SECTION 1: FOUNDATION OF ĀYURVEDA

Transcription

1 Āyurvedic Cunselr: Educatinal Outline fr Cmpetency SECTION 1: FOUNDATION OF ĀYURVEDA NAMA Scpe Descriptin: The cunselr 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 cunselr has skills and cmpetence in determining which guṇas are predminant in prakṛti (individual cnstitutin) and vikṛti (pathlgical cnditin) and demnstrates the fllwing ability/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. 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 1

2 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 (Abnrmal dṣa variance) 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 cunselr 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 [tenfld diagnstic methd]) The cunselr has knwledge f: Three- fld Diagnstic Methd (Trividha Parīkṣā) Tuch (Sparśana): Observatin (Darśana) 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 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 (ie. 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). 2

3 Sātmya r client s ability t adapt t Āhāra (Diet), Dravya (Herbs), Vihāra( Lifestyle and Behavir)} Ability t Digest (Āhāra Śakti) Stamina, endurance and capacity t exercise(vyāyāma Śakti) Related Pre- requisite r Cmplementary Knwledge f: Tridṣa (three humrs) 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 (aggravatin f dṣa) 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 (aggravatin f dṣa) thrugh a prper daily rutine, seasnal rutine and basic six tastes (rasas) fr a persn f each cnstitutinal type Dṣas, Sub- dṣas, Dhātus (Tissues), Srtas (Pathways) NAMA Scpe Descriptin: The cunselr is able t shw skill and cmpetency in determining the state f dṣas, sub- dṣas, dhātus, upadhātu (By prducts f nutritin) and srtas (pathways), then able t assess the fllwing: The cunselr 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). 3

4 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 Nutritin) 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 (tissues) Nrmal and abnrmal functins f strtāṁsi (pathways) Agni (Digestive fire) Āma (Undigested material)- Malas (Waste) NAMA Scpe f Descriptin: The cunselr 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). 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 (waste) 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 (digestin) Definitins f āma(undigested material), agni (digestive fire)and mala (waste) 4

5 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 cunselr is able t determine the state f prāṇa, jas and tejas The cunselr 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) Factrs causing imbalance in prāṇa (vital energy), tejas (radiance) and jas (essence f life) 5

6 SECTION 3: ASSESSMENT AND DIAGNOSIS Persnal and Family Health Histry NAMA Scpe f Practice: The cunselr has the necessary skills t be able t effectively take a detailed current and past, persnal and family health histry with 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 and refers a client fr disease management care, when necessary. Related Pre- requisite r Cmplementary Knwledge f: What the chief cmplaint is, based n initial cnsultatin and the imprtance f mitigating factrs such as: rigin, duratin, prgress, 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 cunselr has the skills t be able t effectively take 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 6

7 Related Pre- requisite r Cmplementary Knwledge f: Pulse Able t interpret pulse rate, rhythm and vlume Taking pulse at apprpriate site Nrmal and abnrmal pulses Bld Pressure Respiratin Determining what is bld pressure The systlic and diastlic pressure (nrmal, abnrmal, physilgy) Measuring bld pressure Determining respiratin Nrmal and abnrmal respiratin ETIOLOGICAL FACTORS (Nidāna) NAMA Scpe Descriptin: The cunselr has the skills t determine the etilgical factrs (nidāna) respnsible fr the dṣic imbalance and demnstrates the fllwing ability/abilities: Interprets and understands the case histry f the client Cnveys the factrs causing the general dṣic imbalance with the client Related Pre- requisite r Cmplementary Knwledge f: 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 PATHOGENISIS (Samprāpti) NAMA Scpe Descriptin: The cunselr is able t determine the current stage f samprāpti by bservatin (darśana), tuch (sparśana) and questining (praśna) by assessing the fllwing: 7

