Yoga for respiratory Yoga for respiratory disordersdisorders

Yogacharya Yogacharya Dr. ANANDA BALAYOGI BHAVANANIDr. ANANDA BALAYOGI BHAVANANI

MBBS, ADY, DSM, DPC, PGDFH, PGDY, MD (Alt Med), FIAY, C-IAYTMBBS, ADY, DSM, DPC, PGDFH, PGDY, MD (Alt Med), FIAY, C-IAYT

Deputy DirectorDeputy DirectorCentre for Yoga Therapy, Education and Research (CYTER), Sri Balaji Centre for Yoga Therapy, Education and Research (CYTER), Sri Balaji

Vidyapeeth, Puducherry. www. sbvu.ac.in Vidyapeeth, Puducherry. www. sbvu.ac.in

WHO Workshop 2016WHO Workshop 2016

SBV AIM HIGH’sSBV AIM HIGH’sCentre for Yoga Therapy, Centre for Yoga Therapy, Education and Research Education and Research

((CYTERCYTER))Salutogenesis, our focus!

SBV AIM HIGH’sSBV AIM HIGH’sCentre for Yoga Therapy, Centre for Yoga Therapy, Education and Research Education and Research

((CYTERCYTER))Salutogenesis, our focus!

1. Annamayakosha (Anatomical existence)

2. Pranamayakosha (Physiological existence)

3. Manomayakosha (Psychological existence)

4. Vijnanamayakosha (Intellectual existence)

5. Anandamayakosha (Universal existence)

PANCHA KOSHA PANCHA KOSHA - 55 levels of human existence

Deep breathing is economical *Deep breathing is economical *NormalNormal ShallowShallow DeepDeep

VolumeVolume (ml) (ml) 500 500 200 200 10001000

Rate/minRate/min 1212 30 30 66

Ventilation Ventilation (ml) (ml) 6000 6000 6000 6000 6000 6000

Dead spaceDead space (ml) (ml) 150 150 150 150 150 150

Dead space VDead space V (ml) (ml) 1800 1800 45004500 900 900

Alveolar V Alveolar V (ml) (ml) 42004200 15001500 51005100

* Prof Madanmohan, Director CYTER and Head Department of Physiology, MGMC & RI

Yoga Practices Postures, Breathing, Relaxation, Meditation

Fitness

↑Flexibility↑Strength

↑Coordination/Balance ↑Respiratory Function

↑Self-Efficacy

Global Human Functionality ↑Physical & Mental Health, ↑Physical, Mental, Emotional Performance,

↑Positive Behavior Change, ↑Social Responsibility, Values, Relationships, ↑Quality of Life, ↑Life Purpose & Meaning, ↑Spirituality

Self-Regulation

↑Emotion Regulation ↑Stress Regulation

↑Resilience ↑Equanimity

↑Self-Efficacy

Awareness ↑Attention

↑Mindfulness↑Concentration

↑Cognition↑Meta-cognition

Spirituality ↑Transcendence

↑Unitive State↑Flow

↑Transformation↑Life Meaning/Purpose

* Concept and image courtesy of Sat Bir S Khalsa, PhD USA

Proposed relationships among dyspnea, Proposed relationships among dyspnea, benefits of yoga, and outcomes of benefits of yoga, and outcomes of participation in a yoga program. participation in a yoga program.

Donesky-Cuenco D, Nguyen HQ, Paul S, Carrieri-Kohlman V. Yoga Therapy Decreases Dyspnea-Related Distress and Improves Functional Performance in People with Chronic Obstructive Pulmonary Disease: A Pilot Study. J Altern Complement Med 2009; 15: 225–234.

Sarvanga Asana & variations

Bala AsanaBala Asana

Meru AsanaMeru AsanaPadhasta AsanaPadhasta Asana

CHANT YOUR WAY TO CHANT YOUR WAY TO HEALTHY SINUSESHEALTHY SINUSES

Chanting creates sound vibrations Chanting creates sound vibrations encouraging air to move back & forth encouraging air to move back & forth between sinus membranes and nasal between sinus membranes and nasal passages. passages.

This helps open the tiny ducts connecting This helps open the tiny ducts connecting the nose to the sinuses, allowing the sinuses the nose to the sinuses, allowing the sinuses to drain properly. to drain properly.

Sinuses are effectively ventilated by Sinuses are effectively ventilated by humming. humming.

Previous research has shown that poor sinus Previous research has shown that poor sinus ventilation increases the risk for sinusitis.ventilation increases the risk for sinusitis.

