Ashwaganda | Spirit of Health

By Dr. Michael Tierra

There is an herb regarded as a 1st class adaptogenic tonic in one of the world’s greatest herbal medical systems, an herb which can compare favorably to the world’s most renowned herbal tonics such as ginseng (Panax ginseng) , astragalus (Astragalus membranaceus) , dang gui (Angelica sinensis), reishi mushroom (Ganoderma lucidum)  and South American suma (Pfaffia paniculata) and like these has been held in high regard by generations of people over the course of millennia for its ability to increase vitality, energy, endurance and stamina , promote longevity and strengthen the immune system without stimulating the body’s reserves. In fact having the ability to nurture the nervous system, counteract anxiety and stress to promote a calm state of mind.  This same herb, having powerful anti-inflammatory properties, is specific for treating arthritic and rheumatic conditions. As if all of this were not enough, it is easily the most potent tonic aphrodisiacs in the entire botanical kingdom. With all of these uses, Withania somnifera, better known in India as ashwagandha, is destined to rise significantly and take its place with all the other better known tonics.

In 1978, as part of a tour to India, I had the opportunity to live in a small South Indian village outside of Bangalor, for three weeks. One day my gracious host and I were walking at sunset along the dirt road adjacent to a cultivated field of rice, and knowing my interest in native Indian herbs and the ancient traditional system of medicine called Ayurveda, he casually pointed out a few non-descript plants growing on the border of a rice field as Ashwagandha. I was very excited to see this remarkable plant which I had only recently studied in various books in the United States. I made way walking along the drier border of the rice field and picked several of the seed laden red berries to bring back to my residence and herb school in Santa Cruz, called the Garden of Sanjivani.

It was early in my career and I was so linked with my identity as an herbalist that I often mused whether I could serve as an herb doctor in a country where the native plants were unfamiliar. So far, in the village where I stayed, ashwagandha and the neem tree were the only native herbs I knew. Notwithstanding this fact, many local villagers, wanting to meet their esteemed visitor from America, hearing that I was involved in healing, came to the abode where I was staying seeking advice for a wide variety of problems. Fortunately, most of these were of a chronic type associated with aging and it just so happened that the single native herb to which I was recently introduced, ashwagandha, was perfect.

One of the important lessons I was to learn from this experience was that being an herb doctor meant more than a knowledge of a particular set of familiar herbs. It also included the ability to ‘think like an herbalist’ to be ever vigilant and watchful for the gifts that nature abundantly provides everywhere in the form of both botanicals as well as the local knowledge and wisdom of the use of plants.

One man in his early 80’s came complaining of chronic pain in his lower back and elbow. I directed him to my new found patch of ashwagandha and he sent one of his sons out to dig some roots for him to make tea. Three days later, he came to thank me since he had already showed considerable improvement. Another young child was suffering from  a severe adverse reaction to a recent polio vaccine. The arm that had been injected with the vaccine only a few months previous hung limp and malformed from lack of proper maturation. The villagers commented that every time the local medical core visited their village to administer vaccinations, there were always a few such casualties. I remember thinking how in a more alienated society such as the Western world, such things may also happen, but our neighbors have no opportunity to witness such reactions because our lives are so separate compared to that of a South Indian village. Once again, ashwagandha was the perfect herb to give for non-inflammatory childhood mal-development.

A young boy around the age of 14 was brought to me with chronic bronchitis. After taking ashwagandha for only a week, he was completely cured. I must confess that I was a little trepidatious of becoming known as the “one herb doctor from America”. Since no one else seemed to care and everyone was getting such positive results from ashwagandha. I took consolation in the famous axiom of the late Dr. Christopher, “it is better to know one herb well, than a smattering of many”.

During my stay, I had the opportunity to prescribed ashwagandha for a wide variety of conditions ranging from male impotence, for which Withania is a near specific, to chronic vaginal discharge. For many of these I was not there long enough to directly observe the results, but I was later told that everyone to whom I had recommended the herb had either experienced significant improvement or in more had completely recovered from their chronic condition.

