HEALTH and ILLNESS in the Asian Populations ■ 255

HEALTH and ILLNESS in the Asian Populations ■ 255

Three qualities, called doshas, form important characteristics of the constitution and control the activities of the body. Practitioners of Ayurveda call the doshas by their original Sanskrit names: vata, pitta, and kapha. It is also believed that

1. Each dosha is made up of 1 or 2 of the 5 basic elements: space, air, fire, water, and earth.

2. Each dosha has a particular relationship to body functions and can be upset for different reasons.

3. A person has his or her own balance of the 3 doshas, although one dosha usually is prominent. Doshas are constantly being formed and reformed by food, activity, and bodily processes.

The vata dosha is thought to be a combination of the elements space and air, and it controls very basic body processes, such as cell division, the heart, breathing, and the mind. Vata can be thrown out of balance by, for example, staying up late at night, eating dry fruit, or eating before the previous meal is digested. People with vata as their main dosha are thought to be especially sus- ceptible to skin, neurological, and mental diseases.

The pitta dosha represents the elements fire and water. Pitta is said to control hormones and the digestive system. When pitta is out of balance, a person may experience negative emotions (such as hostility and jealousy) and have physical symptoms (such as heartburn within 2 or 3 hours of eating). Pitta is upset by, for example, eating spicy or sour food; being angry, tired, or fearful; or spending too much time in the sun. People with a predominantly pitta consti- tution are thought to be susceptible to heart disease and arthritis.

The kapha dosha combines the elements water and earth. Kapha is thought to help keep up strength and immunity and to control growth. An imbalance in the kapha dosha may cause nausea immediately after eating. Kapha is aggravated by, for example, sleeping during the daytime, eating too many sweet foods, eat- ing after one is full, and eating and drinking foods and beverages with too much salt and water (especially in the springtime). Those with a predominant kapha dosha are thought to be vulnerable to diabetes, gallbladder problems, stomach ulcers, and respiratory illnesses, such as asthma (Roy, 1999, pp. 96–97).

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