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An Ayurvedic Approach to Adrenal Depletion

Peter Bowes

According to the Ayurveda, disease results from an imbalance in our bodies, minds, and spirits. Ayurveda uses the concept of Rasayana to help describe this action. Rasa literally means "life force" or "life energy' and ayana means "that which enters". So Rasayana action or activity is that which is nourishing and promotes positive life energy. The opposite is also true. That which robs the body, mind and spirit is what we refer to as toxic action or activity. This would seem to be an obvious and clear observation and yet many people suffer from an extraordinary imbalance in their daily lives. This is most obvious when we look at the "average" diet of our so-called modern society. The daily consumption of processed foods, processed sugars, caffeine, meat, and other toxins we consume literally rob us of our "rasa" - or life.

Many of us are unaware of the damage we inflict on our bodies and minds on a daily basis. The constant worries and stress of dealing with life's challenges can also robs us of our life force. Often we develop bad habits in response to stress, which further implicate us. This is most evident in our society's use of caffeine in all of its forms. Millions of people are addicted to caffeine, whether it is in the form of coffee, black teas, chocolate or even the seemingly benign bottle of soda pop. The average daily intake of caffeine in the US is equal is approximately 200mg per day.(1) This is equal to about two cups of mild coffee, although for the average coffee and tea drinker the amount is much higher. One 12 oz. cup of Starbucks coffee contains 375mg of caffeine. Even very young children are consuming significant amounts of caffeine. A recent study involving 36 children and teens, ages 6 to 18, were excessive caffeine drinkers. All reported drinking at least 1.5 liters of cola each day or an average of 11 liters of cola each week -- a caffeine intake roughly equivalent to two large cups of instant coffee or three small cups of ground coffee per day, and 17 such servings per week. (2)

To make matters worse, tens of millions of people in the US alone are addicted to cigarettes. So what is the net result of all of this abuse to our bodies? Quite simply it is called imbalance, or more directly stated - disease.

This disease presents itself in many shapes and forms of illness. Most people who complain of fatigue, insomnia, swelling of the joints, depression, Chronic Fatigue Syndrome (CFS) and a host of other ailments are often suffering from adrenal depletion or adrenal exhaustion as a direct result of the overuse of caffeine and other toxic materials. The adrenal glands have become overused and overworked. Many people feel tired upon waking and think they need a "pick me up" from Starbucks or some kind of sugar just to get started. This creates a viscous cycle that continues day after day for millions of people.

Generally the coffee or tea drinker feels worse in just a few short minutes after finishing the drink. Why is this? What is going on in the body that could create this kind of illusion and deception? To understand this one must have a basic understanding of the adrenal glands. The adrenal glands are two triangular shaped organs located on top of the kidneys. These glands serve several functions. The first is the production of cortisone and adrenaline. Adrenalin is produced when the body is under stress of some sort. It is nature's way of allowing the body's metabolism to speed up in response to a stressful situation. This increase in metabolism can result in increased blood flow from the heart to the muscles of the body as well as the brain. Generally the respiration increases and the system can metabolize protein, fats and carbohydrates at a quicker rate thus giving the entire system more energy. This is known as the "Fight or Flight" syndrome. This syndrome may be of benefit in an extremely difficult situation where this enhanced energy is needed quickly, but it comes at a high price. That price, simply stated is exhaustion or a depletion of rasa. The system must return to an equilibrium or status quo. The laws of karma are always at work and this is most evident in the body and mind. If great energy is required then deep rest and relaxation is also required to bring the body back to a state of balance. Ayurveda is constantly reminding us to bring our bodies, minds and spirit into balance. Lack of balance creates disease .

So the adrenal production is very powerful and sometimes needed, but it should not be produced by artificial means. This is exactly what happens with caffeine and other stimulating chemicals. These chemicals unnaturally force the adrenal gland to produce adrenaline. This adrenaline dumping into the blood stream is what causes the sensation of the so called "pick me up'' from having that cup of coffee or tea in the morning.

Although initially it may seem to be a small thing for many people it can become a major problem in their lives. Without realizing it, many millions of people including children of a young age are addicted to caffeine in it's many forms. Constant overuse of the drug "caffeine', forces the adrenal glands to work at an abnormal rate. Nature did not intend for the adrenals to be used except for in extremely stressful situations. Drinking coffee, tea and pop all day forces the adrenal glands to work in a way Mother Nature never intended. Again what is the result? Depletion of rasa or ojas. According to Ayurveda, natures demands balance. Without balance you will experience disease. The disease associated with chronic overuse of the adrenals is what we are seeing throughout society. As we mentioned above: fatigue, insomnia, swelling of the joints, depression, Chronic Fatigue Syndrome (CFS) are the most common know ailments. A deep sense of hopelessness can often accompany this imbalance.