Interestingly, the people took no notice of the fact that I was recommending the same herb to everyone. In fact, it was a local herb with which  they were all very familiar. Its a curious thing that I had observed when living in proximity with the Karok Indians of Northern California that some native people, having recently fallen under the seduction of Western ways including Western medicine, actually appreciated being reminded, especially from a representative of much envied and powerful country such as the US, of the powerful yet much safer effects of their native medicine. Placebo effect notwithstanding, it seemed that the fact that I recommend it seemed to make it all the more powerful and effective in their eyes.

Three months later I returned to the Garden of Sanjivani in Santa Cruz and planted my ashwagandha seeds. I was amazed at how easily they germinated and continue to re-seed themselves year after year in the area bordering the San Lorenzo river, long after I had moved away. Despite this, one need not be concerned about its becoming an invasive pest. Since it is as easy to control as another more famous Solanaceae representative, the tomato to which it is closely related.

Over the years I have noticed how herbs with more complex, seemingly opposite properties, such as ashwagandha, are generally the strongest and most useful. Unlike many tonics, Ashwagandha is also anti-inflammatory, anti-arthritic, anti-anxiety calmative and aphrodisiac. To herbalists, this seems strange since it is also a member of a family of plants that include the familiar belladonna and henbane, also well respected anti-inflammatory nervines but toxic not particularly known for their nutritional tonic properties. This certainly qualifies ashwagandha as one of the most paradoxical herbs. Perhaps it is for this reason that so far it has not yet established itself with the equal esteem of the other more well known tonics mentioned above.

There is still one other highly significant and practical fact about ashwagandha. Most tonics like ginseng, require special growing conditions and several years to develop their tonic properties (ginseng requires 7 years). Ashwagandha is unique as a tonic herb in that it is exceptionally easy to cultivate and is ready for harvest after only one year of growth. This represents a very real consideration that if ashwagandha were used more, would relieve some of the threat of extinction from the wild of other highly popular herbs such as wild ginseng (Panax quinquefolium), golden seal (Hydrastis canadensis) , suma (Pfaffia paniculata) and lady’s slipper (cypripedium pubescens) for instance. This is not to say that any tonic can be substituted for each other, but too often, because of excessive commercial promotion, people are induced to overuse and just as often, misuse certain endangered herbs for purposes that another more common herb may be even more effective.

The unique properties of ashwagandha[1] [1] , while being an energy tonic like ginseng or codonopsis for instance, is uniquely more beneficial for calming the mind, relieving arthritis and building sexual energy while ginseng and codonopsis (Codonopsis pilosula also known as “bastard ginseng” because it is an acceptable milder substitute) is more specifically effective for low energy caused by digestive weakness. Astragalus, classified as another Qi or energy tonic in Traditional Chinese Medicine (TCM), is stronger as an immune tonic. Again, these properties are equally shared by ginseng, codonopsis and ashwagandha, but more indirectly because of their effects on other physiological systems. Ashwagandha is also useful for strengthening the female reproductive system for which it is commonly combined with another Ayurvedic herb called shatavari (Asparagus racemosa) but the Chinese herb, dang gui (Angelica sinensis and A. acutiloba), renowned as a blood tonic, is especially beneficial in gynecology for deficient blood conditions, anemia and irregular menstruation. The uniqueness of Ashwagandha is that it achieves its results through strengthening the nervous system and potentiate reproductive hormones.

Also known in English as winter cherry, Ashwagandha is one of the most highly valuable herb in the Ayurvedic medical system. On another trip to India I met with several Ayurvedic doctors and heads of prominent Ayurvedic pharmacies. I decided to ask them the kind of inane [2][2] question that I am often asked, “what do you think is the most valuable Ayurvedic herb?”  There was an unequivocal answer that ashwagandha was at least equally regarded in Ayurvedic medicine as ginseng is in TCM.

