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Y O G A F O R A S T H M A Dr. Shamanthakamani Narendran M.D. (Pead), Ph.D. (Yoga Science)
 
Taittiriya Upanisad K.Y. Tittiri birds Visompayana – yajnavalkya Surya tapas Shikshavalli Brahmananda Bhrugu – Varuna to his son Vallis
Ánandamaya Kôùa Vijòanánmaya Kôùa PERFECT HEALTH Manômaya Kôùa Annamaya Kôùa Pránamaya Kôùa ÁDHIJA VYÁDHIS YOGA Panchakosa concept
ASTHMA  MANAGEMENT ANNAMAYA KOSA LEVEL: DIET -  SATVIK   SIMPLE  VEGETARIAN AVOID LATE, HEAVY SUPPER AVOID SENSITIVE FOODS WHEN  ASTHMA  IS  AGGRAVATED DESENSITISE  TO  SENSITIVE FOODS  DURING INTERVALS OF GOOD SEASON  OR REMISSION LIFE STYLE OF MODERATION  YAMA,  NIYAMA
VOLUNTARY CONTROL OVER   INVOLUNTARY NERVOUS  SYSTEM PANIC REDUCED RELAX  BODY- MIND COMPLEX   REDUCE DEMAND WHY 8 STEPS  IN  CHAIR  BREATHING? TO  MAINTAIN  STEADY  AWARENESS  OF  BREATHING FOR 20-30 minutes ACUTE  EPISODES - CHAIR BREATHING
GRADUALLY BUILD UP TO DIFFERENT  POSTURES  AND DYNAMIC ASANAS COMPLEMENTARY POSTURES -  DRAINAGE OF SECRETION - FORWARD  BEND ASANAS AVOID  NONE
OPEN UP CHEST IMPROVE  LUNG CAPACITY   BACKWARD BENDS BHUJANGA,  DHANUR,UÚTRA GENERAL STAMINA -  DYNAMIC ASANAS UITHILEKARANA, SURYA NAMASKARA BALANCE OF PRANA ASANAS  HOW ?
BETTER TOLERANCE TO  EXERCISE- STIMULUS-RELAX GRADED GRADUAL  IMPROVEMENT OF  EXERTION TOLERANCE PRANIC   BALANCE ASANAS  HOW ?
KRIYAS CLEAN THE PASSAGES -NATI CLEAR THE DIGESTION - DHOUTI UANKHA PRAKUALANA  ALLERGY - HYPER-REACTIVITY
MASTERY OVER SNEEZING  REFLEX  JALANATI
STAMINA BUILDING JALANETI  - WATER  NON SPECIFIC IRRITANT - ACCEPT SUTRA NETI - RUBBER TUBE STRONGER NON SPECIFIC IRRITANT   KRIYAS GRADED CRADUALLY INCREASING STIMULUS ON BACKGROUND OF DEEP REST
PRANAMAYA  KOSA: PRANA BLOCKS - IMBALANCE REMOVED RIGHT - LEFT BALANCE.  SAV MAY HELP IDEALLY RECOGNISE THE NASAL DOMINENCE MOMENT TO MOMENT AND CORRECT THE IMBALANCE
ABDOMINAL BREATHING:   TRAINING DIAPHRAGMATIC  BREATHING  HELPS REDUCE   EFFORT  OF  BREATHING *  RELEASES  PRANIC  BLOCKS IN CHEST *  IMPROVES DIGESTION e)  BHASTRIKA - IMPROVES GENERAL  STAMINA
MANOMAYA KOSA: MEDITATION - DIRECT  METHOD  TO REST  ANS AND IMMUNE SYSTEM STRESS REDUCTION
EMOTION CULTURE REPLACE EMOTIONAL SENSITIVITY  BY EMOTIONAL MASTERY CONFLICTS ARISE BECAUSE OF  EMOTIONAL HYPER SENSITIVITY DEVOTIONAL SESSION
VIJNANA MAYA  KOSA: YOGIC COUNSELLING *  SURRENDER TO DIVINE  ACCEPTANCE JOY IN JOY OF OTHERS  WORK IN RELAXATION ACTION IN CONTENTMENT etc., HAPPINESS ANALYSIS   REDUCE RUSH AND SPEED
ANANDAMAYA KOSA: SWITCH OFF TO DWELL IN INNER BLISS FREQUENTLY RECOGNISE THAT YOU ARE MADE OF THAT STUFF  ANANDAMAYA YOU CAN EXPAND AND SLOW DOWN
INTEGRATED YOGA MODULE FOR ASTHMA Breathing practices Hands in and out breathing Hands stretch breathing Ankle stretch breathing Dog breathing Rabbit breathing Tiger breathing Sasankasana breathing Straight leg raise breathing Instant relaxation technique (IRT)
Loosening Exercises Forward and backward bending Side bending Pavanamuktasana kriya Quick relaxation technique (QRT) Yogasanas Standing   Ardhakati cakrasana Ardha cakrasana Padahastasana
Sitting Vajrasana Vakrasana Ardha Matsyendrasana Pascimottanasana  Prone  Bhujangasana  Salabhasana Supine Sarvangasana Matsyasana Halasana Deep relaxation technique (DRT)
Pranayama   Surya Anuloma Viloma pranayama Candra Anuloma Viloma pranayama Nadisuddi pranayama Sitali/ Sitkari/ Sadanta pranayama Bhramari pranayama Meditation Nadanusandhana OM-Dhyana (meditation)/ Cyclic meditation
