Chapter 1
FOUNDATION
3
-
4 PART 1: Theory and practice of Ayurveda
and authoritative text on the subject. A contemporary (see Ch. 2). To a lesser extent Āyurveda also draws upon
of Ātreya was Kasiraja Divodāsa Dhanvantari, the sage the other three darśanas, including Mı̄mām . sā
who revealed the art and science of surgery, or śalya (knowledge and ‘interpretation’ of Vedic rituals and
cikitsa, to his student Suśruta (whose name means to rites), Yoga (‘union’, spiritual discipline) and Vedānta
‘listen sweetly’).2 Suśruta compiled Divodāsa’s teach- (‘esotericism’). Although the teachings of the Vedas
ings into a text, which along with the later revisions are at the theoretical core of Āyurveda, the practice of
of the renowned Buddhist scholar Nāgārjuna, forms medicine in India has also been influenced by the later
the Suśruta sam. hitā, the primary Āyurvedic text spiritual traditions of India, especially during the
on the theory and practice of surgery. Another impor- Buddhist period (c. 600 BCE–700 CE). (Note. BCE =
tant early text is the Kāśyapa sam . hitā, which is con- before common era; CE = common era.) During this
cerned with the theory and practice of paediatric and time several famous centres of medical learning
obstetric disease (kaumārabhr. tya). Unfortunately evolved that taught an apparently advanced knowledge
only portions of this text have survived the millennia, of surgery and other specialties, such as the Taks.aśilā
and the remainder of the original texts on each of the university in what is now modern-day Afghanistan.
separate specialities of Āyurveda are either hidden, One of the more interesting historical accounts of
have been damaged over time, or have been completely ancient Āyurvedic practices comes to us from the
lost. Fortunately both the Caraka and Suśruta Vinaya pit.aka of the Pāli Canon, which recounts the
sam. hitās are broad enough in scope that they tales of the famed physician Jı̄vaka Komārabhacca.
describe almost the entire system of Āyurveda.3 Both the Caraka and Suśruta sam . hitās are highly
The Caraka sam . hitā states that the term technical texts, and many subsequent Āyurvedic
‘Āyurveda’ is derived from two words, āyus and veda. scholars felt the need to contribute to the storehouse of
Many Āyurvedic commentators define āyus as ‘life’, Āyurvedic literature, to make it easier to understand, to
but Caraka expands upon this definition, telling us simplify and arrange the material in a more accessible
that āyus is the ‘. . . combination of the body, sense way. Among these Āyurvedic scholars was Vāgbhat.a
organs, mind and soul’, the factor (dhāri) responsible (c. 600 CE), author of the As.t.āñga Sangraha and the
for preventing decay and death, which sustains
(jı̄vita) the body over time (nityaga), and guides the
process of rebirth (anubandha). The second part of Box 1.1 Jı̄vaka Komārabhacca
the word is veda and can be translated as ‘knowledge’
or ‘science’, but more specifically suggests a deeply pro- Jı̄vaka was a famous Āyurvedic physician during the
found knowledge that emanates from a divine source, 6th century BCE, and personal physician to the
Buddha. His life began under very humble circum-
and hence Āyurveda is known as the ‘divine science
stances, when he was found lying in a trash heap,
of life’. having been abandoned by a prostitute. He was dis-
As a śāstra (‘teaching’) of the Vedas, Āyurveda is covered by chance by a prince who found him still
allied with the four principle Vedas of ancient India, ‘living’ ( jı̄va), named him Jı̄vaka, and raised him as a
which similarly issued forth from Lord Brahmā at the son. At a young age Jı̄vaka travelled to Taks.aśilā to
time of Creation. The Vedas include the R.g veda, study medicine. As part of their final examinations
Yajur veda, Sāma veda and the Atharva veda, and the teacher asked his students to search through the
are considered by Hindus to be a sacred knowledge, an forest and find one thing that could not be used as a
eternal and unending truth called the sanātana medicine. As the students made their way back from
dharma. The Vedas can be organised in a few different their search, each one of them had found something
that had no use as a medicine. After waiting an
ways, including into six āñgas (‘limbs’) or six
exceptionally long time Jı̄vaka finally returned to his
darśanas (‘perceptions’). Among the six darśanas the teacher, crestfallen and empty handed. He had found
theoretical structure of Āyurveda draws primarily from no substance which could not, in some way, be used
.
