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Panchakarma — Ayurvedic Cleansing for Conception

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To prepare for receiving the highest vibration soul and providing the healthiest new body for their baby, the mother and father both to need to calm and balance their doshas, eliminate ama and reduce rajas and tamas in their minds. This manifests as a need to purify body and emotions in some way.

Ayurveda spells out how we can prepare the body and mind for healthy sperm and ova and optimal conception. It’s called Panchakarma and post Panchakarma Rasayana (rejuvenation therapies). This is a fascinating education for practitioners, but you’ll want to attend the Dhatu and Panchakarma advanced classes with Vaidya Bharat (ayurvedsadhana.com) to unfold this juicy understanding.

Although each mother has brilliant natural maps for growing a baby, she and her partner can make choices in preparation for supporting baby’s plan for incarnation, to cleanse and then strengthen the intricate communications between Baby’s DNA and unfolding her subtle body blueprint. Conception calls on mother and father’s reproductive essence in the sperm and ovum, on their consciousness and on their desires, to match baby’s desire and life purposes. The blueprint structures are built to the soul’s purpose and style, and everyone wants this to be in greatest bliss and success for life.

Panchakarma has been proven to significantly, safely and gently remove significant amounts of petrochemical pollutants in a short time. The body stores these in fat, reproductive, brain and endocrine tissues and these are not easily removed by western cleansing methods. The unique methods of cleansing employed by Ayurveda are safe and gentle, but it is very important that it is done properly to prevent side effects; many practitioners are only partially trained.

Rasayana therapies are rebuilding and rejuvenative, perfect for preparing to concieve and the body receives the benefits of rasayana much more effectively after the Panchakarma sequences are complete. Cleansing without rejuvenation afterwards is not a good idea for those wishing to conceive!

The Best 5 Herbs in the First 10 Days

Whether you are an Ayurvedic, Chinese or Western herbalist, you may have a few favorite lactation herbs already. There are so many herbs to choose from.

When I ask myself, what are the top herbs for early postnatal use, then ask again, what are the top ones for lactation, my list is often the same, and ginger and pepper are usually at the top. Why? Because we are talking today about the first WEEK after childbirth, when agni is low and vata is high. For lactation, the body’s resources need to be flowing and nourishing, and mother nature does the rest best when she is assisted with certain pungent herbs. Their nutrition-transforming, fast-acting and channel clearing qualities are significant.

“Agni” – our digestive and transformative chemistries, are so important for lactation, happy baby tummies, rejuvenation, strength, mood and feeling light, clear and energized. You will find the postpartum agni needs help to make good use of food. That’s why it’s important to attend to agni first, especially before milk comes in.

Using herbs which are easily accessed in the west, here are my picks. These 5 herbs work like a team to make lactation easy:

  1. Ginger – Enhances digestion and warmth; purifies and clears breast, lymph, respiratory channels and fluids; helps burns toxins/wastes; reduces gas and bloating; lowers vata and kapha; is sattvic–promoting clarity, lightness and purity of mind; and is immune protective.
  2. Pepper – Enhances digestion and warmth; purifies and clears breast channels, lymph, respiratory channels and fluids; burns toxins/wastes; reduces gas and bloating; lowers vata and kapha; strongly immune protective, including antiviral and antiparasitic; special muscle tissue purification, energizing (rajasic).
  3. Garlic – Strong galactagogue; enhances digestion and warmth; purifies and clears lymph, blood, respiratory channels and fluids; burns toxins/wastes; reduces gas, bloating; lowers vata and kapha; strongly immune protective including antibacterial and antiparasitic; energizing (rajasic), grounding (tamasic), strengthening (rajasic); protects the subtle energy field. * Must be well cooked.
  4. Fennel/Anise – Good galactagogue; antiparasitic, digestive, anti-acidic (fennel), moves gas out and shrinks bloating, (gentle deepan and pachan actions); cooling/warming (respectively), gentle anti cough/kapha; anti vata; gently estrogenic; sattvic.
  5. Fenugreek – Good galactagogue, antiparasitic, heals small intestine wall and digestive function; helps loosen retained placental fragments and brings down upper body heat; helpful with fever; gently warming, gentle anti-cough, anti-vata and anti-kapha; sattvic. Not very effective in capsules for many.

