Āyurvedic Practitioner: Educational Outline for Competency

Transcription

1 Āyurvedic Practitiner: Educatinal Outline fr Cmpetency The Āyurvedic Practitiner is a prfessinal with additinal training in pathlgy and disease management beynd that f the Ayurvedic Health Cunselr. These prfessinals als practice preventive healthcare and health prmtin, using diet and lifestyle. (The recmmended hurly range f training fr this categry is hurs). Prerequisite: 6 credits f cllege level anatmy & physilgy. Nte: a cllege level credit is defined as 15 cntact hurs per credit unit. This is a standard seen at mst universities/clleges that run n a semester schedule. It is als in agreement with the federal definitin f a credit hur. SECTION 1: FOUNDATION OF ĀYURVEDA NAMA Scpe Descriptin: The practitiner has a strng understanding f the histry, philsphy, fundamental principles and basic vcabulary f Āyurveda. Understands Definitin f Āyurveda, Histry f Āyurveda, Aṣṭāṅga Āyurveda (eight branches f Ayurveda), Bṛhat trayī (three primary texts f Ayurveda), Laghu trayī (three secndary texts f Ayurveda) Understands Sāṁkhya Philsphy - Prakṛti (primrdial nature), Puruṣa (eternal cause) - Mahat (causative Intelligence) - Ahaṁkāra (eg Principle) - Manas (mind) - Pañca tanmātras (five subtle elements) - Pañca jñānendriyas (five sense rgans) - Pañca karmendriyas (five rgans f actin) - Pañca mahābhūtas (five grss elements) - Relatinship f jñānendriyas (five sense rgans), karmendriyas (five rgans f actin), tanmātras (five subtle elements) and mahābhūtas (five grss elements) SECTION 2: CONCEPTS OF ĀYURVEDA Twenty Qualities (Guṇas) NAMA Scpe Descriptin: The practitiner has skills and cmpetence in determining which guṇas (qualities) are predminant in prakṛti (individual cnstitutin) and vikṛti (pathlgical cnditin) and demnstrates the fllwing abilities: T determine the rle and influence f the 10 pairs (r 20 ttal) f ppsing qualities (gurvādi guṇas) in the prakṛti (individual cnstitutin) and vikṛti (pathlgical cnditin) thrugh the data received frm the histry and examinatin f the client. 1

2 Related Pre-requisite r Cmplementary Knwledge f: The 10 pairs f ppsing qualities (gurvādi guṇas) assciated with the five elements (pañca mahābhūtas) and the three dṣas and thse that vitiate the dṣas. The guṇas (qualities) causing dṣas t accumulate and becme aggravated. Hw diet, climate, seasn and age impact the guṇas (qualities) and subsequently cntribute t the cause f disease What cnstitutes excess, deficiency and the imbalance f the guṇas (qualities) in dṣa vikṛti (pathlgical cnditin) The thery f similar and dissimilar and balancing the guṇas (qualities) thrugh prper daily and seasnal rutines fr a persn f each cnstitutinal type Prakṛti (Individual Cnstitutin) and Vikṛti (Pathlgical Cnditin) NAMA Scpe Descriptin: The practitiner has the skills required t assess the physical and mental prakṛti (individual cnstitutin) and dṣic imbalance using Āyurvedic methdlgy (trividha [three-fld diagnstic methd], aṣṭavidha [eight-fld diagnstic methd], and daśavidha parīkṣā [ten-fld diagnstic methd]), aṣṭavidha and daśavidha parīkṣā). The practitiner has knwledge f: Three-fld Diagnstic Methd (Trividha Parīkṣā) Observatin (Darśana) Tuch (Sparśana) Questining (Praśna) Eight-fld Diagnstic Methd (Aṣṭavidha Parīkṣā) Pulse Assessment (Nāḍī Parīkṣā) Urine Assessment (Mūtra Parīkṣā) Stl Assessment (Mala Parīkṣā) Tngue Assessment (Jihvā Parīkṣā) Speech and Vice Assessment (Śabda Parīkṣā) Skin Assessment (Sparśa Parīkṣā) Assessment f Eyes (Drika Parīkṣā) General Appearance f external features - Face, Nse (Ākṛti Parīkṣā) Ten-fld Diagnstic Methd (Daśavidha Parīkṣā) Dūṣyam Structural and functinal abnrmalities f the bdy Deśam Gegraphical nature f the place where client lives Balam Physical strength 2

3 Kālam The seasn and climatic cnditins Analam The digestive system f the client Prakṛti Cnstitutin Vayas Age f the client Sattvam Psychlgical nature f the client Sātmyam General and persnal habits f the client (i.e. smking) Āhāram Nature f the patients diet and sensry intake (e.g. vegetarian r nn-vegetarian) Additinal items: Quality f dhātus (sāra) Physical build (samhanana) Measurement f bdy: height, weight, psture, circumference f head (pramāṇa) Ability t adapt (satmya) t diet (āhāra), herbs (dravya) and lifestyle and behavir (vihāra) Ability t digest (āhāra śakti) Stamina, endurance and capacity t exercise (vyāyāma śakti) Related Pre-requisite r Cmplementary Knwledge f: - Tridṣa thery including the 10 pairs f ppsite qualities (gurvādi guṇas) - Physical and mental attributes in a prakṛti (individual cnstitutin), including but nt limited t height, weight, clr f eyes, skin, mental abilities, memry, intellect, diet, tastes, digestive fire, quality f skin, temperature, hair, appetite, eliminatin, stress factrs - Physical and mental attributes that change with time: diet, climate, seasn, stress and envirnment - Changes in vikṛti (pathlgical cnditin) due t changes in agni (digestive fire), guṇas (qualities) resulting in digestive disrders, appetite and eliminatin changes - Attributes (guṇas) that cause the dṣas t accumulate and becme aggravated - Diet (āhāra) and lifestyle (vihāra); hw diet, climate, seasn and age impact the prakṛti (individual cnstitutin) and subsequently cntribute t dṣa vikṛti (pathlgical cnditin) and cause f disease - What cnstitutes excess, deficient and the imbalance f dṣas within their wn site - Thery f similar and dissimilar and balancing the dṣa vikṛti (pathlgical cnditin) thrugh a prper daily rutine, seasnal rutine and basic six tastes (rasa) fr a persn f each cnstitutinal type Dṣas, Sub-dṣas, Dhātus (Tissues), Srtas (Pathways) NAMA Scpe Descriptin: The practitiner is able t shw skill and cmpetency in determining the state f dṣas, sub-dṣas, dhātus (tissues), upadhātu (by prducts f nutritin) and srtas (pathways), then able t assess the fllwing: 3