the Nyāya, Vaiśes.ika and Sānkhya darśanas. Both as a medicine. To his surprise the teacher congratu-
the Nyāya and Vaiśes.ika darśanas are concerned lated Jı̄vaka and gave him his blessing as a physician.
with logic, analysis and distinction, whereas the The rest of the students were berated: only Jı̄vaka
. -
Sānkhya darśana is a kind of ontology that describes had truly understood the heart of Ayurveda.
the emanation of the universe from a divine source
Foundation 5
As.t.āñga Hr.daya, who created these texts for those of not the word of the ācaryās (‘wise teachers’) but as
us of ‘weaker intellect’. The As.t.āñga Hr.daya is his a condensed and hopefully useful guide for practitioners
most succinct compilation of the teachings of both and lay persons alike. Any interpolations, inaccuracies
Caraka and Suśruta. Together, the teachings of Caraka, or mistakes are my own and are not reflective of the
Suśruta and Vāgbhat.a form the br.hat trayı̄, the vast storehouse of wisdom that is Āyurveda.
‘greater triad’ of surviving texts that are the heart of
Āyurvedic literature. Standing beside these is the
laghu trayı̄, or lesser triad, composed of comparatively
later texts including the Mādhava nidānam (c. 700 1.2 PHILOSOPHICAL ORIENTATION
.
CE), Śārangadhara sam . hitā (c. 1300 CE) and the OF ĀYURVEDA
Bhāvaprakāśa (c. 1300 CE). Besides these texts, how-
ever, there are many more that are highly respected It seems to be an inherent aspect of human nature to
among Āyurvedic physicians, including the Cakradatta recognise the basic duality that pervades life. The
(c. 1100 CE) and the Bhais.ajyaratnāvalı̄ (c. 1700 ancient Chinese describe the dynamics of yin and yang,
CE). Due to the hard work of modern Āyurvedic Judeo-Christian culture teaches the concepts of good
scholars such as Dr K. R. Srikanthamurthy and and evil, and Jungian psychoanalysis organises the
Dr P. V. Sharma, many of these works are now psyche in terms of anima and animus. Even the binary
available as English translations. function of the computer on which I am writing this
Given that the As.t.āñga Hr.daya is eminently suit- text is an example of this intrinsic duality. Āyurveda,
able to those of us suffering from an intellectual deficit too, recognises this duality, although its characteristics
I have chosen it as my primary inspiration, as well as are unique. According to Vedānta, the last and most
additional materials from other texts listed in the bibli- profound of the Vedic darśanas, what we call reality is
ography, and teachings that have been communicated really a self-developed illusion called māyā, created
to me personally. Translated into English, the As.t.āñga and perpetuated by the ignorance of the ego. It is this
Hr.daya literally means the ‘heart’ (hr.daya) of the conditioned existence that fragments an experience of
‘eight limbs’ (as.t. + āñga) of Āyurveda, which are the brahman, the ‘vast expanse’ of the Whole, which is
eight specialties originally revealed by Bharadvāja. unattributed and unknowable. The attainment and
These āñgas or cikitsā (‘treatments’) are: integration of brahman into our consciousness is the
moks.a, or liberation from this world of illusion, where
1. Kāya cikitsā: general internal medicine
suffering ceases and one merges with the Totality. The
2. Bāla cikitsā: treatment of infants and children
ego with its ignorance, aversion and attachments
3. Graha cikitsā: treatment of spiritual possession
clings to this fragmented world, inventing semantical,
and medical astrology
personal, cultural and social realities that blind us to
4. Ūrdhvāñga cikitsā: treatment of the eyes, ears,
our true nature, that we are God:
nose and throat
5. Śalya cikitsā: treatment requiring the use of Pūrn.am adah. pūrn.am idam pūrn.āt pūrn.am
a knife, i.e. surgery udacyate
6. Dams.t.rā cikitsā: treatment of animal inflicted pūrn.asya pūrn.am ādāya pūrn.am evā-
wounds, poisoning, i.e. toxicology vaśis.yate
7. Jarā cikitsā: treatment of ageing; i.e. rasāyana
‘That is the Whole. This too is the Whole.
