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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.

How to use Superfoods for Mamas

How to use Superfoods for Mamas is a big topic!  And yummy one.  And this post is currently in kinda messy draft version, but perhaps you will find value anyway.  It’s time sensitive, with focus on hot weather.

Shall we share favorites and “chew” on it together? I have my faves, but I also am concerned for how some of them are used for postpartum mamas. And oh my, just starting to think about it, there are layers of discussion so, here goes a few of them.

There are some fun guidelines with food tastes and colors and their effects on the natural needs to balance for the weather, as well as the “season” of our bodies after childbirth. There are some very noteable exceptions, good to know about! And we should look at superfoods for restoring balance when immunity is down but the need for lactation and energy to take care of baby is up.

Let’s do summertime today, as it’s summer here. It is time to keep cool! Yet mother’s digestive “fires” are already low, and need help. She needs special help keeping them burning, and reducing hot flashes is not about ice water, it is about stabilizing, rebuilding body and hormones.

Everyone wants to use ice to cool down – makes sense, right? Not in the gut. Oriental traditions even in their hot climes in South East Asia, India and CHina know, it doesn’t work well. Why, they can’t all explain, but even airplane hostesses at least used to know, never offer a Chinese ice water!

Ayurvedic medicine explains the effect is to constrict digestive enzyme effectiveness, and the stomach itself, and to create indigestion, gas and bloating, depending upon the person’s specific strengths and weaknesses. All postpartum women are extra sensitive to cold temp foods and drinks.

So – how to keep cool without cold temp? Energetically, those foods which are sweet, astringent, and bitter tend to cool us down. Yet those which are really astringent, like cranberry and grapefruit, increase vata and are not satisfying or rebuliding – too cleansing is not where mamas need to go, with so much rejuvenation, lactation, and 24/7 on call duties.  Rose is bitter and sweet, and combines well with more nutritive substances.  It gives it’s properties best in a cool infusion.

Rose Infusion

Veggies with oxalic acid like chard heat. Leafies in general have their own issues, being very floppy and unstable in the winds of change; they more easily get frayed, and that is the effect on early pp mamas. Dandilion too – has to be balanced with oil, well cooked garlic, well cooked themselves, salt, lime, maybe some toasted cumin, and served with a root vegetable like yams – now we are talkin’.

There are exceptions to the taste and color “rules” – like even sweet citrus, pineapple and early season mango heats, except a little lime is cooling. Red, orange and yellow colors to lesser extent as food and drink tend to warm, including beet, except pomegranite which is awesomely cooling. White things tend to cool nicely, and coconut is superiour here. Yet ripe banana for all it’s virtues including potassium, is heating. Everyone wants banana to sweeten their smoothies as if using fruit was better than natural sugars. Food combining wise, you are creating problems long term if not also short term.

Some favorites and how to balance them
Goji has some warming effect. Sweeter, non citrus juices like grape, blueberry, acai, even apple and pear, and especially pomegranite are lovely complements. My fav? Young Living’s Ningxia Red Juice (goji, aronia, blueberry, et al with stevia, low glycemic!!!) 1-2 oz, with 5-6 oz of Annie’s Coconut water with pulp. If you use pomegranite instead, then it combines nice with chia, or even avocado and spirulina.

Acai is more cooling, and some preps less interesting than others. Lovely with pure pomegranate! I don’t have a favorite brand yet.

Banana is lovely pureed in coconut milk or water – how about adding rose water or rose infusion also, or a splash of vanilla, and soaked dates for iron nutrition? Pinch of cardamom is important here, and for early mamas, wait a week or 2 on this, adding fresh grated ginger too. All but the banana are cooling balance and ripe this time of year.

Spirulina and chlorella – if you don’t know their virtues for many things including recent research on benefit to babies used in pregnancy (link to it), please ask our friend google. In the meantime, 1/2-1 tsp in an easy to digest blender drink like grape or pomegranite with a pinch of himalayan salt, and maybe avocado and maple syrup (cooling, honey heats but is GREAT with avocado in cool weather), maybe 2-3 mint leaves too – and some fresh grated ginger ladies for mamas, blend it well and enjoy! A squeeze of fresh lime with the avocado and greens is magic here. These supergreens need help digesting though small molecules, being cold energy. Fresh ginger is more tridoshic and refreshing than dried.

Chia is warming, but the qualities and nutrition both are lovely for postpartum. We see above use of super greens, pomegranate and grape and others with it. If you use coconut with it, will be creamy, yummy, and need both sweet (soaked dates?) and spice for digesting – the standby, grated ginger and or cardamom, are especially good. Or try clove or black pepper! Clove is postdigestively cooling but really helps agni (our digestive enzymes).

Good fats, like Ghee and coconut oil are too, and these two are cooling.  Research years ago linked low blood lipids with postpartum depression.  In many mama’s smoothies, I will add 1-3 tspoons of good fats, not just thinking about efa’s here – choose by taste as well as priority effect. We need good cholesterols for feminine hormones, efa 3s for brain, breast and other functions, and toasted sesame has special flavor and health virtues which are well added to the warm almond milk – curried spirulina smoothie with ginger! That one is not so cooling, but great in damper climes.

Almonds and almond milk smoothies … Almond, vanilla, acai, organic milk and other foods are among special hormone or neurotransmitter supportive foods, before we even begin to talk about the buz around certain herbs.  Almond and dairy milk though, are great places to add these herbs, as they deliver into the deeper tissues for rejuvenation that way.  Serve warm, chai type spices and or soaked saffron and cardamom, teaspoon of ghee with, and maybe some soaked dates.  It is a delicious energy drink!  Avoid fruit and almond together, please; milk and almond is wonderful.