In order to appreciate the traditional uses and properties of ashwagandha it is necessary to offer a brief description of the Ayurvedic system of medicine. Ayurveda, translated as Science of Health, is probably the oldest existing system of natural healing in the world. Dating back over many millennia, it is likely to be even older than Traditional Chinese Medicine (TCM) and may be its origin, as it certainly is the origin of Tibetan medicine, Middle Eastern Tibb medicine and our own ancient Greco-Roman medicine.  Nearly suppressed by the English during their occupation of India through the 19th and first part of the 20th centuries, Ayurveda is finally making significant inroads of acceptability throughout all countries of the Western world.

Ayurveda is based on a system of Tridosha or Three Humours which classifies all Dating back over many millennia, it may go back even further in antiquity than TCM and is certainly the basis for Traditional Tibetan Medicine [3][3] , Middle Eastern Tibb or Unani medicine which form the basis for much of ancient Greco-Roman medicine [4][4] . Nearly suppressed in India by the occupying English during the 19th and early 20th centuries, Ayurveda is gaining in popularity throughout many Western countries.

Ayurveda is based on a system of Tridosha or Three Humours which classifies all individual constitutions of people, diseases, herbs and other non-herbal remedies and therapies according to whether they are Vata (air or nerve oriented), Kapha (water or mucoid type) or Pitta (fire type)[5] [5] . Herbs that have pungent, sour and salty flavors stimulate fire; herbs that are astringent (drying) and bitter stimulate vata-air, or the nerve centered  humour; herbs that are sweet, salty and sour stimulate or increase Kapha-water, or the mucoid humour. In contrast, herbs that are sweet, sour and salty flavored ameliorate Vata-air, which means that they have a particular affinity for the nervous system. Herbs that are astringent, sweet and bitter ameliorate Pitta-fire, meaning that they are soothing and anti-inflammatory. Finally herbs that are pungent, bitter and astringent ameliorate Kapha-water, which means they tend to increase digestive fire, expel and dry excessive fluid build up in the system, including clearing excessive fat from the body, and the accumulation of  cholesterol and other fatty deposits in the veins and arteries of the body.

Because the primary quality and flavor of ashwagandha is sharp and pungent, this indicates that it is warming, raises metabolism, stimulates digestion, clears mucus, improves circulation. Unlike TCM, Ayurvedic also identifies a secondary post-digestive flavor, which for ashwagandha is sweet. It is this effect, which is not necessarily directly identified by one’s sense of taste, that occurs when a substance is converted into a still purer nutritive extract[6] [6] . Following this, the post digestive sweet flavor of ashwagandha represents its deep nutritive, hormonal properties as well as its ability to strengthen and nourish the nervous system.

An even deeper and more profound transformation of food occurs after 7 days. This is when food is transformed into blood. Only after a month does the most refined essence of food transform into semen. It is at this deepest level that ashwagandha exhibits its profound aphrodisiac properties.

In the TCM system, ashwagandha would be used as a Kidney Yang tonic because of its warming, aphrodisiac properties. In this, it is deeper acting than other herbs, such as the African yohimbe, the South America muira puama or the milder Central American damiana. One may have to take ashwagandha longer, at least a month,  to notice its aphrodisiac effects.

The distinctive earthy odor and flavor of ashwagandha is due to the presence of certain steroidal lactones or Withanolides[7] [7] . It is from this characteristic odor which its Sanskrit name, “like a horse”, derives. While the largest majority of medicinal herbs are not particularly prized or known for their appealing flavor, ashwagandha for most may be promoted to the forefront of those herbs with the least taste-smell appeal. Fortunately, it is possible to formulate ashwagandha into pills, capsules and alcoholic extracts to create greater public acceptance.

Traditionally, herbs are classified organoleptically according to their smell, flavor, texture, shape and even their color[8] [8] . This has been the traditional way for herbalists in older times to come to a recognition of the unique biochemistry and therapeutic actions of plants. It is only in recent times that this is being replaced by complex laboratory analysis. The post digestive flavor of Ashwagandha is not so much sensorially identified, but because it exhibits tonic nutritive properties. The classification of herbs, foods and substances into the category of flavors, may not always be based on individual sensory experiences but also according to function.

