Educational Outcome: The counselor has skills and competence in determining which gunas are predominant in individual constitution (prakriti) and pathological condition (vikruti) and demonstrates the following ability/abilities: To determine the role and influence of the 10 pairs (or 20 total) of opposing qualities (gurvadi gunas) in the individual constitution (prakriti) and pathological condition (vikruti) through the data received from the history and examination of the client.

Related Pre-requisite or Complementary Knowledge of:

• The 10 pairs of opposing qualities (gurvadi gunas) associated with the five elements (pancha mahabhutas) and the three doshas
• The qualities (gunas) causing doshas to accumulate and become aggravated
• How diet, climate, season and age impact the qualities (gunas) and subsequently contribute to the cause of disease
• What constitutes excess, deficiency and the imbalance of the qualities (gunas) in Abnormal dosha variance (dosha vikruti)
• The theory of similar and dissimilar and balancing the qualities (gunas) through proper daily and seasonal routines for a person of each constitutional type

Educational Outcome: The counselor has the skills required to assess the physical and mental individual constitution (prakriti) and doshic imbalance using the three fold diagnostic method (trividha pariksha) eightfold diagnostic method (ashtavidha pariksha) and tenfold diagnostic method (dashavidha pariksha)

The counselor has knowledge of:

• Three-fold Diagnostic Method (Trividha Pariksha)
  • Observation (Darshana)
  • Palpation (Sparshana)
  • Questioning (Prashna)
  • Eight-fold Diagnostic Method (Astavidha Pariksha)
  • Pulse Assessment (Nadi Pariksha)
  • Urine Assessment (Mutra Pariksha) - theoretical knowledge only
  • Stool Assessment (Mala Pariksha) - theoretical knowledge only
  • Tongue Assessment (Jihva Pariksha)
  • Speech and Voice Assessment (Sabda Pariksha)
  • Skin Assessment (Sparsha Pariksha)
  • Assessment of Eyes (Drk Pariksha)
  • General Appearance of external features (Akrti Pariksha)
• Ten-fold Diagnostic Method (Dashavidha Pariksha):
  • Structural and functional abnormalities of the body (Dusyam)
  • Geographical nature of the place where client lives (Desham)
  • Physical strength (Balam)
  • The season and climatic conditions (Kalam )
  • Digestive fire of the client (Anala)
  • Constitution (Prakriti)
  • Age of the client (Vayas)
  • Psychological nature of the client
  • General and personal habits of the client (Satmya)
  • Nature of the patients diet (Ahara)
• Additional items:
  • Quality of Dhatus (Sara)
  • Physical Build (Samhanana)
  • Measurement of Body- Height, Weight, Posture, Circumference of Head (Pramana)
  • Satmya or client's ability to adapt to Diet (Ahara), Herbs (Dravya), Lifestyle and Behavior (Vihara)
  • Ability to Digest (Ahara Sakti)
  • Stamina, endurance and capacity to exercise (Vyayama Sakti)
• Related Pre-requisite or Complementary Knowledge of:
  • Tridosha (three humors) theory including the 10 pairs of opposite qualities (gurvadi gunas)
  • Physical and mental attributes in a individual constitution (prakriti) including but not limited to height, weight, color of eyes, skin, mental abilities, memory, intellect, diet, tastes, digestive fire, quality of skin, temperature, hair, appetite, elimination, stress factors
  • Physical and mental attributes that change with time: diet, climate, season, stress and environment
  • Changes in vikruti (pathological condition) due to changes in agni (digestive fire), gunas (qualities) resulting in digestive disorders, appetite and elimination changes
  • gunas (attributes) that cause the doshas to accumulate and become aggravated
  • Ahara (diet) and vihara (lifestyle); how diet, climate, season and age impact the prakriti (individual constitution) and subsequently contribute to dosha vikruti (aggravation of dosha) and cause of disease
  • What constitutes excess, deficient and the imbalance of doshas within their own site
  • Theory of similar and dissimilar and balancing the dosha vikruti (aggravation of dosha) through a proper daily routine, seasonal routine and basic rasas (six tastes) for a person of each constitutional type

Educational Outcome: The counselor exhibits skills and competency in determining the state of doshas, sub- doshas, dhatus, upadhatu (By products of nutrition) and srotamsi (pathways), then able to assess the following:

The counselor is able to assess the state of doshas, and sub-doshas, dhatus (tissues), upadhatus (By products of nutrition), and srotamsi (pathways) involved through darshana (observation), sparshana (palpation) and prashna (asking questions) and is able to interpret the information received.

