Yoga for respiratory disorders

Morarji Desai National Institute of Yoga (MDNIY), New Delhi under Ministry of AYUSH, GOI was designated as a World Health Organisation Collaborating Centre for Traditional Medicine (Yoga) in April, 2013. WHO Collaborating Centre is supposed to take FOUR work-plans and the second one is – `Organization of capacity building workshops and training programs on the role, scope, practice and evidence-based use of Yoga in non-communicable diseases’.

2nd Capacity Building Workshop was conducted on the theme “Yogic Management of Cancer, Bronchial Asthma & Stroke” at Morarji Desai National Institute of Yoga, New Delhi from 28th - 30th November, 2016.
Dr Ananda was invited as a Resource Person for the workshop for orienting and enlightening the participants on the role, scope, practice and evidence-based use of Yoga in non-communicable diseases with special emphasis on Bronchial Asthma.

1. 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 Director
Centre for Yoga Therapy, Education and Research (CYTER), Centre for Yoga Therapy, Education and Research (CYTER),
Sri Balaji Vidyapeeth, Puducherry. www. sbvu.ac.in Sri Balaji Vidyapeeth, Puducherry. www. sbvu.ac.in

WHO Workshop 2016WHO Workshop 2016

2. SBV AIM HIGH’sSBV AIM HIGH’s
Centre for Yoga Therapy, Education Centre for Yoga Therapy, Education
and Research and Research ((CYTERCYTER))
Salutogenesis, our focus!

3. SBV AIM HIGH’sSBV AIM HIGH’s
Centre for Yoga Therapy, Education Centre for Yoga Therapy, Education
and Research and Research ((CYTERCYTER))
Salutogenesis, our focus!

4. 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

5. 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

6. 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

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

9. Sarvanga Asana &
variations

10. Bala AsanaBala Asana
Meru AsanaMeru Asana
Padhasta AsanaPadhasta Asana

11. CHANT YOUR WAY TO CHANT YOUR WAY TO
HEALTHY SINUSESHEALTHY SINUSES
Chanting creates sound vibrations encouraging air Chanting creates sound vibrations encouraging air
to move back & forth between sinus membranes to move back & forth between sinus membranes
and nasal passages. and nasal passages.
This helps open the tiny ducts connecting the nose This helps open the tiny ducts connecting the nose
to the sinuses, allowing the sinuses to drain to the sinuses, allowing the sinuses to drain
properly. properly.
Sinuses are effectively ventilated by humming. Sinuses are effectively ventilated by 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.

12. Daily humming or "Om" chanting may prevent Daily humming or "Om" chanting may prevent
infections from actually taking hold, according to infections from actually taking hold, according to
Jon Lundberg and Eddie Weitzberg of the Jon Lundberg and Eddie Weitzberg of the
Karolinska Institute, Sweden. Karolinska Institute, Sweden.
They found that humming increased nitric oxide They found that humming increased nitric oxide
levels levels fifteenfoldfifteenfold, compared to quiet exhalations , compared to quiet exhalations
without sound. without sound.
The exhalations of people with healthy sinuses The exhalations of people with healthy sinuses
tend to have high nitric oxide levels, indicating tend to have high nitric oxide levels, indicating
that more air is able to flow between the sinuses that more air is able to flow between the sinuses
and the nose. and the nose.
Nada Pranayamas of Yoga such as Bhramari and Nada Pranayamas of Yoga such as Bhramari and
the Pranava are similar to the humming used in the Pranava are similar to the humming used in
the study.the study.

13. NETI: THE YOGIC NASAL NETI: THE YOGIC NASAL
CLEANSING TECHNIQUECLEANSING TECHNIQUE
TYPES OF NETI:TYPES OF NETI:
Jala Neti Jala Neti -Nasal irrigation with lukewarm saline-Nasal irrigation with lukewarm saline
Sutra Neti -cleaning with a thread or catheterSutra Neti -cleaning with a thread or catheter
Dugdha Neti -Nasal irrigation with milkDugdha Neti -Nasal irrigation with milk
Ghrta Neti -Nasal irrigation with melted gheeGhrta Neti -Nasal irrigation with melted ghee
Jala KapalabhatiJala Kapalabhati
Vyutkrama KapalabhatiVyutkrama Kapalabhati
Seetkrama KapalabhatiSeetkrama Kapalabhati