8 Evaluate the client and determine the stage f pathlgy the client is experiencing. Discerning the difference between the stages f accumulatin (sañcaya), aggravatin (prakpa) and verflw (prasara) and relcatin, manifestatin and differentiatin in rder t have knwledge f the limitatins f the scpe f practice. Related Pre- requisite r Cmplementary Knwledge f: Each stage f samprāpti (pathgenesis) General signs and symptms all stages f samprāpti (pathgenesis) Hw the stages f pathlgy are affected/influenced by seasn, climate and age COUNSELING SKILLS NAMA Scpe f Practice: The cunselr 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 clients 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 (hyperactive /mtivated) and tāmasika (Dull/ disassciated) 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 Referring clients t thery references including bks and ther reference materials that supprt self learning 8

9 Client Strengths and Assets NAMA Scpe f Practice: Assessing and determining clients strengths and willingness t fllw recmmendatins The cunselr is able t assess the fllwing: Client s cmpliance Memry f the client Related Pre- requisite r Cmplementary Knwledge f: Hw the qualities nted abve influence the utcme f a case. Research NAMA Scpe f Practice: The cunselr is able t cllect case studies t cntribute t research n health prmtin and disease preventin (svasthavṛtta) The cunselr is able t prepare a case study based n the clients wh have becme a part f the practice. Related Pre- requisite r Cmplementary Knwledge f: Hw t write up a case study including the prper frmat t summarize the fllwing: Patient infrmatin Age Sex Occupatin Client s gals Prakṛti (individual cnstitutin) and Vikṛti (pathlgical cnditin) Patients state f agni (digestive fire), āma (undigested material), jas (essence f life) and mala (waste) Treatment plan Diet Lifestyle Herbs Frequency f appintments Prgress f each appintment Adjustments t the plan at each visit 9

10 Final utcme Cmments abut what aspects f case management were mst successful and what aspects were least successful Cmments abut what culd have been dne different that may have prduced a mre psitive utcme SECTION 2: RECOMMENDATIONS, TREATMENT AND OTHER INTERVENTIONS Fd/Diet NAMA Scpe Descriptin: Recmmendatins The cunselr is 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 (taste), seasn (ṛtu), digestive strength (agnibala) and age (vaya) f the client. NAMA Scpe Descriptin Treatment and Interventin: The cunselr is able t demnstrate the selectin and preparatin f apprpriate fds and spices accrding t prakṛti (individual cnstitutin), vikṛti (pathlgical cnditin), guṇas (qualities), rasa(taste), seasn (ṛtu), digestive strength (agnibala) and age as well as demnstrate prper eating behavirs (āhāravidhi) thrugh their wn practice. The cunselr is able t: Recmmend apprpriate fd and dietary guide lines t prmte and restre balance based n prakṛti (individual cnstitutin), vikṛti (Pathlgical cnditin), agni (digestive fire)and āma (undigested material). Recmmend fasting when apprpriate Teach and supprt the client t implement prper dietary guidelines int their lives Prescribe specific fds and spices Discuss with the client hw t prperly prepare the fd/meals Discuss and teach the prper rituals f eating Discuss and teach hw t adapt diet t the seasn and age f a client Pre requisite and Cmplementary Knwledge: General Knwledge f the six tastes Six tastes, their elemental make up and qualities 10

11 Rasa (taste), 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 (tissues) and malas (waste) Tastes that are nurishing (bṛṁhaṇa) and thse that are purificatin (laṅghana) Effect f the tastes and fds n agni (digestive fire) and āma (undigested material) Elemental make up f fds (mahābhutika āhāra five elements in fd) Dietary Guidelines Suggests prper guidelines fr healthy eating Specific Fds and Spices Fasting 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 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: The cunselr is 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 cunselr is able t recmmend at- hme preventive and prmtive (svasthavṛtta) measures and psitive cnduct (sadvṛtta) measures. Scpe f Practice Descriptin Treatment and Interventin: The cunselr is able t demnstrate the apprpriate daily (dinacaryā), seasnal (ṛtucaryā) and life cycle rutines accrding t prakṛti (individual cnstitutin), vikṛti (pathlgical cnditin), and guṇas (qualities). By demnstrating at- hme preventive and prmtive (svasthavṛtta) and psitive cnduct (sadvṛtta). The cunselr is able t recmmend, prescribe and demnstrate the fllwing: 11

