This document provides a personalized Ayurvedic health program. It includes recommendations for herbal tablets and powders to take, dietary and lifestyle advice, cleansing therapies, yoga, meditation, and exercise. Progress is tracked by having the client fill in details about how closely they followed the program and their perceived changes in health and well-being. Ayurvedic concepts of doshas, elements, and constitutional types are referenced throughout.

1. 02 9904 7754 • 17 Orchard Road Chatswood Sydney 2067
www.ayurvedaelements.com • info@ayurvedaelemnets.com
ABN 17-335-545-355
Personalised Ayurvedic Health Program for
…………………………………………
…………2008
by
Ayurvedic Doctor Rama Prasad
Bachelor of Ayurvedic Medicine & Surgery.
Enquire about
1 year Ayurveda Certificate Training
Rejuvenation Tour
Health Resorts
a;yur;roGys;w:ymè
wishing you long, healthy, fulfilled life

2. What is your constitution?
Elements In Universe and Life
Attributes and geometrical shapes of
elements are permanent. It is important to
understanding the ‘type’ and engaging it wisely.
Ether Air Fire Water Earth
Wisdom Mobility Transformation Attraction Integrity
Bliss, stillness Rhythm Heat Fluidity Stability
Tranquility Cycles Intensity Bond Solidity
Calmness Lightness Precision Flexibility Gravity
My Permanent Body Constitution
What’s the shape of your body when you are/were healthy?
Ether Air Fire Water Earth
Tall Small Angular Soft Solid
Delicate Short Triangular Rounded Rectangular
Slender Light Muscular Curvaceous Heavy bones
Ayurveda Elements
Courses & Consultation in Sydney, Canberra and Melbourne
Phone/fax: 02 9904 7754
17 Orchard Rd Chatswood Sydney 2067
info@ayurvedaelements.com
www.ayurvedaelements.com
My current Physical Excess
imbalance can occur to any body type.
use or abuse of “elements of life”. Any
Most imbalances are due to overuse, under
Ether Air Fire Water Earth
Depletion Irregular Over heated Sluggish Rigidity
Loss Improper, twists Acidity Mucusy Clot
Thinning Aches, pain Redness Weight gain Growth
Waning Dehydrated Burning Excess fluid Spur
My current Psychological Excess
Ether Air Fire Water Earth
Absence Fluctuating, shifty Irritable Clingy Stubbornness
Loss Mental blockage Easily angered Sluggish Inflexibility
Irrational Confusion, worry Easily impatient Greedy Overpowering
Anxiety Insecurity, fear Frustration Procrastination Rigidity

3. My Constitutional Abilities
Ether Air Fire Water Earth
Creative Adaptable Analytic Listener Structured
Meditator Multitasking Driven Carer Methodical
Open Easy going Challenging Gentle Hands on
Charitable Communicator Competitive Tolerant Routine lover
Philosopher Dancer Result oriented Nurturer Supervisor
Scientist Teacher Precise Parental Administrator
Thinker Musician Sharp, intense Chef Manager
Dreamer Performer Marketer Nurse Coach/ Trainer
My permanent body type is …………… …………… element predominant
My current work is …………… …………… element predominant
My current lifestyle is …………… …………… element predominant
My current relationship is …………… …………… element predominant
Changes I need to make …………… …………… ……………………
……………………………………………… …………… ……………………
Elements and life
Categories Ether Air Fire Water Earth
Exercise Meditation Aligning Cardio Stretch Toning
Awareness Breathing Sprinting Yoga (asana) Weights
Nutrition Philosophy Fiber Digestives Carbs, fats Protein
Fasting Freshness Metabolic Essential fats Minerals
Room Spacious, Everything, Efficiently organised Convenient, Brick walls,
uncluttered everywhere accessible timber floors
Tools, Minimal All shapes, sizes, Most efficient, Comfort items, food, Lasting, reliable,
furniture variety fastest, latest cushions strong
Vacation Meditation retreat Surprise me, Competitive, Water side, food, Physical, getting
unpredictable challenging friends, cushions hands dirty
Silent, wilderness Something totally Mountain biking, Pampering, yoga Outback, gardening,
outrageous white water rafting retreat renovation
Olympic High jumpers Marathoners Sprinters Gymnasts Weight lifters