• Darshana (Observation) - The ability to interpret information that has been received upon darshana (observation) to determine the involvement (vitiation) of doshas, sub-doshas, dhatus (tissues) and srotamsi(pathways).
• Sparshana (Palpation) - The ability to interpret information that has been received upon palpation (sparshana) to determine the involvement (vitiation) of doshas, sub-doshas, dhatus (tissues) and srotamsi (pathways).
• Prashna (Interview / Questioning) - Asking questions about the current state of digestion, elimination, sleep, stress level, energy level and emotional level.

Related Pre-requisite or Complementary Knowledge of:

• Healthy dhatus - tissues (dhatu sarata - Signs of ideal tissues).
• How to properly examine the client utilizing the methods of trividha pariksa (three fold clinical assessment), ashtavidha pariksha (eight fold clinical assessment), dashavidha pariksha (tenfold clinical assessment)
• Definition, qualities, locations, actions and functions of the three doshas and 15 sub-doshas
• Causes of imbalance, signs of imbalance of the three doshas and 15 sub-doshas
• Definition, location and function of the dhatus (tissues) and how they are formed.
• Definition of upadhatus (By products of nutrition) and dhatu malas (waste products of nutrition)
• Relationship between dhatus (tissues), upadhatus (By products of nutrition) and dhatu malas (waste products of nutrition)
• Definition, types, qualities and functions of ojas (Essence of Nutrition)
• Relationship of doshas and dhatus (tissues)
• Definition, origin and function of the srotamsi (pathways)
• Factors causing abnormality of dhatus (Tissues)
• Vrddhi (aggravation) and ksaya (depletion) of the doshas and dhatus (tissues)
• Normal and abnormal functions of srotamsi (pathways)

Educational Outcome: The counselor can assess the state of the malas (waste), agni (digestive fire), and ama (undigested material) through prashna (questioning) and darshana (observation).

The counselor has the following skills:

• Ability to determine the state of agni (digestive fire) by questioning the client for rugna patrakam (client intake form).
• Questioning about appetite, digestion and elimination
• Ability to recognize the signs and symptoms of ama (undigested material) in the body
• Questioning about digestion
• Observation of tongue, stools and body odor
• Ability to recognize the signs and symptoms of normal and vitiated mala (waste)
• Questioning about urination, elimination and sweat patterns
• Observation of the urine stools and sweat to include color, volume, odor, clarity

Related Pre-requisite or Complementary Knowledge of:

• Symptoms and signs of the four states of agni (digestion)
• Definitions of ama (undigested material), agni (digestive fire) and mala (waste)
• How ama (undigested material) is formed
• Types agni (digestive fire) and ama (undigested material)
• Functions of agni (digestive fire)
• Signs and symptoms of the altered states of agni (digestive fire)
• Signs and symptoms of ama (undigested material) in the mutra (urine), purisa (feces), sveda (sweat), on the jihva (tongue), netra (eyes), nakha (nails), tvak (skin), etc.
• Functions of the malas (waste)
• What constitutes the normal and abnormal quantity and qualities of malas (waste)

Educational Outcome: The counselor can determine the state of prana, ojas and tejas

The counselor can assess the following:

• The state of prana (vital energy), tejas (radiance) and ojas (life essence) through observation and the interview process (consultation) which explores the state of prana (vital energy), tejas (radiance) and ojas (life essence).

Related Pre-requisite or Complementary Knowledge of:

• Definition of prana (vital energy), tejas (radiance) and ojas (essence of life)
• Relationship of prana (vital energy), tejas (radiance) and ojas (essence of life) to vata, pitta and kapha
• Signs of healthy or balanced prana (vital energy), tejas (radiance) and ojas (essence of life)
• Symptoms of high ojas (life essence)
• Symptoms of low ojas (life essence)
• Displaced ojas (life essence)
• Factors causing imbalance in prana (vital energy), tejas (radiance) and ojas (life essence)

Scope of Practice: The counselor has the necessary skills to be able to effectively take a detailed current and past, personal and family health history with the following ability/abilities:

Asks questions which gather the appropriate information necessary to understand the prakriti individual constitution) and vikruti (pathological condition) of the client and refers a client for disease management care, when necessary.