(‘rejuvenative’) therapies
The Whole comes out of the Whole.
8. Vr. s.a cikitsā: treatment of impotence and sterility, Taking the Whole from the Whole,
i.e. vajı̄karan.a (‘aphrodisiac’) therapies.
The Whole itself remains.’
Vāgbhat. a tells us in the second verse of the -Isa Upanis.ad, invocation
As.t.āñga Hr.daya that ‘. . . persons desirous of long
life which is the means for achieving dharma (‘duty’), There is perhaps no other hymn in the Vedic litera-
artha (‘wealth’) and sukha (‘satisfaction’) should ture that so clearly defines the orientation of holism
repose utmost faith in the teachings of Āyurveda’. and holistic medicine. It is a realisation that transcends
I humbly invite the reader to consider this present text the knowledge we gain from our corporeal existence,
-
6 PART 1: Theory and practice of Ayurveda
where the fragmentation of knowledge ceases to obscure vyāna and samāna) which provide the impetus
true understanding, where we arrive at a knowing that and energy for all actions in the body (see 2.9
is complete, and yet cannot be described: The subdos.as: subdivisions within each dos.a).
The five prān.as are the vital force that underlies
Avijñātam
. , vijānatām
. , vijñātam, avijānatām the function of the five karma indriyās (‘organs
‘It is not understood by those who understand it, of action’), i.e. the mouth, hands, limbs, elimina-
It is understood by those who don’t understand it.’ tive organs and genitalia.
-Kena Upanis.ad, 2:3 2. The manomaya kośa, comprising the five jñāna
indriyās (‘organs of knowledge’), i.e. the nose,
Within a human being this pervasive and yet unre- ears, eyes, skin and tongue. When these five senses
alised state of totality is called the jı̄vātmān, and it is are activated by the citta,5 or innate conscious-
this that is the ‘seed’ or spark of life. From the accu- ness, they form the manas, or ‘lower mind’.
mulated karma (‘actions’) of repeated births, through 3. The vijñānamaya kośa, comprising the
the ignorance and desires of the aham . kāra (‘ego’),
aham . kāra (‘ego’) and buddhi (‘intellect’, or
each of us have bound up our true nature with tremen- higher mind).6
dous sam . skāras – actions whose fruits have yet to be
realised. It is our reaction to these fruits, either by lux- The sūks.ma śarira is equivalent to the astral body
uriating in or by being repulsed by them, that gener- of Western occultism, where the body exists in an
ates further karma, binding us to sam energetic form but nonetheless retains aspects of
. sāra, the wheel
of life and death. Thus the path that leads us from individuality. It is a subtle realm experienced by most
dukha (‘suffering’) to sukha (‘happiness’) lies people in trance states, dreams and visions. As the
between the push and pull of life. It is a paradoxical sūks.ma śarira contains the five senses (jñāna
state, to be remote yet fully engaged, remaining as the indriyās) and the five organs of action (karma
Chinese Taoists say, as ‘. . . an uncarved piece of wood’. indriyās) with which we receive sensory information
Freed from desire, ignorance and hatred, karma never and act upon it, all corporeal activities are first mani-
has a chance to develop, and that which comes to fruit fest within this realm. It is within this subtle arena that
is allowed to ripen, without inducing a conditioned everything we think or feel becomes manifest. Whether
response. In this state of being the aspirant is freed or not this manifestation occurs on a corporeal level is
from birth, and ‘. . . sees how all things pass away’, dependent upon the strength and clarity of a given
entering into the abode of nirvān.a.4 thought or emotion. In the physical realm manifesta-
tion occurs relatively slowly, and because of this one
1.3 THE Pañca kośa: THE FIVE SHEATHS Vijnamaya kosa Annamaya kosa
OF BEING
thought or feeling may be countered by another. This is with a more noble intent, working towards their fur-
why, if we want to obtain a result on a physical level, ther development and for the benefit of all living beings.
