Pranayama - Alternate Nostril Breathing

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    Pranayama--

    Alternate Nostril Breathing

    Paul Emerson

    U. of MN July 8, 2009

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    Introduction

    Prana vs. breath

    Yogic Models of breath

    Physiology of alternate nostril breathing Research Studies

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    What is an Pranayama?

    When that [posture] has been [accomplished],

    braking the force and uncontrolled movement of

    inhalation and exhalation is termed breath control

    and expansion ofprana.

    Thereby the veil over the illusion diminishes

    and vanishes.

    And the mind becomes fit for concentration

    The 4th pranayama is that which surpasses the

    ones that operate in the external and internal

    realms.

    That pranayama is is divided into 3 modes--

    external, internal and suspension delimited by

    locus, duration and count and made long and

    subtle.

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    Introduction: What is prana?

    AVitalistconcept--protophysiological

    Physical (respiration) and amorphous (energy)

    Chi, Bergsons elan vital, psychophysiologicalenergy, bioenergy

    Cognitive/behavioral definition: Prana is theawareness of the instantaneous state of the

    physiological potentia--the sense of physicalwell-being (PFE)

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    Yoga models (1)

    Kosha system (Vedanta System) i) Anamaya kosha

    ii) Pranamaya kosha (19 fingers from body)

    iii) Manomaya kosha

    iv) Vijanamaya kosha

    v) Anandamaya kosha

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    Yoga models (2)

    Five main pranas (Note: differsfrom Vasistha Samhita)

    i) Udanaabove larynx

    ii) Pranalarynx and heart

    iii) Apanabelow navel

    iv) Samanabetween heart and

    navel v) Vyanadistributed throughout

    body

    vi) Utility of the prana typology?

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    Yoga models (3)

    The nadis (3 principal; 14main)

    Ida (Left), Pingala (right),Sushumna (central)

    Ida and Pingala are associatedwith the nostrils

    Seven main chakras(intersection of 3 nadis)

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    Yoga models (4)

    Purification of the nadis--Hatha YogaPradipika--1350 C.E.

    II.19---When the Nadis get purifiedappearance of external signs like slimness ofthe body and lustre is certain.

    II.20---By purifying the nadis one is able to

    retain the breath with ease; the (gastric) fireis increased; and experience of (internallyaroused) sound and good health aresecured.

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    Yoga models (5)

    Purification of the nadis--VasisthaSamhita--1250 C.E.

    II.67-68--He achieves purification of Nadismarked by the distinct signs--lightness ofbody, brightness, increase in appetite-manifestation of the sound - this is the sign

    indicating purification of Nadis.

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    Yoga models (6)

    Hatha Yoga Pradipika II.16 By proper practice of Pranayama all

    diseases are annihilated. Improper practice of

    Pranayama (on the other hand) gives rise to allsorts of diseases.

    VS gives no such caution, possibly becausepurification of nadis via nadi shodhanatakes

    place before pranayama.

    In HYP nadi shodhanais taught as a type ofpranayama.

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    Yoga models (7)

    Goal ofnadi shodhana(aside from thepurification of the nadis) is equinostrilbreathing

    This is preparatory for meditation

    Does occur during states of excitement

    May also occur as a result of asana practice

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    Anatomic Overview (1)

    Tubes--nasal cavity, trachea,and bronchii

    Active organs--i.e. lungs

    Other--Muscles of breathing,larynx, control centers.

    Colors--white (trachea), pink(lungs)

    10 levels of primary bronchiplus secondary and tertiarylevels

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    Anatomic Overview (2)

    At last level of tree are bronchioles which are not rigid

    Left lung is larger; right is smaller due to heart

    No direct lung connection (they glide)

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    Nasal Pharynx Cavity (1)

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    Nasal Pharynx Cavity (2)

    Erectile tissue in turbonates (meatuses) likenipples and genitals

    Personality change with nasaloperations--Honeymoon nose.

    3 normal nasal functions--filtration,humidification and heat

    Alternation of air flow

    Soft palate collapse in sleep--obstructive sleepapnea (OSA)

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    The Nasal Cycle(1)

    Termed coined by Kayser 1895

    Cycle thought to original in the hypothalamus

    (suprachiasmatic nucleus) Correlates with brain hemisphere activity,

    REM/nonREM sleep patterns, verbal andcognitive processing

    Decreases with age (Mirza, 1997)

    Classic alternating cycle incidence is small

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    The Nasal Cycle(2)

    General synchrony EEG sometimes leads

    air flow (subject PC)

    Results similar

    through variousfrequency bands

    D Werntz, R Bickford, F Bloom and D Shannahoff-Khalsa. Alternating cerebral hemispheric activity

    and the lateralization of autonomic nervous function. Human Neurobiology. Vol. 2, 1983. pp. 39-43

    Note: Contralateral

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    The Nasal Cycle(3)P. Flanagan and R. Eccles. Spontaneous Changes of Unilateral Nasal Airflow in Man. A Re-

    examination of the Nasal Cycle. Acta Otolaryngol (Stockh) 1997. Vol. 117: 590-595.