Daily humming or "Om" chanting may Daily humming or "Om" chanting may prevent infections from actually taking prevent infections from actually taking hold, according to Jon Lundberg and hold, according to Jon Lundberg and Eddie Weitzberg of the Karolinska Eddie Weitzberg of the Karolinska Institute, Sweden. Institute, Sweden.

They found that humming increased They found that humming increased nitric oxide levels nitric oxide levels fifteenfoldfifteenfold, compared , compared to quiet exhalations without sound. to quiet exhalations without sound.

The exhalations of people with healthy The exhalations of people with healthy sinuses tend to have high nitric oxide sinuses tend to have high nitric oxide levels, indicating that more air is able to levels, indicating that more air is able to flow between the sinuses and the nose. flow between the sinuses and the nose.

Nada Pranayamas of Yoga such as Nada Pranayamas of Yoga such as Bhramari and the Pranava are similar to Bhramari and the Pranava are similar to the humming used in the study.the humming used in the study.

NETI: THE YOGIC NASAL NETI: THE YOGIC NASAL CLEANSING CLEANSING TECHNIQUETECHNIQUE

TYPES OF NETI:TYPES OF NETI: Jala Neti Jala Neti -Nasal irrigation with -Nasal irrigation with

lukewarm salinelukewarm saline Sutra Neti -cleaning with a thread or Sutra Neti -cleaning with a thread or

cathetercatheter Dugdha Neti -Nasal irrigation with milkDugdha Neti -Nasal irrigation with milk Ghrta Neti -Nasal irrigation with melted Ghrta Neti -Nasal irrigation with melted

gheeghee Jala KapalabhatiJala Kapalabhati

Vyutkrama KapalabhatiVyutkrama Kapalabhati Seetkrama KapalabhatiSeetkrama Kapalabhati

BENEFITS OF NETI BENEFITS OF NETI KRIYAKRIYA

Removes mucus and dust particles from the Removes mucus and dust particles from the nasal passages and the sinuses.nasal passages and the sinuses.

All the five Jnanendriyas are purified, cleansed All the five Jnanendriyas are purified, cleansed and activated by Neti Kriyaand activated by Neti Kriya

Excellent preventive against cold, cough, Excellent preventive against cold, cough, sinusitis and infections of the respiratory sinusitis and infections of the respiratory tract.tract.

Neti also renders the nose resistant to Neti also renders the nose resistant to irritants like water, cotton, rubber, ghee, milk irritants like water, cotton, rubber, ghee, milk and thus helps in hypersensitivity eg. Allergic and thus helps in hypersensitivity eg. Allergic Rhinitis. Rhinitis.

Helps to overcome addictions especially to Helps to overcome addictions especially to tobacco and alcohol.tobacco and alcohol.

NASAL IRRIGATIONNASAL IRRIGATION Hypertonic nasal irrigation is a therapy Hypertonic nasal irrigation is a therapy

that flushes the nasal cavity with saline that flushes the nasal cavity with saline solution, facilitating a wash of the solution, facilitating a wash of the structures within. structures within.

Originally part of the Yogic tradition as Originally part of the Yogic tradition as Neti, this technique is anecdotally Neti, this technique is anecdotally regarded as safe and effective. regarded as safe and effective.

It has been suggested as adjunctive It has been suggested as adjunctive therapy for sinusitis related symptoms.therapy for sinusitis related symptoms.

Potential efficacy is supported by the Potential efficacy is supported by the observation that hypertonic saline observation that hypertonic saline improves mucociliary clearance, ciliary improves mucociliary clearance, ciliary beat frequency thins mucus, and may beat frequency thins mucus, and may decrease inflammation.decrease inflammation.

David Shoseyov and colleagues have shown that David Shoseyov and colleagues have shown that hypertonic saline improves both clinical scores hypertonic saline improves both clinical scores and plain Waters’ projection radiology scores in and plain Waters’ projection radiology scores in children with chronic sinusitis. children with chronic sinusitis.

They have also commented that the treatment is They have also commented that the treatment is tolerable, inexpensive, and effective. tolerable, inexpensive, and effective.

Dr. Marple, professor of otolaryngology at the Dr. Marple, professor of otolaryngology at the University of Texas says that saline nasal University of Texas says that saline nasal irrigation is a highly effective, minimally invasive irrigation is a highly effective, minimally invasive intervention for people suffering from nasal intervention for people suffering from nasal issues. issues.