we must purify our intent and develop clarity about Fully realized beings, however, understand that any state
what it is we want. This is one of the purposes behind of being is still a state in which karma and its fruit can
the use of mantra, which through the repetition of be generated and thus know that they are subject to
special sounds organises consciousness in the sūks.ma the unyielding power of impermanence and decay.
śarira around a single purpose or vibrational quality. So far we have learned that prakr.ti represents the
The sūks.ma śarira is also the realm within which the created world, synonymous with the concept of māyā,
cakras exist, and through the conscious and directed or self-created illusion. Although Āyurveda is the study
flow of prān.a (‘vital force’) through the energetic of prakr.ti, it is a path of knowledge that is designed to
channel that connects them (i.e. the sus.umnā nād. ı̄), explain phenomena within the veil of māyā, a path
we can awaken the spiritual energy in these energy through which we gain insight into its illusory nature.
centres. Many extrasensory abilities such as clairvoy- Āyurveda does not deny the importance of physicality,
ance or the influence and guidance of other beings, but advocates a specific methodology that facilitates the
such as channelling, occur within the sūks.ma śarira. realization that prakr.ti is purus.a. Thus, the correct
The final body is the kāran.a śarira (‘causal ori- study of Āyurveda and the practice of dharma will
gin’), also known as the ānandamaya kośa, or ‘bliss automatically lead us to the path of brahman.7
sheath’. This is perhaps the most appropriate place for
us to designate the soul, the interface between the
lower and higher aspects of our being. It is the most 1.4 THE cakra SYSTEM, kundalinı̄ AND
subtle state of being, beyond the push and pull of the as. t.āñga YOGA
ego (aham . kāra), resting in pure knowledge (jñāna),
acting as the impetus for the development of the Another system that provides a context for the practice of
increasingly grosser forms of a living being. Āyurveda is the cakra system. This system, like the
The jı̄vātman, the individuated aspect of brahman, pañca kośa theory, describes the fundamental aspects of
interfaces with these five sheaths to provide life, and in being, but also allows for a specific understanding of
association with karma, is bound to them, to sam . sāra, spiritual development and its concomitant effects upon
the never-ending cycle of birth, death and rebirth. As the body, mind and emotions. The cakra system repre-
beings evolve spiritually, consciously progressing sents the dynamic structure of the subtle body, the
inwards towards the attainment of moks.a (‘libera- etheric octave of the physical body. The term cakra
tion’), they may find themselves partially existing means ‘wheel,’ and the seven major cakras are hierar-
within these subtle realms, developing certain spiritual chically arranged energy vortices within the subtle body:
powers called siddhis, such as clairaudience, clairsen-
1. Mūlādhāra cakra: the ‘root’ cakra
tience or clairvoyance. It is even possible to be reborn
2. Svādhis.t.hāna cakra: the ‘sex’ cakra
within the heavenly realms of the sūks.ma śarira,
3. Man.ipūra cakra: the ‘digestive’ cakra
although this temptation is considered to be a serious
4. Anāhata cakra: the ‘heart’ cakra
pitfall in spiritual development. The sūks.ma śarira is
5. Viśuddha cakra: the ‘throat’ cakra
the realm in which the devas (‘heavenly beings’) and
6. Ājñā cakra: the ‘third-eye’ cakra
asuras (‘demons’) are said to exist, enjoying the power
7. Sahasrāra cakra: the ‘crown’ cakra.
and pleasure of the astral realms, living as immortals,
or rather, as beings with extraordinary longevity and Each cakra represents certain energetic, mental and
subtle powers. It was for this reason that the Tibetan physical qualities, and from a spiritual perspective, cer-
Bardo Thodol (‘Book of the Dead’) was written, as tain life challenges and spiritual attainments.8 These
a set of instructions to guide the dead past the enticing, seven energy vortices are connected by the sus.umnā
yet illusory astral realms and onward to the greater nād.ı̄, the central axis or channel (nād.ı̄) of the body,
realization of brahman (in Tibetan, ‘dzogchen’). The like beads on a string. The sus.umnā nād. ı̄ originates in
beings that are said to exist within these subtle realms the kānda, or ‘bulb’, and rises upwards through the
maintain different levels of awareness, some focused body and each cakra, terminating at a region that
entirely on their own pleasures and desires, and others corresponds with the crown of the head. The kānda
-
8 PART 1: Theory and practice of Ayurveda
represents a mass of potential energy within the lowest For most humans the idā and pingalā nād. ı̄s are the
energetic levels of the physical body, thought by many main pathways of energetic flow in the body, represent-
to correspond with the sacral plexus. Although the ing the duality of life and death, and the duality of con-
impetus of this spiritual energy is to rise upwards sciousness. As prān.a flows through them, the nād. ı̄s
through the sus.umnā nād. ı̄, its movement is held in activate the dualistic and potentially negative aspects of
check by the continuous flow of prān.a (‘vital force’) each cakra. When the flow of prān.a is disrupted or
within two lesser channels that flow on either side of the blocked in these areas the result could be a variety of
sus.umnā nād. ı̄, called the idā and pingalā nād. ı̄s: physical, emotional or mental problems that represent
● The idā nād. ı̄, or ‘channel of comfort’, represents the elemental qualities of the disturbed cakra. To this
preserving aspects of the physical body and the femi- extent, treatment can be given to improve energetic flow
nine aspects of consiousness. It begins on the left side within the idā and pingalā nād. ı̄s to restore health, but
of the kānda, rises up the back of the body, over the in the spiritual tradition of hatha yoga, the aspirant
back of the head to the ājñā cakra, or ‘third eye’, seeks to resolve all pain and suffering by directing prān.a
drops down and terminates in the left nostril. into the sus.umnā nād.ı̄, the central channel. When
● The pingalā nād prān.a is directed into the sus.umnā nād. ı̄ it awakens
. ı̄, also known as the ‘tawny
current’, represents the activating aspects of the kundalinı̄, the ‘serpent power’ of the Transcendent.
physical body, as well as the masculine aspects of Kundalinı̄ is the potential mass of psychospiritual
consciousness. It originates on the right side of the energy of the body, the capacity for spiritual transforma-
kānda, rising upwards over the back of the right tion. It is the active, feminine aspect of the Divine called
side of the head to the ājñā cakra, drops down and śakti that remains tightly coiled in the lowest aspect of
terminates in the right nostril. the etheric body in spiritually unevolved beings.
Ajna
Vishuddha
Anahata
Manipura
Svadishsthana
Muladhara
Foundation 9
Although there are a great many paths to spiritual lib- Rāja yoga, or the ‘royal’ yoga, comprises the last
eration in India, most advocate a methodology that is three elements of as.t.āñga yoga, representing the
more or less based upon as.t.āñga yoga, the ‘eight’ (as.t.) teachings of Vedānta and the conscious direction of
‘limbs’ (āñga) of ‘spiritual union’ (yoga). As.t.āñga yoga the mind towards spiritual liberation. Such an approach
is a highly specific set of guidelines that are traditionally may combine an emphasis upon breathing techniques
considered to be the safest method to awaken kundalinı̄, (prān.ayama), mantra and devotional exercises
and can be practiced by anyone of any faith or spiritual (bhakti). Other methods such as dhyāna (‘medita-
practice. The eight limbs of as.t.āñga yoga are: tion’) are practised to facilitate a conscious under-
standing of the nature of self, where subject and object
1. Yama: moral observance; skillful thoughts, works
become one (samādhi).