Different people will have different reactions but for most, at first the reaction to taking ashwagandha even after a few days is a sense of  increased warmth and more energy. As stated, eventually this further transmutes to heightened libido. For this reason, tonics like ashwagandha or ginseng are seldom prescribed to otherwise normal and relatively healthy adolescents or for that matter, otherwise normal individuals under the age of 40 years. Given specific signs and indications of chronic weakness and deficiency, ashwagandha is, however,  specifically indicated for individuals of all ages. For such conditions, it is best to take ashwagandha in powder or alcoholic extract with warm scalded milk and honey.

So why is it that more people do not know or use ashwagandha? Mainly because it has not yet permeated the arena of the largely fad-driven natural supplements industry of the West. An important second reason is that many, including most Western herbalists, as yet do not fully understand and appreciate the many diametrically opposed and therefore, confusing therapeutic properties of this valuable herb. Supplements become best sellers when the industry can latch onto one specific attribute of a particular substance to popularize. This, unfortunately, has happened to many herbs such as Feverfew and St. Johnswort (Hypericum perfoliatum), both herbs having more extensive therapeutic properties than that for which they have become popularly known.

The issue of herbal marketing poses some further serious reservations among herbalists, not only because it can create a demand for a particular herb that can threaten its survival, as in the case of wild golden seal (Hydrastis canadensis), American ginseng (Panax quinquefolium), osha (ligusticum porteri)  and ladies slipper (Cypripedium pubescens), but also because of the need to create concentrated extracts to heighten certain drug-like effects.  This has certainly been true of Chinese ephedra also known as Ma Huang which has epinephrine and pseudo-epinephrine alkaloids that are very similar to adrenaline. Ma Huang is traditionally one of the best herbs for treating asthma. However, by overly concentrating its herbal constituents, it is more drug-like with properties similar to meth-amphetamine, and it is in that form that it is abused in the popular herb market place included as a stimulant in herbal pep pills, diet formulas and even in pseudo-mind altering formulas. When prepared in this way, Ma Huang can be more of a health risk than a benefit. As a result of incidents implicating it as the cause of certain adverse reactions, the popular availability of the herb may be threatened as a result of stepped up legal restrictions.

Given the sensational tendency of marketeering, the aphrodisiac effects of ashwagandha may take precedence over all its other outstanding properties. Ashwagandha should be considered as the premiere herb for all negative conditions associated with aging [9][9] . This includes its use for the prevention and inhibition of senile dementia and Alzheimer’s Disease [10][10] , low energy and arthritis [11][11] .

The other important properties of ashwagandha includes its traditional use as an alterative for detoxification, anti-inflammatory, antiseptic, antitussive (alleviating coughs), bitter (in small doses, stimulating appetite), sedative and as an overall rejuvenative.

Ashwagandha is specific for a wide range of conditions including arthritic inflammation, anxiety, insomnia, respiratory disorders including emphysema, asthma bronchitis and coughs, nervous disorders, gynecological disorders, especially functional female and male infertility and impotence. From this it would seem that ashwagandha should be considered for all immuno-compromised diseases including TB and AIDS, chronic upper respiratory diseases, degenerative symptoms attendant to aging, juvenile mal-development and growth, chronic neurological diseases especially anxiety, nervousness, depression and insomnia, weak digestion, fluid retention caused by lowered body metabolism and last but certainly not least, for low sexual libido.

2010 October | Pharmacy Blog

Multiple Sclerosis (MS) affects approximately 250,000 to 350,000 people in the United States. This estimate suggests that approximately 200 new cases are diagnosed each week with this disease. This degenerative (marked by gradual deterioration of organs and cells along with loss of function) disease affects more women than men, and most people show the first signs between the ages 20 to 40 years old. It is chronic and potentially incapacitating.