4 The practitiner is able t assess the state f dṣas, and sub-dṣas, dhātus (tissues), upadhātus (by prducts f nutritin), and srtas (pathways) invlved thrugh bservatin (darśana) asking questins (praśna) and palpatin (sparśana) and is able t interpret the infrmatin received. Interview/Questining (Praśna) Asking questins abut the current state f digestin, eliminatin, sleep, stress level, energy level and emtinal level. Observatin (Darśana) The ability t interpret infrmatin that has been received upn bservatin (darśana) t determine the invlvement (vitiatin) f dṣas, sub-dṣas, dhātus (tissues) and srtas (pathways). Palpatin (Sparśana) The ability t interpret infrmatin that has been received upn palpatin (sparśana) t determine the invlvement (vitiatin) f dṣas, sub-dṣas, dhātus (tissues) and srtas (pathways). Related Pre-requisite r Cmplementary Knwledge f: - Healthy dhātus - tissues (dhātu sārata signs f ideal tissues). Hw t prperly examine the client utilizing the methds f trividha (three fld clinical assessment), aṣṭavidha (eight fld clinical assessment), daśavidha parīkṣā (ten fld clinical assessment) - Definitin, qualities, lcatins, actins and functins f the three dṣas and 15 sub-dṣas - Causes f imbalance, signs f imbalance f the three dṣas and 15 sub-dṣas - Definitin, lcatin and functin f the dhātus (tissues) and hw they are frmed. - Definitin f upadhātus (by prducts f nutritin) and dhātu malas (waste prducts f nutritin) - Relatinship between dhātus (tissues), upadhātus (by prducts f nutritin) and dhātu malas (waste prducts f nutritin) - Definitin, types, qualities and functins f jas (essence f life) - Relatinship f dṣas and dhātus (tissues) - Definitin, rigin and functin f the srtas (pathways) - Factrs causing abnrmality f dhātus (tissues) - Aggravatin (vṛddhi) and depletin (kṣaya) f the dṣas and dhātus - Nrmal and abnrmal functins f strtāṁsi (pathways) Agni, Āma, Malas NAMA Scpe f Descriptin: The practitiner is able t assess the state f the malas (waste), agni (digestive fire) and āma (undigested material) thrugh questining (praśna) and bservatin (darśana). The cunselr has the fllwing skills: Ability t determine the state f agni (digestive fire) by questining the client upn intake (rugṇa patrakam). 4

5 Questining abut appetite, digestin and eliminatin Ability t recgnize the signs and symptms f āma (undigested material) in the bdy Questining abut digestin Observatin f tngue, stls and bdy dr Ability t recgnize the signs and symptms f nrmal and vitiated mala Questining abut urinatin, eliminatin and sweat patterns Observatin f the urine stls and sweat t include clr, vlume, dr, clarity Related Pre-requisite r Cmplementary Knwledge f: Symptms and signs f the fur states f agni (digestive fire) Definitins f āma (undigested material), agni (digestive fire) and mala (waste) Hw āma (undigested material) is frmed Types agni (digestive fire) and āma (undigested material) Functins f agni (digestive fire) Signs and symptms f the altered states f agni (digestive fire) Signs and symptms f āma (undigested material) in the urine (mūtra), feces (purīṣa), sweat (sveda), n the tngue (jihvā), eyes (netra), nails, skin, etc. Functins f the malas (waste) What cnstitutes the nrmal and abnrmal quantity and qualities f malas (waste) Prāṇa (vital energy), Tejas (radiance), Ojas (essence f life) NAMA Scpe Descriptin: The practitiner is able t determine the state f prāṇa (vital energy), jas (essence f life) and tejas (radiance) The practitiner is able t assess the fllwing: The state f prāṇa (vital energy), tejas (radiance) and jas (essence f life) thrugh bservatin and the interview prcess (cnsultatin), which explres the state f prāṇa (vital energy), tejas (radiance) and jas (essence f life). Related Pre-requisite r Cmplementary Knwledge f: Definitin f prāṇa (vital energy), tejas (radiance) and jas (essence f life) Relatinship f prāṇa (vital energy), tejas (radiance) and jas (essence f life) t vata, pitta and kapha Signs f healthy r balanced prāṇa (vital energy), tejas (radiance) and jas (essence f life) Symptms f high prāṇa (vital energy), high tejas (radiance) and high jas (essence f life) Symptms f lw prāṇa (vital energy), lw tejas (radiance) and lw jas (essence f life) Displaced jas (essence f life) 5

6 Factrs causing imbalance in jas (essence f life), tejas (radiance) and prāṇa (vital energy) SECTION 2: SKILLS AND COMPETENCIES SECTION COUNSELING SKILLS NAMA Scpe f Practice: The practitiner shuld have the necessary skills t prvide cunseling In rder t be cmpetent, the student shuld have the fllwing ability / abilities Asks questins which gather the apprpriate infrmatin necessary t understand the prakṛti (individual cnstitutin) and vikṛti (pathlgical cnditin) f the client. Related Pre-requisite r Cmplementary Knwledge: What the chief cmplaint is, based n initial cnsultatin and the imprtance f mitigating factrs such as: rigin, duratin, prgress and factrs that aggravate and relieve the symptms. Past medical histry, including: Illness, injuries, surgeries, hspitalizatins Family histry affecting vikṛti (pathlgical cnditin) f the client Scial histry affecting vikṛti (pathlgical cnditin) f the client Rles f wrk relatinships and hme envirnment affecting vikṛti (pathlgical cnditin) f the client Medicatins and supplements a client is taking Any allergies r intlerances the client has t drugs r fds Client s nutritin habits Gd listening skills, eye cntact and develps rapprt with client Hw t ask pen ended questins with each client The imprtance f btaining a gd health histry and demnstrates this ability Accurate assessment and plan f actin Client s satisfactin f Āyurveda methdlgy Imprving the understanding f the cnsultatin Imprvement f client cmpliance t any suggestins r guidelines given Persnal and Family Health Histry NAMA Scpe f Practice: The practitiner shuld have the necessary skills t be able t effectively take a detailed current and past, persnal and family health histry In rder t be cmpetent, the student shuld have the fllwing ability / abilities 6

7 Asks questins which gather the apprpriate infrmatin necessary t understand the prakṛti (individual cnstitutin) and vikṛti (pathlgical cnditin) f the client and refers a client fr disease management care, when necessary. Related Pre-requisite r Cmplementary Knwledge: What the chief cmplaint is, based n initial cnsultatin and the imprtance f mitigating factrs such as: rigin, duratin, prgress and factrs that aggravate and relieve the symptms. Past medical histry, including: Illness, injuries, surgeries, hspitalizatins Family histry affecting vikṛti (pathlgical cnditin) f the client Scial histry affecting vikṛti (pathlgical cnditin) f the client Rles f wrk relatinships and hme envirnment affecting vikṛti (pathlgical cnditin) f the client Medicatins and supplements a client is taking Any allergies r intlerances the client has t drugs r fds Client s nutritin habits Gd listening skills, eye cntact and develps rapprt with client Hw t ask pen ended questins with each client The imprtance f btaining a gd health histry and demnstrates this ability Accurate assessment and plan f actin Client s satisfactin f Āyurveda methdlgy Imprving the understanding f the cnsultatin Imprvement f client cmpliance t any suggestins r guidelines given Vital Signs NAMA Scpe Descriptin: The practitiner shuld have the skills t be able t effectively taking basic vital signs such as bld pressure (raktacāpa). These abilities are demnstrated by: Taking a client s measurements: (Requires a descriptin f measurements) Assessing a client s height and weight Taking a client s pulse Taking the bld pressure Related Pre-requisite r Cmplementary Knwledge f: Pulse Able t interpret pulse rate, rhythm and vlume Taking pulse at apprpriate sites Nrmal and abnrmal pulses 7

