Ayurvedic Practitioner Competencies

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!yurvedic Practitioner: Educational Outline for Competency
The !yurvedic Practitioner is a professional with additional training in pathology and
disease management beyond that of the Ayurvedic Health Counselor. These
professionals also practice preventive healthcare and health promotion, using diet and
lifestyle.(The recommended hourly range of training for this category is 1500-2500
hours)
SECTION 1: FOUNDATION OF !YURVEDA

NAMA Scope Description: The practitioner has a strong understanding of the history, philosophy,
fundamental principles and basic vocabulary of !yurveda.
o Understands Definition of !yurveda, History of !yurveda, A"#$%ga !yurveda, B&hat tray',
Laghu tray'
o Understands S$(khya Philosophy
o Prak!ti, Puru"a
o Mahat
o Aha#k"ra
o Manas
o Paca tanm"tras
o Paca j"nendriyas
o Paca karmendriyas
o Paca mah"bh#tas
o Relationship of j"nendriyas, karmendriyas, tanm"tras and mah"bh#tas

SECTION 2: CONCEPTS OF !YURVEDA

Twenty Qualities (Gu)as)

NAMA Scope Description: The practitioner has skills and competence in determining which gu$as are
predominant in prak!ti and vik!ti and demonstrates the following ability/abilities:
To determine the role and influence of the 10 pairs (or 20 total) of opposing qualities (gurv"di
gu$as) in the prak%ti and vik%ti through the data received from the history and examination of the
client.
Related Pre-requisite or Complementary Knowledge of:
The 10 pairs of opposing qualities (gurv"di gu$as) associated with the five elements (paca
mah"bh#tas) and the three do"as and those that vitiate the do"as
The gu$as causing do"as to accumulate and become aggravated
How diet, climate, season and age impact the gu$as and subsequently contribute to the cause of
disease
What constitutes excess, deficiency and the imbalance of the gu$as in do"a vik!ti
The theory of similar and dissimilar and balancing the gu$as through proper daily and seasonal
routines for a person of each constitutional type
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Prak&ti and Vik&ti
NAMA Scope Description: The practitioner has the skills required to assess the physical and mental
prak!ti and do"ic imbalance using !yurvedic methodology (trividha, a"%avidha and da&avidha par'k"")
The practitioner has knowledge of:
Three-fold Diagnostic Method (Trividha Par'k"$)
Observation (Dar&ana)
Touch (Spar&ana)
Questioning (Pra&na)

Eight-fold Diagnostic Method (A"#avidha Par'k"$)
Pulse Assessment (N"&' Par'k"")
Urine Assessment (M#tra Par'k"")
Stool Assessment (Mala Par'k"")
Tongue Assessment (Jihv" Par'k"")
Speech and Voice Assessment ((abda Par'k"")
Skin Assessment (Spar&a Par'k"")
Assessment of Eyes (Drika Par'k"")
General Appearance of external features - Face, Nose (!k!ti Par'k"")

Ten-fold Diagnostic Method (Da*avidha Par'k"$)
D#"yam- Structural and functional abnormalities of the body
De&am -Geographical nature of the place where client lives
Balam -Physical strength
K"lam- The season and climatic conditions
Analam -The digestive system of the client
Prak!ti Constitution
Vayas -Age of the client
Sattvam- Psychological nature of the client
S"tmyam- General and personal habits of the client (ie. smoking)
!h"ram- Nature of the patients diet and sensory intake (e.g. vegetarian or non-vegetarian)

Additional items:
Quality of Dh"tus (S"ra)
Physical Build (Samhanana)
Measurement of Body- Height, Weight, Posture, Circumference of Head (Pram"$a).
S"tmya or clients ability to adapt to !h"ra (Diet), Dravya (Herbs), Vih"ra( Lifestyle and
Behavior)}
Ability to Digest (!h"ra (akti)
Stamina, endurance and capacity to exercise(Vy"y"ma (akti)

Trido"a theory including the 10 pairs of opposite qualities (gurv"di gu$as)
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Physical and mental attributes in a prak!ti including but not limited to height, weight, color of
eyes, skin, mental abilities, memory, intellect, diet, tastes, digestive fire, quality of skin,
temperature, hair, appetite, elimination, stress factors
Physical and mental attributes that change with time: diet, climate, season, stress and
environment
Changes in vik!ti due to changes in agni, gu$as resulting in digestive disorders, appetite and
elimination changes
Attributes (gu$as) that cause the do"as to accumulate and become aggravated
Diet ("h"ra) and lifestyle (vih"ra); how diet, climate, season and age impact the prak!ti and
subsequently contribute to do"a vik!ti and cause of disease
What constitutes excess, deficient and the imbalance of do"as within their own site
Theory of similar and dissimilar and balancing the do"a vik!ti through a proper daily routine,
seasonal routine and basic six tastes (rasas) for a person of each constitutional type

Do"as, Sub-do"as, Dh$tus, Srotas
NAMA Scope Description: The practitioner is able to show skill and competency in determining the state
of do"as, sub-do"as, dh"tus, upadh"tu and srotas, then able to assess the following:
The practitioner is able to assess the state of do"as, and sub-do"as, dh"tus, upadh"tus, and
srotas involved through observation (dar&ana) asking questions (pra&na) and palpation
(spar&ana) and is able to interpret the information received.
Interview / Questioning (Pra*na)
Asking questions about the current state of digestion, elimination, sleep, stress level, energy level
and emotional level.
Observation (Dar*ana)
The ability to interpret information that has been received upon observation (dar&ana) to
determine the involvement (vitiation) of do)as, sub-do)as, dh"tus and srotas.
Palpation (Spar*ana)
The ability to interpret information that has been received upon palpation (spar&ana) to determine
the involvement (vitiation) of do)as, sub-do)as, dh"tus and srotas.
Healthy dh"tus (dh"tu s"rata).
How to properly examine the client utilizing the methods of trividha, a"%avidha, da&avidha par'k""
Definition, qualities, locations, actions and functions of the three do"as and 15 sub-do"as
Causes of imbalance, signs of imbalance of the three do"as and 15 sub-do"as
Definition, location and function of the dh"tus and how they are formed.
Definition of upadh"tus and dh"tu malas
Relationship between dh"tus, upadh"tus and dh"tu malas
Definition, types, qualities and functions of ojas
Relationship of do"as and dh"tus
Definition, origin and function of the srotas
Factors causing abnormality of dh"tus
Aggravation (v!ddhi)and depletion (k"aya) of the do"as and dh"tus
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Normal and abnormal functions of strot"#si