Related Pre-requisite or Complementary Knowledge of:

• What the chief complaint is, based on initial consultation and the importance of mitigating factors such as: origin, duration, progress, factors that aggravate and relieve the symptoms.
• Past medical history, including: Illness, injuries, surgeries, hospitalizations
• Family history affecting vikruti (pathological condition) of the client
• Social history affecting vikruti (pathological condition) of the client
• Roles of work relationships and home environment affecting vikruti (pathological condition) of the client
• Medication and supplements a client is taking
• Any food or drug allergies or intolerances the client has
• Nutritional habits of the client
• Good listening skills, eye contact and develops rapport with client
• How to ask open ended questions with each client
• The importance of obtaining a good health history and demonstrates this ability
• Accurate assessment and plan of action
• Client's satisfaction of Ayurveda methodology
• Improving the understanding of the consultation
• Improvement of client compliance to any suggestions or guidelines given

Educational Outcome: The counselor has the skills to be able to effectively take basic vital signs such as raktacapa (blood pressure).

These abilities are demonstrated by:

• Taking a client's measurements: (Requires a description of measurements)
• Assessing a client's height and weight
• Taking a client's pulse
• Taking the blood pressure

Related Pre-requisite or Complementary Knowledge of:

• Pulse
  • Able to interpret pulse rate, rhythm and volume
  • Taking pulse at appropriate site
  • Normal and abnormal pulses
• Blood Pressure
  • Determining what is blood pressure
  • The systolic and diastolic pressure (normal, abnormal, physiology)
  • Measuring blood pressure
• Respiration
  • Determining respiration
  • Normal and abnormal respiration

Educational Outcome: The counselor has the skills to determine the nidana (etiological factors) responsible for the doshic imbalance and demonstrates the following ability/abilities:

• Interprets and understands the case history of the client
• Conveys the factors causing the general doshic imbalance with the client

Related Pre-requisite or Complementary Knowledge of:

• The three fundamental causes of disease: Asatmyendriyartha samyoga (abnormal interaction of senses and their objects), prajnaparadha (intellectual transgression) , parinama (change due to time)
• How the senses might be misused (over-used, under-used or wrongly used) in a manner that causes the doshas to become aggravated
• How daily and seasonal routines impact the flow of the doshas
• Qualities that cause the doshas to go through the six stages of pathogenesis
• How constitution, climate, season and age impact the movement of the doshas
• Additional nidanas (causative factors) in the disease process
• How the suppression of natural urges contributes to the disease process

Educational Outcome: The counselor can determine the current stage of samprapti by darshana (observation), sparshana (touch) and prashna (questioning) and assess the following:

• Evaluate the client and determine the stage of pathology the client is experiencing.
• Discerning the difference between the stages of sancaya (accumulation), prakopa (aggravation) and prasara (overflow) and relocation, manifestation and differentiation in order to have knowledge of the limitations of the scope of practice.

Related Pre-requisite or Complementary Knowledge of:

• Each stage of samprapti (pathogenesis)
• General signs and symptoms all stages of samprapti (pathogenesis)
• How the stages of pathology are affected/influenced by season, climate and age

Scope of Practice: The counselor has the necessary skills to provide counseling with the following ability/abilities:

• Conveys information and ideas correctly (to educate)
• Listens and understands
• Supports a client to make positive changes in his/her life
• Earns the clients trust

Related Pre-requisite or Complementary Knowledge of:

• Communicating effectively
• Demonstrating effective skills for counseling
• Recommending changes in diet and lifestyle as necessary, due to doshic tendencies and how they relate to challenges
• Supporting each person to make successful changes based on their constitutional type
• Supporting a rajasika (hyperactive /motivated) and tamasika (dull/ disassociated) client to make changes
• Demonstrating good bedside manner
• The following areas of knowledge are generalized and no specific methodology has been determined. Schools are encouraged to include their own methodologies in their curriculum. No competencies will be evaluated in these areas
  • Understanding body language
  • Understanding tone of voice
  • Asking relevant questions
  • Ability to paraphrase and summarize
  • Demonstrates active listening
  • Discern nonverbal communication
• Referring clients to theory references including books and other reference materials that support self learning

Scope of Practice: Assessing and determining client's strengths and willingness to follow recommendations

The counselor can assess the following:

• Client's compliance
• Memory of the client

Related Pre-requisite or Complementary Knowledge of:

• How the qualities noted above influence the outcome of a case.

Scope of Practice: The counselor can collect case studies to contribute to research on health promotion and swasthavritta (disease prevention). The counselor can prepare a case study based on the clients who have become a part of the practice.