8 Bld Pressure Determining what is bld pressure The systlic and diastlic pressure (nrmal, abnrmal, physilgy) Measuring bld pressure Respiratin Determining respiratin Nrmal and abnrmal respiratin ETIOLOGICAL FACTORS (Nidāna) NAMA Scpe f Practice: The practitiner shuld be able t determine the etilgical factrs (nidāna) respnsible fr the dṣic imbalance and the disease In rder t be cmpetent, the practitiner shuld have the ability t Interprets and understands the case histry f the client The ability t interpret the case histry t determine the specific etilgical factrs assciated with each symptm and disease Additinal Related Pre-requisite r Cmplementary Knwledge: The three fundamental causes f disease: Asātmyendriyārtha saṁyga (abnrmal interactin f senses and their bjects), prajñāparādha (intellectual transgressin), pariṇāma (change due t time) Hw the senses might be misused (ver-used, under-used r wrngly used) in a manner that causes the dṣas t becme aggravated Hw daily and seasnal rutines impact the flw f the dṣas Qualities that cause the dṣas t g thrugh the six stages f pathgenesis Hw cnstitutin, climate, seasn and age impact the mvement f the dṣas Additinal causative factrs (nidānas) in the disease prcess Hw the suppressin f natural urges cntributes t the disease prcess Knwledge f the specific etilgical factrs f each symptm and disease. Pathlgy (Vikṛti Vijñāna) NAMA Scpe Descriptin: The practitiner shuld be cmpetent t be able t understand the pathgenesis f varius diseases and diagnse them accurately. (PLEASE NOTE: The translatins f the Sanskrit disease names are brad crrelatins f cnventinal diagnses but nt exclusive t thse pathlgies. Other cnditins which present with similar symptms and pathlgies may als be included under sme f the Ayurvedic disease names. There are many recent pathlgies that may nt have specific names in Ayurveda, but can be understd by the pathlgical changes in the dsas and rt cause etilgy) 8

9 In rder t be cmpetent, the practitiner shuld be able t: Identify dṣa vṛddhi (increase) and kṣaya (decrease) Identify dhātu vṛddhi (increase), kṣaya (decrease), and duṣṭi (abnrmality) Identify mala vṛddhi (increase) and kṣaya (decrease) Understand dṣa gati (mvement f dsas): Ūrdhvaga (upwards), adhga (dwnwards), and tīryak (hrizntally) Frm kṣṭha (GIT) t śākha (extremities) and frm śākha (extremities) t kṣṭha (GIT) In the 6 stages f samprāpti (Pathgenesis) Understand causes f dṣas mving frm kṣṭha (GIT) t śākha (extremities) and frm śākha (extremities) t kṣṭha (GIT) Understand relatinship between the dṣas, dhātu (Tissues), and malas (waste) Knwledge f srtāmsi (pathways): Causes f srtvaiguṇya (abnrmalities in the qualities f the pathways) Causes and signs f srt duṣṭi (pathlgical cnditins assciated with the pathways) Knwledge f āvaraṇa (Aggravated dshas r ama blcking the functins f vata) pathlgy and its signs Knwledge f varius vyādhis (disease cnditins): Identify vyādhi lakṣaṇas (signs f disease) Identify vyādhi avastha (stage f pathlgy): sāma (with ama) r nirāma (withut ama) state f dṣa, dhātu(tissues), and malas(waste) Knwledge f vyādhi (disease) classificatins: 1. Nija (internal), āgantu (external), and mānasika (psychlgical) 2. Santarpaṇa (Diseases due t ver nurishment) and apatarpaṇa (diseases due t under nurishment) janya (generatin) 3. Accrding t rga mārga (disease pathways): Bāhya (external), ābhyantara (internal), r Madhya (intermediate) 4. Sāmānyaja (General classificatin) r nānātmaja (specific classificatin by specific dshas i.e. 80 vata cnditins, 40 pitta cnditins and 20 kapha cnditins) 5. Prgnsis: Sukha sādhya (Easily curable), kaṣṭa sādhya (Curable with difficulty), yāpya (Manageable but incurable), r asādhya (incurable) Knwledge f the fllwing diseases: Accrding t srtas: Prāṇavaha Srtas (Respiratry system): Kāsa (Cugh), Śvāsa (Asthma / difficulty in breathing), Hicca (hiccups) 9

10 Annavaha Srtas (digestive system): Ajīrṇa (Indigestin), Aruci (Ageusia/ inability t taste), Cardi (vmiting), Amlapitta (Peptic ulcers), Ānāha (heartburn), Udara śūla (clic pain), Kṛmi (infectin / parasites), Grahaṇi (Spru / IBS/ Celiac disease), Atisāra (Diarrhea), Arśhas (hemrrhids) Ambuvaha Srtas (Pathway fr fluids): Tṛṣṇa (Mrbid thirst), Prameha (Urinary disrders including diabetes), Śtha (Swelling / edema) Rasavaha Srtas (Pathway fr plasma): Jvara (All types f fevers), Pāṇdu (Anemia) Raktavaha Srtas (Pathway fr bld): Raktapitta (Bleeding disrders), Dāha (burning sensatin), Vātarakta (Rheumatid arthritis / Gut), Kāmala (Jaundice) Mamsavaha Srtas (Pathway fr Muscle tissue): Granthi (Aneurysm), Galaganda (Giter), Gandamala(mumps / Scrfula) Medvaha Srtas (Pathways f fat): Staulya besity (Med rga disease f fatty tissue) Asthivaha Strtas (Pathways f the bny tissue): Asthigata vāta (Abnrmal vata lcalized in the jints), Sandhigata vāta (ste arthritis), Āma vāta (Rheumatic fever) Majjavaha Srtas (pathways f the bne marrw): Pakṣāvadha (Paralysis assciated with strke), Ākṣepaka (Spasm / cnvulsins), Kampavāta (Parkinsn s disease), Apasmāra (epilepsy), Gṛdrasi (sciatica) Śukravaha Srtas (pathways f the reprductive tissue): Klaibya (imptency) Ārtavavaha and Stanyavaha Srtas (pathway fr female reprductin): Yni vyāpat (disrders f the uterus), Pradara (Leukrrhea), Stanya rgas (disrders f the breasts) Manvaha Srtas (Pathways f the mind): Unmāda (Insanity), Smṛtibhramṣa (memry lss, lack f cgnitin) Accrding t rgan: Hrid rga (Heart Disease) Tvak (Skin): Visarpa (Erysipelas), Kaṇdu (Urticaria), Kuṣṭha (Skin Disrders) Vṛkka (Kidneys): Aśmari (Kidney calculi) *Additinal diseases: Gulma (Abdminal tumrs), Arbuda (All types f Cancers) PATHOGENISIS (Samprāpti) NAMA Scpe Descriptin: The practitiner shuld be cmpetent t be able determine the full samprāpti (pathgenesis) f disease cnditins. 10