12 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 (il applicatin) Drinking warm water in the mrning (uṣāpāna) Tngue cleaning Eye washes 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 Related Pre- requisite r Cmplementary Knwledge f: 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) 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 12

13 Senses NAMA Scpe f Practice Descriptin. Recmmendatins: The cunselr is able t recmmend r prescribe the apprpriate use f sight, smell, tuch, taste and hearing (sātmyendriyārthasaṁyga). Scpe f Practice Definitin. Treatment and Interventin: The cunselr is able t demnstrate apprpriate use f sight, smell, tuch, taste and hearing. The cunselr is able t recmmend, prescribe and/r demnstrate the fllwing: Armatic Therapy: The cunselr 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 (the cunselr is nt required t have specific knwledge f armas frm f therapy but nly that may be utilized as a frm f therapy) Taste Therapy (diet and herbs): The cunselr 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) Tuch Therapy (self massage): The cunselr 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 (the cunselr is nt required t have specific knwledge f types f tuch as a frm f therapy but nly that may be utilized as a frm f therapy) Sund therapy: The cunselr 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 (the cunselr is nt required t have specific knwledge f mantras r music as a frm f therapy but nly that may be utilized as a frm f therapy) Visual Therapy: The client 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 (the cunselr is nt required t have specific knwledge f clr r ther specific visual stimuli) Related Pre- requisite r Cmplementary Knwledge f: The sensry and mtr faculties Relatinship f five elements (pañca mahābhūtas) t each sensry and mtr faculty 13

14 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 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 rgan Psychiatry NAMA Scpe Descriptin: The cunselr is able t recmmend diet (āhāra), lifestyle (vihāra) and psitive cnduct (ācāra) t maintain a healthy mind. NAMA Scpe Descriptin: The cunselr is able t design, implement and manage a plan t pacify the dṣas within the mind. The cunselr is able t recmmend, prescribe and implement the fllwing therapies with the gal in mind t pacify the dṣas, balance prāṇa (vital energy), tejas (radiance) and jas (essence f life) and cultivate sattva (purity and knwledge). Visual Therapy: Sāttvika (purity and knwledge). intake f impressins and the prper use f clr Auditry Therapy: Sāttvika (purity and knwledge) intake f impressins and the prper use f sund Armatic Therapy: Sāttvika (purity and knwledge) intake f impressins and the prper use f armas Gustatry Therapy: Sāttvika (purity and knwledge) intake f impressins and the prper use f fds Tactile Therapy: Sāttvika (purity and knwledge) intake f impressins and the prper use f tuch Effective daily rutines Changes t a persn s behavir Related Pre- requisite r Cmplementary Knwledge f: Diagnsing the mental prakṛti (individual cnstitutin) and vikṛti (pathlgical cnditin) by quantifying sattva(purity and knwledge), rajas (actin and passin), and tamas (ignrance and Inertia) The effects f sensry input n the mind Effective use and misuse f the five senses Overuse, deficient use and misuse fr each sense rgan Prāṇa (vital energy), tejas (Radiance) and jas (essence f life) and hw t determine their state Three guṇas (qualities) and hw t determine their state What cnstitutes healthy behavir 14