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    The Nasal Cycle(4)

    Mirza et. al. Influence of Age on the Nasal Cycle, Laryngoscope 107: January 1997

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    The Nasal Cycle(5)A. Searleman et. al. Nostril Dominance: Differences in Nasal Airflow and preferred

    Handedness, Laterality2005; 10(2): 111-120

    15 min measurements; 6 hrs; 11 RH and 9 LF subjects

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    Implications

    By manually changing the natural cycle thephysiological autonomic correlates can bechanged.

    Methods of change Uninostril breathing

    Alternate nostril breathing

    Positional manipulations--(yoga dandas)

    Issue: Effect contra- or ipsilateral or nolateralization

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    Uninostril Breathing (1)

    S Dane, E Caliskan, M Karasen, N Oztasan. Effects of Unilateral Nostril Breathing on

    Blood Pressure And Heart Rate in Right-Handed Healthy Subjects. Intern. J. Neuroscience

    112: 2002. pp. 97-102

    Systolic BP (mm Hg) Diastolic BP (mm Hg) Heart Rate

    Rest 125.4 80.1 77.4Exercise 132.9 82.1 86.7

    Right UFNB 135.6* 82.8 89.0*

    Left UFNB 137.1* 82.6 90.6*

    Systolic BP (mm Hg) Diastolic BP (mm Hg) Heart Rate

    Rest 121.6 80.5 81.6

    Exercise 131.5 83.4 100.5

    Right UFNB 132.0 81.8 107.4*

    Left UFNB 130.9 82.5 110.7*

    Men n = 88; age 18 - 24

    Women n = 41 ; age 18 - 24

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    Uninostril Breathing (2)

    D Werntz, R Bickford and D Shannahoff-Khalsa. Selective himispheric stimulation by

    unilateral forced nostril breathing. Human Neurobiology. Vol. 6, 1987. Pp. 165-171.

    Opposite SideAffected

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    Uninostril Breathing (3)

    P Raghuraj, S Telles.Right uninostril yoga breathing influences ipsilateral

    components of middle latency auditory evoked potentials Neuro Science. 2004. 25:

    274-280.

    14 male volunteers, 18-33 years ofageRight Nostril breathing produced

    enhanced amplitude of Na and Nb

    parts of evoked potential on the right

    sideNo effect noticed with simple breath

    awareness

    Same side

    affected

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    Alternate Nostril Breathing (1)

    Telles S, Nagarathna R, Nagendra HR.. Breathing through a particular nostril can alter

    metabolism and autonomic activities.. Indian J Physiol Pharmacol 1994 Apr;38(2):133-7

    Method: 3 groups--right nostril, left nostril, alternate nostril.

    Practice 4 times per day for a month--27 respiratory cycles

    each time. n = 48.

    Results: Increase in oxygen consumption over baseline.Right nostril-37%; Left nostril 24%; Both nostrils 18%

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    Alternate Nostril Breathing (2)

    Naveen KV, Nagarathna R, Nagendra HR, Telles S. Yoga breathing through a particular nostrilincreases spatial memory scores without lateralized effects. Psychol Rep. 1997 Oct;81(2):555-61.

    Method: 4 groups--right nostril, left nostril, alternate nostril, breath

    awareness, controls. Practice for 10 days. n = 108. Age 10-17. Spatial

    and verbal tests before and after.

    Results: 4 breathing groups showed increase in spatial scores but not

    control.

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    Alternate Nostril Breathing (3)

    Telles S, Raghuraj P, Maharana S, Nagendra H. Immediate effect of 3 breathing

    techniques on a letter cancellation task. Percept and Motor Skills, 2007 Vol. 104:

    1289-1296.

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    Neti (1)

    Hypertonic saline preferred

    Nostril to nostril easiest

    Facilitates nadi shodhana

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    Neti(2)

    G. Romagnoli et. al. Hypersaline nasal irrigation in children with symptomatic seasonal

    allergic rhinitis: A Randomized Study, Ped Aller and Immun: 2003

    20 children 6-12 yearsallergic to Parietaria

    Nonblinded randomized 3 times daily 5 ml of

    3% sterile saline viasyringe in each nostril

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    Neti(3)S. Cordray et. al. Comparison of intranasal hypertonic Dead Sea saline spray and

    intranasal aqueous triamcinolone spray in seasonal allergic rhinitis , Ent Ear, Noseand Throat Journal: July, 2005

    5 hypertonic Dead Sea; 5 steriods; 5 isotonic saline

    Tulsa, OK during spring allergy season

    Rhinitis QOL questionaire

    Delivered via spray rather than irrigation

    High in Mg

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    Conclusions

    Purification of the nadis would seemingly havesome correlation with manipulations of the ANS Lightness of body--metabolic increase (sympathetic

    stimulation)

    Brightness or body glows--increased cutaneousperfusion

    Increase in appetite--parasympathetic stimulation

    Manifestation of inner sound ????

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    Questions?