and so, are reversible.  At times, I also find that one individual may be genetically predisposed to getting an illness more than another one. in those cases, I work with the patient at length and attempt to educate them on how food and lifestyle choices can help alter that genetic tendency (i.e. genes are the loaded guns ..... lifestyle pulls the trigger!).  Of course, there are circumstances where modern medicine options like drugs and surgical treatment become necessary but my aim is to reduce their use and need as soon as it is possible after the acute event is over.

At my office, we practice lifestyle medicine which is in the real sense, Preventive Medicine.  Many chronic ailments like type 2 diabetes, high blood pressure, high cholesterol, obesity, metabolic syndrome, irritable bowel syndrome, polycystic ovarian syndrome, allergies among many others can and have been 'cured' with simple, therapeutic lifestyle changes.  During the extensive investigation into the cause of an illness, we try to assess our patient's dietary choices and patterns, nutritional needs, exercise and movement habits, sleep hygiene, stress management abilities and skills, inter-personal relationships, family and community dynamics and support systems and spiritual needs, among other factors.  The intention is to heal the mind, the body and the soul!  This approach of integrating my Western  Internal Medicine training  with other scientifically-based treatment modalities which have stood the test of time, has helped my patients recover not only from their 'dis-ease' but has given them skills for achieving lifelong health as well as mind and body healing and vibrancy during the natural aging process.  

It is my constant attempt in my practice, to give my patients the tools needed to take charge of their health with simple and easy changes and also help them understand the connections between their genes and the environment. My aim, on this blog is to explore with all of you, this expansive wonderful field of Integrative Medicine and the intention is to empower you with the basic knowledge of how 'real' food and nourishing lifestyle can not only prevent illness but create a positive impact towards leading "whole-istic" lives.  Of course, there will be times when I will blog about something relevant to food,  nutrition and health that is interesting in the news and possibly useful to the readers.

In the end I would like to congratulate you, the readers and all my patients who are leading the movement towards a shift in the way medicine will be practiced in the future.  You are willing to take your health in your own hands and are demanding more and are showing that status quo in medicine will not work!  I would be lying if I claimed that Integrative Medicine does not face challenges every day and I hope to discuss those challenges with you in some of my future posts. It is my vision that it is not far from becoming the standard of care...... a few baby steps at a time in our journey together on this path, and I am confident that this will happen sooner than later!