15 Effect f sensry input n the mind Designing a treatment prgram utilizing diet, lifestyle, adjustments t behavir and hw the senses are used Varius appraches t implementing the treatment prgram including adjusting the pace f implementatin f the prgram based n a client s prakṛti (individual cnstitutin) and vikṛti (pathlgical cnditin) Effective case management Knwledge f hw t cnduct fllw up visits t mnitr prgress and make adjustments t the treatment plan including Checking in n hw the client is ding implementing assignment/hmewrk plan and lifestyle changes An ability t supprt the client t be mre successful in implementing the treatment plan An ability t assign additinal hmewrk / assignments r lifestyle changes at an apprpriate time Utilizing f the cunseling prcess nted in the cunseling sectin f this dcument Knwledge f fur aspects f mind- manas, citta, buddhi (intellect), ahaṁkāra (eg) Knwledge f definitin, qualities, lcatin and functins f mind Pacificatin f Dṣas (Śamana) NAMA Scpe Descriptin. Recmmendatins: The client is able t recmmend pacificatin (śamana) therapies t balance the dṣas and eliminate āma (undigested material). NAMA Scpe Descriptin. Treatment and Inventin: The cunselr is able t design, implement and manage a plan fr pacifying the dṣas and eliminating āma (undigested material). The cunselr is 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 āma (pācana) Diet: See fd sectin (kṣudhā nigraha cntrlling hunger) Sensry Therapies: See sensry therapy sectin. Exercise (vyāyāma) Heat therapies (agni and anagni cikitsā therapies with and withut fire) Related Pre- requisite r Cmplementary Knwledge f: 7 traditinal frms f palliative therapy Dīpana: Herbs/spices that increasing agni Pācana: Herbs/spices that digest āma Kṣudhā nigraha: Cntrl ver diet including the use f fasting Tṛṣṇā nigraha: Cntrl ver water and il intake Vyāyāma: Use f exercise 15

16 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) 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 Tnificatin (Bṛṁhaṇa) NAMA Scpe Descriptin. Skills and Cmpetency: The cunselr is able t recmmend tnificatin (bṛṁhaṇa) therapy fr the bdy and mind. NAMA Scpe Descriptin. Treatment and Interventin: The cunselr is able t design, implement and managing a prgram f tnificatin (bṛṁhaṇa) fr sustaining the health f the bdy and mind. The cunselr is 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 Pre- requisite r Cmplementary Knwledge f: 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 16

17 Pre- natal, Natal, Pst Natal NAMA Scpe Descriptin. Skills and Cmpetency: The cunselr is able t recmmend basic diet (ahāra) and lifestyle (vihāra) fr the mther. NAMA Scpe Descriptin. Treatment and Interventin: The cunselr is able t supprt a wman t implement dietary (ahāra) and lifestyle (vihāra) recmmendatins. The cunselr is 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 Related Pre- requisite r Cmplementary Knwledge f: 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) 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 17

18 Children s Health NAMA Scpe Descriptin. Recmmendatins The cunselr is able t recmmend r prescribe apprpriate recmmendatins t children abve the age f five. NAMA Scpe Descriptin. Treatment and Interventin: The cunselr is able t design, implement and manage diet (ahāra), lifestyle (vihāra), herbs/spices (dravya) and treatments (cikitsā) in children ver the age f five The cunselr is able t make the fllwing recmmendatins and prvide the fllwing treatments and interventins: Teach the parents f a yung child the prper diet apprpriate fr their child s cnstitutin and vikṛti (pathlgical cnditin) with due regard t the child s age and stage f life Teach the parents f a yung child the prper lifestyle apprpriate t the child s cnstitutin and vikṛti (pathlgical cnditin) with due regard t the child s age and stage f life Utilize herbs apprpriate t the child s cnstitutin and vikṛti (pathlgical cnditin) with due regard t the child s age and stage f life Utilize sensry therapies apprpriate t the child s cnstitutin and vikṛti (pathlgical cnditin) with due regard t the child s stage f life The cunselr is able t ffer guidelines abut caring fr children with due regard t the child s age and stage f life utilizing the fllwing interventin tls: 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 qualities (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 Resisting and nt resisting urges Related Pre- requisite r Cmplementary Knwledge f: Relatinship f between the dṣas and life cycle Kapha balancing diet, life style and herbal recmmendatins The factrs that vitiate kapha dṣa 18