Multiple Sclerosis (MS) affects the central nervous system or the brain and spinal cord areas in the body. Believed to be an autoimmune disorder, MS is a condition where the patient’s immune system produces antibodies against their own body. These antibodies and WBCs (white blood corpuscles) are then directed against proteins in the “myelin” sheath. The myelin sheath is made up of fatty substances that protect the nerve fibers in the spinal cord and brain. This attack usually results in injury and swelling to the myelin sheath and ultimately to the surrounding nerves. The injury leads to scarring or sclerosis in multiple areas of the central immune system, thus damaging the nerve signals and control muscle coordination. The disease also eventually impairs vision and muscular strength.

The nature of MS is unpredictable and it can vary in severity from person to person. While any patients who suffer from the said disease only experience mild illness, other MS cases can also lead to permanent disability. Treatments for MS can help in modifying the course of this illness while relieving symptoms.

Determining the real cause of MS still remains elusive even if scientists have already learned a great deal about MS in recent years. It is known that MS is a form of autoimmune disease — one in which the body, through its immune system, launches a defensive attack against its own tissues. In the case of MS, it is the nerve-insulating myelin that comes under assault. Such assaults may be linked to an unknown environmental trigger such as a virus infection.

Pain and spasticity are two of the most common symptoms from which people with MS suffer. Spasticity is a muscle problem characterized by tight or stiff muscles that may interfere with voluntary muscle movements. Spasticity is a muscle problem characterized by tight or stiff muscles that may interfere with voluntary muscle movements. A recent survey of members by the MS Society found that 54% reported pain as a current symptom, while 74% reported experiencing spasticity. The importance of these symptoms is not simply because of their frequency, but also because of the impact they have on the patient’s daily life. As the disease progresses, so does the spasticity, resulting in muscle spasms, immobility, disturbed sleep, and pain. Disability resulting from spasticity often forces patients to need extensive nursing care.

Pain can be caused by a variety of factors including spasticity itself, in addition to neuronal damage due to the disease process. Not uncommonly, it may be musculoskeletal in origin, arising as a result of abnormal posture following the disability caused by MS.

There are several treatment options for MS. However, one medication that was commonly cited by different and numerous research is named Baclofen. This medication can help decrease the spasticity of MS patients. Baclofen is a muscle relaxant commonly used to decrease spasticity related to spinal cord injuries, or other neurological diseases such as MS.

Spasticity is caused by an imbalance of electrical signals coming from the spinal cord through the nerves to the muscle. This imbalance causes the muscle to become hyperactive, resulting in involuntary spasms. Baclofen works by restoring the normal balance and reducing muscle hyperactivity. In this way, it allows for more normal muscle movements.

Baclofen, also known under the brand name Lioresal, can be taken as a pill or delivered directly into the intrathecal space, an area in the spine. The space contains the cerebrospinal fluid (CSF) which surrounds the spinal cord and nerve roots. Most often, MS patients receive intrathecal baclofen, since oral Baclofen can cause unpleasant side effects. Since the medication does not circulate throughout the body, only tiny doses are required to be effective, therefore the side effects are minimal. Through intrathecal Baclofen it will deliver the right drug right to the target spot in the spinal cord.

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision the MS patient and the doctor will make. Skeletal muscle relaxants such as Baclofen are used to relax certain muscles in the body and relieve the stiffness, pain, and discomfort for MS patients. However, these medicines do not take the place of rest, exercise or physical therapy, or other treatment that a doctor may recommend.


Fluoxetine is also prescribed for the treatment of premenstrual dysphoric disorder
(PMDD), formerly known as premenstrual syndrome (PMS). Symptoms of PMDD include mood problems such as anxiety, depression, irritability or persistent anger, mood swings, and tension. Physical problems that accompany PMDD include bloating, breast tenderness, headache, and joint and muscle pain. Symptoms typically begin 1 to 2 weeks before a woman’s menstrual period and are severe enough to interfere with day-to-day activities and relationships. 