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Agni- !ma-Malas
NAMA Scope of Description: The practitioner is able to assess the state of the malas, agni, and "ma
through questioning (pra&na) and observation (dar&ana).
The counselor has the following skills:
Ability to determine the state of agni by questioning the client upon intake (rug$a patrakam).
Questioning about appetite, digestion and elimination
Ability to recognize the signs and symptoms of "ma in the body
Questioning about digestion
Observation of tongue, stools and body odor
Ability to recognize the signs and symptoms of normal and vitiated mala
Questioning about urination, elimination and sweat patterns
Observation of the urine stools and sweat to include color, volume, odor, clarity

Symptoms and signs of the four states of agni
Definitions of "ma, agni and mala
How "ma is formed
Types agni and "ma
Functions of agni
Signs and symptoms of the altered states of agni
Signs and symptoms of "ma in the urine (m#tra), feces (pur'"a), sweat(sveda), on the
tongue(jihv"), eyes (netra), nails, skin, etc.
Functions of the malas
What constitutes the normal and abnormal quantity and qualities of malas

Pr$)a-Tejas-Ojas
NAMA Scope Description: The practitioner is able to determine the state of pr"$a, ojas and tejas
The practitioner is able to assess the following:
The state of pr"$a, tejas and ojas through observation and the interview process (consultation)
which explores the state of pr"$a, tejas and ojas.
Definition of pr"$a, tejas and ojas
Relationship of pr"$a, tejas and ojas to vata, pitta and kapha
Signs of healthy or balanced pr"$a, tejas and ojas
Symptoms of high pr"$a, high tejas and high ojas
Symptoms of low pr"$a, low tejas and low ojas
Displaced ojas
o Factors causing imbalance in ojas, tejas and pr"$a

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SECTION 2: SKILLS AND COMPETENCIES SECTION
COUNSELING SKILLS
NAMA Scope of Practice: The practitioner should have the necessary skills to provide counseling
In order to be competent, the student should have the following ability / abilities
Asks questions which gather the appropriate information necessary to understand the prak"ti and
vik"ti of the client.
Related Pre-requisite or Complementary Knowledge:
What the chief complaint is, based on initial consultation and the importance of mitigating factors
such as: origin, duration, progress, factors that aggravate and relieve the symptoms.
Past medical history, including: Illness, injuries, surgeries, hospitalizations
Family history affecting vik"ti of the client
Social history affecting vik"ti of the client
Roles of work relationships and home environment affecting vik"ti of the client
Medications and supplements a client is taking
Any allergies or intolerances the client has to drugs or foods
Clients nutrition habits
Good listening skills, eye contact and develops rapport with client
How to ask open ended questions with each client
The importance of obtaining a good health history and demonstrates this ability
Accurate assessment and plan of action
Clients satisfaction of !yurveda methodology
Improving the understanding of the consultation
Improvement of client compliance to any suggestions or guidelines given

Personal and Family Health History
NAMA Scope of Practice: The practitioner should have the necessary skills to be able to effectively take
a detailed current and past, personal and family health history
In order to be competent, the student should have the following ability / abilities
Asks questions which gather the appropriate information necessary to understand the prak"ti and
vik"ti of the client and refers a client for disease management care, when necessary.
What the chief complaint is, based on initial consultation and the importance of mitigating factors
such as: origin, duration, progress, factors that aggravate and relieve the symptoms.
Past medical history, including: Illness, injuries, surgeries, hospitalizations
Family history affecting vik"ti of the client
Social history affecting vik"ti of the client
Roles of work relationships and home environment affecting vik"ti of the client
Medications and supplements a client is taking
Any allergies or intolerances the client has to drugs or foods
Clients nutrition habits
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Good listening skills, eye contact and develops rapport with client
How to ask open ended questions with each client
The importance of obtaining a good health history and demonstrates this ability
Accurate assessment and plan of action
Clients satisfaction of !yurveda methodology
Improving the understanding of the consultation
Improvement of client compliance to any suggestions or guidelines given

Vital Signs
NAMA Scope Description: The practitioner should have the skills to be able to effectively taking basic
vital signs such as blood pressure (raktac#pa) These abilities are demonstrated by:
Taking a clients measurements: (Requires a description of measurements)
Assessing a clients height and weight
Taking a clients pulse
Taking the blood pressure

Pulse
o Able to interpret pulse rate, rhythm and volume
o Taking pulse at appropriate siet
o Normal and abnormal pulses
Blood Pressure
o Determining what is blood pressure The systolic and diastolic pressure (normal,
abnormal, physiology)
o Measuring blood pressure

Respiration
o Determining respiration Normal and abnormal respiration

ETIOLOGICAL FACTORS (Nid"na)
NAMA Scope of Practice: The practitioner should be able to determine the etiological factors
(nid#na) responsible for the do"ic imbalance and the disease

In order to be competent, the practitioner should have the ability to
Interprets and understands the case history of the client
The ability to interpret the case history to determine the specific etiological factors associated
with each symptom and disease
Additional Related Pre-requisite or Complementary Knowledge:
The three fundamental causes of disease: As"tmyendriy"rtha sa#yoga, praj"par"dha,
pari$"ma
How the senses might be misused (over-used, under-used or wrongly used) in a manner that
causes the do"as to become aggravated
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How daily and seasonal routines impact the flow of the do"as
Qualities that cause the do"as to go through the six stages of pathogenesis
How constitution, climate, season and age impact the movement of the do"as
Additional causative factors (nid"nas) in the disease process
How the suppression of natural urges contributes to the disease process
Knowledge of the specific etiological factors of each symptom and disease.