Yoghurt and kefir are sour, especially after first day freshly made.  They clog channels more in early postpartum, and the sour is a taste to minimize for about 10 days.  Then – a thinner yummy lassi (2-4 parts water, with spices and sweet or salt) is lovely, before 2 o’clock, with a vegetarian meal.  Avoid with fruit, especially banana though.  You can sweeten with dates again, which are cooling, and don’t make us gassy as easily as other fruits do with their post digestive sour / gut fermenting effect which interferes with the other digestive stages in the gut.

Carrots are warming, even more, beets. The raw is not a good idea first few weeks after birth. Favor soup! Then? Carrot juice with coconut, and maybe fennel powder maybe great! will balance the heat – Let the fennel hydrate in bit of hot water to access properties for lactation and digestion – and take the temperature chill off the vegetable juice. I’d put pinch mineral salt, tsp or more grated fresh ginger or citrus zest in there, and no greens until her tummy is free of gas and dosha vikruti (imbalance) not showing vata.

This is just a beginning, of course…. What are your favorite smoothies?  What would you do for good food combining and postpartum use?

Think Rebuilding, good food combining, hydrate dry stuff well, use some fat, and some spice that is not too heating or in small amounts, make it fresh daily, and make it delicious!

Happy Postpartum Holiday Cooking!

Anyone else like to talk about food?  Topic of the season:  Happy Postpartum Holiday Cooking!  OK, you can just order our cookbook, or get some great good ideas to start below and then, you will learn more than many yummy recipes, if you still order it, honestly.

How about preventing holiday overwhelm and exhaustion after having a baby?  For the winter holidays, we can choose Postpartum foods for happy baby (and mama!) tummies, to and support more lasting mood stability, lactation, rejuvenation, strength and of course, other benefits.  Lean into your choices with qualities of warm temp, oily, moist, sweet, maybe a touch of sattvic sour and salty.  The latter two tastes are better after the lochia has subsided and any swelling gone.  Support Mama to take a nap during the holiday festivities and not cook or wash dishes while Baby is passed around, too, if you want happy campers.  Moms often crash into some depression from the overwhelm on their fragile senses and other needs at these big loving parties and attentions, unfortunately, and naps as well as good food combining, support for her fragile agni, and extra digestible postnatal nutrition all really help.

The traditions I grew up with may vary from yours, but here are some Ayurvedically interpreted variations applied to some of our common foods, even if last minute Annie for this year’s Christmas day you may find these helpful.

Today I made a chutney recipe for my client (let’s call it “relish”. No worries it is very well cooked, and mama-baby do so well with it! It is such a favorite of my clients ever since Aparna Khonalkar shared it with me.

Instead of all the different carbs, let’s choose.  Everyone’s tummy will be happier actually, even if not so sedated, their inner light’s ability to share in joy in community, and to see how to help mama=baby best too, will be stronger when we are not so dulled out with partying.  So, hmm – Better than the drying astringency of white potatoes, or heavy complicated digestion of stuffing, how about baked (or your family favorite recipes for) yams, with lots of clarified butter, salt and pepper?  Leave off the marshmallows if possible….  If you want, add some iron rich sugar – easy!

Instead of so many different dishes, make some of them freshly prepared tomorrow, so baby won’t get gassy from all the leftovers.  Pretty guaranteed, I have to tell you.  And repeated gassiness can build into colic – it takes a few weeks then oh my, you don’t want that.

And/or Pumpkin soup can be soo soothing; use ample butterfat and ginger among your ingredients, garnish with bit of fresh minced cilantro and ground toasted almond, cashew, or even for the adventurous, toasted ground fenugreek seeds. Yum! If she is non-vegetarian, use a base broth freshly made not from a box, of poultry, long cooked stock preserving the fats, bone and other nutrients. First few days, mostly broth. Some asparagus in there would be a treat! Eggless pumpkin pie for later in the perpeureum.

Dress up steamed and generously buttered (clarified butter is best) rice with minced dill weed – it is lactation enhancing. Use enough S&P to balance astringency and flavor. After a few weeks, garnishing with fresh yoghurt (just a little) but don’t forget the spice. Toasted cumin seeds are one of my favs if the meal isn’t already rich in cumin.

Rice or pumpkin pudding, no need for eggs in early weeks – served hot with extra ghee or even butter, and with ginger and cardamom in it, will be very likely big hit for her, and baby.

How does a well cooked gingered and coconut sugar (ok, something iron rich and flavorful) glazed carrot dish with orange zest, S&P sound?

Instead of hot mulled cider, try hot mulled dark grape juice (more iron, more soothing, great for liver and pittas), with pinch saffron, some rose petals, and fresh ginger. Oh Yes, or see Emma’s post here, similar. Or a little pomegranate-grape juice in wine glass not chilled to sip for pittas may feel great too. The warm liquid is divine though.

We even have a soaked cashew eggnog recipe in the postpartum cookbook, Touching Heaven, Tonic Postpartum Recipes in our shop.  OH dear, it is not in current version – ask me for it if you like I’ll post.  It is delish!  We do have Joseph Immel’s Pumpkin Chai in the book, inspired from his website, Joyful Belly.

If a salad type prep is wanted….you can steam beets, asparagus, just about any veg on the postpartum list, and marinate with a roasted garlic/lime juice vinaigrette to give more than satisfaction. Make sure Mom gets some, with everyone else filling their plates!

What’s your call?  There are so many things we can do, of course.  How about Hanukkah, Christmas and New Year’s fare?  Absolutely, we do not need to compromise deliciousness or happy traditions!

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