Understanding Osteoporosis Through the Lens of Ayurveda

Osteoporosis, a condition characterized by weakened and brittle bones, is described in Ayurveda as a disorder involving the deterioration of Asthi Dhatu (the bone tissue). By delving into the ancient wisdom of Ayurveda, as outlined in classical texts such as the Charaka Samhita, and modern interpretations by revered Ayurvedic scholars, we can gain a profound understanding of its causes and treatments.

This article explores the Ayurvedic perspective on osteoporosis, the elements and doshas involved, and practical tools to strengthen bones using ancient Ayurvedic wisdom.

The Ayurvedic Framework

Ayurveda, often called the "Science of Life," is a holistic system of medicine based on balancing the three primary life energies or Doshas: Vata, Pitta, and Kapha. Each Dosha is a combination of the five elements (earth, water, fire, air, and ether), and they govern bodily and mental functions. Imbalances in these Doshas result in diseases.

The Twenty Gunas (Qualities) in Osteoporosis

The condition of osteoporosis is marked by laghu (lightness), ruksha (dryness), and khara (roughness)—qualities predominantly associated with Vata Dosha. As Vata increases, it depletes the nourishment of the Asthi Dhatu, leading to porous and fragile bones.

The Role of Asthi Dhatu in Bone Health

In Ayurveda, the body is nourished by seven Dhatus (tissues) in succession: Rasa (plasma) first, then Rakta (blood), Mamsa (muscle), Meda (fat), Asthi (bone), and after that, Majja (bone marrow), and Shukra (reproductive tissue). Asthi Dhatu, governed by the earth and air elements, provides structural support. When Asthi Dhatu becomes vitiated, conditions like osteoporosis can arise. Asthi dhatu (bone tissue) is considered the MOST important of all dhatu (tissues) because when the support system (skeletal system) is healthy it provides immense support to the rest of the body.

Causes of Asthi Dhatu Depletion according to Ayurvedic text

  1. Injury/dislocation/fracture/trauma to bones (creates a weak space)

  2. Long term pain (nervous system distress)

  3. Vata increasing diet and lifestyle = excess drying foods (foods like crackers/popcorn/rice-cakes/dry toast and especially foods that are labelled or considered ‘low-fat’, excess fasting, chronic lack of sleep, too much travelling, excess/intense exercise, exercise/lifestyle beyond physical strength of the body, pushing the body too hard, lack of routine, missing meals, chronic anxiety/worry/fear, excess cooling/cold/raw foods, low-fat foods, exhaustion, lack of rest, uncomfortable body positions (a job where the body is held in an uncomfortable position for extended time periods (building work/computer work with long hours etc).

Signs of Asthi Dhatu Depletion according to Ayurvedic text

  1. Low bone density

  2. Weak hair strength, breakage of hair

  3. Dry hair, hair loss

  4. Weak, brittle, breakage of nails, ridges in nails

  5. Joint pain

  6. Osteoporosis

  7. Deep pain in bones, Bone aches (different from joint pain)

  8. Sacrum/sacral pain

  9. Spinal misalignment

  10. Bone fractures

  11. Weak teeth, loss of teeth

  12. Feeling unsupported, feeling broken, feeling weak, lacking in courage and confidence, feeling uncreative, trouble starting new projects, unclear speech/confusion (in Ayurveda the physical and mental health is seen as one space and one immediately affects the other.

    The sacrum is considered the ‘root’ of the nourishing pathways (srota) to the bones therefore sacral/sacrum pain can be a premonitary symptom and an ongoing symptom of poor bone health.

    The hair, nails and teeth are considered the ‘mouth’ of the nourishing pathways (srota) to the bones - so signs of good and poor bone health are seen in the hair, nails and teeth.

    Ama (accumulation of waste) affecting bone tissue can cause osteo-arthritis, gout, teeth grinding, IBS. Amapachana (meaning to digest the undigested) is a treatment for all ‘ama’ conditions and is usually actioned via dietary and lifestyle changes until signs of ama recede.

Ayurvedic Treatment of Osteoporosis

Treatment focuses on counteracting the light and dry qualities of Vata through Brmhana (nourishing) therapy, which provides density and strength to the body. Brmhana emphasizes:

1. Snehana (Oleation): Internal and external use of nourishing oils, such as sesame or medicated ghee, to replenish dryness. You’ll find guided oiling practices on the Neuro Nourish Hub.

2. Stambhana (Stabilization): Using herbs and therapies that stabilize and fortify tissues.

Five Foods to Strengthen Bones

1. Sesame Seeds (Tila) – Rich in calcium and nourishing to Asthi Dhatu.

2. Almonds – Soaked and peeled, they strengthen bones and provide healthy fats.

3. Cow’s Milk – Warm and spiced with turmeric or cardamom, it is a rejuvenative tonic.

4. Leafy Greens – Spinach and kale provide essential minerals for bone health.

5. Dates: Sweet and nourishing, dates are excellent for balancing Vata dosha.

Five Lifestyle Changes

1. Abhyanga (Oil Massage): Daily application of sesame oil pacifies Vata dosha. Here is a guided Abhyanga video on the Neuro Nourish Hub.

2. Regular Routine (Dinacharya): Consistency in sleep, meals, and exercise balances Vata dosha.

3. Gentle Yoga: Find yoga practices on the Neuro Nourish Hub with the label ‘reducing lightness’

4. Sunlight Exposure: Early morning walks in the sun (even on the least sunny day!) helps synthesize vitamin D.

5. Mindfulness Practices: Meditation and pranayama reduce stress, calming Vata dosha.

Practical Steps for Snehana and Stambhana

Snehana: Consume one teaspoon of warm ghee daily or massage warm sesame oil into the skin before bathing.

Stambhana: Engage in strength training exercises which stabilize and fortify the bones. This is a non-negotiable.

Encouraging Brmhana in Daily Life

Brmhana is the antidote to the laghu (light) quality predominant in osteoporosis. By incorporating grounding, heavy, and nourishing foods and practices, you rebuild the body's foundation.

Conclusion: Your Health in Your Hands

Ayurveda emphasizes empowerment and self-care. By harmonizing your lifestyle with Ayurvedic principles, you can effectively manage osteoporosis alongside medical recommendations. Remember, balance is key—addressing the root cause of bone weakness while fortifying the body holistically. As Dr. Claudia Welch notes, "Health is not about perfection, but about creating harmony within our limitations."

Let Ayurveda inspire you to care for your bones naturally, paving the way for long-lasting strength and vitality.

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