Vik#ti Vij"na (Pathology)
NAMA Scope Description: The practitioner should be competent to be able to understand the
pathogenesis of various diseases and diagnose them accurately.
In order to be competent, the practitioner should be able to:
Identify do$a v"ddhi and k$aya
Identify dh#tu v"ddhi, k$aya, and du$%i
Identify mala v"ddhi and k$aya
Understand do$a gati:
o &rdhvaga (upwards), adhoga (downwards), and t'ryak (horizontally)
o From ko$%ha to (#kha and from (#kha to ko$%ha
o In the 6 stages of sampr#pti
Understand causes of do$as moving from ko$%ha to (#kha and from (#kha to ko$%ha
Understand relationship between the do$as, dh#tu, and malas
Knowledge of srot#msi:
o Causes of srotovaigu)ya
o Causes and signs of sroto du$%i
Knowledge of #vara)a pathology and its signs
Knowledge of various vy#dhis:
Identify vy#dhi lak$a)as (signs of disease)
o Identify vy#dhi avastha: s#ma or nir#ma state of do$a, dh#tu, and malas
o Knowledge of vy#dhi classifications:
1. Nija, #gantu, and m#nasika
2. Santarpa)a and apatarpa)a janya
3. According to roga m#rga: B#hya, #bhyantara, or Madhya
4. S#m#nyaja or n#n#tmaja
5. Sukha s#dhya, ka$%a s#dhya, y#pya, or as#dhya
o Knowledge of the following diseases:
! According to Srotas:
o Pr#)avaha Srotas: K#sa, *v#sa, Hicca
o Annavaha Srotas: Aj'r)a, Aruci, Cardi, Amlapitta, !n#ha, Udara (+la,
K"mi, Graha)i, Atis#ra, Ar(has
o Ambuvaha Srotas: T"$)a, Prameha, *otha
o Rasavaha Srotas: Jvara, P#)du
o Raktavaha Srotas: Raktapitta, D#ha, V#tarakta, K#mala
o Mamsavaha Srotas: Granthi, Galaganda, Gandamala
o Medovaha Srotas: Staulya (Medo roga)
o Asthivaha Strotas: Asthigata v#ta, Sandhigata v#ta, !ma v#ta
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o Majjavaha Srotas: Pak$#vadha, !k$epaka, Kampav#ta, Apasm#ra,
G"drasi
o *ukravaha Srotas: Klaibya
o !rtavavaha and Stanyavaha Srotas: Yoni vy#pat, Pradara, Stanya
rogas
o Manovaha Srotas: Unm#da, Sm"tibhram$a
According to organ:
Hrid roga
Tvak: Visarpa, Ka)du, Ku$%ha
V"kka: A(mari
*Additional diseases: Gulma, Arbuda

PATHOGENISIS (Sampr"pti)
NAMA Scope Description: The practitioner should be competent to be able determine the full sampr#pti
of disease conditions.
Describe the pathology in terms of the stage of disease along with the involvement of the do$a,
sub-do$a, dh#tu and srotas an in the disease and also determine the state of agni in the disease.
Knowledge of all stages of disease ((a, kriy# k#la)
Knowledge of the signs of disease at each stage including relocation, manifestation and
diversification.
Knowledge of the specific pathology related to disease conditions.

COUNSELING SKILLS

NAMA Scope of Practice: The practitioner has the necessary skills to provide counseling with the
following ability/abilities:
Conveys information and ideas correctly (to educate)
Listens and understands
Supports a client to make positive changes in his/her life
Earns the clients trust

Communicating effectively
Demonstrating effective skills for counseling
Recommending changes in diet and lifestyle as necessary, due to do"ic
tendencies and how they relate to challenges
Supporting each person to make successful changes based on their
constitutional type
Supporting a r"jasika and t"masika client to make changes
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Demonstrating good bedside manner
The following areas of knowledge are generalized and no specific methodology
has been determined. Schools are encouraged to include their own
methodologies in their curriculum. No competencies will be evaluated in these
areas
Understanding body language
Understanding tone of voice
Asking relevant questions
Ability to paraphrase and summarize
Demonstrates active listening
Discern nonverbal communication
Referring clients to theory references including books and other reference
materials that support self learning

Client Strengths and Assets
NAMA Scope Description: The Practitioner should be able to assess and determine the clients
strengths and willingness to follow recommendations
In order to be competent, the student should be able to:
Assess the clients compliance
Assess the memory of the client

How the qualities noted above influence the outcome of a case.

Research Skills
NAMA Scope Description: !yurvedic Practitioners should be capable of writing articles, contributing to
professional conferences and presenting case studies.
In order to be competent, the student should be able to:
Write an article using proper methods of citation
Develop a presentation
Give a clear and articulate presentation
Related Pre-requisite or Complementary Knowledge
Knowledge of how to organize a presentation
Knowledge of how to properly cite references from books, journals and websites
Knowledge of proper English grammar and spelling
Knowledge of presentation software and how to use it.

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SECTION 3: RECOMMENDATIONS, TREATMENT AND OTHER
INTERVENTIONS
Food/Diet
NAMA Scope Description: Recommendations Practitioners should be able to recommend or
prescribe the appropriate food choices and proper eating behaviors (#h#ravidhi) in accordance with the
prak"ti, vik"ti, gu)as, rasa, season ("tu), digestive strength (agnibala) and age (vaya) of the patient.
NAMA Scope Description Treatment and Intervention: Practitioner should be able to demonstrate the
selection and preparation of appropriate foods and spices according to prak"ti, vik"ti, gu)as, rasa, season
("tu), digestive strength (agnibala) and age, and demonstrate proper eating behaviors (#h#ravidhi)
In order to be competent, the practitioner should be able to
General Knowledge of the six tastes
o Six tastes, their elemental make up and qualities
o Rasa, v'rya and vip#ka of the tastes
o The 10 pairs of opposite qualities (gurv#di gu)as) of each taste
o Effects of each taste on do$as, dh#tus and malas
o Tastes that are nourishing (b"-ha)a) and those that are purification (la.ghana)
o Effect of the tastes and foods on agni and #ma
o Elemental make up of foods (mah#bhoutika #h#ra)