Do you see how all these 5 herbs help digestion? Continue with these digestives, adjusting heat level gradually as appropriate, over the next weeks and months postpartum for best results. But please don’t take them in capsules – make teas and season your food with them.

What are the next 5 herbs on your list? 

There are quite a number of herbs which help hormones, digestion and lactation together, and also help keep the body relaxed and warm. When you are creating an herbal formula, think about all of these properties.

If you are thinking that shatavari or borage might be good additions to the list, think carefully. Surprisingly, shatavari – while it is a an awesome galactagogue and female rejuvenative – is not appropriate for the first 9-10 days for most mamas. Both are too heavy and cooling for early postpartum (borage is a refrigerant), and should be avoided. 

If mama is having hot flashes, hot tea using cumin, coriander and fennel is a better choice in the first week or so, with shatavari coming in after agni is strong and channels are working well.

And if you are wanting to put raspberry leaf, nettles, gotu kola or oat straw on your list? You’ll want to add 1 or more of the first 5 from my lactation list, to help balance their cooling, drying, and/or astringent qualities – which are all vata increasing.

Dr. Aviva Romm recently wrote a great blog post called Five Favorite Herbal Medicines for Women you will enjoy. I love that she addresses the western woman’s herb resources. These herbs are not our favorite picks for the first few days after childbirth however, just because we have these needs which are not well understood yet in the west.

If you want to learn more about the Ayurvedic approach to postpartum herbalism, you can take our Safe Postpartum Herbs class.  In this 5 hour lecture series, you will learn how to safely help a mother and newborn with many common issues. There are basic Ayurvedic principles which are not widely known and really complement the western–or Chinese pharmacopeia. I hope you will learn these secrets and practice them.

Big Elephant Herb for Maternal Health…

This featured herb for maternal care punctures tires, yet makes the urinary channels feel like silk!

Tribulus terrestris is one of the most important herbs in Ayurvedic medicine. This “noxious weed” in the US is called Goat’s Beard or Puncture Vine.  Ayurveda calls it Gokshura.  It offers the  practitioner many uses in maternal healthcare, and though found all over the southwest US, it is seems little known in western herbalism. Perhaps because this hard, multi-sided sharp thorny seed (actually a fruit) easily punctures shoes and bike tires?gokshura triptik

I was looking through my notes recently for perinatal and infant health content.  So much to digest and use, so many little known abundantly growing herbs!  T. terrestris rightfully makes many south-westerners give up their off-road bicycle habit, but when ground it makes the urinary system – and more – very happy.

For pregnancy and postpartum food and medicines, the gokharu (gokshura fruit) was one of the staple herbs in village use. It can be given within the first 10 days after childbirth with guduchi for abnormal postpartum discharge in addition to its applications with the common issues of swellings, burning urine, and rejuvenation. It is an aphrodisiac (rasayana i.e. rejuvenative tonic), helps in conception, preventing miscarriage, certain vaginal disorders, impotency, and shows some effects similar to ashwagandha with animal research. Many other applications below are noted for your interest.

A favorite support best known for kidney function among Ayurvedic students, as herbalists, we often study its gentle effectiveness.

For just this herb, we received many pages of information. Here’s a few tidbits (OK, more than a few):