Acute attack - chair breathing Vamanadhouti + DRT  – Once a week Laghu Sankapraksalana  + DRT - Daily
Step 1 (IRT using a chair as support) Sit on the floor with legs stretched out under the chair.  Pull the chair towards the chest and hold onto it with your arms. Start IRT. Stretch and tighten the entire body from toes to the head Start tightening from the toes, ankle joints, calf muscles Pull up the knee caps Tighten the tight muscles. Compress and squeeze the buttocks Breath-out and suck the abdomen inside From the fists and tighten the arms Inhale and expand the chest Tighten the shoulders, neck muscles, compress the face Tighten the whole body from the toes to the head. Tighten ……… tighten ……… tighten. Release and relax. Collapse the whole body. Legs go apart. Relax the whole body at once, and rest the head and the arms on the seat of the chair as in Makarasana or simply relax the arms forward head on the chair. YOGA CHAIR BREATHING
Step 2 (neck muscles relaxation with chair support in 3 stages) 1.  Neck movement only (5 times) Slowly move the head forward and backward relaxing the posterior neck muscle. You can either hold onto the edge of the chair or simply relax the arms forward head on the chair. 2.  Neck movement with breathing (5 times) Inhale as deeply and slowly as possible while moving the head backwards and exhale while moving it forward. 3.  Neck movement with A-kar (5 times) Chant A-kar in a low voice while bending the head forward.
Step 3 (neck movement in Vajrasana in 3 stages) 1.  Neck movements only (5 times) Move the head forward and backward in a relaxed way. 2.  Neck movement with breathing (5 times) Inhale while moving the head backwards and exhale while moving it forward. 3.  Neck movement with U-kar (5 times) Chant U-kar in a low voice while bending the head forward.
Step 4 (Sasankasana movement in 3 stages) Sasankasana movements only (5 times) Bend forward and backward from the waist regions while sitting Vajrasana and holding the right wrist with the left at the back. Sasankasana movement with breathing (5 times)    Synchronize your breathing with the forward and backward movements. While inhaling bend backward and while exhaling bend forward. Sasankasana movement with M-kar (5 times)    Chant M-kar in a low voice while bending forward to Sasankasana
Step 5 (relaxation in Tadasana) Slowly come up to Tadasana and relax for about a minute Step 6 (neck movement in Tadasana in 3 stages) 1.  Neck movement only (5 times) Move the head forward and backward slowly. 2.  Neck movement with breathing (5 times) Synchronize your breathing with neck movement 3.  Neck movement M-kar (5 times) Chant M-kar in a low voice while bending the head forward.
Step 7 (Ardhachakrasana – Padahastasana in 3 stages) 1.  Movement only (5 times) From Tadasana move to Ardhachakrasana slowly and then shift to Padahastasana allowing the hands to hang loosely down. Then return to Tadasana This is one cycle. Repeat five times slowly and continuously. 2.  Movement with breathing (5 times) Synchronize the movements with breathing. While inhaling move to Ardhachakrasana and while exhaling move to Padahastasana. Then again while inhaling come up and move to Ardhachakrasana. Repeat the cycle five times. 3.  Movement with M-kar (5 times) Chant M-kar in a low voice while bending forward to Padahastasana.