Prozac is a member of the family of drugs called “selective serotonin re-uptake inhibitors.” Serotonin is one of the chemical messengers believed to govern moods. Ordinarily, it is quickly reabsorbed after its release at the junctures between nerves. Re-uptake inhibitors such as Prozac slow this process, thereby boosting the levels of serotonin available in the brain. 


The usual starting dose is 20 milligrams per day, taken in the morning. Your doctor may increase your dose after several weeks if no improvement is observed. People with kidney or liver disease, the elderly, and those taking other drugs may have their dosages adjusted by their doctor. 

Dosages above 20 milligrams daily should be taken once a day in the morning or in 2 smaller doses taken in the morning and at noon. 

The usual daily dose for depression ranges from 20 to 60 milligrams. For obsessive-compulsive disorder the customary range is 20 to 60 milligrams per day, though a maximum of 80 milligrams is sometimes prescribed. For bulimia nervosa, the usual dose is 60 milligrams, taken in the morning. Your doctor may have you start with less and build up to this dosage. The usual dose for premenstrual dysphoric disorder is 20 milligrams a day. 

Switching to another medication or discontinuing this medication may involve slow reduction of this medication while the other is also being slowly introduced.

PK Healthcare Consultants В» 2008 В» February

Pat Wright-Kraft has provided consulting services to healthcare clients within the greater Tampa Bay region and throughout the State of Florida for the past ten (10) years.  These services have included development services for Ambulatory Surgery Centers, hospital and free-standing Cardiac Catheterization Laboratories and Cardiac Imaging Facilities.  Her clinical background, coupled with her extensive design and construction experience enables her to provide her clients with a complete package of services.

Over the years her experience and attention to detail have enabled her to work closey with many of the reputable and experienced healthcare construction and architectural firms in the Tampa Bay area. Her impact on a project has made her the “consultant of choice” amongst many design proffessionals.  In addition, her experience with a wide array of healthcare projects have enabled her to develop and exceptional relationship with the Agency for Health Care Administration (AHCA), AAAHC, Joint Commission and a majoriity of major equipment vendors .


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Five Important Services For Excellent Home Healthcare – Depressed? Adopt a Cat

Staying at home rather than moving to a care facility is a top priority for many seniors. In many cases, this is possible with the right combination of at home healthcare services. Here are some of the most crucial home healthcare services to consider for your loved one. 

Home Health Aides

Doing daily chores such as dressing, cooking, and grocery shopping can be difficult when a senior has limited mobility. It can also be dangerous if the person goes beyond their physical limits and gets injured. A home health aide can make these tasks much more manageable by helping out with the tasks that your loved one can no longer do. 

Skilled Nursing Care

One of the most useful services you can choose as part of your home healthcare package is skilled nursing care, from ” for example. Besides tending to your loved one’s basic medical care from the comfort of home, a skilled nurse for the elderly will be trained in managing a variety of medical conditions and reducing pain. They will also know the warning signs of medical emergencies for the elderly, so that they can act as an extra safeguard.

Skilled Therapy Care

Pain and loss of mobility can be treated by a physical therapist or similar service. Some companies offer in-home therapy sessions on a weekly or bi-weekly basis. Aside from routine medical treatment, this can make one of the biggest differences in the quality of life for your loved one. 

Medical Supply Delivery

One key element to making home care work is figuring out a way to manage medical supplies. Many programs offer a medical supply delivery service, where they handle the ordering and shipping of supplies for your loved one. This way, it’s possible to get a fresh weekly shipment of medicine and to quickly order backup supplies. 

Mental Health Care

Along with the aging process, there are often mental health concerns such as loneliness or memory loss. A good support network includes a mental health service provider to check up on the loved one and provide them with some company. Many community programs offer social services for the elderly, which can include mental health services. 

As you can see, there are a variety of care options for seniors who wish to remain at home. It’s a good idea to speak with a physician to see if home care is a viable option, and to see which services the doctor can recommend.