Dietary Guidelines
o Suggests proper guidelines for healthy eating
Specific Foods and Spices
o Foods in each major category (Grains, meats, dairy, etc) and their effect on their actions
on the three do$as
o Spices and their effect upon the do$as
Fasting
o Fasting able to offer types of fasting
o Liquid, juice, fruit, one meal per day

Preparation of Food
o How processing food changes its qualities
o How to prepare basic foods such as kichari, ghee and buttermilk

Rituals of Eating
o Importance of saying grace before meals
Other
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o Importance and intake of warm water in the mornings (u$#p#na)

Lifestyle
Nama Scope Description. Skills and Competencies: Practitioners should be able to recommend or
prescribe appropriate daily (dinacary#), seasonal ("tucary#) and life cycle routines according to prak"ti,
vik"ti, and gu)as. The practitioner should also be able to recommend at-home preventive and promotive
(svasthav"tta) measures, and positive conduct (sadv"tta) measures.
Scope of Practice Description Treatment and Intervention
Practitioners should be able to demonstrate the appropriate daily (dinacary#), seasonal ("tucary#) and
life cycle routines according to prak"ti, vik"ti, and gu)as. Demonstrating at-home preventive and
promotive (svasthav"tta) measures, and positive conduct (sadv"tta) measures
In order to be competent, the practitioner should be able to recommend, prescribe or demonstrate
the following:
Recommend daily routines (review techniques with client)
o Recommend proper oral hygiene (tongue cleaning, teeth brushing and flossing)
o Taking care of Eyes (eye wash)
o Self abhya.ga
o Drinking warm water in the morning (u""p"na)
o Tongue cleaning
o Eye washes
o Self abhya'ga
o Net'
o Activities to promote sleep before bed

Recommend adjustments to the daily routine based on season
Support the client to make life style changes
o Adjusting bed times and wake up times according to dosha, as well as season
o Times to take food
o Instruct the client in modifying lifestyle in accordance with the seasons

Proper conduct (sadv#tta)
o Encourage devotional and spiritual practices
o Encouraging mindfulness throughout the day
o Encourage to cultivate loving kindness, compassion, joy and equanimity

The practitioner should be able to modify the daily, seasonal and lifecycle routines of the
patient in accordance with their underlying disease.
Do$as increasing or decreasing during different times of the day and season
Age affecting the do$as and agni
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Influence of appropriate physical, devotional, spiritual practices on do$as and gu)as
Twenty gu)as, do$as, agni, #ma, ojas
Three Primal States (Mah#gu)as - sattva, rajas, tamas)
Drinking warm water in the morning (u$#p#na)
Lifestyle impacting digestion and elimination
A regular routine influencing the do$as
Practice of abhya.ga, the oils to be used for abhya.ga, different types of abhya.ga
Effective use of daily routine
Effective use of seasonal routine
Devotional and spiritual practices affecting the mind and body
Evening routine (r#tricary#)
Transition of the seasons ("tusandhi)
Ras#yana foods
V#j'kara)a foods
Resisting and not resisting urges
Knowledge of how specific diseases alter general lifestyle recommendations

Senses
Nama Scope of Practice Description. Recommendations: The practitioner should be able to
recommend or prescribe the appropriate use of sight, smell, touch, taste and hearing
(s#tmyendriy#rthasa-yoga) and administer the appropriate treatments.
Scope of Practice Definition. Treatment and Intervention: The practitioner should be able to prescribe
the appropriate use of sight, smell, touch, taste and hearing in the management of disease.
In order to be competent, the practitioner should be recommend, prescribe and/ or demonstrate
the following
Aromatic Therapy: The practitioner is able to identify excessive utilization, deficient
utilization and mis-utilization of the sense of hearing and instruct the client to make
adjustments to their aromatic environment to support the healing process.
Taste Therapy (diet and herbs): The practitioner is able to identify excessive utilization,
deficient utilization and mis-utilization of the sense of taste and instruct the client to make
adjustments to their gustatory environment (for more information see the food section) to
support the healing process.
Touch Therapy (self massage): The practitioner is able to identify excessive utilization,
deficient utilization and mis-utilization of the sense of touch and instruct the client to make
adjustments to their tactile environment to support the healing process.
Sound therapy: The practitioner is able to identify excessive utilization, deficient
utilization and mis-utilization of the sense of hearing and instruct the client to make
adjustments to their auditory environment to support the healing process.
Visual Therapy: The practitioner is able to identify excessive utilization, deficient
utilization and mis-utilization of the sense of vision and instruct the client to make
adjustments to their visual environment to support the healing process.
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Related Pre-requisite or Complementary Knowledge: Knowledge of what the sensory and motor
faculties are
The sensory and motor faculties
Relationship of five elements (paca mah"bh#tas) to each sensory and motor faculty
Effect of appropriate, excessive and absence of sensory stimuli on each of the five sensory
faculties and mind
Sensory stimuli affecting the do"as
Appropriate and inappropriate use of senses
Different oils used for nasya
Touch therapy including different forms of abhya'ga and appropriate oils used for abhya'ga
Different tastes and influence on do"as
The mind is and its functions
Relationship between the five elements and their respective tanm"tra, sense and motor organs.

Herbs and Minerals
NAMA Scope Description. Recommend: !yurvedic Practitioners should be competent to safely
recommend predesigned herbal medicines, minerals and other natural substances for internal or external
use with consideration of the dose (m#tra), vehicle (anup#na) and timing (au(adha k#la) for the purpose
of balancing agni, eliminating #ma while supporting the malas and protecting and building ojas, and
treating disease.
NAMA Scope Description. Treatment and Intervention: The !yurvedic Practitioner should be
competent to administer, combine, provide, compound, and dispense herbal medicines, minerals, or
other natural substances. Herbs may be used for internal or external use for the purpose of
balancing agni and eliminating #ma while supporting the malas and protecting and building ojas, as
well as for treating specific diseases affecting any dh#tu, upadh#tu, malas or srotas in any stage of
the disease pathology.