The good news is that if you one of the many millions suffering from this malady the fix is not difficult. First and foremost: one must stop using the substance which is the cause of the problem. This may include coffee, pop, tea or any other substance containing caffeine. As much as possible reduce the stress in your life.
You may feel some discomfort for a few days once you've stopped taking the caffeine. This is mild withdrawal symptoms associated with the absence of something that the body has become very dependent on. These symptoms can range from mild headaches, body aches and a sense of being even more tired. These will generally dissipate in a few days. Again it is simply the body's way of balancing itself. Besides avoiding caffeine, processed foods and stress it is important to repair the damage to the adrenals themselves. This can generally be accomplished with a good diet. One should focus on fresh, organic fruits and vegetables. One should avoid processed food as much as possible. The long term ingestion of caffeine in any form depletes the body of minerals and vitamins that it needs to function properly. Specifically it robs the body of calcium, zinc, iron, and Vitamins B and C.

Generally is best to try to get our vitamins and minerals through the diet but this may be difficult. Especially if the body is extremely depleted, as is often the case in caffeine abuse. So you might want to take a high quality Vitamin Supplement to help restore the B vitamins and minerals in the system. Amla is the richest source of Vitamin C and can be taken by itself or in the form of Chyawanprash. This is a wonderful way to help the body reestablish its balance. Chyawanprash contains Amla along with over 40 different herbs which act in harmony to feed the depleted system what it is lacking from the chronic abuse. One of the most powerful herbs available for repairing the Adrenals is Ashwagandha. In Ayurveda Ashwagandha is called the "King of the Herbs" and is the herb of choice for restoring the Adrenals to there natural state.

Ashwagandha works by delaying release of cortisol by the adrenals. This helps to prevent the adrenals from becoming exhausted and aids in the repair of the gland once it is already exhausted .Ashwagandha is also know to have a sedative effect thus calming the nervous system. Ashwagandha may very well help to reestablish a good sleeping pattern which is often interrupted by long term caffeine use. It has been found that Ashwagandha increases the number of immune cells known as T cells and B cells which are critical to fight infection. Triphala can also be taken to help the body eliminate the toxins stored in the colon. You may also feel that you need to cleanse the blood. You may want to consider taking Neem or a product containing Neem to help further your clean your system of the toxins.

You should start feeling better within a few weeks but it make take three to four month for the body and the Adrenal Glands to return to there normal state of health.

Caffeine addiction and adrenal exhaustion is a serous issue for millions of people and yet Nature provides a simple and beautiful way to reestablish the balance they we all must strive for. By living in moderation and maintaining good habits, we can once again find a state of balance where rasa is preserved and cherished instead of wasted and neglected.

References
1. Barone JJ, Roberts H. Human consumption of caffeine. Caffeine. Springer-Verlag: New York, 1984.
2. Roberts H. Caffeine consumption. Paper presented at a meeting of the American Academy of Pediatrics Clinical Pharmacology Session, New Orleans, October 1991.
3. Gray, J. Caffeine, coffee and health. Nutr Food Sci 1998;6:314-19.

 


Info on Chyawanprash

Ageless Wonder

(Reprinted from the YogaJournal.com)

For centuries the Ayurvedic herbal formula chyavanprash has been hailed as the ultimate anti-aging tonic.

Long before there were vitamins, minerals, and antioxidant supplements, there was chyavanprash, one of Ayurveda's most respected anti-aging foods. Chyavanprash is in the Ayurvedic category of rasayana- a super-concentrated mixture of vitamin-rich herbs and minerals designed to restore spent reserves of vital energy (ojas) and revitalize normal body function. For centuries it's been used to maintain youth and optimal health, and its adaptogenic properties make it an excellent anti-aging and anti-stress tonic.

Its rather unusual name is derived from the legend of Chyavana Rishi, a forest sage who practiced austerities. He kept his body covered with clay and grass so his eyes would shine through like jewels. One day a king by the name of Sharyati and his young daughter came into the forest on a hunt. Upon encountering Chyavana Rishi, the princess, who was perplexed by his shining eyes, poked them with blades of grass. This enraged the sage, which caused the king to appease him by having his daughter marry the rishi. Once having a taste of nuptial bliss with his young bride, Chyavana was keen to to prolong his pleasure.

Ashwini Kumar, the famous Ayurvedic physician, remedied their vast age difference by prescribing kayakalpa, a rejuvenative treatment, for the rishi. This treatment included a ritual bath in a nearby river and eating the herbal formula that became known as chyavanprash.

Chyavanprash has a jamlike texture. It is considered a single entity even though it contains over 40 herbs and minerals, which include ghee, sesame oil, honey, raw sugar, long pepper, cinnamon, cardamom, sandalwood, turmeric, cloves, saffron, amalaki, ashwaganda, shatavari, bala, gudduchi, and gokshura.