4. Ayurvedic Tongue Analysis | Ayurveda Elements | 02 9904 7754
Name ……………………………………… Date ………………… Location ……………………………
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Copyrighted to Ayurveda Elements 2005

5. Phone/fax 02 9904 7754
Web: www.ayurvedaelements.com
Email: info@ayurvedaelemnets.com
17 Orchard Road Chatswood Sydney 2067
ABN 17-335-545-355
Personalised Program for …………………………………………………………………………………………………………
……………………………… tablets at least half hour before breakfast and dinner or at 6 am and 5 pm.
……………………………… tablets at least half hour before breakfast and dinner or at 6 am and 5 pm.
Advice 1 ……………………………… powder after breakfast, lunch and dinner, along with 50 ml water.
Breakfast, lunch and two snacks are good for the time being.
The last snack can be slightly larger and can be taken at around 6 pm.
Chew everything at least for 25 times.
Advice 2 Sip water. Don’t gulp it down.
No solid meals after 6 pm.
Food and drinks should be warm.
Avoid hot spices and oils; fermented and refined; additives and colours in food during this 6 weeks.
Therapies 20 minute self massage with sesame oil before taking a warm bath 2-3 times weekly.
Cleanse
Walk for 20 minutes daily, with long stride and deep breathing.
Exercise
Low impact cardio, for 30 minutes to sweat.
Yoga asana Continue.
Meditation Daily at bedtime / morning / after work.
Light Alkaline shopping list.
Information given Gall bladder cleanse.
Sinus cleanse.
Important: 1. It is a possibility that the client may go through a ‘healing crisis’ during some treatments though rarely. Symptoms and signs can
vary from simple flus and colds to diarrhoeas, constipation, bloating, headaches, rashes, dizziness etc. They will go away with adequate care.
In this case please email Rama immediately. 2. If you need any further short explanations or clarification please email Rama. His office will
contact you as soon as possible.
Dr. Rama Prasad B.A.M.S.

7. Phone/fax 612 9904 7754
17 Orchard Road Chatswood Sydney 2067
Email: info@ayurvedaelements.com
Web: www.ayurvedaelements.com
ABN 17-335-545-355
Tax Receipt
Name Date Receipt number
D D D
Service Category Fee/charge Subtotal
Consultation (Herbal / Natural Therapy / Ayurveda) Fee
Tablets
.00
.00 $………00
.00
.00
Practitioner only medicines
.00
.00
.00
Rama Prasad, Ayurvedic Physician, Natural Therapist and Herbalist.
Health Funds and Provider Numbers
ATMS 9364
Australian country health 21011871 HCF A160029
Australian Health management 21011871 Illawarra Health Fund 21011871
CBHS 9364 Manchester Unity 9364
Government Employees 21011871 Mutual Health 21011871
Grand United 01079930 AHM (Australian Health management) 21022412
Ask your health fund about Ayurveda.
Have you ever
Bathed an elephant?
South India Tour 2009
• 14 days - beachside, mountaintop and backwater rejuvenation
• Indulge in healthy and yummy traditional cuisine
• Enjoy houseboats, palaces, temple and much more
• Night trekking, bamboo rafting, spice plantation visits
• Ride and bathe an elephant and many more activities…
For prices and exact dates, please call 02 9904 7754 or log on
to our website. Your guide, Rama Prasad is an Ayurveda doctor
and Kerala local.