In order to be competent, the practitioner should be able to make the following recommendations
and provide the following treatments and interventions
The practitioner is able to recommend or prescribe the appropriate herbs to balance agni,
eliminate #ma and support the malas while protecting and building ojas.
The practitioner is able to recommend pre-designed herbal formulas or create custom herbal
formulations that include the use of herbs, minerals or other natural substances for internal or
external use with consideration of dose (m#tra), vehicle (anup#na) and timing (au(adha k#la).
Prescribe herbal and related medicines for the purpose of treating disease.
RELATED PRE-REQUISITE AND COMPLEMENTARY KNOWLEDGE:
Herb classification and their energetics based on taste (rasa), potency (v'rya), post-digestive
effect (vip#ka), quality (gu)a) and unique action (prabh#va)
The actions of herbs (karma). The counselor is informed of the major actions of an herb. When
Western terminology matches the Sa-sk"ta t terminology, the Western terms should be known.
When a unique action is described in Sa-sk"ta that has no simple translation into English, then
the Sa-sk"ta terminology for that action should be known
The effect an herb has on the agni, #ma, do$as, and malas
How to prepare powdered mixtures (c+r)a)
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Appropriate dosage (m#tra) based on age, strength, do$as, agni and pattern of elimination (
ko$%ha)
The indications for using herbs and contraindications to assure safe use
Herbs based on storage, processing, purity and government regulations

Knowledge of the use of appropriate herb and herbal related medicines for the management of
specific disease conditions.
Knowledge of the effect an herb has on dh#tu and srota
Knowledge of different anup#nas to target different do$as and dh#tus.
Knowledge of basic FDA regulations that affect daily practice
o (Example Section 201 (g)(1)(B) of the Federal Food, Drug, and Cosmetic Act (the Act)
[21 U.S.C. 321(g)(1)(B) states that herbs cannot make claims of support].
o Knowledge of those herbs restricted by the FDA.
Knowledge of the following herbs:

!"$#$#%" !"#$ %"&'( !"#$ *+##+( !"#$
!"#$#%& Lmbllca offlclnalls lndlan Cooseberry
()#)*#"+$# Pemldesmus lndlcus Sarlva, upalsarl
(,-.)# 1ermlnalla ar[una
(/0%# Saraca lndlca
(/1#2#)34# WlLhanla somnlfera
5#$6 Slda cordlfolla
54".2#,6-# LcllpLa alba
54+"76"#$#%& hyllanLhus amarus 8hul -avala
58$1# Aegle marmelos 8ael lrulL
5,#4"&
8acopa monnlerl, CenLella
aslaLlca (acLlve debaLe on Lhls)
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:6,.4#,83,6; 8erberls arlsLaLa uaruhalad
:<1#36,.; Cedrus deodara ueodar
:46)7#%# Corlandrum saLlvum Corlander
=$6 LleLLarla cardamomum Cardamom
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=,#),# 8lclnus communls CasLor oll
>0%$.,# 1rlbulus LerresLrls gokharu
>.3+?& 1lnospora cordlfolla Culvel, AmrlLa
>.22.$. Commlphora mukul Cuggul
@#,83,6 Curcuma longa 1urmerlc
@#,&*#%& 1ermlnalla chebula Chebullc Myrobalan
@8.2. lerula assa-foeLlda AsafoeLlda
A#%6"6"B&; nardosLachys [aLamansl lndlan splkenard
A6*&C4#$6 MyrlsLlca fragrans nuLmeg
A&,#%# Cumlnum cymlnum Cumln
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D#$#"<24#; Andrographls panlculaLa klng of 8lLLers
D#C8%#??4. Mucuna prurlens
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D8,6*#*8%*#; SwerLla chlraLa kade chlralL
D."6,& Aloe barbadensls Aloe
D.%#-# Polarrhena anLldysenLerlca kuda
E#/.)# Alllum saLlvum Carllc
E#1#.2# Syzyglum aromaLlcum Clove
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F<*48%6 1rlgonella foenum-graeceum lenugreek
F8/,<7# loenlculum vulgare lennel
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F.B*6 Cyperus roLundus nagarmoLha
H8"I# AzadlrachLa lndlca neem
J#3"#%# nelumbo nuclfera LoLus
J8CC#$8 lper longum Long epper
J.)#,)#16 8oerhaavla dlffusa
K6-8%6 8rasslca [uncea MusLard seeds
K#%*# 9#)3#)# Lerocarpus sanLallnus 8ed sandalwood
K#%*#C.$C8 Plblscus rosa Plblscus
K6B)6 Alplna offlclnarum Calangal
L#8)34#1# E#1#)# Mlneral SalL
M#$$#%& 8oswellla serraLa
M#.%4#C.$C& Lvolvulus alslnoldes
L#* NB#I20$ lanLago psylllum sylllum Pusks
M#*61#,& Asparagus racemosus Asparagus rooL
M8$6-8*. AsphalLum Mlneral lLch
M.)%4& Zlnglber offlclnale Clnger
L1#,)#C#*,& Senna alexandrlna Senna
O#2#,# valerlana walllchl valerlan
O#,.)& 8osa cenLlfolla 8ed rose peLals
O#1#%$&,& MaranLa arundlnacea ArrowrooL
O8$# Sesamum lndlcum Sesame
O.$#B& Cclmum sancLum Poly 8asll
O1#% Clnnamomum cassla Clnnamon
P/&,# veLlverla zlzanloldes veLlver
Q#?6 Acorus calamus SweeL llag
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Q#B#%# AdhaLoda vaslca Malabar nuL
Q8I4&*#%& 1ermlnalla belerlca 8elerlc
Q8,#.2# Lmbella rlbes
Q836,& D#)3# lpomoea dlglLaLa lndlan glnseng
R#$%8 F#34. Clycyrrhlza glabra Llcorlce rooL
R#16)& Carum copLlcum A[waln or Wlld Celery
*Herbs are difficult to obtain due to being protected species or endangered.