14. BENEFITS OF NETI KRIYABENEFITS OF NETI KRIYA
Removes mucus and dust particles from the nasal Removes mucus and dust particles from the nasal
passages and the sinuses.passages and the sinuses.
All the five Jnanendriyas are purified, cleansed and All the five Jnanendriyas are purified, cleansed and
activated by Neti Kriyaactivated by Neti Kriya
Excellent preventive against cold, cough, sinusitis Excellent preventive against cold, cough, sinusitis
and infections of the respiratory tract.and infections of the respiratory tract.
Neti also renders the nose resistant to irritants like Neti also renders the nose resistant to irritants like
water, cotton, rubber, ghee, milk and thus helps in water, cotton, rubber, ghee, milk and thus helps in
hypersensitivity eg. Allergic Rhinitis. hypersensitivity eg. Allergic Rhinitis.
Helps to overcome addictions especially to tobacco Helps to overcome addictions especially to tobacco
and alcohol.and alcohol.

15. NASAL IRRIGATIONNASAL IRRIGATION
Hypertonic nasal irrigation is a therapy that Hypertonic nasal irrigation is a therapy that
flushes the nasal cavity with saline solution, flushes the nasal cavity with saline solution,
facilitating a wash of the structures within. facilitating a wash of the structures within.
Originally part of the Yogic tradition as Neti, this Originally part of the Yogic tradition as Neti, this
technique is anecdotally regarded as safe and technique is anecdotally regarded as safe and
effective. effective.
It has been suggested as adjunctive therapy for It has been suggested as adjunctive therapy for
sinusitis related symptoms.sinusitis related symptoms.
Potential efficacy is supported by the observation Potential efficacy is supported by the observation
that hypertonic saline improves mucociliary that hypertonic saline improves mucociliary
clearance, ciliary beat frequency thins mucus, and clearance, ciliary beat frequency thins mucus, and
may decrease inflammation.may decrease inflammation.

16. David Shoseyov and colleagues have shown that David Shoseyov and colleagues have shown that
hypertonic saline improves both clinical scores and hypertonic saline improves both clinical scores and
plain Waters’ projection radiology scores in 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 irrigation University of Texas says that saline nasal irrigation
is a highly effective, minimally invasive is a highly effective, minimally invasive
intervention for people suffering from nasal issues. intervention for people suffering from nasal 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.”

17. David Rabago and colleagues at the University of David Rabago and colleagues at the University of
Wisconsin have shown that daily hypertonic saline Wisconsin have shown that daily hypertonic saline
nasal irrigation improves sinus-related quality of nasal irrigation improves sinus-related quality of
life, decreases symptoms, and decreases life, decreases symptoms, and decreases
medication use in patients with frequent sinusitis. medication use in patients with frequent sinusitis.
They also recommended that primary care They also recommended that primary care
physicians can feel comfortable recommending physicians can feel comfortable recommending
this therapy.this therapy.

18. 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.

20. Breath-body harmonizing practicesBreath-body harmonizing practices
Tala and Ardhakati kriyas
Nasarga Mukha Bhastrika
with Jathis
in Meru Asana
in Ushtra Asana
Vyagraha Pranayama
Pawan Mukta Kriya
Bhujangini Mudra

21. SURYA NAMASKARSURYA NAMASKAR
Ancient Yogic method of worshiping the sun Ancient Yogic method of worshiping the sun
through a sequence of 12 postures that streamline through a sequence of 12 postures that streamline
the functioning of all systems of the human body.the functioning of all systems of the 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 by coordination - corrects psychosomatic disorders by
reuniting the body and mind through the breath.reuniting the body and mind through the breath.