19 Internal Medicine NAMA Scpe Descriptin. Recmmendatins The cunselr is able t recmmend r prescribe a plan t pacify the dṣas that affect the digestive system (annavahasrtas) and prevent verflw (prasara) f the dṣas. NAMA Scpe Descriptin. Treatment and Interventin Skills: The cunselr is able t design, implement and manage a plan t pacify the dṣas within the digestive system (annavahasrtas). The cunselr is able t make the fllwing recmmendatins and prvide the fllwing treatments and interventins: Apprpriate diet Effective eating behavirs Effective herbs Rutines t supprt healthy eliminatin Mnitr client s prgress and make the apprpriate adjustments t the treatment plan Related Pre- requisite r Cmplementary Knwledge f: Supprting digestin and balance the patients agni (digestive fire) Preventin and treatment āma(undigested material) Supprting healthy eliminatin Six tastes 13 types and 4 states f agni (digestive fire). Identifying āma(undigested material) Healthy and unhealthy fd cmbinatins First three stages f samprāpti (pathgenesis) The signs f three dṣas at each stage f samprāpti (pathgenesis) Fds, lifestyle and herbs that pacify the dṣas in the digestive system Factrs that cause imbalance in the dṣas (nidāna) ENT / Head and Neck Regin NAMA Scpe Descriptin. Recmmendatins: The cunselr is able t recmmend preventative care fr all f the rgans abve the neck. NAMA Scpe Descriptin. Treatment and Interventins: The cunselr is able t ffer therapies t pacify dṣas at all the rgans in and abve neck as preventin. The cunselr is able t make the fllwing recmmendatins and prvide the fllwing treatments and interventins: Prescribe and teach/demnstrate il massage fr head face, neck muscles Prescribe and teach/demnstrate leatin fr ears, nse, eyes and muth Prescribe and teach/demnstrate prtectin f the head/ face frm extreme weather 19

20 Prescribe diet, lifestyle and herbs t supprt the gal f pacifying the dṣas within the head Prescribe nasya (leatin f the nse) when apprpriate t pacify the dṣas f the head and neck Related Pre- requisite r Cmplementary Knwledge f: Daily rutines (dinacaryā) fr gd health (svasthavṛtta) Prcedures fr leatin Precautins t take during prcedures The benefits f fllwing prcedures: The indicatins and cntraindicatins fr each prcedure Utilizing diet, lifestyle and herbs t pacify the dṣas in the head and neck The techniques f head massage (śir abhyaṅga), leatin f the eyes (netra tarpaṇa), leatin f the ears (karṇa pūraṇa), leatin f the nse (nasya) and leatin f the gums (kavalagraha) and teeth (gaṇḍūṣa) Techniques fr massaging the face and neck Jytiṣa - Vedic astrlgy NAMA Scpe Descriptin. Recmmendatin: The cunselr is able t refer clients t a Jytiṣi (vedic astrlgy) fr assessment and educatin n the general scpe and value f Jytiṣa (vedic astrlgy). NAMA Scpe Descriptin. Treatment and Interventin: The cunselr is infrmed n Jytiṣa (vedic astrlgy) but its practice requires a separate certificatin. The cunselr is able t: Refer the patient t Jytiṣi (vedic astrlgy) at the apprpriate time. Related Pre- requisite r Cmplementary Knwledge f: What Jytiṣa (vedic astrlgy) is What a Jytiṣi (vedic astrlgy) des The scpe f practice f Jytiṣa(vedic astrlgy) Hw a Jytiṣi (vedic astrlgy) can cmplement client care Therapeutic tls utilized by a Jytiṣi (vedic astrlgy) 20