11 In rder t be cmpetent, the practitiner shuld be able t: Describe the pathlgy in terms f the stage f disease alng with the invlvement f the dṣa, sub-dṣa, dhātu (tissues) and srtas (pathways) an in the disease and als determine the state f agni (digestive fire) in the disease. Related Pre-requisite r Cmplementary Knwledge: Knwledge f all stages f disease (śaḍ kriyā kāla) Knwledge f the signs f disease at each stage including relcatin, manifestatin and diversificatin. Knwledge f the specific pathlgy related t disease cnditins. COUNSELING SKILLS NAMA Scpe f Practice: The practitiner has the necessary skills t prvide cunseling with the fllwing ability/abilities: Cnveys infrmatin and ideas crrectly (t educate) Listens and understands Supprts a client t make psitive changes in his/her life Earns the client s trust Related Pre-requisite r Cmplementary Knwledge f: Cmmunicating effectively Demnstrating effective skills fr cunseling Recmmending changes in diet and lifestyle as necessary, due t dṣic tendencies and hw they relate t challenges Supprting each persn t make successful changes based n their cnstitutinal type Supprting a rājasika (actin and passin) and tāmasika (ignrance and inertia) client t make changes Demnstrating gd bedside manner The fllwing areas f knwledge are generalized and n specific methdlgy has been determined. Schls are encuraged t include their wn methdlgies in their curriculum. N cmpetencies will be evaluated in these areas: Understanding bdy language Understanding tne f vice Asking relevant questins Ability t paraphrase and summarize Demnstrates active listening Discern nnverbal cmmunicatin 11

12 Referring clients t thery references including bks and ther reference materials that supprt self learning Client Strengths and Assets NAMA Scpe Descriptin: The Practitiner shuld be able t assess and determine the client s strengths and willingness t fllw recmmendatins In rder t be cmpetent, the student shuld be able t: Assess the client s cmpliance Assess the memry f the client Related Pre-requisite r Cmplementary Knwledge: Hw the qualities nted abve influence the utcme f a case. Research Skills NAMA Scpe Descriptin: Āyurvedic Practitiners shuld be capable f writing articles, cntributing t prfessinal cnferences and presenting case studies. In rder t be cmpetent, the student shuld be able t: Write an article using prper methds f citatin Develp a presentatin Give a clear and articulate presentatin Related Pre-requisite r Cmplementary Knwledge Knwledge f hw t rganize a presentatin Knwledge f hw t prperly cite references frm bks, jurnals and websites Knwledge f prper English grammar and spelling Knwledge f presentatin sftware and hw t use it. SECTION 3: RECOMMENDATIONS, TREATMENT AND OTHER INTERVENTIONS Fd/Diet NAMA Scpe Descriptin: Recmmendatins Practitiners shuld be able t recmmend r prescribe the apprpriate fd chices and prper eating behavirs (āhāravidhi) in accrdance with the prakṛti (individual cnstitutin), vikṛti (pathlgical cnditin), guṇas (qualities), rasa, seasn (ṛtu), digestive strength (agnibala) and age (vaya) f the patient. NAMA Scpe Descriptin Treatment and Interventin: Practitiner shuld be able t demnstrate the selectin and preparatin f apprpriate fds and spices accrding t prakṛti (individual cnstitutin), 12

13 vikṛti (pathlgical cnditin), guṇas (qualities), rasa, seasn (ṛtu), digestive strength (agnibala) and age, and demnstrate prper eating behavirs (āhāravidhi) In rder t be cmpetent, the practitiner shuld be able t General Knwledge f the six tastes Six tastes, their elemental make up and qualities Rasa (6 tastes), vīrya (ptency) and vipāka (pst digestive effect) f the tastes The 10 pairs f ppsite qualities (gurvādi guṇas) f each taste Effects f each taste n dṣas, dhātus and malas Tastes that are nurishing (bṛṁhaṇa) and thse that are purificatin (laṅghana) Effect f the tastes and fds n agni and āma Elemental make up f fds (mahābhutika āhāra) Dietary Guidelines Suggests prper guidelines fr healthy eating Specific Fds and Spices Fds in each majr categry (Grains, meats, dairy, etc.) and their effect n their actins n the three dṣas Spices and their effect upn the dṣas Fasting Fasting able t ffer types f fasting Liquid, juice, fruit, ne meal per day Preparatin f Fd Hw prcessing fd changes its qualities Hw t prepare basic fds such as kichari, ghee and buttermilk Rituals f Eating Imprtance f saying grace befre meals Other Imprtance and intake f warm water in the mrnings (uṣāpāna) Lifestyle Nama Scpe Descriptin. Skills and Cmpetencies: Practitiners shuld be able t recmmend r prescribe apprpriate daily (dinacaryā), seasnal (ṛtucaryā) and life cycle rutines accrding t prakṛti (individual cnstitutin), vikṛti (pathlgical cnditin), and guṇas (qualities). The practitiner shuld als be able t recmmend at-hme preventive and prmtive (svasthavṛtta) measures, and psitive cnduct (sadvṛtta) measures. 13

14 Scpe f Practice Descriptin Treatment and Interventin Practitiners shuld be able t demnstrate the apprpriate daily (dinacaryā), seasnal (ṛtucaryā) and life cycle rutines accrding t prakṛti (individual cnstitutin), vikṛti (pathlgical cnditin), and guṇas (qualities). Demnstrating at-hme preventive and prmtive (svasthavṛtta) measures, and psitive cnduct (sadvṛtta) measures In rder t be cmpetent, the practitiner shuld be able t recmmend, prescribe r demnstrate the fllwing: Recmmend daily rutines (review techniques with client) Recmmend prper ral hygiene (tngue cleaning, teeth brushing and flssing) Taking care f Eyes (eye wash) Self abhyaṅga(oil applicatin) Drinking warm water in the mrning (uṣāpāna) Tngue cleaning Eye washes Self abhyaṅga (il applicatin) Netī (Nasal salve) Activities t prmte sleep befre bed Recmmend adjustments t the daily rutine based n seasn Supprt the client t make life style changes Adjusting bed times and wake up times accrding t dsha, as well as seasn Times t take fd Instruct the client in mdifying lifestyle in accrdance with the seasns Prper cnduct (sadvṛtta) Encurage devtinal and spiritual practices Encuraging mindfulness thrughut the day Encurage t cultivate lving kindness, cmpassin, jy and equanimity The practitiner shuld be able t mdify the daily, seasnal and lifecycle rutines f the patient in accrdance with their underlying disease. Related Pre-requisite r Cmplementary Knwledge: Dṣas increasing r decreasing during different times f the day and seasn Age affecting the dṣas and agni (digestive fire) Influence f apprpriate physical, devtinal, spiritual practices n dṣas and guṇas (qualities) Twenty guṇas (qualities), dṣas, agni (digestive fire), āma (undigested material), jas (essence f life) Three Primal States (Mahāguṇas - sattva, rajas, tamas) 14