23. POSTURES DONE FROM THE POSTURES DONE FROM THE
STANDINGSTANDING
Meru AsanaMeru AsanaArdha Kati ChakrasanaArdha Kati Chakrasana

24. POSTURES DONE POSTURES DONE
FROM THE SITTINGFROM THE SITTING
Ushtra AsanaUshtra Asana
Ardha Ardha
MatsyendrasanaMatsyendrasana
Chatus Pada Asana and Vyagrah PranayamaChatus Pada Asana and Vyagrah Pranayama

25. POSTURES DONE FROM LYING DOWNPOSTURES DONE FROM LYING DOWN
Bhujanga AsanaBhujanga Asana
Matsya AsanaMatsya Asana
Bala AsanaBala Asana
Pawan Mukta AsanasPawan Mukta Asanas

26. Vibhaga PranayamaVibhaga Pranayama
Adham PranayamaAdham Pranayama
Low Chest BreathingLow Chest Breathing
Madhyam Pranayama
Mid Chest Breathing
Adhyam Pranayama
Upper Chest Breathing
Mahat Yoga Pranayama
Integrated Complete Breath

27. PRANAYAMASPRANAYAMAS
Bhastrika PranayamaBhastrika Pranayama
Bellows breathingBellows breathing
Surya BhedanaSurya Bhedana
Breathe in right and Breathe in right and
out left nostrilout left nostril
Pranava PranayamaPranava Pranayama
Chanting Akara, Chanting Akara,
Ukara, Makara and Ukara, Makara and
OmkaraOmkara
Anu Nasika Pranayama Anu Nasika Pranayama
Blasting out through the Blasting out through the
nostrils in a specific nostrils in a specific
patternpattern
Kukkriya PranayamaKukkriya Pranayama
Dog pant breathingDog pant breathing
Bhramari PranayamaBhramari Pranayama
Bee sound breathingBee sound breathing

29. HATHENAS
Asanas, Kriyas and Mudras
to mindfully utilize all parts of the lungs
by consciously forcing air
into all of the
bronco-pulmonary segments.
“Yatho mana, tatho prana”
Where the mind goes, ther the energy flows!

32. Adhama (low lung areas)
Madhyama (mid lung areas)
Adhyama
(high lung areas)
Mahat Yoga
(unified lung areas)
HATHENAS

37. 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

38. 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)

39. Adham PranayamaAdham Pranayama
“A”
Breathing Part of Body
Part of Brain
Lower Chest
Lower
Reptilian complex

40. Madhyam PranayamaMadhyam Pranayama
“U”
Breathing Part of Body
Part of Brain
Mid Chest
Mid
Mammalian complex

41. Adhyam PranayamaAdhyam Pranayama
“M”
Breathing Part of Body
Part of Brain
Upper Chest
Upper
Neo-cortex

42. Pranava AUM PranayamaPranava AUM Pranayama
“AUM”
Breathing Part of Body
Part of Brain
Whole Chest
Whole Body
Whole Brain

43. RELAXATIONRELAXATION
Makara AsanaMakara Asana
Shpanda Nishpanda Kriya Shpanda Nishpanda Kriya
KayaKaya
KriyaKriya

44. 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

45. AN INTEGRATED APPROACH AN INTEGRATED APPROACH
The need of the modern age is to have an integrated The need of the modern age is to have an integrated
approach towards therapy and to utilize Yoga therapy approach towards therapy and to utilize Yoga therapy
with coordination and collaboration with other systems with coordination and collaboration with other systems
of medicine such as Allopathy, Ayurveda, Siddha and of medicine such as Allopathy, Ayurveda, Siddha and
NaturopathyNaturopathy
Physiotherapy, osteopathy and chiropractic practices Physiotherapy, osteopathy and chiropractic practices
may be used with the Yoga if neededmay 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 counsellingAdoption of right attitudes through Yogic counselling

46. 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 issues possibilities of solutions for the health related issues
faced by modern humankind. faced by modern humankind.
We however want it to be a miracle pill, that we take We however want it to be a miracle pill, that we take
only once - immediate solution to all problems!only once - immediate solution to all 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 no is no
doubt a panacea for psychosomatic, stress related doubt a panacea for psychosomatic, stress related
disorders helping us to regain our birthright of natural disorders helping us to regain our birthright of natural
health and universal happiness.health and universal happiness.
The integration of Yoga and modern medicine can help The integration of Yoga and modern medicine can help
create a healthier and happier world.create a healthier and happier world.

47. ““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

48. Accredited with ‘AA’ grade by NAAC