Related Pre-requisite or Complementary Knowledge of:

• How to write up a case study including the proper format to summarize the following:
• Patient information
• Age
• Sex
• Occupation
• Client's goals
• Prakriti (individual constitution) and Vikruti (pathological condition)
• Patient's state of agni (digestive fire), ama (undigested material), ojas (essence of life) and mala (waste)

Treatment plan

• Diet
• Lifestyle
• Herbs
• Frequency of appointments
• Progress of each appointment
• Adjustments to the plan at each visit
• Final outcome
• Comments about what aspects of case management were most successful and what aspects were least successful
• Comments about what could have been done different that may have produced a more positive outcome

Educational Outcome - Recommendations The counselor can recommend or prescribe the appropriate food choices and proper aharavidhi (eating behaviors) in accordance with the prakriti (individual constitution), vikruti(pathological condition), gunas (qualities), rasa (taste), rtu (season), agnibala (digestive strength) and vaya (age) of the client.

Educational Outcome Treatment and Intervention: The counselor can demonstrate the selection and preparation of appropriate foods and spices as per the prakriti (individual constitution), vikruti (pathological condition), gunas (qualities), rasa (taste), rtu (season), agnibala (digestive strength) and vaya (age) as well as demonstrate proper aharavidhi (eating behaviors) through their own practice.

The counselor can:

• Recommend appropriate food and dietary guidelines to promote and restore balance based on prakriti (individual constitution), vikruti (Pathological condition), agni (digestive fire) and ama (undigested material).
• Recommend fasting when appropriate
• Teach and support the client to implement proper dietary guidelines into their lives
• Prescribe specific foods and spices
• Discuss with the client how to properly prepare the food/meals
• Discuss and teach the proper rituals of eating
• Discuss and teach how to adapt diet to the season and age of a client

Prerequisite and Complementary Knowledge:

• General Knowledge of the six tastes
  • Six tastes, their elemental makeup and qualities
  • Rasa (taste), virya (potency) and vipaka (post digestive effect) of the tastes
  • The gurvadi gunas (10 pairs of opposite qualities) of each taste
  • Effects of each taste on doshas, dhatus (tissues) and malas (waste)
  • Tastes that are brmhana (nourishing) and those that are langhana (depleting)
  • Effect of the tastes and foods on agni (digestive fire) and ama (undigested material)
  • Elemental makeup of foods (mahabhoutika ahara - five elements in food)
• Dietary Guidelines
  • Suggests proper guidelines for healthy eating
• Specific Foods and Spices
  • Foods in each major category (Grains, meats, dairy, etc) and their effect on their actions on the three doshas
  • Spices and their effect upon the doshas
• Fasting
  • Fasting able to offer types of fasting
  • Liquid, juice, fruit, one meal per day
• Preparation of Food
  • How processing food changes its qualities
  • How to prepare basic foods such as kitchari, ghee and buttermilk
• Rituals of Eating
  • Importance of saying grace before meals
• Other
  • Importance and intake of usapana (cooked water) in the mornings

Educational Outcome. Skills and Competencies: The counselor can recommend or prescribe appropriate dinacharya (daily), ritucharya (seasonal) and life cycle routines as per the prakriti (individual constitution), vikruti (pathological condition), and gunas (qualities). The counselor can recommend at-home swasthavritta (preventive and promotive) measures and sadvritta (positive conduct) measures.

Scope of Practice Description Treatment and Intervention: The counselor can demonstrate the dinacharya (appropriate daily), ritucharya (seasonal) and life cycle routines according to prakriti (individual constitution), vikruti (pathological condition), and gunas (qualities). By demonstrating at-home swasthavritta (preventive and promotive) and sadvritta (positive conduct).

The counselor can recommend, prescribe and demonstrate the following:

• Recommend daily routines (review techniques with client)
  • Recommend proper oral hygiene (tongue cleaning, teeth brushing and flossing)
  • Taking care of Eyes (eye wash)
  • Self abhyanga (oil application)
  • Drinking usapana (cooked water) in the morning
  • Tongue cleaning
  • Eye washes
  • Neti (nasal salve)
  • Activities to promote sleep before bed
• Recommend adjustments to the daily routine based on season
• Support the client to make lifestyle changes
  • Adjusting bedtimes and wake up times according to dosha, as well as season
  • Times to take food
  • Instruct the client in modifying lifestyle in accordance with the seasons
• Sadvritta (Good moral conduct)
  • Encourage devotional and spiritual practices
  Related Pre-requisite or Complementary Knowledge of:
  • Doshas increasing or decreasing during different times of the day and season
  • Age affecting the doshas and agni (digestive fire)
  • Influence of appropriate physical, devotional, spiritual practices on doshas and gunas (qualities)
  • Twenty gunas (qualities), doshas, agni (digestive fire), ama (undigested material), ojas (life essence)
  • Drinking usapana (cooked water) in the morning
  • Lifestyle impacting digestion and elimination
  • A regular routine influencing the doshas
  • Practice of abhyanga (oil application), the oils to be used for abhyanga (oil application), different types of abhyanga (oil application)
  • Effective use of daily routine
  • Effective use of seasonal routine
  • Devotional and spiritual practices affecting the mind and body
  • Ratricarya (evening routine)
  • Rtusandhi (transition of the seasons)
  • Rasayana (rejuvenating) foods
  • Vajikarana (aphrodisiac) foods
  • Resisting and not resisting urges

Educational Outcome: The counselor can recommend or prescribe satmyendriyarthasamyoga (the appropriate use of sight, smell, touch, taste and hearing).

Scope of Practice Definition. Treatment and Intervention: The counselor can demonstrate appropriate use of sight, smell, touch, taste and hearing.

The counselor can recommend, prescribe and/or demonstrate the following:

• Aromatic Therapy: The counselor can identify excessive utilization, deficient utilization and mis-utilization of the sense of smell and instruct the client to adjust their aromatic environment (the counselor is not required to have specific knowledge of aromas as a form of therapy but only that may be utilized as a form of therapy)
• Taste Therapy (diet and herbs): The counselor can identify excessive utilization, deficient utilization and mis- utilization of the sense of taste and instruct the client to adjust their gustatory environment (for more information see the food section) to support the healing process. This might include correcting a diet that is too salty, too pungent, too sweet, etc. and recommending a doshically appropriate balance of tastes.
• Touch Therapy (self massage): The counselor can identify excessive utilization, deficient utilization and mis- utilization of the sense of touch and instruct the client to adjust their tactile environment (the counselor is not required to have specific knowledge of types of touch as a form of therapy but only that may be utilized as a form of therapy)
• Sound therapy: The counselor can identify excessive utilization, deficient utilization and mis-utilization of the sense of hearing and instruct the client to adjust their auditory environment (the counselor is not required to have specific knowledge of mantras or music as a form of therapy but only that may be utilized as a form of therapy). This might include identifying exposure to loud music or work-related noise as well as recommending methods to mitigate such exposures.
• Visual Therapy: The counselor can identify excessive utilization, deficient utilization and mis-utilization of the sense of vision and instruct the client to adjust their visual environment (the counselor is not required to have specific knowledge of color or other specific visual stimuli). This might include identifying aspects of the client's work or leisure environment, such as excess screen time, that are stressful to the sense of vision and recommending methods to mitigate these exposures.

Related Pre-requisite or Complementary Knowledge of:

• The sensory and motor faculties
• Relationship of pancha mahabhutas (five elements) to each sensory and motor faculty
• Effect of appropriate, excessive and absence of sensory stimuli on each of the five sensory faculties and mind
• Sensory stimuli affecting the doshas
• Appropriate and inappropriate use of senses
• Different oils used for nasya
• Touch therapy including different forms of abhyanga (oil application) and appropriate oils used for abhyanga (oil application)
• Different tastes and influence on doshas
• The mind is and its functions
• Relationship between the five elements and their respective tanmatra (five subtle elements), sense and motor organ

Educational Outcome: The counselor can recommend ahara (diet), vihara (lifestyle) and acara (positive conduct) to maintain a healthy mind.

Educational Outcome: The counselor can design, implement and manage a plan to pacify the doshas within the mind.

The counselor can recommend, prescribe and implement the following therapies with the goal in mind to pacify the doshas, balance prana (vital energy), tejas (radiance) and ojas (life essence).