8. My current health status
After being on the ayurvedic program for a month is as follows.
Fill in the blanks if applicable.
1. The easiest part of the program is
2. The most difficult part of the program is
3. The most satisfying part of the program is
4. I need more clarifications on
5. I couldn’t do this
6. I followed the new nutrition program about ……% perfectly
7. I followed the new cleansing about ……% regularly
8. I followed the new practices about ……% perfectly
9. My exercise was ……% regular/perfect
10. I took the medicines about ……% regularity
11. The amount of medicines yet to be finished is ……% in quantity
12. Overall I followed the advise about ……% perfectly
13. My energy feels better by ……%
14. Being on the program, I wake up refreshed by ……%
15. Being on the program, my mental clarity is better by ……%
16. Overall I am better by ……%
17. I feel definite the improvement in the following area
18. The problems still to be improved is/are
19. New problems are

9. Alkaline Antioxidant Shopping List
Name …………………… Date ……………Duration … month
Some basic rules: REGULAR USE FRUITS BEANS HERBS SPICES TEAS STOP/REDUCE NUTS & SEEDS
Apples Adzuki beans Allspice Alfalfa Almonds –soaked
Drink your solids VEGETABLES Banana Black beans Anise Basil VEGETABLES Brazil nuts
Eat your liquids Artichoke Berries Black eyed Asafoetida Blackberry Chillies Cashews
Asparagus Cherries beans Basil Burdock Eggplant Hazelnuts
FAVOUR Avocado Coconut Kidney beans Bay leaves Chamomile Horse radish Macadamia
The nature of your meal should be Beans Cranberries Lentils Cardamom Chrysanthemum Mushrooms Pine nuts
Been sprouts Dates Lima beans Celery seeds Cinnamon Peppers (Hot)
light, warm, fresh, gentle, moist and
Beet greens Figs Mung bean Cinnamon Clove Popcorn SWEETENERS
soft in nature. Beetroot Fruits –soaked Navy beans Cloves Comfrey Potatoes Sugar
Bitter melon Grapefruits Peas Coriander Dandelion Tomato Sugar substitutes
REDUCE/STOP Broccoli Grapes Pinto beans Cumin Fenugreek
1. Overeating: several meals or Cabbage Kiwi fruit Fennel Fennel FRUITS DRINKS
eating too much. Carrot Lemon / Lime DAIRY Fenugreek Ginger Orange Alcohol
2. Late / heavy meals: avoid/reduce Cauliflower Mango A2 milk Ginger Green tea Almond milk
solids after 6.30 PM. Celery Melons Buttermilk Herbs-fresh Jasmine GRAINS Carbonated
3. Too cold / hot. Celery leaves Papaya Ricotta cheese Lemon thyme Lemon/ Lime Oats Chocolate
4. Oils & fats. Cucumber Peaches Low fat yoghurt Licorice Lemon grass Refined items Grape juice
Daikon Pears Nutmeg Licorice Lemonade
5. Fried, dried foods.
Green beans Persimmon NUTS & SEEDS Parsley Nettle BEANS Orange juice
6. Anything directly from the fridge. Leafy greens Pomegranate Coconut Pepper Peppermint Chick peas
7. Colouring, additives, flavourings. Orange peel
Leeks Strawberries Pumpkin Rosemary Sage Split peas Shakes
8. Concentrated/refined food (eg. Lettuce Sunflower seeds Sage Spearmint Soy beans
pizza, pasta) Okra GRAINS Sesame seeds Tarragon Toor dal CONDIMENTS
9. Yeast, meat & eggs. Parsley Barley Thyme OILS Chocolate
10. Coffee, tea & alcohol. Parsnips Buckwheat DRINKS Turmeric Olive oil DAIRY Chutney, hot
11. Sugars & white flour. Pumpkin Bread -yeast free Apricot juice Salt Coconut oil Cheese Gherkins
12. Carbonated drinks. Radish Corn Cherry juice Cream Gomasio
Spinach Couscous Coconut milk CONDIMENTS SWEETENERS Ice cream Pickles
Sprouts Millet Cranberry juice Apple cider Honey Sour cream Vinegar
Key
Squash Oat bran Lemon juice vinegar Palm sugar Yoghurt low fat
✓ Favourable Sweet potatoes Pasta (rice/corn) Chocolate, bitter Molasses Butter
Pineapple juice
❑ Moderately Taro root Polenta Chutney, sweet
Peach juice
▲ twice a week Turnips Rice-pasta/noodle Pear juice Coriander leaves OTHERS NON VEG
✖ Avoid Zucchini Rye Prune juice Curry leaves Broth Eggs
Sago Rice milk Olive Chicken Ham
Seitan Miso broth Fish Red meat
Parsley Soup
Tamari

