| | Polarity Therapy Balancing the 5 Elements - Self-Assessment | The cornerstone of Polarity Balancing lies in the 6000 year old system of Ayurveda (Ayu=life, Veda = Study). Use this survey to determine your current areas of imbalance by counting all the items in each column that apply to you right now. Total your scores. (You may want to print this page out in order to keep track of your score!) The highest score represents the element(s) and body/mind type (dosha) that requires balancing first. The information below it provides guidelines for bringing your body/mind back into balance. | | Vata Dosha is derived from the elements of Ether and Air which govern space and movement within the body/mind. | Pitta Dosha is derived from the element Fire which governs metabolism within the body/mind. | Kapha Dosha is derived from the elements of Earth and Water which govern fluidity and solidity within the body/mind. | | ¨ changeable, indecisive | ¨ judging, discriminating | ¨ logical, stable | | ¨ worried, anxious, fearful | ¨ irritable, angry, jealous | ¨ complacent, steady, slow | | ¨ low appetite, weight loss | ¨ excessive hunger or thirst | ¨ gain weight easily | | ¨ constipation, gas or bloating | ¨ indigestion or heartburn | ¨ slow digestion | | ¨ dry, chapped skin | ¨ sensitive skin, rashes | ¨ oily skin | | ¨ fast moving, talking | ¨ perfectionist, intolerant of delays | ¨ slow moving, talking | | ¨ restless sleep | ¨ often overworks | ¨ often oversleeps | | ¨ impulsive | ¨ demanding, intolerant of errors | ¨ resistant to change | | ¨ poor circulation | ¨ thinning, graying hair | ¨ sinus congestion, mucus | | ¨ cant relax, | ¨ critical, argumentative | ¨ possessive | | ¨ easily fatigued | ¨ excessive body heat | ¨ allergic reactions | | ¨ overactive mind | ¨ frustrated | ¨ procrastination | | ____ Total for Vata | _____ Total for Pitta | _____ Total for Kapha | | | | | | If Vata is your highest score, balance ether & air to Calm your body/mind by: | If Pitta is your highest score, balance fire to Cool your body/mind by: | If Kapha is your highest score, alance water & earth to Stimulate yoiur body/mind by: | regular, stable routine regular, daily elimination stay warm in cold, windy weather try warm, oily, heavy, sweet, sour & salty foods reduce light, dry, cold, pungent, bitter & astringent foods Use aromatherapy: lavender, cedarwood, juniper, ylang-ylang, patchouli, myrrh, sage, geranium, tulsi
Enjoy a Polarity Session | moderation, dont overwork allow for leisure time keep cool, avoid hot temperatures try cool, heavy, dry, sweet, bitter & astringent foods reduce pungent, sour, salty, warm, oily, & light foods Use aromatherapy: Sandalwood, rose, lavender, gardenia, saffron, jasmine, lotus, vertivert
Enjoy a Polarity Session | exercise regularly seek out new experiences stay warm in cold, damp weather try pungent, bitter astringent, light, dry & warm foods reduce heavy, oily, cold, sweet, sour & salty foods Use aromatherapy: eucalyptus, basil, tulsi, rosemary, peppermint, lemon, camphor, frankincense, sage
Enjoy a Polarity Session | | | Examples of foods: | | | Sweet = sugar, milk, butter, rice, breads, pasta | Salty = sea salt | Sour = Yogurt, lemon, cheese, vinegar | | Pungent = spicy foods, peppers, ginger | Bitter = spinach, green leafy vegetables | Astringent = beans, lentils, honey |
PPrepared for you by MOUNTAIN VALLEY CENTER POLARITY THERAPY Jill N. Henry, Ed.D., PT APP, Certified Associate Polarity Practitioner 10248 Georgia Rd. Otto, NC 28763 888-773-2491
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