**Main Health Concerns**
• Sugar cravings
• Excess weight
• Colds twice a year
• Cold feet
• Sometimes acid belly
• Lower back pain – kidney
• Gas, bloating
**Constitution (Prakruti/ Genetic-Karmic Makeup):** V1 P2 K3
**Current State/ Vikruti:** K3.5
**DOB:** August 15th **Birth time:**
**Height:** 5’9” **Weight:** Not sure
**Ten year old:** Chubby
**Blood Type**: O+
**Energy level:** She stays busy and active with functional, medium and steady energy levels
**Sleep:** Easy but hard to get out of bed shows some inertia
**Memory:** Good and learns fast and remembers
**Primary Emotions:** Anxiety
**Secondary emotions:** Irritable
**Blood Pressure:** Good
**Digestion:** She sometimes gets acid belly. She likes to eat spicy, chilli foods and, even though she is Kapha primary, and excess of these foods can create false sugar cravings as the body tries to restore the burnt out mucous lining of the G.I.T.
**Regular eating:** Pretty regular
**Bowel movements:** 2 per day, well formed. Sometimes sees mucous on her stool.
**Cravings:** She has more Kapha type sugar cravings as she can fast without being bothered. Kapha sugar cravings are unlike Pitta ones who get dizzy and irritable if they miss a meal (not hypoglycaemic). Emotional eating.
**Ama:** Stool does not stick to the bowl
**Pulse:** Bone structure shows Kapha primary with pitta second. Kidney pulse is weak. Liver pulse is also a little weak – she got drunk last night. It is recommended that she watches it with the alcohol.
**Menstruation:** Gets swelling in the breasts. Regular. Menarche was at 11years old.
Eat a piece of fruit when have sugar craving.
Follow Pitta-Kapha diet. Be aware of emotional eating especially working in a counselling role where Kapha’s can suppress their emotions and put on weight. Avoid cold mixed with sweet. Avoid deep, fried foods as she has a weak liver pulse and the liver helps digest fats.
Drink warm beverages, avoid cold.
Kapha should cut out cow’s milk, especially bovine growth hormone milk.
Stay physically active: Do rejuvenative exercise as well general exercise – get back to nature.
For back pain: Drink 1-2 cup of warm water when she gets up in the morning to flush out the kidneys.
For gas and bloating: Look at food combining – most strict point is not to mix with fruit with dairy, or fruit with eggs i.e. fruit cake, or fruit and meat i.e. fruit, meat and cheese platter.
Meditation: Time to digest for 15-20 minutes a day (at least), after exercise. Can also do this before bed to digest the day.
**Custom Herbal Formula**
3pts Guduchi //Tinospora// – helps liver and blood sugar
½ pt Vaca – mental focus and clarity, dispels Kapha in the mind
2pts Talisadi – for lungs, prevents colds
2pts Avipattikar– gas, bloating
2pts Ashoka //Saraca India// - yeast infections, Leucorrhoea
2pts Gokshuradi Guggulu – kidneys, bladder, lower back pain.
Take 1tsp 3 x a day with raw honey, 15 minutes after a meal.
* **Patient:** 23 year old female * **DOB:** 15th Aug 1983 (P) * **POB:** San Francisco (P) * **Height:** 5' 9" * **Weight:** Unknown (overweight) (K) * **As 10 yr old:** Chubby (K) * **Blood Type:** O + (P, K) * **Energy Level:** Steady (K) * **Sleep:** Deep & Good (K). Hard to wake up (K) * **Emotions:** (1) Anxious (V), (2) Irritable (P) * **Memory:** Learn Fast, Remember (P) * **Bowel Movement:** 1-2 well shaped (K). Mucus in stool sometimes (K) * **Agni:** Acid belly (P). Bloating (V) (may be due to incompatible food combining). Eats at regular hours (K) * **Ama (tongue exam):** OK, normal pink, no coating. Healthy tongue showing good digestive health. Check photograph of tongue from [[http://www.bhaisajya-guru.com/medicine-buddha-clinic/index.php?dir=&file=CLN301_V1P2K3_K3.5_Overweight_Colds_False-Sugar-Cravings_06172007.jpg]] * **Pulse:** Shows Pitta/Kapha type. Weak liver pulse (patient had alcohol the night before). Weak Kidney pulse (patient said she had lower back pain). * **Menstruation:** 11-13 yr onset (V). Regular (K). Very heavy flow (Menorrhagia) (P). White discharge (Leucorrhea) (K). Swelling breasts during menstruation (K) * **Others:** Sugar cravings without hypoglycemia (K). Social worker (compassionate) (K). Gets colds twice a year (K). Cold feet (K)\\ \\
* Pulse shows weakness in Kidneys and Liver. This can gradually develop into Chronic Fatigue. * Incompatible food combining can cause bloating and gas. The patient was advised not to mix fruit with dairy, eggs or meat. Fructose in fruit is easily digested while dairy, eggs and meat are hard to digest. Mixing fructose and lactose (found in milk) causes curdling. * The patient is advised to drink 2 cups of water upon waking up in the morning to flush out the kidneys. This hydrates and flushes out the [[Ambu vaha Srota]] and [[Mutra vaha Srota]]. * **Diet:** The patient must follow a P-K diet. The patient likes spicy food, yet she is advised against it because it causes increased sugar cravings (sugar is needed to create the mucus lining of the stomach which is usually depleted by spicy food). * **Exercise:** It is very important to stay active, and any form of exercise is ok for Kaphas. Walking in nature is also good for them because Kaphas need to get in touch with nature and it rejuvenates them. The patient said that she practices Hot Yoga, which is very good for Kaphas. Exercise is necessary to generate heat and liquefy heat and therefore dispel [[Kapha]]. * **Meditation:** 15 min twice a day. Stand up or walking meditation is good for Kaphas. * Patient says that her mind affects her body, thus she would need nervine herbs.\\ \\
* 5 pts [[Punarnava]] ([[Boerhaavia diffusa]]), V-P-K-, best herb for K, [[rasayana]]. Also good for the liver. * 3 pts [[Guduchi]] ([[Tinospora cordifolia]]), V-P-K-, good for the liver, regulates blood sugar (controls sugar cravings) * 5 pts [[Musta]] ([[Cyperus rotundus]]) – instead of [[Chitrak]] which is out of stock, V+P-K-, good for digestion, bladder, kidneys (lower back pain), lungs. * 4 pts [[Brahmi]] ([[Centella asiatica]]) – instead of [[Shankhapushpi]] which is out of stock, V-P-K-, for anxiety and irritability * 1/2 pt [[Vacha]] ([[Acorus calamus]]), V-P+K-, for mental clarity, focus, lungs. It dispels K in mind and body. * 2 pts [[Talisadi]] (contains Talisa – Himalayan silver fir tree needles, and [[Trikatu]] – dry ginger, black pepper, pippali, cardamom and others), V-P+K-, good for the lungs, colds, is warming and improves K digestion. * 2 pts [[Avipattikar]], V-P-K-, digestion herb for bloating and gas. * 2 pts [[Ashoka]] ([[Saraca indica]]), V=P-K-, for leucorrhea and yeast infections. * 2 pts [[Gokshuradi Guggulu]] (contains [[Gokshura]] – [[Tribulus terrestris]], and [[Guggulu]] – [[Commiphora mukul]]), V-P-K-, good for the kidneys, bladder, lower back pain.\\ \\
//Take 1 tsp of the above formula 3 times/day in a cup of hot water. To be taken 15 min after a meal (to allow to stay in the lung region and cure lung related issues).//