• Visual Therapy: Healthy intake of impressions and the proper use of color
• Auditory Therapy: Healthy intake of impressions and the proper use of sound
• Aromatic Therapy: Healthy intake of impressions and the proper use of aromas
• Gustatory Therapy: Healthy intake of impressions and the proper use of foods
• Tactile Therapy: Healthy intake of impressions and the proper use of touch
• Effective daily routines
• Changes to a person's behavior

Related Pre-requisite or Complementary Knowledge of:

• Diagnosing the mental prakriti (individual constitution) and vikruti (pathological condition)
• The effects of sensory input on the mind
• Effective use and misuse of the five senses
• Overuse, deficient use and misuse for each sense organ
• Prana (vital energy), tejas (Radiance) and ojas (life essence) and how to determine their state
• Three gunas (qualities) and how to determine their state
• What constitutes healthy behavior
• Effect of sensory input on the mind
• Designing a treatment program utilizing diet, lifestyle, adjustments to behavior and how the senses are used
• Various approaches to implementing the treatment program including adjusting the pace of implementation of the program based on a client's prakriti (individual constitution) and vikruti (pathological condition)
• Effective case management
  • Knowledge of how to conduct follow up visits to monitor progress and make adjustments to the treatment plan including
  • Checking in on how the client is doing implementing assignment/homework plan and lifestyle changes
  • An ability to support the client to be more successful in implementing the treatment plan
  • An ability to assign additional homework / assignments or lifestyle changes at an appropriate time
  • Utilizing of the counseling process noted in the counseling section of this document
• Knowledge of four aspects of mind- manas, citta, buddhi (intellect), ahamkara (ego)
• Knowledge of definition, qualities, location and functions of mind

Educational Outcome - Recommendations: The client can recommend shamana (pacification) therapies to balance the doshas and eliminate ama (undigested material).

Educational Outcome. Treatment and Invention: The counselor can design, implement and manage a plan for pacifying the doshas and eliminating ama (undigested material).

The counselor can make the following recommendations and implement that following therapies with the goal of pacification of the doshas:

• Herbs and spices: Those that are dipana - increase agni (digestive fire) and pacana (metabolize ama)
• Diet: See food section (ksut nigraha - controlling hunger)
• Sensory Therapies: See sensory therapy section.
• Vyayama (Exercise)
• Heat therapies - agni and anagni chikitsa (therapies with and without fire)

Related Pre-requisite or Complementary Knowledge of:

• 7 traditional forms of palliative therapy
  • Dipana: Herbs/spices that increasing agni
  • Pacana: Herbs/spices that digest ama
  • Ksudha nigraha: Control over diet including the use of fasting
  • Trsna nigraha: Control over water and oil intake
  • Vyayama: Use of exercise
  • Atapa sevana: Forms of creating heat without directly increasing agni such as sunbathing
  • Maruta sevana: Ways to cool the body to protect pitta dosha such as moon walks
• Ayurveda anatomy and physiology, qualities, elements, doshas, sub-doshas, dhatus (tissues), upadhatus (by products of nutrition), malas (waste), srotas (pathways), agni (digestive fire), ama (undigested material), ojas (life essence)
• Indications and contraindications for palliation therapy
• How to design a palliation program to correct an imbalance in each dosha
• Effective application of each therapy noted above
• Assessing the client's state of agni (digestive fire), ama (undigested material) and ojas (life essence)
• Assess digestion, tongue, stools and body odor as a means of identifying ama (undigested material) in the body
• Assessing dosha vikruti (pathological condition)
• Use of herbs and spices for balancing agni (digestive fire) and eliminating ama (undigested material)
• Effective, safe and appropriate, application of diet, herbs, sensory therapies, exercise and heat treatments

Educational Outcome. Skills and Competency: The counselor can recommend brmhana (tonification) therapy for the body and mind.

Educational Outcome - Treatment and Intervention: The counselor can design, implement and manage a program of brmhana (tonification) for sustaining the health of the body and mind.

The counselor can make the following recommendations and provide the following treatments and interventions:

• Dietary therapies that promotes tonification
• Herbal therapies that promotes tonification
• Internal and external snehana (oil therapies)
• Daily routines and lifestyle that promotes tonification

Related Pre-requisite or Complementary Knowledge of:

• Indications and contraindications for tonification therapy
• Designing a tonification program in accordance with the dosha vikruti (pathological condition)
• Managing a tonification program and adjust the program in accordance with the client's progress
• Assessing the state of agni (digestive fire), ama (undigested material) and ojas (life essence)
• How to assess the dhatus (tissues) and the signs of depletion

Educational Outcome. Skills and Competency: The counselor can recommend basic ahara (diet) and vihara (lifestyle) for the mother.

Educational Outcome - Treatment and Intervention: The counselor can support a woman to implement ahara (diet) and vihara (lifestyle) recommendations.