He however adds, He however adds, “But it’s just not as sexy to talk “But it’s just not as sexy to talk about. People want to hear about surgery or about. People want to hear about surgery or antibiotics.” antibiotics.”

David Rabago and colleagues at the David Rabago and colleagues at the University of Wisconsin have shown University of Wisconsin have shown that daily hypertonic saline nasal that daily hypertonic saline nasal irrigation improves sinus-related irrigation improves sinus-related quality of life, decreases symptoms, quality of life, decreases symptoms, and decreases medication use in and decreases medication use in patients with frequent sinusitis. patients with frequent sinusitis.

They also recommended that primary They also recommended that primary care physicians can feel comfortable care physicians can feel comfortable recommending this therapy.recommending this therapy.

KUNJAL KRIYA One of the Shat Karmas Immense value for mucous (Kapha) disorders Done in the morning on an empty stomach. One or two litres of lukewarm saline drunk rapidly Abdomen churned with Nauli Kriya or Agnisara Induce vomiting with fingers Mechanism: Close functional relationship between

upper GIT and airways with reflex action in nerves supplying both esophagus and bronchi.

Always relax after in Shavasana with deep breathing.

Breath-body harmonizing Breath-body harmonizing practicespractices

Tala and Ardhakati kriyas Nasarga Mukha Bhastrika

with Jathis in Meru Asana in Ushtra Asana

Vyagraha Pranayama Pawan Mukta Kriya Bhujangini Mudra

SURYA NAMASKARSURYA NAMASKAR Ancient Yogic method of worshiping the sun Ancient Yogic method of worshiping the sun

through a sequence of 12 postures that through a sequence of 12 postures that streamline the functioning of all systems of the streamline the functioning of all systems of the human body.human body.

Includes a breath sequence & chantingIncludes a breath sequence & chanting Helps improve all aspects of physical fitness Helps improve all aspects of physical fitness

including cardio-respiratory efficiency.including cardio-respiratory efficiency. When done with the Surya Namaskar Mantras it When done with the Surya Namaskar Mantras it

has the added benefits of ventilating the sinuses.has the added benefits of ventilating the sinuses. Helps develop breath-body movement Helps develop breath-body movement

coordination - corrects psychosomatic disorders coordination - corrects psychosomatic disorders by reuniting the body and mind through the by reuniting the body and mind through the breath.breath.

POSTURES DONE FROM THE POSTURES DONE FROM THE STANDINGSTANDING

Meru AsanaMeru AsanaArdha Kati Ardha Kati ChakrasanaChakrasana

POSTURES DONE POSTURES DONE FROM THE FROM THE SITTINGSITTING

Ushtra AsanaUshtra Asana

Ardha Ardha MatsyendrasaMatsyendrasanana

Chatus Pada Asana and Vyagrah PranayamaChatus Pada Asana and Vyagrah Pranayama

POSTURES DONE FROM LYING DOWNPOSTURES DONE FROM LYING DOWN

Bhujanga AsanaBhujanga Asana

Matsya AsanaMatsya Asana

Bala AsanaBala Asana

Pawan Mukta AsanasPawan Mukta Asanas

Vibhaga PranayamaVibhaga PranayamaAdham PranayamaAdham Pranayama

Low Chest BreathingLow Chest BreathingMadhyam PranayamaMid Chest Breathing

Adhyam PranayamaUpper Chest Breathing

Mahat Yoga PranayamaIntegrated Complete

Breath

PRANAYAMASPRANAYAMAS Bhastrika Bhastrika

PranayamaPranayama Bellows breathingBellows breathing

Surya BhedanaSurya Bhedana Breathe in right Breathe in right

and out left nostriland out left nostril Pranava Pranava

PranayamaPranayama Chanting Akara, Chanting Akara,

Ukara, Makara Ukara, Makara and Omkaraand Omkara

Anu Nasika Anu Nasika Pranayama Pranayama Blasting out Blasting out

through the through the nostrils in a nostrils in a specific patternspecific pattern

Kukkriya Kukkriya PranayamaPranayama Dog pant Dog pant

breathingbreathing Bhramari Bhramari

PranayamaPranayama Bee sound Bee sound

breathingbreathing

HATHENASAsanas, Kriyas and Mudras

to mindfully utilize all parts of the lungs by consciously forcing air

into all of thebronco-pulmonary segments.

“Yatho mana, tatho prana”Where the mind goes, ther the energy flows!