  1. Certain types of lactation problems respond very well to a preparation of gokshura with guggulu (gokshuradi guggalu), to remove poor water element management from waste products in the lymph/lactation ducts.
  2. Gokshura was used in a nutritious sweet for both men and women for rejuvenation. (The sweet component is important to it’s effectiveness for rejuvenative purposes).
  3. The saponin fraction from Gokshura was demonstrated to exhibit a hypoglycemic effect in alloxan-diabetic rats, with a commensurate reduction in serum triglycerides and cholesterol, and a rise in serum super oxide dismutase (Li et al 2002). Vitiation in triglicerides = tired pancreas.
  4. The poor people in India used to make a vegetable dish out of Gokshura leaves (though its use is being forgotten).
  5. The powder from its fruits used to be mixed with other flours to make traditional Indian bread – at least one teaspoon and up to 25% in small batch helps to reduce urinary problems in elders maybe 7-10%. I now add the powder into a flat bread/chapatti, after learning this is standard preventive fare among many village elders. I’m 64 – perhaps one of your village elders.
  6. An infusion is used to relieve painful micturation, to increase the flow of urine and as a vehicle for diuretic medicines. Used also in incontinence of urine.
  7. It can reduce allopathic dosages needed in certain cases. You will have to ask those questions of the doctor directly, he gave one example in the lecture and we asked about many other things!
  8. With black sesame seeds, helps reduce bad energies- circle the person with mix in a bowl, and throw into fire. (Or burn leaves of flax, or keep a bowl of the flax seeds nearby the fragile – helpful for babies, new mamas, the hospitalized, and others. Our unit on Flax brought many new applications for that plant also!)
  9. With Aam Vata (reheumatoid arthritis) – a decoction with ginger and gokshura is used.
  10. With ascites and piles.  The association of water element managements in the body is related to the reproductive system and emotions around the 2nd chakra, some lactation issues, pancreatic function and a cascade of concerns.
  11. It may help with cough and asthma, alone or mixed with honey as soothing expectorant.
  12. It has analgesic effect;  may help with pain from neural debility.
  13. In Paralysis, the preparation called gokshuradi guggulu is particularly good.
  14. Helps dissolve urinary stones an cystitis. Fresh leaves dipped in water can be drank for medicine, as it creates slipperiness to help release. This remedy is also being forgotten in Ayurvedic practice.

Properties of Gokshura

  • Guna (qualities): Guru (heavy), Snigdha (slimy)
  • Rasa (taste): Madhur (sweet)
  • Virya (energy): Sheeta (cooling)
  • Vipak (post digestive effect): Madhur (sweet)
  • Very good rasayan

Effects on body channels

  • Dosha: Tridoshshamak (cleanses all 3 doshas)
  • Dhatus (tissues affected): Shukra, Mamsa, Meda, Rakta (reproductive, muscle, fat, and blood)
  • Mala: Mutra (waste system affected: urinary)
  • Organs: Urinary system, Cardiac system, Reproductive system, Nervous System
  • Dosage: Fruit powder – 2.5 to 5 gm, Decoction – 60 to 100 ml
  • Contraindication:  Should not be given if patient is suffering from dehydration.

Topics for each herb in the Nighantu class include – an herb’s names and citations throughout the ancient texts; when it began to be used; traditional village dietary and medicinal recipes; which Ayurvedic text says what about it, pharmacokinetics; all useful parts of the plant; effect on metabolism in Ayurvedic and allopathic terms with therapeutic uses and recipes; chemical constituents, uses for each of the shrotamsi (channels) and body systems; herb drug interactions; research on it; growing conditions; varietals; and any contraindications.

As with all information provided, please understand this is partial information. Proper use of herbals per the individual case and condition as well as proper combining, timing, and delivery media are all part of herbal training, and very important. This is not meant to replace the advice of a qualified physician nor prerequisite studies in Ayurvedic medicine.

Herbs for Mood – Depression and many related conditions

Herbs for Postnatal Moods – We use several really good ones.  Front line – I often call on Tulsi with Gotu Kola or another Brahmi tea – serotonin enhancing in Nature’s user friendly bio-balancing way that can be tandemed for month or more before beginning to SLOWLY reduce other herbs, according to some experienced Ayurvedics.  Transitioning off over at least 6 months, according to Dr. Ann Blake Tracy, if on mood meds for over a year.  She does not however have Ayurveda’s toolbox, so I believe there can be more help up front while still proceeding so very cautiously.   (Good results for a few days do not mean all is well – the medicines have stored in high quantity in brain tissues and begin to download in chunks into blood).  So this is just a beginning discussion of a number of mood supportive herbs.

These 2-3 herbs are also gentle at a time we need to be gentle!  They are key manas (Mind) rasayana (rejuvenative tonic) herbs.  Yes, they are safe in pregnancy and postpartum.  Especially for Mamas, I combine them a bit of digestive (ginger, pippali, or even cardamom), with shatavari (wild asparagus root) to potentiate the manas effects (connecting to body/hormones, and enhancing to lactation anyone?) and/or ashwagandha (more root chakra and Vata grounding/pacifying, also helps lactation).  There is controversy about use of ashwagandha in pregnancy, some are big on it, others totally avoid, I take a more middle perspective, in smaller amounts and well combined.  We can discuss that again another post.