Knowledge of various preparations of herbs and how they are made including: infusions, decoctions
(ka$#ya), fresh juice (svarasa), jam (avalehya/lehyam), medicated ghee (gh"ta), powders (c+r)a),
medicated oils (taila), pills (va%i) , moist bolus (kalka), and fermented preparations (#sava/ari$%a),
including the following specific compound formulations:
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O#8$#
O,8C4#$# E#1#.2638 Q#%8 F#4618$#2#,I4#
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La(ghana / )amana (Pacification of Do'as)

NAMA Scope Description. Recommendations: The practitioner should be able to recommend
pacification (shamana) therapies to balance the do$as and eliminate #ma
NAMA Scope Description. Treatment and Invention: The Practitioner should be able to design,
implement and manage a plan for pacifying the do$as and eliminating #ma.
and implement that following therapies with the goal of pacification of the do'as.
Herbs and spices: Those that increase agni (d'pana) and metabolize #ma (p#cana)
Diet: See food section (k$udh# nigraha)
Sensory Therapies: See sensory therapy section.
Exercise (vy#y#ma)
Heat therapies (agni and anagni cikits#)

7 traditional forms of palliative therapy
o D'pana: Herbs/spices that increasing agni
o P#cana: Herbs/spices that digest #ma
o K$udh# nigraha: Control over diet including the use of fasting
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o T"$)# nigraha: Control over water and oil intake
o Vy#y#ma: Use of exercise
o !t#pa sevana: Forms of creating heat without directly increasing agni such as sunbathing
o M#ruta sevana: Ways to cool the body to protect pitta dosha such as moon walks
!yurveda anatomy and physiology (qualities, elements, do'as, sub-do'as, dh"tus,
upadh"tus, malas, srotas, agni, "ma, ojas)
Indications and contraindications for palliation therapy
How to design a palliation program to correct an imbalance in each do'a
Effective application of each therapy noted above
Assessing the clients state of agni, "ma and ojas
Assess digestion, tongue, stools and body odor as a means of identifying "ma in the body
Assessing do'a vik#ti
Use of herbs and spices for balancing agni and eliminating ama
Effective, safe and appropriate, application of diet, herbs, sensory therapies, exercise and
heat treatments

La(ghana: Pacakarma (Elimination of Aggravated of Do'as)
NAMA Scope Description. Recommendations: The Practitioner should be able to recommend
pacakarma programs as well as individual treatments (shodhana chikitsa), including: classical
pacakarma, and treatments for individual conditions, including the use of specialized traditional
body treatments.
NAMA Scope Description. Treatment and Intervention: Designing, implementing and managing
pacakarma programs as well as individual treatments ((odhana cikits#), including: classical
pacakarma and treatments for individual conditions, including use of specialized traditional body
treatments. Includes p+rva karma, pradh#na karma, (diet, lifestyle & herbs)
and provide appropriate case management
P*rva Karma
The practitioner should be able to properly design a p+rva karma program and should be able to
monitor the patient to be look for signs of over and under oleation.
The practitioner should be able to manage the administration of the following therapies
o P+rva karma diet
o Abhyanga
o udvarLana (as needed)
o Swedana
o Shlrodhara
o kaLlbasLl (As needed)
o PrldbasLl (As needed)
o udarabasLl (As needed)
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o neLrabasLl (As needed)
Pradh"na Karma
The practitioner should be able to properly design a pradh#na karma program and should be
able to manage the patient as he/she goes through the program.
o vamana - MedlcaLed Lmesls (noL done rouLlnely ln uS )
o vlrechana - MedlcaLed urgaLlon
o 8asLl - MedlcaLed enemas
o nasya - MedlcaLed nasal drops
o 8akLa Moksha - 8lood leLLlng (noL done rouLlnely ln uS)

Pa+c"t Karma
The practitioner should be able to properly design a pa(c#t karma program and should be able to
manage the patient as he/she goes through the program.
It includes restoration of strong digestive fire to nourish, strengthen, and balance the newly detoxified
tissues by recommending Rasayan herbs according to Prakriti.
Knowledge of #ma p#cana
Knowledge of the process of p+rva karma
Knowledge of the process of pradh#na karma
Knowledge of each p+rva karma practice including indications and contraindications
Knowledge of each pradh#na karma practice including indications and contraindications.
Knowledge of the signs of successful and unsuccessful administration of each practice
Knowledge of how to adjust the program if the administration of a therapy is not successful.
Knowledge of the oils and medicines to be used in each practice.
Knowledge of how to design a complete pacakarma program including p+rva, pradh#na and
pa(c#t karma.
Knowledge of how to modify the complete pacakarma program for patients with a v#ta, pitta and
kapha vik"ti.
Knowledge of how to modify the complete pacakarma program for patients with various
diseases.
Knowledge of how to modify a pacakarma program with consideration of the patients response
to the therapies including but not limited to: Changes in appetite, elimination pattern , overall
strength,
Rejuvenation (Ras"yana)
NAMA Scope Description. Recommendations: The practitioner should be able to a recommend a post
pacakarma rejuvenation program (pa(c#t karma)
NAMA Scope Description. Treatments and Interventions: The practitioner should be able to design
implement and manage a post pacakarma rejuvenation (pa(c#t karma)
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and prescribe the appropriate treatments and interventions.
Post pradh#na karma care (pa(c#t karma) for the purposes of rejuvenating the body and mind.
Knowledge of the principles and process of samsarjana krama; including how restore healthy
agni while reintroducing foods into the diet.
Knowledge of the use of herbs and herbal formulas in the rejuvenation process.
Knowledge of the appropriate timing for the administration of rejuvenative herbs following
pradh#na karma.
Knowledge of how to properly monitor a patient during the period of pa(c#t karma and how to
adjust a patients program in accordance with their response to care.