Adhama (low lung areas)

Madhyama (mid lung areas)

Adhyama (high lung areas)

Mahat Yoga(unified lung

areas)

HATHENAS

Vibhaga Vibhaga PranayamaPranayama

Adham PranayamaAdham Pranayama abdominal and lower limb disordersabdominal and lower limb disorders

Madhyam PranayamaMadhyam Pranayama chest and upper limb disorderschest and upper limb disorders

Adhyam PranayamaAdhyam Pranayama head and neck disordershead and neck disorders

Mahat Yoga PranayamaMahat Yoga Pranayama affects the whole body affects the whole body

Focusing consciousness into broncho-pulmonary segments

Pranava PranayamaPranava Pranayama Using foundation of Vibhaga Using foundation of Vibhaga Chanting Akara, Ukara, Makara and Chanting Akara, Ukara, Makara and

Omkara NadaOmkara Nada 2 to 3 times longer exhalations2 to 3 times longer exhalations Appropriate hand gestures (Mudras)Appropriate hand gestures (Mudras)

Adham PranayamaAdham Pranayama

“A”

Breathing Part of Body Part of Brain

Lower Chest Lower Reptilian complex

Madhyam PranayamaMadhyam Pranayama

“U”

Breathing Part of Body Part of Brain

Mid Chest Mid Mammalian complex

Adhyam PranayamaAdhyam Pranayama

“M”

Breathing Part of Body Part of Brain

Upper Chest Upper Neo-cortex

Pranava AUM PranayamaPranava AUM Pranayama

“AUM”

Breathing Part of Body Part of Brain

Whole Chest Whole Body Whole Brain

RELAXATIONRELAXATIONMakara AsanaMakara Asana

Shpanda Nishpanda Shpanda Nishpanda Kriya Kriya

KayKayaa

KriKriyaya

Nada Yoga techniquesNada Yoga techniques Nasarga mukha bhastrikaNasarga mukha bhastrika Hakara kriyaHakara kriya Kukkriya pranayamaKukkriya pranayama Simha nadaSimha nada Bhramari pranayamaBhramari pranayama Brahma mudraBrahma mudra Pranava pranayama and dhyanaPranava pranayama and dhyana

AN INTEGRATED AN INTEGRATED APPROACH APPROACH

The need of the modern age is to have an The need of the modern age is to have an integrated approach towards therapy and to integrated approach towards therapy and to utilize Yoga therapy with coordination and utilize Yoga therapy with coordination and collaboration with other systems of medicine collaboration with other systems of medicine such as Allopathy, Ayurveda, Siddha and such as Allopathy, Ayurveda, Siddha and NaturopathyNaturopathy

Physiotherapy, osteopathy and chiropractic Physiotherapy, osteopathy and chiropractic practices may be used with the Yoga if neededpractices may be used with the Yoga if needed

Advise on diet and life style is very importantAdvise on diet and life style is very important Adoption of right attitudes through Yogic Adoption of right attitudes through Yogic

counsellingcounselling

IN CONCLUSIONIN CONCLUSION The ancient art and science of Yoga has infinite The ancient art and science of Yoga has infinite

possibilities of solutions for the health related possibilities of solutions for the health related issues faced by modern humankind. issues faced by modern humankind.

We however want it to be a miracle pill, that we We however want it to be a miracle pill, that we take only once - immediate solution to all take only once - immediate solution to all problems!problems!

Yoga is a wholistic science and must be learnt and Yoga is a wholistic science and must be learnt and practiced with a holistic view. practiced with a holistic view.

The dedicated practice of Yoga as a The dedicated practice of Yoga as a way of lifeway of life is is no doubt a panacea for psychosomatic, stress no doubt a panacea for psychosomatic, stress related disorders helping us to regain our related disorders helping us to regain our birthright of natural health and universal birthright of natural health and universal happiness.happiness.

The integration of Yoga and modern medicine can The integration of Yoga and modern medicine can help create a healthier and happier world.help create a healthier and happier world.

““Health and happiness are your birthright. Health and happiness are your birthright. Do not forsake your golden culture for the Do not forsake your golden culture for the

plastic playthings of the modern world. plastic playthings of the modern world. Learn and live Yoga for then you will know Learn and live Yoga for then you will know

true health and happinesstrue health and happiness””

Yogamaharishi Dr Swami Gitananda Giri

Guru Maharaj(1907-1993)

Founder ICYER at Ananda Ashram,

Pondicherry

Accredited with ‘AA’ grade by NAAC