Step 8 (Quick relaxation technique) a)  Starting position Sthithi: Savasana b)  Practice Phase I  Feel the abdominal movements, observe the movements of the abdominal muscles going up and down as you breathe in and out normally. Count five times. Phase II Synchronize the breathing with the abdominal movements. While inhaling the abdomen bulging up and while exhaling the abdomen sinking in. Continue five times.
Phase III As you inhale, energize the body and feel the lightness and as you exhale, collapse all the muscles, release the tension and enjoy the deep relaxation. Continue five rounds. Chant an A-kar in a low voice while exhaling. Feel the vibration in the lower parts of the body. Slowly come up from either the right or the left side of the body.   Note: Initially this Yoga Chair Breathing Technique takes about 30-35 minutes. With practice the time required to about 20 minutes. The patient is asked to use this technique, instead of Bronchodilators when an attack is about to come. With this technique he/she can learn to relax Bronchospasm effectively.
INTEGRATED YOGA MODULE FOR ASTHMA Breathing practices Hands in and out breathing Ankle stretch breathing Tiger breathing Rabbit breathing Dog breathing (eyes closed) Straight leg raise breathing Back stretch Tiger stretch Yoga chair breathing Sithilikarana Vyayama (loosening exercises) Pavanamuktasana kriya Suryanamaskar
Yogasanas Ardhakati cakrasana Padahastasana Ardha cakrasana Vakrasana/ Ardha-Matsyendrasana  Bhujangasana  Salabhasana Sarvangasana Matsyasana Deep relaxation technique (DRT)
Pranayama Kapalabhati Vibhaga pranayama (Sectional breathing) Surya Anuloma Nadi suddhi Bhramari Meditation (Dhyana Dharana) Nadanusandhana OM meditation Kriyas Jala Neti Sutra Neti Vaman Dhouti
SPECIFIC PRACTICE Yoga tries to cure asthma by cleaning your lungs and making you emotionally strong so that you do not react to stressful situations.  As the disease is primarily of the lungs and respiratory system the pranayama and asanas selected are to restore the health of lungs and the respiratory system.  The postures prescribed drain mucus from your lungs, and relax your lung muscles.  Yoga also teaches you to breathe correctly. Yoga not only clears your lungs but also gives you the will power to give up smoking through Meditation.
Daily Practice :  Jal Neti Kriya  Bhastrika Pranayam  Nadi Shodak Pranayam  Ujjayi Pranayam  Pranayama massages  the body cells and inner organs.   The Breathing Exercises oxygenate your lungs, and increase their flexibility.  By strengthening your immune system, they also reduce your dependency on medication.
General considerations : This problem is often associated with bronchitis or allergy. Contraindications : There are few contraindications of yoga for patients with asthma which is not complicated (e.g. acute bronchitis). The environment in which yoga is practised should be, as far as possible, free of the substances which may cause allergic reaction. Recommendations : These patients often benefit from many yogic practices including relaxation and meditation, see publications of Bihar School of Yoga.
Recommended Asanas :  Ekpada Uttana Asana - helps in activating the bronchial lining.  Tadasana (Palm Tree Pose) - strengthens bronchioles and lungs; builds up muscles of chest.  Ustrasana (Camel Pose) - activates facial tissues, the nasal passage, the pharynx & the lungs.  Simhasana (Lion Pose) - cures throat trouble, voice deficiency and tonsillitis; activates the larynx, trachea and all bronchioles; invigorates the thyroid cartilages.
Sarvangasana (Shoulder Stand) - corrects any disorder of circulatory system.  Matsyasana (Fish Pose)- - corrects the disorders of the respiratory system as all organs concerned with respiration such as, the nasal passage, the pharynx, the larynx are exercised. system.  Padmasana (Lotus Pose)- relaxes the body; appropriate asana for pranayam.  Savasana (Corpse pose) - removes fatigue and quitens the mind; must be practiced at the end of asana.  Pause for half a minute between the asanas.