The dominant ingredient is amla, also known as amalaki or Indian gooseberry, a long-living tree that produces an intensely sour citrus fruit; it is one of the most powerful rejuvenative herbs in Ayurveda. Each amla fruit, about the size of a golf ball when ripe, contains more than 3,000 mg of vitamin C, a powerful source of antioxidants. Its touch of sweetness also plays a significant role. In Ayurveda honey and sugar are commonly added to certain herbal formulations to act as an anupan, a substance that directs the properties of the herbs deep into the tissues. In the case of chyavanprash, its sweet flavor means it is quickly assimilated into the bloodstream, which helps to better facilitate its active ingredients into cell walls.

Chyavanprash can be used by people of all ages. According to Ayurveda, it decreases vata and kapha and increases pitta doshas. It has a warming, unctuous, and heavy nature that is believed to improve longevity. Chyavanprash is also commonly called upon to support those with physical weakness from loss of body weight; respiratory ailments such as chronic cough and asthma; metabolic fatigue due to a lack of natural vitamins, proteins, and minerals; as well as some age-related conditions, including diminished resistance to disease, anemia, and loss of memory. One teaspoon of chyavanprash jam taken twice daily is often advised. If you buy chyavanprash in powdered form, five grams of the powder should be mixed with one cup of warm water and taken twice daily.

Many sources list the formula as having no specific contraindications, but because chyavanprash can increase pitta dosha, it should be used cautiously if you suffer from aggravated pitta disorders, such as diarrhea or peptic ulcer. And as always, consult an Ayurvedic practitioner before taking this or any other herbal formula.

Herb columnist James Bailey

This is an article discussing the efficacy of standardized extracts.
(Reprinted from the YogaJournal.com)

Making Sense of Labels

Knowing what to look for on a supplement label can help you make a better choice.Shopping for herbal supplements can be as confusing as reading the Yoga Sutra in Sanskrit. With the various health claims advertised on the labels, different quantities and sizes, and the different ways the herbs are manufactured, what do you need to know in order to make the best decision? There are four key areas to focus on: labels; potency; delivery system, such as tincture or capsules; and quantity.

Labels: In 1994, the U.S. Congress passed the Dietary Supplement Health and Education Act (DSHEA), spelling out clear warnings to manufacturers on labeling and marketing their products. The law allows manufacturers to make only general claims about how a product effects the body, referred to as "structure-function" claims. For example, an herb that benefits the eyes may state, "beneficial for eye health," implying a benefit to the eye structure, or "beneficial for the health of your vision," indicating it aids eye function. But it may not say, "cures glaucoma."

Unfortunately, the law limits the consumer's ability to know what health conditions the herb is used for. For example, "vision health" could mean anything. In these cases, you can consult a self-help herb book for guidance. A good one is The Natural Pharmacy (Prima Publishing, 1999).

Potency: Three considerations effect cost: whether they are ground-up raw herbs, whole herb extracts, or standardized extracts. Ground-up raw herbs are cheaper, but also weaker. I avoid them because they're less effective and tend to have higher bacterial and fungal counts.

Whole herb extracts are safer, more concentrated, and generally more effective than raw herbs. With a few exceptions, traditional herbal healing systems cook their herbs in water, forming a concentrated tea.The remaining inert bulk plant material is then filtered and thrown out. Today, extraction companies can better preserve and concentrate an herb's active components in their original proportions, while also killing any microbes. The tea is then spray-dried into a powdered form and put into capsules. Whole herb extracts are usually twice as expensive as raw herbs—but have up to five times greater efficiency—plus they're often easier to digest and absorb.

Standardized extracts are even stronger and more expensive because of the cost of extraction. They are a hybridization of traditional and pharmaceutical methods in which the most active ingredient in the plant is isolated out and concentrated. In some cases that can be useful-the consumer is guaranteed a minimal standardized amount of the herb's active ingredient. But what if the herb works by virtue of several active ingredients that work in synergy only when in their natural proportions? That's why I lean toward whole herb extracts. They contain all of the active components of the herb in its natural potency.

Delivery System: Herbs can be consumed in a variety of ways, but the most common are tincture and capsules. Tinctures should indicate the weight ratio of herbal material to liquid, thus a 1:2 contains more herbal material than a 1:4 concentration. Most people prefer capsules because the herb's often bitter taste is hidden. Yet traditionalists believe this is a mistake because the taste contains an important aspect of its healing ability. For that reason tinctures are considered better. But if you just can not find a certain herb palatable, capsules are better than nothing.

Quantity: If you choose to take your capsule form, be aware that they vary in both size and count. Watch out for products that have more capsules but may be smaller in size. Do the math: 90 350 mg capsules is less herb than 70 500mg capsules.

Herb columnist James Bailey

 

 

What are standardized extracts?

