Unified Health
Physician Heal Thyself: An Ayurvedic Perspective on the Mind
On how clinicians can cultivate clarity and peace of mind.
By Nicholas Bitz, ND -- Fall 2009, Vol 5, Issue 17 -- Download the PDF

As a relatively new clinician, I am often comforted by the idea that "being precedes knowledge" - that is to say, how I am being with a patient is really much more important than knowing all the answers. The quality of my presence is largely determined by my state of mind, moment to moment. Thus, I've come to believe that a clinician's state of mind is absolutely primary to the clinical encounter.

So how do we, as clinicians, cultivate a clear and balanced mind?
Ayurveda gives us perhaps the most comprehensive and practical answer to this question. Ayurveda is the traditional medical system of India and the sister science of Yoga. It is widely considered the first form of medicine in the world and has been practiced continuously for over 5,000 years. The word "ayurveda" is a conjugation of two Sanskrit words: "ayu," which means life, and "veda," which means knowledge. So Ayurveda literally means the knowledge of life, alluding to the fact that it is more than just medical diagnosis and treatment; Ayurveda is an entire worldview and philosophy that describes how to live in harmony with nature. Included in this healing system is an eloquent description of the inner workings of the mind.

In Ayurvedic philosophy, the mind is formed from the most subtle portion of food. Just as the most physical parts of food (namely the proteins, carbohydrates and fats) feed the physical structures of the body (the tissues), the most subtle part of food (the essence) feeds the most subtle part of the body (the mind). The overall effect that a particular food exerts on the mind depends upon the predominant quality that it possesses.

The Three Universal Qualities are:
  • Sattva: stillness (purifying to the mind)
  • Rajas: movement (over-stimulating to the mind)
  • Tamas: inertia (dulling to the mind)
Everything in nature is composed of these three qualities. It is only by decreasing rajas and tamas through the magnification of sattva that we quiet the fluctuations of awareness and cultivate a pure and awakened mind. For this reason, the Ayurvedic diet emphasizes foods that possess the quality of sattva. These foods promote mental clarity, encourage love and compassion, provide the building blocks for a strong intellect and a good memory, aid in the tonification and rebuilding of a higher quality of tissue in the body, and harmonize all three doshas (vata, pitta and kapha). Sattvic foods are considered to be the most healing of all foods.

Sattvic Foods

These foods are organic vegetarian foods sweet in taste and rich in prana (life-force). They should be freshly prepared with love and consumed mindfully in moderate portions. A good rule of thumb is to eat until you are 3/4 full, leaving 1/4 of the stomach empty to allow room for proper mixing of digestive enzymes and food nutrients.

Fruit: most fruits are considered sattvic, especially dates, fresh and dried figs, mangoes, coconuts, seeded grapes, pomegranates, peaches, pears, plums, prunes, oranges, sweet apples, apricots, lemons, cherries, blueberries, raspberries, raisins, and bananas.

Vegetables: most vegetables are considered sattvic, especially steamed leafy greens, asparagus, carrots, celery, sweet potato, beets, daikon radish, and cucumbers. It is best to consume vegetables that are lightly steamed (until crunchy-tender, not soft). An excellent practice is to drink freshly made vegetable juices for their prana, live enzymes, and easy absorption.

Grains: rice (particularly white basmati rice or long grain brown rice), wheat, oats, quinoa, and sprouted grain breads. Yeasted breads are not recommended unless toasted.

Legumes: mung beans, yellow split peas, adzuki beans, organic tofu, and chickpeas. In general, the smaller the bean, the easier to digest. To improve digestibility, consider soaking beans overnight, sprouting, or cooking with spices (such as asafetida) or a piece of kombu. Legumes combined with whole grains provide a complete protein combination.

Nuts/Seeds: almonds, almond butter, sesame, sunflower, pumpkin, and freshly ground flax.

Organic Dairy: unpasteurized (or raw) milk, unsweetened kefir, unsweetened whole milk yogurt, and homemade paneer. Milk should never be consumed cold and straight out of the fridge. Instead it should be boiled, lightly spiced (i.e. ginger, cinnamon, cardamom), and served with raw honey to overcome any mucus-forming tendencies. Milk should always be consumed either alone or with other sweet-tasting foods (i.e. not with sour, salty and pungent-tasting foods). Avoid mixing yogurt with fruit, as they are incompatible foods.

Oils: cold-pressed extra-virgin olive oil packaged in a dark glass bottle, sesame oil, and ghee (clarified butter). Sweeteners: raw unheated honey, raw sugars in small amounts.

Mild Spices: rock salt, cinnamon, cardamom, cumin, coriander, fennel, fresh ginger, turmeric, and small amounts of black pepper. Beverages: filtered water (never ice-cold, always room temperature or heated), herbal teas, and occasional black, green or yerba mate’ tea to improve mental functioning.

Rajasic Food

Fish, white meats, garlic, onions, beans, nightshade family (tomatoes, potatoes, eggplant), brassica family (broccoli, cauliflower, cabbage, brussels sprouts), radishes, peppers, hot spices, salt, chocolate, caffeine, refined white sugar, carbonated beverages, all under-ripe produce, undercooked foods, eating foods too quickly.

Tamasic Food

Pork, beef, dark meats, eggs, cheeses, mushrooms, avocado, vinegar, alcohol, all intoxicants, all genetically-modified foods, fried foods, fermented foods, all over-ripe produce, overcooked foods, frozen/canned/boxed foods, leftovers and re-heated foods (microwave and stove-top), overeating in general, eating snacks after sunset.
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