THANK YOU

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Asthma Yoga.ppt

  • 1. Y O G A F O R A S T H M A Dr. Shamanthakamani Narendran M.D. (Pead), Ph.D. (Yoga Science)
  • 2.  
  • 3. Taittiriya Upanisad K.Y. Tittiri birds Visompayana – yajnavalkya Surya tapas Shikshavalli Brahmananda Bhrugu – Varuna to his son Vallis
  • 4. Ánandamaya Kôùa Vijòanánmaya Kôùa PERFECT HEALTH Manômaya Kôùa Annamaya Kôùa Pránamaya Kôùa ÁDHIJA VYÁDHIS YOGA Panchakosa concept
  • 5. ASTHMA MANAGEMENT ANNAMAYA KOSA LEVEL: DIET - SATVIK SIMPLE VEGETARIAN AVOID LATE, HEAVY SUPPER AVOID SENSITIVE FOODS WHEN ASTHMA IS AGGRAVATED DESENSITISE TO SENSITIVE FOODS DURING INTERVALS OF GOOD SEASON OR REMISSION LIFE STYLE OF MODERATION YAMA, NIYAMA
  • 6. VOLUNTARY CONTROL OVER INVOLUNTARY NERVOUS SYSTEM PANIC REDUCED RELAX BODY- MIND COMPLEX REDUCE DEMAND WHY 8 STEPS IN CHAIR BREATHING? TO MAINTAIN STEADY AWARENESS OF BREATHING FOR 20-30 minutes ACUTE EPISODES - CHAIR BREATHING
  • 7. GRADUALLY BUILD UP TO DIFFERENT POSTURES AND DYNAMIC ASANAS COMPLEMENTARY POSTURES - DRAINAGE OF SECRETION - FORWARD BEND ASANAS AVOID NONE
  • 8. OPEN UP CHEST IMPROVE LUNG CAPACITY BACKWARD BENDS BHUJANGA, DHANUR,UÚTRA GENERAL STAMINA - DYNAMIC ASANAS UITHILEKARANA, SURYA NAMASKARA BALANCE OF PRANA ASANAS HOW ?
  • 9. BETTER TOLERANCE TO EXERCISE- STIMULUS-RELAX GRADED GRADUAL IMPROVEMENT OF EXERTION TOLERANCE PRANIC BALANCE ASANAS HOW ?
  • 10. KRIYAS CLEAN THE PASSAGES -NATI CLEAR THE DIGESTION - DHOUTI UANKHA PRAKUALANA ALLERGY - HYPER-REACTIVITY
  • 11. MASTERY OVER SNEEZING REFLEX JALANATI
  • 12. STAMINA BUILDING JALANETI - WATER NON SPECIFIC IRRITANT - ACCEPT SUTRA NETI - RUBBER TUBE STRONGER NON SPECIFIC IRRITANT KRIYAS GRADED CRADUALLY INCREASING STIMULUS ON BACKGROUND OF DEEP REST
  • 13. PRANAMAYA KOSA: PRANA BLOCKS - IMBALANCE REMOVED RIGHT - LEFT BALANCE. SAV MAY HELP IDEALLY RECOGNISE THE NASAL DOMINENCE MOMENT TO MOMENT AND CORRECT THE IMBALANCE
  • 14. ABDOMINAL BREATHING: TRAINING DIAPHRAGMATIC BREATHING HELPS REDUCE EFFORT OF BREATHING * RELEASES PRANIC BLOCKS IN CHEST * IMPROVES DIGESTION e) BHASTRIKA - IMPROVES GENERAL STAMINA
  • 15. MANOMAYA KOSA: MEDITATION - DIRECT METHOD TO REST ANS AND IMMUNE SYSTEM STRESS REDUCTION
  • 16. EMOTION CULTURE REPLACE EMOTIONAL SENSITIVITY BY EMOTIONAL MASTERY CONFLICTS ARISE BECAUSE OF EMOTIONAL HYPER SENSITIVITY DEVOTIONAL SESSION
  • 17. VIJNANA MAYA KOSA: YOGIC COUNSELLING * SURRENDER TO DIVINE ACCEPTANCE JOY IN JOY OF OTHERS WORK IN RELAXATION ACTION IN CONTENTMENT etc., HAPPINESS ANALYSIS REDUCE RUSH AND SPEED
  • 18. ANANDAMAYA KOSA: SWITCH OFF TO DWELL IN INNER BLISS FREQUENTLY RECOGNISE THAT YOU ARE MADE OF THAT STUFF ANANDAMAYA YOU CAN EXPAND AND SLOW DOWN
  • 19. INTEGRATED YOGA MODULE FOR ASTHMA Breathing practices Hands in and out breathing Hands stretch breathing Ankle stretch breathing Dog breathing Rabbit breathing Tiger breathing Sasankasana breathing Straight leg raise breathing Instant relaxation technique (IRT)
  • 20. Loosening Exercises Forward and backward bending Side bending Pavanamuktasana kriya Quick relaxation technique (QRT) Yogasanas Standing Ardhakati cakrasana Ardha cakrasana Padahastasana