and actions directed externally
Although as. t. āñga yoga provides a clear path to
2. Niyama: self-restraint; skillful thoughts, works
divine knowledge, the actual practice involves a great
and actions directed internally
deal of subtlety and aspirants are encouraged to seek
3. Āsana: posture; physical training
instruction from experienced practitioners. The
4. Prān.ayama: breath control; breathing exercises
release of kundalinı̄ is not a thing to play with, and
5. Pratyāhāra: sensory inhibition; restraint of
without preparation the premature release of kun-
the senses
dalinı̄ is said to result in a variety of conditions,
6. Dhāran.ā: concentration; the ability to direct
including inexplicable illness, erratic behaviours, anx-
the mind
iety, psychosis and memory loss. For those who are
7. Dhyāna: meditation; the ability to commune with
interested in researching kundalinı̄ perhaps the best
that which we seek to understand
place to begin is with the works of Gopi Krishna, who,
8. Samādhi: ecstasy; complete integration.
in his book Kundalini: The Evolutionary Energy in
The first five limbs of as.t.āñga yoga are taken to make Man, lucidly describes his experience with the awak-
up hatha yoga, and the latter three relate to the ening of the ‘serpent power’:
practice of rāja yoga. The term hatha is derived from
two words: ‘ha’ meaning ‘darkness’ and ‘tha’ which ‘Suddenly, with a roar like that of a waterfall, I felt
means ‘light’. Thus hatha yoga is the path that seeks a stream of liquid light entering my brain through
to unite the primordial aspects of the sun and the the spinal cord. Entirely unprepared for such
moon, the archetype of male and female, purus.a and a development, I was completely taken by surprise;
prakr.ti. Hatha, however, also means ‘forceful’, refer- but regaining self-control instantaneously,
ring to the practice of self-discipline and the effort it I remained sitting in the same posture, keeping
takes to rouse oneself to the calling of spiritual devel- my mind on the point of concentration. The
opment. The goal of hatha yoga is the formation of illumination grew brighter and brighter, the
a ‘yogic body’ ( yoga deha), a body that is free from dis- roaring loader, I experienced a rocking sensation
ease and the limitations of an ordinary human body, and then felt myself slipping out of my body,
purified and cleansed for rāja yoga. entirely enveloped in a halo of light.’
While many confuse hatha yoga with the practice (Krishna 1971)
of āsana, hatha yoga has a much broader outlook
than the series of physical exercises it is often thought The awakening of kundalinı̄ is the event that under-
to be in the West. Ultimately the āsanas only serve to lies the great revelations of all spiritual traditions, when
relax the body, making it able to withstand long periods the creative energy (śakti) of the individual unites with
of meditation. According to Patañjali, the author of the the ultimate awareness of the One (śiva). Through con-
Yoga sūtra, the only physical position (āsana) that it is sistent spiritual practice kundalinı̄ can be awakened
important to cultivate is one that is ‘stable’ and ‘pleas- from her dormant state, and like a snake-charmer we
urable’ (sthirasukhamāsanam), allowing for com- patiently entice this spiritual awakening to liberate us
plete physical relaxation and mental clarity. Absolute from the world of sam . sāra. As kundalinı̄ is called, she
proficiency in all the different āsanas is not considered awakens each cakra to its purist potential, providing
necessary by most Indian spiritual traditions. deep and truly profound insights into the nature of being.
-
10 PART 1: Theory and practice of Ayurveda