15 Drinking warm water in the mrning (uṣāpāna) Lifestyle impacting digestin and eliminatin A regular rutine influencing the dṣas Practice f abhyaṅga (il applicatin), the ils t be used fr abhyaṅga (Oil applicatin), different types f abhyaṅga (il applicatin) Effective use f daily rutine Effective use f seasnal rutine Devtinal and spiritual practices affecting the mind and bdy Evening rutine (rātricaryā) Transitin f the seasns (ṛtusandhi) Rasāyana (rejuvenating) fds Vājīkaraṇa (aphrdisiac) fds Resisting and nt resisting urges Knwledge f hw specific diseases alter general lifestyle recmmendatins Senses Nama Scpe f Practice Descriptin. Recmmendatins: The practitiner shuld be able t recmmend r prescribe the apprpriate use f sight, smell, tuch, taste and hearing (sātmyendriyārthasaṁyga) and administer the apprpriate treatments. Scpe f Practice Definitin. Treatment and Interventin: The practitiner shuld be able t prescribe the apprpriate use f sight, smell, tuch, taste and hearing in the management f disease. In rder t be cmpetent, the practitiner shuld be recmmend, prescribe and/ r demnstrate the fllwing Armatic Therapy: The practitiner is able t identify excessive utilizatin, deficient utilizatin and mis-utilizatin f the sense f hearing and instruct the client t make adjustments t their armatic envirnment t supprt the healing prcess. Taste Therapy (diet and herbs): The practitiner is able t identify excessive utilizatin, deficient utilizatin and mis-utilizatin f the sense f taste and instruct the client t make adjustments t their gustatry envirnment (fr mre infrmatin see the fd sectin) t supprt the healing prcess. Tuch Therapy (self massage): The practitiner is able t identify excessive utilizatin, deficient utilizatin and mis-utilizatin f the sense f tuch and instruct the client t make adjustments t their tactile envirnment t supprt the healing prcess. Sund therapy: The practitiner is able t identify excessive utilizatin, deficient utilizatin and mis-utilizatin f the sense f hearing and instruct the client t make adjustments t their auditry envirnment t supprt the healing prcess. 15

16 Visual Therapy: The practitiner is able t identify excessive utilizatin, deficient utilizatin and mis-utilizatin f the sense f visin and instruct the client t make adjustments t their visual envirnment t supprt the healing prcess. Related Pre-requisite r Cmplementary Knwledge: Knwledge f what the sensry and mtr faculties are The sensry and mtr faculties Relatinship f five elements (pañca mahābhūtas) t each sensry and mtr faculty Effect f apprpriate, excessive and absence f sensry stimuli n each f the five sensry faculties and mind Sensry stimuli affecting the dṣas Apprpriate and inapprpriate use f senses Different ils used fr nasya (medicated nasal drps) Tuch therapy including different frms f abhyaṅga (il applicatin) and apprpriate ils used fr abhyaṅga (il applicatin) Different tastes and influence n dṣas The mind is and its functins Relatinship between the five elements and their respective tanmātra (five subtle elements), sense and mtr rgans. Herbs and Minerals NAMA Scpe Descriptin. Recmmend: Āyurvedic Practitiners shuld be cmpetent t safely recmmend predesigned herbal medicines, minerals and ther natural substances fr internal r external use with cnsideratin f the dse (mātra), vehicle (anupāna) and timing (auśadha kāla) fr the purpse f balancing agni (digestive fire), eliminating āma (undigested material) while supprting the malas (waste) and prtecting and building jas (essence f life), and treating disease. NAMA Scpe Descriptin. Treatment and Interventin: The Āyurvedic Practitiner shuld be cmpetent t administer, cmbine, prvide, cmpund, and dispense herbal medicines, minerals, r ther natural substances. Herbs may be used fr internal r external use fr the purpse f balancing agni (digestive fire) and eliminating āma (undigested material) while supprting the malas (waste) and prtecting and building jas (essence f life), as well as fr treating specific diseases affecting any dhātu (tissues), upadhātu (by prducts f nutritin), malas (waste) r srtas (pathways) in any stage f the disease pathlgy. In rder t be cmpetent, the practitiner shuld be able t make the fllwing recmmendatins and prvide the fllwing treatments and interventins The practitiner is able t recmmend r prescribe the apprpriate herbs t balance agni (digestive fire), eliminate āma (undigested material) and supprt the malas (waste) while prtecting and building jas (essence f life). 16

17 The practitiner is able t recmmend pre-designed herbal frmulas r create custm herbal frmulatins that include the use f herbs, minerals r ther natural substances fr internal r external use with cnsideratin f dse (mātra), vehicle (anupāna) and timing (auśadha kāla). Prescribe herbal and related medicines fr the purpse f treating disease. RELATED PRE-REQUISITE AND COMPLEMENTARY KNOWLEDGE: Herb classificatin and their energetics based n taste (rasa), ptency (vīrya), pst-digestive effect (vipāka), quality (guṇa) and unique actin (prabhāva) The actins f herbs (karma). The cunselr is infrmed f the majr actins f an herb. When Western terminlgy matches the Saṁskṛta t terminlgy, the Western terms shuld be knwn. When a unique actin is described in Saṁskṛta that has n simple translatin int English, then the Saṁskṛta terminlgy fr that actin shuld be knwn The effect an herb has n the agni (digestive fire), āma (undigested material), dṣas, and malas (waste) Hw t prepare pwdered mixtures (cūrṇa) Apprpriate dsage (mātra) based n age, strength, dṣas, agni (digestive fire) and pattern f eliminatin ( kṣṭha) The indicatins fr using herbs and cntraindicatins t assure safe use Herbs based n strage, prcessing, purity and gvernment regulatins Knwledge f the use f apprpriate herb and herbal related medicines fr the management f specific disease cnditins. Knwledge f the effect an herb has n dhātu (tissues) and srta (pathways) Knwledge f different anupānas (adjuvants) t target different dṣas and dhātus (tissues). Knwledge f basic FDA regulatins that affect daily practice (Example Sectin 201 (g)(1)(b) f the Federal Fd, Drug, and Csmetic Act (the Act) [21 U.S.C. 321(g)(1)(B) states that herbs cannt make claims f supprt]. Knwledge f thse herbs restricted by the FDA. Knwledge f the fllwing herbs: Saṁskṛta Name Latin Name Cmmn Name Āmalakī Emblica fficinalis Indian Gseberry Anantamūla Hemidesmus indicus Sariva, Upalsari Arjuna Aśka Aśvagandha Balā Bhṛṅgarāja Terminalia arjuna Saraca indica Withania smnifera Sida crdiflia Eclipta alba 17

18 Bhūmyāmalakī Phyllanthus amarus Bhui -avala Bilva Aegle marmels Bael Fruit Brahmī Citraka Bacpa mnnieri, Centella asiatica (active debate n this) Plumbag zeylanica Dāruharidrā* Berberis aristata Daruhalad Devadāru* Cedrus dedara Dedar Dhānyaka Criandrum sativum Criander Elā Elettaria cardammum Cardamm Eraṇḍa Ricinus cmmunis Castr il Gkṣura Tribulus terrestris gkharu Gudūcī Tinspra crdiflia Gulvel, Amrita Guggulu Cmmiphra mukul Guggul Haridrā Curcuma lnga Turmeric Harītakī Terminalia chebula Chebulic Myrbalan Hiṅgu Ferula assa-fetida Asafetida Jaṭāmāmsī* Nardstachys jatamansi Indian spikenard Jātīphalā Myristica fragrans Nutmeg Jīraka Cuminum cyminum Cumin Jytiṣmatī* Celastrus paniculatus Kalamegha* Andrgraphis paniculata King f Bitters Kapikacchu Mucuna pruriens Kaṭukī* Picrrhiza kurra Kutki Kirātatikta* Swertia chirata Kade chirait Kumārī Ale barbadensis Ale Kuṭaja Hlarrhena antidysenterica Kuda Laśuna Allium sativum Garlic Lavaṅga Syzygium armaticum Clve Ldhra* Symplcs racemsa Maṇḍūkaparṇī Centella asiatica Gtu kla Mañjiṣṭhā Rubia crdiflia Marica Piper nigrum Black Pepper 18