21 Vāstu Śāstra Vedic Architecture NAMA Scpe Descriptin. Recmmendatin: The cunselr is able t refer clients t a practitiner f Vāstu (vedic architecture) fr assessment and educatin n the general scpe and value f Vāstu (vedic architecture). NAMA Scpe Descriptin. Treatment and Interventin: All categries shuld be infrmed n Vāstu (vedic architecture) but its practice requires a separate certificatin. The cunselr is able t: Refer the client t a practitiner f Vāstu (vedic architecture) at the apprpriate time. Related Pre- requisite r Cmplementary Knwledge f: What Vāstu (vedic architecture) is What a Vāstu (vedic architecture) practitiner des The scpe f practice f Vāstu śāstra (vedic architecture) Hw a Vāstu (vedic architecture) can cmplement client care Therapeutic tls utilized by a practitiner f Vāstu śāstra (vedic architecture) Herbs NAMA Scpe Descriptin. Recmmendatin: The cunselr 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). The cunselr 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). NAMA Scpe Descriptin. Treatment and Interventin: The cunselr is able t administer, cmbine, prvide, cmpund, and dispense herbal medicines, minerals r ther natural substances fr internal r external use. Related Pre- requisite r Cmplementary Knwledge f: 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 21

22 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 Best times fr administratin f herbs Basic Herb List fr the Ayurvedic Health Cunselr Saṁskṛta Name Latin Name Cmmn Name Āmalakī Emblica fficinalis Indian Gseberry Dhānyaka Criandrum sativum Criander Elā Elettaria cardammum Cardamm Haridrā Curcuma lnga Turmeric Harītakī Terminalia chebula Chebulic Myrbalan Hiṅgu Ferula assa- fetida Asafetida Jātīphalā Myristica fragrans Nutmeg Jīraka Cuminum cyminum Cumin Laśuna Allium sativum Garlic Lavaṅga Syzygium armaticum Clve Marica Piper nigrum Black Pepper Methikā Trignella fenum- graeceum Fenugreek Miśreya Feniculum vulgare Fennel Pippali Piper lngum Lng Pepper Rājikā Brassica juncea Mustard seeds Śuṇṭhī Zingiber fficinale Ginger Tila Sesamum indicum Sesame Tvak Cinnammum cassia Cinnamn Vibhītakī Terminalia belerica Beleric 22

23 Yavānī Carum cpticum Ajwain r Wild Celery Knwledge f the mst traditinal herbal frmulatins frm classical Āyurvedic texts that supprt agni (digestive fire) and reduce āma (undigested material) as well as rasāyanas (rejuvanatrs). Trikaṭu cūrṇa Triphala cūrṇa Hiṅgvāṣṭaka cūrṇa Cyavanprāśa YOGA NAMA Scpe Descriptin. Recmmendatin: The cunselr is able t refer clients t a practitiner f Yga r Āyurvedic Yga Therapy fr assessment and educatin n the general scpe and value f Āyuvedic Yga Therapy/Medical Yga Therapy. NAMA Scpe Descriptin. Treatment and Interventin: The cunselr is infrmed n Āyurvedic Yga Therapy/Medical Yga Therapy but its practice requires a separate certificatin. The cunselr is able t: Refer the patient t practitiner f Āyurvedic and Medical Yga Therapy. Related Pre- requisite r Cmplementary Knwledge f: Āyurvedic and Medical Yga Therapy What a practitiner f Āyurvedic and Medical Yga Therapy des The scpe f practice f Āyurvedic and Medical Yga Therapy Hw an Āyurvedic and Medical Yga Therapy can cmplement client care Therapeutic tls utilized by a practitiner f Āyurvedic Yga Therapy and Medical Yga Therapy WESTERN MEDICAL APPROACHES NAMA SCOPE DESCRIPTION: The cunselr is able t refer a client fr assessment and pssible treatment by a medical practitiner. The cunselr is able t make the fllwing recmmendatins: A referral t a cmpetent Western Practitiner at the apprpriate time. Related Pre- requisite r Cmplementary Knwledge f: The scpe f practice f a Medical Practitiner Indicatins that require a referral Hw a Western Medical Practitiner can cmplement the care being prvided by the Āyurvedic Health Cunselr The cunselr is able t explre lifestyle issues that may be affecting the client s sleep and make lifestyle recmmendatins. Chrnic refer. 23