Standardised botanical extracts contain a guaranteed and quantified amount of certain constituents.

Although the most obvious aspect of standardisation is the guaranteed content of one or more active constituents or marker compounds, standardisation involves much more than guaranteed levels of constituents.

Standardisation refers to the body of information and controls that guarantees the consistency of composition - and therefore consistency of activity - of a botanical extract (1).

Standardisation involves the collation of information and application of stringent quality control measures at every step of the process from the growing of a medicinal plant to the finished therapeutic substance.

Chemical analysis, using appropriate techniques such as high performance liquid chromatograhy (HPLC), gas liquid chromatography (GLC), and thin layer chromatography (TLC), is a key aspect of standardisation.

Other important aspects include the growing and harvesting of the plants, post-harvest treatment (drying, storage), extraction method, extraction solvent, particle size, concentration process,the use of an excipient to achieve the desired level of active constituents or marker compounds, and efforts to ensure the stability of the extract.

A standardised extract is standardised with respect to one or more specific constituents or group of constituents. In most cases the standardisation is done to one or more key active constituents.


In cases where the the most important active constituents have not been identified, standardisation may be done to a marker compound.

(1) Bonati A. How and why should we standardize phytopharmaceutical drugs for clinical validation? Journal of Ethnopharmacology 1991; 32:195-7.


What are the advantages of standardised extracts?

Standardised extracts retain the chemical complexity typical of the natural plant, but offer the added advantage of guaranteed levels of certain key constituents.

An increasing number of botanical medicines have had their clinical efficacy confirmed in clinical trials.

The vast majority of clinical trials involving botanical medicines have used standardised extracts.

The reason is simple: standardised extracts offer consistent and reproducible therapeutic effects and the highest degree of safety. Accordingly, standardised extracts produce the best clinical results.

Why standardise botanical extracts?

Because botanical extracts are made directly from crude plant material, they can show very substantial variation in composition, quality, and therapeutic effects.


The variation and diversity of life is enormous, even within a species.


In other words, two medicinal plants of the same species may look similar, yet be substantially different in the levels of active constituents they contain.


Botanical medicines made from plants that differ markedly in their chemical constituents cannot produce the same therapeutic effects.


Because the practitioner or consumer will be unable to assess the difference, they cannot compensate for it.


The consequence will be inconsistent clinical results.

Standardised extracts are:

high quality extracts containing consistent levels of specified compounds

broad spectrum extracts containing recognised active constituents as well as a variety of other plant constituents (some of which may contribute to the overall therapeutic quality of the extract)
extracts subjected to rigorous quality controls during all phases of the growing, harvesting and manufacturing processes

Clinical advantages -

high quality extracts with consistent activity

consistent activity allows for more accurate prescribing

consistent activity allows for consistent clinical results

extensive quality control ensures the quality and safety of standardised extracts

Quality control ensures:

that the correct botanical species is used

that only high quality raw materials are used

that no other plant material has been used

that the plant material is not contaminated with pesticides, heavy metals, or other noxious agents

that the final extract comply with international limits for microbial content

that the final product is of a consistent high standard

Factors causing variation in medicinal plant composition:

genetic variation within a species

climatic factors (temperature, rainfall)

soil type

plant nutrient availability

aspect, amount of sunlight received

geographical origin (usually a combination of the above factors)

age of plant when harvested

time of harvest

method of drying

post-harvest storage

time since harvest


What standardised extracts are NOT:

standardised extracts ARE NOT isolated constituents

standardised extracts DO NOT contain added isolated constituents

standardised extracts DO NOT contain synthetic or semisynthetic compounds

Process flow chart

1.Sowing It is essential that the seed sown is of the correct species.
2.Cultivation & Harvesting The process begins with the cultivation of the medicinal plant under homogenous growing conditions. Some species are wildcrafted due to the nature of the plant. Crop management and testing determines the optimal time for harvesting.
3.Identification After harvesting, the crude plant material is tested an clearly identified. The part of the plant used for medicinal purposes is separated from the rest of the plant.
4.Drying of Raw Material This is regarded as one of the most important stages. Improper drying can result in the loss or degradation of active components. Most plants have a moisture content of 60 - 80% and cannot be stored without drying. The dried plant material is analysed for pesticides and heavy metals.
5.Extraction The medicinal part of the plant is cut, chopped or minced before being extracted with solvents such as water and ethanol. The extraction process varies, depending on the chemical nature of the active components in the particular plant.
6.Concentration Inert substances, such as plant fibre, are discarded to allow for concentration of active components.
7.Drying of Extract The soft extract is dried and analysed to ensure the marker compounds meet a standardised level. Extracts are dried for better stability.
8.The Finished Standardised Extract The ultimate goal of standardisation is to produce botanical extracts of a consistent quality with a high and consistent content of active components.

 

 
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