19 Meṣaśṛṅgī Gymnema sylvestre Gurmar, Shardunika Methikā Trignella fenum-graeceum Fenugreek Miśreya Feniculum vulgare Fennel Mustā Cyperus rtundus Nagarmtha Nimba Azadirachta indica Neem Padmaka Nelumb nucifera Ltus Pippali Piper lngum Lng Pepper Punarnavā Berhaavia diffusa Rājikā Brassica juncea Mustard seeds Rakta Candana Ptercarpus santalinus Red sandalwd Raktapuṣpi Hibiscus rsa Hibiscus Rāsnā Alpina fficinarum Galangal Saindhava Lavaṇa Mineral Salt Śallakī Śaṅkhapuṣpī Bswellia serrata Evlvulus alsinides Sat Isabgl Plantag psyllium Psyllium Husks Śatāvarī Asparagus racemsus Asparagus rt Śilājitu Asphaltum Mineral Pitch Śuṇṭhī Zingiber fficinale Ginger Svarṇapatrī Senna alexandrina Senna Tagara Valeriana wallichi Valerian Tarunī Rsa centiflia Red rse petals Tavakṣīrī Maranta arundinacea Arrwrt Tila Sesamum indicum Sesame Tulasī Ocimum sanctum Hly Basil Tvak Cinnammum cassia Cinnamn Uśīra Vetiveria zizaniides Vetiver Vacā Acrus calamus Sweet Flag Vasaka Adhatda vasica Malabar Nut Vibhītakī Terminalia belerica Beleric Viḍaṅga Embelia ribes Vidārī Kanda Ipmea digitata Indian ginseng 19

20 Yaṣṭi Madhu Glycyrrhiza glabra Licrice rt Yavānī Carum cpticum Ajwain r Wild Celery *Herbs are difficult t btain due t being prtected species r endangered. Knwledge f varius preparatins f herbs and hw they are made including: infusins, decctins (kaṣāya), fresh juice (svarasa), jam (avalehya/lehyam), medicated ghee (ghṛta), pwders (cūrṇa), medicated ils (taila), pills (vaṭi), mist blus (kalka), and fermented preparatins (āsava/ariṣṭa), including the fllwing specific cmpund frmulatins: Pwders (Cūrṇa) r General Cmbinatins? Tablets (Vaṭi) Decctins (Kashaya) Oil (Taila) Ghee (Ghṛta) Fermented Preparatins (Āsava/Ariṣṭa) Jams (Lehyam) Avipattikara Ārgyavardhinī Vaṭi Indukantham Aṇu Taila Aśvagandha Ghṛta Abhaya Ariṣṭa Cyavanprāśa Daśamūla Candraprabhā Vaṭi Dashamulam Aśvagandha Bala Taila Śatāvarī Ghṛta Arjuna Ariṣṭa Brahmiprash Hiṅgvāṣṭaka Citrakādi Vaṭi Amruttharam Bhṛṅgarāja/ Mahābhṛṅgarāja Taila Triphala Ghṛta Aśka Ariṣṭa Draksha avelaha Lavaṇabhāskara Eraṇḍa Harītakī Mre cming Brāhmī Taila Yaṣṭi Madhu (Licrice) Ghṛta Aśvagandha Ariṣṭa Ashwagandha avelaha Gkṣurādi Guggulu Eraṅḍa (Castr) Taila Bala Ariṣṭa Adrak avelaha Sitpalādi Kaiṣra Guggulu Kṣāra Taila Candana Āsava Pippali rasayana Tālīsādi Khadirādi Vaṭi Mahāmaricyādi Taila Trikaṭu Laśunādi Vaṭi Mahāṇārāyan Taila Triphala Lavaṅgādi Vaṭi Mahāviṣagarbha Taila Daśamūla Ariṣṭa Drakṣa Āsava Kumārī Āsava Lākṣādi Guggulu Mahāsudarśana Vaṭi Maricyādi Vaṭi Punarnavādi Guggulu Sārivādi Vaṭi Simhanāda Guggulu Śaṅkha Vaṭi Nīlgiri (Eucalyptus) Taila Nimba (Neem) Taila Saindhavādi Taila Ṣaḍbindu Taila Lhāsava 20

21 Traydaśāṅga Guggulu Ygarāja Guggulu Laṅghana / Śamana (Pacificatin f Dṣas) NAMA Scpe Descriptin. Recmmendatins: The practitiner shuld be able t recmmend pacificatin (shamana) therapies t balance the dṣas and eliminate āma (undigested material) NAMA Scpe Descriptin. Treatment and Inventin: The Practitiner shuld be able t design, implement and manage a plan fr pacifying the dṣas and eliminating āma (undigested material). In rder t be cmpetent, the practitiner shuld be able t make the fllwing recmmendatins and implement that fllwing therapies with the gal f pacificatin f the dṣas. Herbs and spices: Thse that increase agni digestive fire (dīpana) and metablize āmaundigested material (pācana) Diet: See fd sectin (kṣudhā nigraha pacifying hunger) Sensry Therapies: See sensry therapy sectin. Exercise (vyāyāma) Heat therapies (agni therapies with the use f fire and anagni cikitsā- therapies withut the use f fire) Related Pre-requisite r Cmplementary Knwledge: Seven traditinal frms f palliative therapy Dīpana: Herbs/spices that increasing agni(digestive fire) Pācana: Herbs/spices that digest āma (undigested material) Kṣudhā nigraha: Cntrl ver diet including the use f fasting Tṛṣṇā nigraha: Cntrl ver water and il intake Vyāyāma: Use f exercise Ātāpa sevana: Frms f creating heat withut directly increasing agni such as sunbathing Māruta sevana: Ways t cl the bdy t prtect pitta dsha such as mn walks Āyurveda anatmy and physilgy (qualities, elements, dṣas, sub-dṣas, dhātus (tissues), upadhātus (by prducts f nutritin), malas (waste), srtas (pathways), agni (digestive fire), āma (undigested material), jas (essence f life)) Indicatins and cntraindicatins fr palliatin therapy Hw t design a palliatin prgram t crrect an imbalance in each dṣa Effective applicatin f each therapy nted abve Assessing the client s state f agni (digestive fire), āma (undigested material) and jas (essence f life) 21