Tonification (B#$ha%a)

NAMA Scope Description. Skills and Competency: The Practitioner should be competent to
recommend tonification (b"-ha)a) therapy for the body and mind.

NAMA Scope Description. Treatment and Intervention: The Practitioner should be competent to
design, implement and manage a program of tonification (b"-ha)a) for sustaining the health of the body
and mind.
In order to be competent, the Practitioner should be able to make the following recommendations
and provide the following treatments and interventions.
Dietary therapies that promotes tonification
Herbal therapies that promotes tonification
Internal and external oil therapies (snehana)
Daily routines and lifestyle that promotes tonification

Related to Complementary and Pre-requisite knowledge
Indications and contraindications for tonification therapy
Designing a tonification program in accordance with the do$a vik"ti
Managing a tonification program and make adjustments to the program in accordance with the
clients progress
Assessing the state of agni, #ma and ojas
How to assess the dh#tus and the signs of depletion

Types of Cikits"
NAMA Scope Description: Practitioner should have a broad understanding of the different categories of
cikits#, as listed below:
Ekavidha: Nid#na parivarjana (removing the cause)
Dvividha:
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1. Santarpa$a and Apatarpa$a (Strengthening and depleting)
2. (odhana and (amana
3. ('ta and U"$a
4. Urjaskara and Rogaghna
5. Roga pra&amana and Apunarbhava
6. Do"a pratyan'ka
7. Vy"dhi pratyan'ka
8. Ubhaya pratyan'ka

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Trividha:
9. Sattvavajaya
10. Yukti Vyapashray
11. Daiva Vyapashraya
Caturvidha:
12. *odhana
13. *amana
14. !h#ra
15. !c#ra
Pacavidha:
16. Vamana
17. Virecana
18. Basti
19. Nasya
20. Raktamok$a)a
Sa,vidha:
21. B"-ha)a
22. La.ghana
23. Snehana
24. R+k$a)a
25. Stambhana
26. Svedana
Saptavidha:
27. D'pana
28. P#cana
29. K$udh# Nigraha
30. T"$# Nigraha
31. Vy#y#ma
32. !tapa sevana
33. M#ruta sevana

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Pre-natal, Natal Post Natal (Pras*ti Tantra)

NAMA Scope Description. Skills and Competency: The Practitioner should be able to recommend
diet (ah#ra), lifestyle (vih#ra), herbs (dravya) and treatments (cikits#) to manage pre-natal, natal, post
natal health and pathologies and care of newborns.

NAMA Scope Description. Treatment and Intervention: The Practitioner should e able to design,
implement and manage diet (ah#ra), lifestyle (vih#ra), herbs (dravya) and treatments (cikits#) to
manage pre-natal, natal, post natal health and pathologies and care of newborns.

In order to be competent, the counselor should be able to make the following recommendations
and provide the following treatments and interventions.
See Sections on Food/Diet and lifestyle. The counselor is able to safely and supportively apply
these practices to the pre natal, natal and post natal woman
Support couples experiencing infertility to restore normal procreative abilities
Utilize herbs to support and treat pre-natal, natal and post natal women
Treat pre-natal, natal and post natal woman who are experiencing illness
Provide supportive care for new born infants
Provide treatment for new born infants who are experiencing illness.
Do"as increasing or decreasing during different times of the day and season
Age affecting the do"as and agni
Influence of appropriate physical, devotional, spiritual practices on do"as and gu$as
Twenty gu$as, do"as, agni, "ma, ojas
Three Primal States (Mah"gu$as - sattva, rajas, tamas)
Drinking warm water in the morning (u""p"na)
Lifestyle impacting digestion and elimination
A regular routine influencing the do"as
Practice of abhya'ga, the oils to be used for abhya'ga, different types of abhya'ga
Effective use of daily routine
Effective use of seasonal routine
Devotional and spiritual practices affecting the mind and body
Evening routine (r"tricary")
Transition of the seasons (!tusandhi)
Ras"yana foods
V"j'kara$a foods
Resisting and not resisting urges

Childrens Health (Kaum"rabh#tya)
NAMA Scope Description. Recommendations The practitioner should be able to offer appropriate
recommendations for children of all ages

NAMA Scope Description. Treatment and Intervention: The practitioner should be able to design,
implement and manage a plan to treat the imbalances in all the srotas.
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Prescribe and prepare the proper herbal formulas
Prescribe, administer proper !yurvedic therapies
Prescribe modifications in the diet
Prescribe life style changes
Monitor patients' progress and make the appropriate adjustments to the treatment plan
Knowledge of signs of imbalanced do$as at kapha stage of life
Knowledge of current sampr#pti
Knowledge of cardinal signs of diseases
Knowledge of herbs, creating herbal formulas, their synergistic effects
Knowledge of herbal preparations (oils, ghees etc)
Knowledge of appropriate dosage, time of taking herbs,
Knowledge of anup#nas in children

ENT / Head and Neck Region ()"l"kyaTantra)
NAMA Scope Description. Recommendations: The practitioner should be able to recommend
preventative care and treatment for the head and neck

NAMA Scope Description. Treatment and Interventions: The practitioner should be able to offer
therapies to treat imbalances of all the organs around and above the neck region.
Prescribe herbal formulas, or herb preparations for diseases of all the organs around and above
the neck region
Related prerequisite or complimentary knowledge
Knowledge of the anatomy of all the structures at and above neck
Knowledge of imbalanced do$as, sub-do$as, dh#tus, upadh#tus, at these regions
Sampr#pti of their diseases
Nid"n pacaka of their diseases
Knowledge of herbs, creating herbal formulas for these diseases
Knowledge of herbal preparations (oils, ghees etc)
Knowledge of appropriate dosage, time of taking herbs
Knowledge of anup#nas
Knowledge of designing and performing special !yurvedic therapy
Knowledge of indications and contraindications of such procedures

