It's wonderful that you are seeking to understand how Ayurveda can aid your cousin with Congenital Adrenal Hyperplasia (CAH). In Ayurveda, adrenal dysfunction can indeed exhibit traits of both Vata and Pitta imbalances due to the stress response and hormonal shifts involved. Supporting her adrenal health requires a holistic approach encompassing diet, herbal therapies, and lifestyle adjustments. Given her symptoms of fatigue, low blood pressure, and heightened stress, Ashwagandha is an excellent adaptogenic herb for her, as it enhances resilience to stress and fatigue. A typical dose is around 500 mg to 1 gram daily, which can be taken in powder form mixed with warm milk or water, ideally before bedtime. Licorice (Mulethi) is effective for regulating cortisol levels and enhancing energy; however, it should be used cautiously as it can raise blood pressure in some individuals. A safe approach would be to consume a small amount of Licorice tea once or twice a week, but always in consultation with her healthcare provider. Brahmi is another wonderful herb for cognitive support and stress reduction. It can be taken in a dose of around 300 mg to 600 mg daily, preferably taken in the morning to promote mental clarity. Additionally, incorporating adaptogenic blends, like a mix of Ashwagandha and Brahmi, could provide synergistic benefits. Dietarily, focus on nurturing foods that stabilize energy and support adrenal glands. Warm, cooked foods that are mildly spiced aid digestion and absorption. She should include whole grains like rice and quinoa, fresh fruits, and vegetables, particularly root vegetables and dark leafy greens as they are grounding and rich in nutrients. Adding healthy fats, such as ghee or coconut oil, can promote hormone synthesis and overall vitality. To support low blood pressure, salty snacks like homemade spiced nuts may be helpful, but it's crucial to balance salt intake according to her doctor’s guidance, especially concerning aldosterone levels. Regular meals and snacks would also help maintain her energy levels. Incorporating a gentle daily routine that includes yoga or light physical activity can help balance Vata and maintain hormonal equilibrium. Stress-relief practices like meditation or deep breathing exercises can further support her adrenal function. Both herbal therapies and lifestyle changes should be tailored based on ongoing monitoring of her symptoms and in collaboration with her healthcare providers. Always ensure with her medical team regarding any supplementary herbs, ensuring everything aligns with her treatment plan. This personalized approach will not only support her adrenal health but also enhance her overall well-being.