22 Assess digestin, tngue, stls and bdy dr as a means f identifying āma(undigested material) in the bdy Assessing dṣa vikṛti (pathlgical cnditin) Use f herbs and spices fr balancing agni (digestive fire) and eliminating ama(undigested material) Effective, safe and apprpriate, applicatin f diet, herbs, sensry therapies, exercise and heat treatments Laṅghana (Reductin Therapies): Pañcakarma (Eliminatin f Aggravated f Dṣas) NAMA Scpe Descriptin. Recmmendatins: The Practitiner shuld be able t recmmend pañcakarma (Eliminatin f Aggravated f Dṣas) prgrams as well as individual treatments (shdhana chikitsa eliminatin therapies), including: classical pañcakarma (Eliminatin f Aggravated f Dṣas), and treatments fr individual cnditins, including the use f specialized traditinal bdy treatments. NAMA Scpe Descriptin. Treatment and Interventin: Designing, implementing and managing pañcakarma (Eliminatin f Aggravated f Dṣas) prgrams as well as individual treatments (śdhana cikitsā eliminatin therapies), including: classical pañcakarma (Eliminatin f Aggravated f Dṣas) and treatments fr individual cnditins, including use f specialized traditinal bdy treatments. Includes pūrva karma (preperatinal prcedures) pradhāna karma (main prcedure), (diet, lifestyle & herbs) In rder t be cmpetent, the practitiner shuld be able t make the fllwing recmmendatins and prvide apprpriate case management Pūrva Karma (preperatinal prcedures) The practitiner shuld be able t prperly design a pūrva karma (preperatinal prcedures) prgram and shuld be able t mnitr the patient t be lk fr signs f ver and under leatin (il therapy). The practitiner shuld be able t manage the administratin f the fllwing therapies Pūrva karma diet (preperatinal prcedures) Abhyanga (il applicatin) Udvartana Dry pwder massage (as needed) Swedana Sweating therapies Shirdhara Puring il n the frehead Katibasti il well in lumbar regin (As needed) Hridbasti il well in heart regin (As needed) Udarabasti il well n abdmen (As needed) Netrabasti il well n eyes (As needed) 22

23 Pradhāna Karma The practitiner shuld be able t prperly design a pradhāna karma(main prcedure) prgram and shuld be able t manage the patient as he/she ges thrugh the prgram. Vamana Medicated Emesis (nt dne rutinely in US) Virechana Medicated Purgatin Basti Medicated enemas Nasya Medicated nasal drps Rakta Mksha Bld letting (nt dne rutinely in US) Paścāt Karma Rehabilitative measures The practitiner shuld be able t prperly design a paścāt karma (rehabilitative measures) prgram and shuld be able t manage the patient as he/she ges thrugh the prgram. It includes restratin f strng digestive fire t nurish, strengthen, and balance the newly detxified tissues by recmmending Rasayan (rejuvanative) herbs accrding t Prakriti (individual cnstitutin). Related Pre-requisite r Cmplementary Knwledge: Knwledge f āma pācana (digestin f undigested material) Knwledge f the prcess f pūrva karma (preparatry prcedures) Knwledge f the prcess f pradhāna karma (main prcedure) Knwledge f each pūrva karma (preparatry prcedures) practice including indicatins and cntraindicatins Knwledge f each pradhāna karma (main prcedure) practice including indicatins and cntraindicatins. Knwledge f the signs f successful and unsuccessful administratin f each practice Knwledge f hw t adjust the prgram if the administratin f a therapy is nt successful. Knwledge f the ils and medicines t be used in each practice. Knwledge f hw t design a cmplete pañcakarma (Eliminatin f Aggravated f Dṣas) prgram including pūrva (preparatry), pradhāna (main) and paścāt (rehabilitative) karma (prcedures). Knwledge f hw t mdify the cmplete pañcakarma (Eliminatin f Aggravated f Dṣas) prgram fr patients with a vāta, pitta and kapha vikṛti (pathlgical cnditins). Knwledge f hw t mdify the cmplete pañcakarma (Eliminatin f Aggravated f Dṣas) prgram fr patients with varius diseases. Knwledge f hw t mdify a pañcakarma (Eliminatin f Aggravated f Dṣas) prgram with cnsideratin f the patients respnse t the therapies including but nt limited t: Changes in appetite, eliminatin pattern, verall strength, Rejuvenatin (Rasāyana) 23

24 NAMA Scpe Descriptin. Recmmendatins: The practitiner shuld be able t a recmmend a pst pañcakarma (Eliminatin f Aggravated f Dṣas) rejuvenatin prgram (paścāt karma) NAMA Scpe Descriptin. Treatments and Interventins: The practitiner shuld be able t design implement and manage a pst pañcakarma rejuvenatin (paścāt karma) In rder t be cmpetent, the practitiner shuld be able t make the fllwing recmmendatins and prescribe the apprpriate treatments and interventins. Pst pradhāna karma care (paścāt karma) fr the purpses f rejuvenating the bdy and mind. Related Pre-requisite r Cmplementary Knwledge: Knwledge f the principles and prcess f samsarjana karma (rehabilitating diet); including hw restre healthy agni (digestive fire) while reintrducing fds int the diet. Knwledge f the use f herbs and herbal frmulas in the rejuvenatin prcess. Knwledge f the apprpriate timing fr the administratin f rejuvenative herbs fllwing pradhāna karma (Eliminatin f Aggravated f Dṣas). Knwledge f hw t prperly mnitr a patient during the perid f paścāt karma (rehabilitative prcedures) and hw t adjust a patients prgram in accrdance with their respnse t care. Tnificatin (Bṛṁhaṇa) NAMA Scpe Descriptin. Skills and Cmpetency: The Practitiner shuld be cmpetent t recmmend tnificatin (bṛṁhaṇa) therapy fr the bdy and mind. NAMA Scpe Descriptin. Treatment and Interventin: The Practitiner shuld be cmpetent t design, implement and manage a prgram f tnificatin (bṛṁhaṇa) fr sustaining the health f the bdy and mind. In rder t be cmpetent, the Practitiner shuld be able t make the fllwing recmmendatins and prvide the fllwing treatments and interventins. Dietary therapies that prmtes tnificatin Herbal therapies that prmtes tnificatin Internal and external il therapies (snehana) Daily rutines and lifestyle that prmtes tnificatin Related t Cmplementary and Pre-requisite knwledge Indicatins and cntraindicatins fr tnificatin therapy Designing a tnificatin prgram in accrdance with the dṣa vikṛti (pathlgical cnditin) Managing a tnificatin prgram and make adjustments t the prgram in accrdance with the client s prgress Assessing the state f agni (digestive fire), āma (undigested material) and jas (essence f life) Hw t assess the dhātus (tissues) and the signs f depletin 24