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Psychiatry (Bh*tavidy"/Manovij"na)
NAMA Scope Description. Recommendations: The Practitioner should be able to competently
recommend diet (#h#ra), lifestyle (vih#ra), positive conduct (ac#ra), herbs (dravya) and treatments
(cikits#) to treat pathologies of the mind.
NAMA Scope Description. Treatment and Invention: The Practitioner should be able to design,
implement and manage a plan to pacify the do$as within the mid and provide treatments to treat
pathologies of the mind.
and implement that following therapies with the goal of pacification of the do'as.
Visual Therapy: S#ttvika intake of impressions and the proper use of color
Auditory Therapy: S#ttvika intake of impressions and the proper use of sound
Aromatic Therpay: S#ttvika intake of impressions and the proper use of aromas
Gustatory Therapy: S#ttvika intake of impressions and the proper use of foods
Tactile Therapy: S#ttvika intake of impressions and the proper use of touch
Effective daily routines
Changes to a persons behavior
Herbal remedies for the balancing the do$as of the mind, restoring a healthy balance of pr#)a,
tejas and ojas and are an important part of treating treating specific disease conditions
Dietary remedies that not only balance the do$as of the mind and restore a healthy balance of
pr#)a, tejas and ojas but also are an important part of treating specific disease conditions
Lifestyle remedies that not only balance the do$as of the mind and restore a healthy balance of
pr#)a, tejas and ojas but also are an important part of treating specific disease conditions
Conduct correction that not only balance the do$as of the mind and restore a healthy balance of
pr#)a, tejas and ojas but also treating specific disease conditions
Additional sensory therapies that not only balance the do$as of the mind and restore a healthy
balance of prana-tejas and ojas but also are an important part of treating specific disease
conditions including visual (color), olfactory (aromas, net', nasya) , auditory (mantra and music)
and touch (massage / oil therapies).
o Diagnosing the mental prak"ti and vik"ti by quantifying sattva, rajas, and tamas
o The effects of sensory input on the mind
o Effective use and misuse of the five senses
o Overuse, deficient use and misuse for each sense organ
o Pr#)a, tejas and ojas and how to determine their state
o Three gu)as and how to determine their state
o What constitutes healthy behavior
o Effect of sensory input on the mind
o Designing a treatment program utilizing diet, lifestyle, adjustments to behavior and how
the senses are used
o Various approaches to implementing the treatment program including adjusting the pace
of implementation of the program based on a clients prak"ti and vik"ti
o Effective case management
Knowledge of how to conduct follow up visits to monitor progress and make
adjustments to the treatment plan including
Checking in on how the client is doing implementing assignment/homework plan
and lifestyle changes
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An ability to support the client to be more successful in implementing the
treatment plan
An ability to assign additional homework / assignments or lifestyle changes at an
appropriate time
Utilizing of the counseling process noted in the counseling section of this
document

Knowledge of four aspects of mind- manas, citta, buddhi, aha$k"ra
Knowledge of definition, qualities, location and functions of mind
Knowledge of the definitions and symptomatology of major diseases of the mind including
anxiety and depressive disorders as well as degenerative conditions such as dementia.
Knowledge that complementary Vedic science can support the ability to bring balance to
the do'a, subtle do'as and the three gu%as including Yoga, Jyoti'a and V"stu. (see related
sections of this document)
Yoga
NAMA Scope Description. Recommendation: The Practitioner should be able to refer patients to a
practitioner of Ayurveda and Therapeutic Yoga for assessment and education on the general scope and
value of Ayurveda and Therapeutic Yoga.

NAMA Scope Description. Treatment and Intervention: The Practitioner should be informed on Y
Ayurveda and Therapeutic Yoga but its practice requires a separate certification.


Refer the patient to practitioner of Ayurveda and Therapeutic Yoga.

RELATED PRE-REQUISITE OF COMPLEMENTARY KNOWLEDGE

Ayurveda and Therapeutic Yoga
What a practitioner of Ayurveda and Therapeutic Yoga does
The scope of practice of Ayurveda and Therapeutic Yoga
How an Ayurveda and Therapeutic Yoga can complement client care
Therapeutic tools utilized by a practitioner of Ayurveda and Therapeutic Yoga

Jyoti"a

Vedic or Medical Jyoti$i for assessment and education on the general scope and value of Vedic or
Medical Jyoti$i.

NAMA Scope Description. Treatment and Intervention: The Practitioner should be informed on Vedic
or Medical Jyoti$i but its practice requires a separate certification.

Refer the patient to Vedic or Medical Jyoti$i at the appropriate time.

RELATED PRE-REQUISITE OF COMPLEMENTARY KNOWLEDGE:
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What Vedic or Medical Jyoti$i is
What a Vedic or Medical Jyoti$i does
The scope of practice of Vedic or Medical Jyoti$i
How a Vedic or Medical Jyoti$i can complement client care
Therapeutic tools utilized by a Vedic or Medical Jyoti$i

V$stu +$stra

practitioner of V#stu for assessment and education on the general scope and value of V#stu.

NAMA Scope Description. Treatment and Intervention: The Practitioner should be informed on V#stu
but its practice requires a separate certification.

Refer the client to a practitioner of V#stu at the appropriate time.

RELATED PRE-REQUISITE AND COMPLEMENTARY KNOWLEDGE:

What V#stu is
What a V#stu practitioner does
The scope of practice of V#stu (#stra
How a V#stu can complement client care
Therapeutic tools utilized by a practitioner of V#stu (#str

Western Medicine
NAMA SCOPE DESCRIPTION: The Practitioner should be able to refer a patient for assessment and
possible treatment by a medical practitioner.

In order to be competent, the practitioner should be able to make the following recommendations:

A referral to a competent Western Practitioner at the appropriate time.

RELATED PRE-REQUISITES OR COMPLEMENTARY KNOWLEDGE:

The scope of practice of a Medical Practitioner
Indications that require a referral
How a Western Medical Practitioner can complement the care being provided by the !yurvedic
Health Counselor
The counselor is able to explore lifestyle issues that may be affecting the clients sleep and make
lifestyle recommendations. Chronic refer.

Ayurvedic Practitioner Competencies

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