The counselor can make the following recommendations and provide the following treatments and interventions:

• See Sections on Food/Diet and lifestyle. The counselor is able to safely and supportively apply these practices to the prenatal, natal and postnatal woman

Related Pre-requisite or Complementary Knowledge of:

• doshas increasing or decreasing during different times of the day and season
• Age affecting the doshas and agni (digestive fire)
• Influence of appropriate physical, devotional, spiritual practices on doshas and gunas (qualities)
• Twenty gunas (qualities), doshas, agni (digestive fire), ama (undigested material), ojas (life essence)
• Drinking usnapana (cooked water) in the morning
• Lifestyle impacting digestion and elimination
• A regular routine influencing the doshas
• Practice of abhyanga (oil application), the oils to be used for abhyanga (oil application), different types of abhyanga (oil application)
• Effective use of daily routine
• Effective use of seasonal routine
• Devotional and spiritual practices affecting the mind and body
• Ratricarya (evening routine)
• rtusandhi (transition of the seasons)
• Rasayana (rejuvenating) foods
• Vajikarana (aphrodisiac) foods
• Resisting and not resisting urges

Educational Outcome - Recommendations - The counselor can recommend or prescribe appropriate recommendations to children above the age of five.

Educational Outcome - Treatment and Intervention: The counselor can design, implement and manage ahara (diet), vihara (lifestyle), dravya (herbs/spices) and chikitsa (treatments) in children over the age of five

The counselor can make the following recommendations and provide the following treatments and interventions:

• Teach the parents of a young child the proper diet appropriate for their child's constitution and vikruti (pathological condition) with due regard to the child's age and stage of life
• Teach the parents of a young child the proper lifestyle appropriate to the child's constitution and vikruti (pathological condition) with due regard to the child's age and stage of life
• Utilize herbs appropriate to the child's constitution and vikruti (pathological condition) with due regard to the child's age and stage of life
• Utilize sensory therapies appropriate to the child's constitution and vikruti (pathological condition) with due regard to the child's stage of life
• The counselor can offer guidelines about caring for children with due regard to the child's age and stage of life utilizing the following intervention tools:
  • Doshas increasing or decreasing during different times of the day and season
  • Age affecting the doshas and agni (digestive fire)
  • Influence of appropriate physical, devotional, spiritual practices on doshas and gunas (qualities)
  • Twenty gunas (qualities), doshas, agni (digestive fire), ama (undigested material), ojas (life essence)
  • Drinking usnapana (cooked water) in the morning
  • Lifestyle impacting digestion and elimination
  • A regular routine influencing the doshas
  • Practice of abhyanga(oil application), the oils to be used for abhyanga (oil application), different types of abhyanga (oil application)
  • Effective use of daily routine
  • Effective use of seasonal routine
  • Devotional and spiritual practices affecting the mind and body
  • Ratricarya (evening routine)
  • Rtusandhi (transition of the seasons)
  • Rasayana (rejuvenating) foods
  • Resisting and not resisting urges

Related Pre-requisite or Complementary Knowledge of:

• Relationship of between the doshas and life cycle
• Kapha balancing diet, lifestyle and herbal recommendations
• The factors that vitiate kapha dosha

Educational Outcome - Recommendations The counselor can recommend or prescribe a plan to pacify the doshas that affect the annavaha srotas (digestive system) and prevent prasara (overflow) of the doshas.

Educational Outcome - Treatment and Intervention Skills: The counselor can design, implement and manage a plan to pacify the doshas within the annavaha srotas (digestive system).

The counselor can make the following recommendations and provide the following treatments and interventions:

• Appropriate diet
• Effective eating behaviors
• Effective herbs
• Routines to support healthy elimination
• Monitor client's progress and make the appropriate adjustments to the treatment plan

Related Pre-requisite or Complementary Knowledge of:

• Supporting digestion and balance the patients agni (digestive fire)
• Prevention and treatment ama(undigested material)
• Supporting healthy elimination
• Six tastes
• 13 types and 4 states of agni (digestive fire).
• Identifying ama (undigested material)
• Healthy and unhealthy food combinations
• First three stages of samprapti (pathogenesis)
• The signs of three doshas at each stage of samprapti (pathogenesis)
• Foods, lifestyle and herbs that pacify the doshas in the digestive system
• Factors that cause imbalance in the doshas (nidana)

Educational Outcome - Recommendations: The counselor can recommend preventative care for all the organs above the neck.

Educational Outcome - Treatment and Interventions: The counselor can offer therapies to pacify doshas at all the organs in and above the neck as prevention.