25 Types f Cikitsā (Treatment r therapies) NAMA Scpe Descriptin: Practitiner shuld have a brad understanding f the different categries f cikitsā (treatment), as listed belw: Ekavidha: Nidāna parivarjana (remving the cause) Dvividha: Trividha: Caturvidha: Pañcavidha: Saḍvidha: 1. Santarpaṇa and Apatarpaṇa (Strengthening and depleting) 2. Śdhana (cleansing f aggravated dsas) and Śamana (pacificatin f aggravated dsas) 3. Śīta (Cld) and Uṣṇa (ht) 4. Urjaskara (Strengthening the bdy/ rejuvenating) and Rgaghna (treatment f disease) 5. Rga praśamana (cunteracting the disease) and Apunarbhava (preventin f reccurrence) 6. Dṣa pratyanīka (therapies fcused n the aggravated dsa) 7. Vyādhi pratyanīka (therapies fcused n the disease) 8. Ubhaya pratyanīka (therapies fcused n bth aggravated dsa and disease) 9. Sattvavajaya (therapeutic measures aimed at strengthening the mind / psychtherapy) 10. Yukti Vyapashray (therapeutic measures based n ratinal thinking three dsas, five elements and r three qualities f the mind etc.) 11. Daiva Vyapashraya (therapeutic measures appeasing cnditins assciated with the subtle bdy / faith therapy) 12. Śdhana (cleansing the aggravated dsas panchakarma) 13. Śamana (pacificatin f aggravated dsas) 14. Āhāra (dietary regimen) 15. Ācāra (lifestyle regimen) 16. Vamana (emesis therapy) 17. Virecana (purgatin therapy) 18. Basti (enema therapy) 19. Nasya (medicated nasal drp therapy) 20. Raktamkṣaṇa (bld letting therapy) 21. Bṛṁhaṇa (Nurishing therapy) 22. Laṅghana (Reductin therapy) 25

26 23. Snehana (leatin therapy) 24. Rūkṣaṇa (Drying therapy) 25. Stambhana (Binding / blcking therapy) 26. Svedana (Sweating therapy) Saptavidha: 27. Dīpana (Increasing digestive fire) 28. Pācana (Increasing digestin) 29. Kṣudhā Nigraha (Pacificatin f hunger) 30. Tṛṣā Nigraha (Pacificatin f thirst) 31. Vyāyāma (Exercise) 32. Ātapa sevana (Sun bathing) 33. Māruta sevana (Expsure t wind) Pre-natal, Natal, Pst-natal (Prasūti Tantra) NAMA Scpe Descriptin. Skills and Cmpetency: The Practitiner shuld be able t recmmend diet (ahāra), lifestyle (vihāra), herbs (dravya) and treatments (cikitsā) t manage pre-natal, natal, pst-natal health and pathlgies and care f newbrns. NAMA Scpe Descriptin. Treatment and Interventin: The Practitiner shuld e able t design, implement and manage diet (ahāra), lifestyle (vihāra), herbs (dravya) and treatments (cikitsā) t manage pre-natal, natal, pst-natal health and pathlgies and care f newbrns. In rder t be cmpetent, the cunselr shuld be able t make the fllwing recmmendatins and prvide the fllwing treatments and interventins. See Sectins n Fd/Diet and lifestyle. The cunselr is able t safely and supprtively apply these practices t the pre natal, natal and pst natal wman Supprt cuples experiencing infertility t restre nrmal prcreative abilities Utilize herbs t supprt and treat pre-natal, natal and pst natal wmen Treat pre-natal, natal and pst natal wman wh are experiencing illness Prvide supprtive care fr new brn infants Prvide treatment fr newbrn infants wh are experiencing illness. Related t Cmplementary and Pre-requisite knwledge Dṣas increasing r decreasing during different times f the day and seasn Age affecting the dṣas and agni (digestive fire) Influence f apprpriate physical, devtinal, spiritual practices n dṣas and guṇas (qualities) Twenty guṇas (qualities), dṣas, agni (digestive fire), āma (undigested material), jas (essence f life) 26

27 Three Primal States (Mahāguṇas - sattva, rajas, tamas) Drinking warm water in the mrning (uṣāpāna) Lifestyle impacting digestin and eliminatin A regular rutine influencing the dṣas Practice f abhyaṅga (il applicatin), the ils t be used fr abhyaṅga (il applicatin), different types f abhyaṅga (il applicatin) Effective use f daily rutine Effective use f seasnal rutine Devtinal and spiritual practices affecting the mind and bdy Evening rutine (rātricaryā) Transitin f the seasns (ṛtusandhi) Rasāyana (rejuvenating) fds Vājīkaraṇa (aphrdisiac) fds Resisting and nt resisting urges Children s Health (Kaumārabhṛtya) NAMA Scpe Descriptin. Recmmendatins The practitiner shuld be able t ffer apprpriate recmmendatins fr children f all ages NAMA Scpe Descriptin. Treatment and Interventin: The practitiner shuld be able t design, implement and manage a plan t treat the imbalances in all the srtas (pathways). In rder t be cmpetent, the practitiner shuld be able t make the fllwing recmmendatins and prvide the fllwing treatments and interventins Prescribe and prepare the prper herbal frmulas Prescribe, administer prper Āyurvedic therapies Prescribe mdificatins in the diet Prescribe life style changes Mnitr patients' prgress and make the apprpriate adjustments t the treatment plan Related t Cmplementary and Pre-requisite knwledge Knwledge f signs f imbalanced dṣas at kapha stage f life Knwledge f current samprāpti (pathgenesis) Knwledge f cardinal signs f diseases Knwledge f herbs, creating herbal frmulas, their synergistic effects Knwledge f herbal preparatins (ils, ghees etc) Knwledge f apprpriate dsage, time f taking herbs, 27

28 Knwledge f anupānas (adjuvants) in children NAMA Scpe Descriptin ENT / Head and Neck Regin (Śālākya Tantra) Recmmendatins: The practitiner shuld be able t recmmend preventative care and treatment fr the head and neck Treatment and Interventins: The practitiner shuld be able t ffer therapies t treat imbalances f all the rgans arund and abve the neck regin. In rder t be cmpetent, the practitiner shuld be able t make the fllwing recmmendatins and prvide the fllwing treatments and interventins Prescribe herbal frmulas, r herb preparatins fr diseases f all the rgans arund and abve the neck regin Related Pre-requisite r Cmplimentary Knwledge f: - Anatmy f all the structures at and abve neck - Imbalanced dṣas, sub-dṣas, dhātus (tissues), upadhātus (by prducts f nutritin), at these regins - Samprāpti (pathgenesis) f their diseases - Nidān pañcaka (five stages f pathgenesis) f their diseases - Herbs, creating herbal frmulas fr these diseases - Herbal preparatins (ils, ghees etc) - Apprpriate dsage, time f taking herbs - Anupānas (adjuvants) - Designing and perfrming special Āyurvedic therapy - Indicatins and cntraindicatins f such prcedures NAMA Scpe Descriptin Psychiatry (Bhūtavidyā / Manvijñāna) Recmmendatins: The practitiner shuld be able t cmpetently recmmend diet (āhāra), lifestyle (vihāra), psitive cnduct (acāra), herbs (dravya) and treatments (cikitsā) t treat pathlgies f the mind. Treatment and Inventin: The practitiner shuld be able t design, implement and manage a plan t pacify the dṣas within the mind and prvide treatments t treat pathlgies f the mind. In rder t be cmpetent, the practitiner is able t make the fllwing recmmendatins and implement that fllwing therapies with the gal f pacificatin f the dṣas. Visual Therapy: Sāttvika (pure, psitive) intake f impressins and the prper use f clr Auditry Therapy: Sāttvika (pure, psitive) intake f impressins and the prper use f sund 28