Although there are many distinct diagnoses for mood issues after, or before childbirth, in Ayurveda we see a common thread during the postpartum time of high Vata, which may also push another dosha out of it’s right place and function.  We can consider support with herbal foods – a gentle benign tea – and leave the legally appropriate scope of practice in hands of licensed practitioner.

Tulsi-Gotu Kola Tea is on sale – just received the message today – with this wonderful company, Organic India .  I so honor this company – they sustainably employ thousands of families now in India in organic herb production.  They have loose leaf tulsi and brahmi (gotu kola or bacopa both work similarly and are called “Brahmi”).

I learned this from Ayurvedic practitioner of many years, Sarasvati Buhrman – she gives 4-5 drops nasya (nose drops/nasal administration of herbs) per nostril of brahmi decocted into ghee for Vata depression, varying it for Pitta and Kapha, along with 4-5 cups daily of the above tea as front line support while the rest of needed “homework” is being put into place.  I’ve worked with an older woman her family sent me East to support for a week, in severe suicidal condition under Dr Bhurman’s advice, and watched it really help, but please note that nasya is contraindicated in Pregnancy.

And severe cases MUST be under her doctor’s umbrella of support and referral.  Particularly with pitta cases involving violent impulses or thoughts which are highest risk.  There may be risk to baby or mother’s life.  They often have many issues and sources of advice, which can throw them off from prioritizing use of your support, even dietary and massage gets de-prioritized.  So this is offered as beginning discussion on long term project for education and care research perhaps.  We would want to look at the individual’s other issues in postpartum time and prioritize for it all to create their unique herbal formulation, under client’s and Doctor’s OK.  Research projects would start with much simpler parameters of course, and less potent results for many.

How does all this fit in context of a postpartum care practice?  

The following perspectives and the best possible care are especially important!  Mood support is greatly aided with the following knowledge and skills which may be much less difficult to implement than herbal formulation.   A mother’s special abhyanga (massage) given 3 days in a row absolute minimum, or 5-6 days (not spread out, in a row) as a wiser minimum for more serious cases, so helps ground the herbal effects and not just pop back out of benefits to this process.  It is a deeply significant component of postpartum care and of mood supports,  actually advised for all mamas, not just mood challenged, for 42 days daily.

Also deeply important are the rather unique even to Ayurvedic students and many western trained Ayruvedic practitioners, dietary recommendations after childbirth.  You can learn more in my basic webinars on Ayurvedic Maternal and Newborn Care.  Also useful is the e-cookbook and e-handbook for your clients, Touching Heaven, Tonic Postpartum Care/Cooking with Ayurveda.    The advanced 5 hour webinar on Safe Postpartum Herbs is also available, and will be most valuable to those with some knowledge of Ayurvedic herbology.  Those wanting to get started with potent supports right away can begin studying client and practitioner use of aromatherapy.   A 2 hour Essential Oils (More than) Basics class is also now recorded and getting really good reviews – as I must say I expected – even from experienced aromatherapists.

The early post-pregnancy time has been called “The Black Hole in Health Care” by Dr. Jeanne Watson Driscoll PhD,APRN,BC.  It is a big Y in the road, and effects easily last for decades – “42 Days for 42 Years” according to “Mother of Ayurveda” in the west, Dr. Sarita Shrestha.

I must make clear disclaimers to this post – it cannot be intended to replace the advice of your medical doctor or primary practitioner.  Information here is presented for educational purposes and  you must complete your own homework and work within your appropriate scope of practice.  For serious concerns, you may wish to also look at the reports by Dr. Ann Blake Tracy on a well researched website maintained for many years, Drugawareness.org.  She still offers phone consultations if you feel you are having adverse reactions to mood meds.  For some of the heavy social/medical industry implications – The Citizens Commission on Human Rights (CCHR) is a nonprofit mental health watchdog, responsible for helping to enact more than 150 laws protecting individuals from abusive or coercive practices.  This is not a first focus recommendation for mothers, please; there is a serious political and social conscience and service they provide for those so inclined to work in that arena.

In your service,

Ysha Bhu

Why avoid yoghurt postpartum, and why is it overrated?

Why/when to avoid yoghurt postpartum, and why is yoghurt overrated for probiotic use?

Hello Cheryl !