The counselor can make the following recommendations and provide the following treatments and interventions:

• Prescribe and teach/demonstrate oil massage for head face, neck muscles
• Prescribe and teach/demonstrate oleation for ears, nose, eyes and mouth
• Prescribe and teach/demonstrate protection of the head/ face from extreme weather
• Prescribe diet, lifestyle and herbs to support the goal of pacifying the doshas within the head
• Prescribe nasya (oleation of the nose) when appropriate to pacify the doshas of the head and neck

Related Pre-requisite or Complementary Knowledge of:

• Dinacharya (daily routines) for swasthavritta (good health)
• Procedures for oleation
• Precautions to take during procedures
• The benefits of following procedures:
  • The indications and contraindications for each procedure
  • Utilizing diet, lifestyle and herbs to pacify the doshas in the head and neck
  • The techniques of shiro abhyanga (head massage), netra tarpana (oleation of the eyes), karna purana (oleation of the ears), nasya (oleation of the nose) and kavala (oleation of the gums) and gandusa (oil pulling)
  • Techniques for massaging the face and neck

Educational Outcome - Recommendations: The counselor can recommend or prescribe the appropriate herbs to balance agni (digestive fire), eliminate ama (undigested material) and support the malas (waste) while protecting and building ojas (life essence).

The counselor can recommend pre-designed herbal formulas or create custom herbal formulations that include the use of herbs, minerals or other natural substances for internal or external use with consideration of matra (dose), anupana (vehicle) and aushadha kala (timing).

Educational Outcome - Treatment and Intervention: The counselor can administer, combine, provide, compound, and dispense herbal medicines, minerals or other natural substances for internal or external use.

Related Pre-requisite or Complementary Knowledge of:

• Herb classification and their energetics based on rasa (taste), virya (potency), vipaka (post-digestive effect), guna (quality) and prabhava (specialized therapeutic effect)
• The karma (actions) of herbs. The counselor is informed of the major actions of an herb. When Western terminology matches the Samskrt terminology, the Western terms should be known. When a unique action is described in Samskrt that has no simple translation into English, then the Samskrt terminology for that action should be known
• The effect an herb has on the agni (digestive fire), ama (undigested material), doshas, and malas (waste)
• How to prepare curna (powdered mixtures)
• Appropriate matra (dosage) based on age, strength, doshas, agni (digestive fire) and kostha (pattern of elimination)
• The indications for using herbs and contraindications to assure safe use
• Herbs based on storage, processing, purity and government regulations
• Best times for administration of herbs

Basic Herb List for the Ayurvedic Health Counselor

• Samskrta Name Latin Name Common Name
• Amalaki Emblica officinalis Indian Gooseberry
• Dhanyaka Coriandrum sativum Coriander
• Ela Elettaria cardamomum Cardamom
• Haridra Curcuma longa Turmeric
• Haritaki Terminalia chebula Chebulic Myrobalan
• Hingu Ferula assa-foetida Asafoetida
• Jatiphala Myristica fragrans Nutmeg
• Jiraka Cuminum cyminum Cumin
• Lashuna Allium sativum Garlic
• Lavanga Syzygium aromaticum Clove
• Marica Piper nigrum Black Pepper
• Methika Trigonella foenum-graeceum Fenugreek
• Mishreya Foeniculum vulgare Fennel
• Pippali Piper longum Long Pepper
• Rajika Brassica juncea Mustard seeds
• Sunthi Zingiber officinale Ginger
• Tila Sesamum indicum Sesame
• Tvak Cinnamomum cassia Cinnamon
• Bibhitaki Terminalia belerica Beleric
• Yavani Carum copticum Ajwain or Wild Celery

Knowledge of the most traditional herbal formulations from classical Ayurvedic texts that support agni (digestive fire) and reduce ama (undigested material) as well as rasayanas (rejuvenators).

• Trikatu churna
• Triphala churna
• Hingvastaka churna
• Chyavanaprasha

Educational Outcome: The counselor can refer a client for assessment and possible treatment by a medical practitioner.

The counselor can make the following recommendations:

• A referral to an appropriate Western Medicine Practitioner at the appropriate time.

Related Pre-requisite or Complementary Knowledge of:

• The scope of practice of a Medical Practitioner, including which type of specialist is appropriate for the client's condition
• Knowledge of red flag symptoms that require a referral
• How a Western Medical Practitioner can complement the care being provided by the Ayurvedic Health Counselor
• The counselor can explore lifestyle issues that may be affecting the client's sleep and make lifestyle recommendations. Chronic refer.