10. 100% Nutrition 1. Reason: Eat when
you are hungry. (If you are not hungry - Important Shopping Cooking
improve your digestion). 2. Eater & the • Find out all the healthy, • Breakfast: Get a good
1. This is not a balanced
food: Food is appropriate to the eater. 3.
diet. You are not organic shops and quality juicer. Fresh
Food, chef & the eater: Wholesome
food, happy chef and mindful eating. 4. absorbing a balanced diet markets near your office vegetable juice is good
Four textures: Have at least 4 textures at right now. This is a light and home. for breakfast. This will
least in 1 meal daily. 5. Five senses: diet that is designed to • Have a weekly shopping optimize your energy
Engage all senses. We get 20% of pleasure day. Shop for grocery levels.
rest your digestive system
through each sense. 6. Six flavors:
and optimize /your items for the whole week • Lunch should have 60%
Include sweet, salt, sour, bitter, pungent
and astringent in a meal. A healthy absorption. and perishables for 3-4 colored vegetables, 20%
ginger-lemon pickle has five. 2. Once you achieve days. Have another mid- carbohydrates and 20%
How to get sick 1. Too much acidic better digestion, you week shopping day for from your ‘favorite
food: (tomatoes, vinegar, yeast...). 2. need to have a NEW perishables. healthy’ choice.
Acidic eating: Not chewing enough normal diet. Diet • Always buy healthy • Soups and light salads
forces our stomach secrete more acid. 3. changes as you and snacks for the car, are the best as dinner
Acidic lifestyle: Rushing, unplanned life kitchen and office, especially if it is late.
etc. 4. Acidic mindset: Unresolved issues your life change.
and negative thoughts about them. 5. 4. You need to be under especially if you are Light dinner includes
Acidic breathing: Not breathing deep supervision when you ‘snacker’. easily digestible
enough. follow this diet. Any • Always store quick meals vegetables and soft carbs
Health and well being articles concerns should be such as organic soups and (eg: cous cous).
Download more than 12 articles written discussed. This means, salads for emergency
by Rama and Caroline published in leading periodically you need to evening meals. • Do not heat / roast /
magazines from our website. • Check your kitchen panfry the same meal
contact your practitioner
to make sure you are cupboards and throw twice as it becomes
Ayurveda Elements
Established 1996 getting all essential away all the food items carcinogenic.
17 Orchard Rd Chatswood Sydney 2067 nutrients that you need. past expiry date.
www.ayurvedaelements.com • Steaming is the best,
5. To obtain maximum
info@ayurvedaelements.com boiling is the second best
results, you need to
02-9904 7754 follow it strictly. for a healthy life. Get a
quality steamer.

12. Here is how I am going to do
My Ayurvedic health program…
It will be planned and systematic.
Program My order Week/day Time
• Herbs Daily As directed
• Shopping Week Day
• Low impact cardio Weekly 1-2-3 times … hours weekly
• Cooking Frequency Time
• Yoga Weekly 1-2-3 times … hours weekly
• Meditation Daily At bedtime
• Cleansing First one Second one
Once they are scheduled,
I know it is easy to do them.
Total health is my goal.
…………………………………………………………………………
Here is my signature.
And this is my promise to myself.