It sounds like your lassi was yummy!   Yoghurt does have benefits after childbirth, after 2-3 weeks, in specific preparations.  And it has some not critical but – for some moms can be more of an issue risks, depending upon when and how it is used.

After childbirth our digestion is so fragile, and little things make a big difference for mama and baby sometimes for long time to come.  “42 Days for 42 Years” is a pretty stunning statement about it!  Yoghurt is creamy, cloudy, sweet and sour inherently – these things can help rebuild and knit tissues back together, sour can even help digestion.  It contains a little, or more probiotics, not a lot.  It is taken usually cold which complicates maternal digestion and absorption of the nutrients.  It is sour which has it’s place and risks.

Lassi is a dilute yoghurt, buttermilk or Kefir drink.  If not made with ice or fruit, and including some digestive spices (yes and with sweet or pinch salt), can act as a digestive with a non-meat or egg based meal, esp legumes, esp lunch time when our agni is highest.  Note that postpartum legumes have to be cooked to thin or light creamy broth also for a few weeks.

Yoghurt and soured dairy in general are advised to avoid for all of us after say 2pm, or certainly after sun goes down. Though the least problematic of this category, yoghurt is more phlegm producing than *properly used* milk. Agni (digestive fires or enzymes) are weaker at that time of day, and these foods even yoghurt easily clog channels in this way.  I believe it has something to do also with how much time it takes for the layers of yoghurt vs milk digestion, and that in the nighttime, more food means less of Ma Nature’s intended work on the body.

The all so popular yoghurt or any dairy with banana is also contraindicated for everyone.  This food combining tends to create some heavy incomplete products of digestion which clog the “shrotamsi” (channels) and risk buildup into carcinogenic influence, per Dr. Vasant Lad.

Postpartum conditions in first few days are such that although we need some very specific digestive spices which are also warming, and warm temp foods, other warming energetics with includes sour and even salt for 2-3 days or more, is generally contraindicated. Add to that the heavier nature of yoghurt, classical ayurved as I have learned it avoids yoghurt even in lassi for at least the first 10 days after birth.

That time period is when the body is still strongly bleeding or just lightening up, and at risk of increase after decrease is still high. IE, excess even to hemorrhage, and especially in our culture of doing too much after childbirth.  Sour, salt, laxative foods and herbs, doing too much, the wrong type of heating influences all can increase blood loss.

And most people eat pre-prepared yoghurt. If made with sweeteners, the culture value is pretty much stopped.  Yogurt past a day they say changes properties to more sour, less digestible, more phlegm producing. The probiotic value is minimal also compared to what is needed to re-culture the gut flora after antibiotics. Best use something more focused there – a liquid or rehydrated powder preferred.

Homemade Kefir seems to have better culture also, and should be treated like yoghurt when using.  Store bought kefir, IMO, and we know this about many yoghurts, must have some milk added to it after culturing, to even out the flavor and stabilize it form souring too fast.  But this creates another food combining issue.  Sweet milk and soured milk digest in different time zones and locations in the gut, and confuse the body, creating ama also (incomplete products of digestion) .

It is quite the story, isn’t it?  Controversies are I’m sure tweaked reading this post.

Add to all this, the sequence of dhatu (tissue) nutrition, so little understood in the west.   For instance, one’s self-assessments which really do not go beyond, for those who even make the connection, whether we have gas, bloating, constipation, loose stool, or heartburn from our food. Per Ayurveda from food to finest product of digestion, beyond rejuvenating the deepest tissues (reproductive), is at least 32 days most foods – who knows how to “feel” what our food 4 weeks ago did?  To say nothing of the extra time involved after childbirth, at least 42 days instead of “32”.  There are exceptions, including the fact that sweet taste is the first digested from upper stomach where generally it is absorbed. And milk properly used, is said to potentially convert to ojas in a few days.

As you must know, occasionally breaking the dietary “rules” or advice is not nearly the issue as is often doing so.  I hope this discussion helps?  And encourage you to just lean into any changes.  It takes time to make changes and we have to honor gentleness there too, of course.  Sometimes the scales are hard to read, which is priority.  This is one of the reasons to have someone who knows how to make the postpartum “rules” delicious and satisfying, helps so much!

Great to be still in touch, I honor our connection and all the amazing work you do.

Ysha