Ayurvedic Medicine – Part III: How to Get Healthy if You’re a “Pitta”

In Part I of this series on Ayurvedic Medicine, I described the different constitutional types: Vata, Pitta and Kapha.  In Part II, I gave lifestyle recommendations for Vatas.  So, what should you do if you are a Pitta?

Here are my recommendations for balancing your Pitta constitution, thereby making you less prone to illness:

The Pitta dosha is hot, penetrating, sour and oily.  To achieve balance eat foods that are slightly cooling and bland.  Don’t eat when you are angry, stressed, or rushed.

Avoid fried, greasy, and fatty foods.  Limit all nuts except coconut.  Seeds are okay in small quantities.  A lower fat, mostly vegetarian diet is best. If you tolerate dairy, stick to cottage cheese, butter, ghee and sweet milk.

Moderate amounts of raw foods are beneficial, as long as they aren’t coated with sour, astringent and oily dressings.  Note that a completely raw diet is not considered beneficial for any of the constitutional types (more on this topic in a future blog).  However, Pitta people benefit more from raw foods than the other constitutional types.

Avoid sour and fermented foods such as citrus fruits, cranberries, tomatoes, unripe fruits, yogurt, cheese, pickles and yeasted breads.  Lentils are considered a sour food and should be avoided.  All other legumes are fine, including soy.

Avoid hot and spicy food including garlic, peppers, mustard, ketchup, etc.  The only spices that are okay in small amounts are coriander, cardamom, cinnamon, fennel and turmeric.

Naturally sweet foods like sweet fruits and sweet potatoes are beneficial.

Well cooked barley is a healing food for Pitta.  It is cooling and drying.  Brown rice is also good.

Competitive exercise is a good way to release pent up aggression.  Swimming is cooling and thus, beneficial.  Avoid getting overheated in the summertime.

The worst vices for Pitta are alcohol, salt and excess meat.

When I treat Pitta patients, I tend to focus on releasing stuck Liver qi, subduing excess Yang qi, and clearing heat and inflammation.  Cupping is often useful.  I emphasize Chinese herbs that are sweet, bland, and bitter.

What Kind of Pain Do You Have? – Part II

In my last article about pain, I discussed how Chinese medicine distinguishes between different types of pain, and adjusts the treatment strategy to the type of pain being treated.  In this blog post, I will talk about pain caused by Stagnant or Stuck Blood.

Pain that is sharp like a drill or knife is usually due to Blood Stasis Stuck Blood doesn’t budge. It’s fixed in a particular location, such as the stomach, uterus, knee or other joints This is not a vague sort of pain. You know exactly where it is: you can point to it. This type of pain feels worse with pressure, so you guard it. You might experience a shock of severe pain every time you take a step or move in a certain way. You feel like you’re getting stabbed, and it’s always in the same place. Pain from Stuck Blood can make life miserable. Not only do you hurt all day long, but it’s also hard to sleep at night. The pain keeps waking you up. Then, you feel exhausted, and irritable from lack of sleep, so you develop Stuck Qi as well as Stuck Blood.

So, how do you develop Stuck Blood?  When the body experiences trauma, such as from sports injury, whiplash, or surgery, the blood vessels break and blood escapes into the intercellular fluid.  It may have seemed as if you healed from the initial trauma.  But, all that blood that has leaked out—and, it has a very hard time being reabsorbed by the body.  The leaked blood congeals.  Then, tiny scabs or scars get trapped inside your body, impeding the flow of healthy blood.  The healthy blood gets stuck behind the congealed blood.  This adds to the build-up and congestion.  Eventually, you experience a major “traffic jam”. 

Chronic unresolved Stuck Qi or Cold can also transform into Stuck Blood by impeding the circulation over a long period of time.  For example, a woman with Raynaud’s syndrome may suffer from poor circulation and painfully cold extremites.  Over time, her hands and feet turn purple due to Cold congealing the blood, causing Blood Stasis.  A worker may spend many hours repeating tasks using poor ergonomics and taking inadequate breaks.  Over time, he develops minor aches and pains (Stuck Qi) which if ignored long enough, may transform into severe and disabling repetitive strain injuries (Stuck Blood).

Other causes of Stuck Blood include genetic tendency, liver disorders, vascular compression from wearing tight shoes or clothing, chronic respiratory problems, and infections.

Another sign of Blood Stagnation is the color purple, such as a purple tongue, purple veins or spider veins or a dark blue or purplish color under the eyes.  Dry scaly skin, especially in the lower legs is due to poor circulation and systemic Blood Stasis. 

Many diseases have a Stuck Blood component.  For example: fibroid tumors, endometriosis, painful digestive problems, stroke, psoriasis, cystitis, and arthritis.  As an acupuncture practitioner, I do not base my Chinese medicine diagnosis of “Stuck Blood” on your Western diagnosis.  Instead, I look for signs of Stuck Blood, such as sharp pain at fixed locations, the color purple, a choppy pulse, hard masses beneath the skin, thick or painful scars, or pain at an important reflex zone on your lower left abdomen. 

Acupuncture and moxabustion are wonderful therapies for Stuck Blood, because they penetrate to a deep level and really get things moving.  Massage and acupressure are often not well tolerated when the pain is severe, but acupuncture feels very soothing.  Distal points are often treated first when local points are tender to touch.  Gradually, as the tissues heal, more vigorous local treatments, including acupressure are used to further improve the Blood circulation and eliminate toxins.