  • 21. Sitting Vajrasana Vakrasana Ardha Matsyendrasana Pascimottanasana Prone Bhujangasana Salabhasana Supine Sarvangasana Matsyasana Halasana Deep relaxation technique (DRT)
  • 22. Pranayama Surya Anuloma Viloma pranayama Candra Anuloma Viloma pranayama Nadisuddi pranayama Sitali/ Sitkari/ Sadanta pranayama Bhramari pranayama Meditation Nadanusandhana OM-Dhyana (meditation)/ Cyclic meditation
  • 23. Acute attack - chair breathing Vamanadhouti + DRT – Once a week Laghu Sankapraksalana + DRT - Daily
  • 24. Step 1 (IRT using a chair as support) Sit on the floor with legs stretched out under the chair. Pull the chair towards the chest and hold onto it with your arms. Start IRT. Stretch and tighten the entire body from toes to the head Start tightening from the toes, ankle joints, calf muscles Pull up the knee caps Tighten the tight muscles. Compress and squeeze the buttocks Breath-out and suck the abdomen inside From the fists and tighten the arms Inhale and expand the chest Tighten the shoulders, neck muscles, compress the face Tighten the whole body from the toes to the head. Tighten ……… tighten ……… tighten. Release and relax. Collapse the whole body. Legs go apart. Relax the whole body at once, and rest the head and the arms on the seat of the chair as in Makarasana or simply relax the arms forward head on the chair. YOGA CHAIR BREATHING
  • 25. Step 2 (neck muscles relaxation with chair support in 3 stages) 1. Neck movement only (5 times) Slowly move the head forward and backward relaxing the posterior neck muscle. You can either hold onto the edge of the chair or simply relax the arms forward head on the chair. 2. Neck movement with breathing (5 times) Inhale as deeply and slowly as possible while moving the head backwards and exhale while moving it forward. 3. Neck movement with A-kar (5 times) Chant A-kar in a low voice while bending the head forward.
  • 26. Step 3 (neck movement in Vajrasana in 3 stages) 1. Neck movements only (5 times) Move the head forward and backward in a relaxed way. 2. Neck movement with breathing (5 times) Inhale while moving the head backwards and exhale while moving it forward. 3. Neck movement with U-kar (5 times) Chant U-kar in a low voice while bending the head forward.
  • 27. Step 4 (Sasankasana movement in 3 stages) Sasankasana movements only (5 times) Bend forward and backward from the waist regions while sitting Vajrasana and holding the right wrist with the left at the back. Sasankasana movement with breathing (5 times)  Synchronize your breathing with the forward and backward movements. While inhaling bend backward and while exhaling bend forward. Sasankasana movement with M-kar (5 times)  Chant M-kar in a low voice while bending forward to Sasankasana
  • 28. Step 5 (relaxation in Tadasana) Slowly come up to Tadasana and relax for about a minute Step 6 (neck movement in Tadasana in 3 stages) 1. Neck movement only (5 times) Move the head forward and backward slowly. 2. Neck movement with breathing (5 times) Synchronize your breathing with neck movement 3. Neck movement M-kar (5 times) Chant M-kar in a low voice while bending the head forward.
  • 29. Step 7 (Ardhachakrasana – Padahastasana in 3 stages) 1. Movement only (5 times) From Tadasana move to Ardhachakrasana slowly and then shift to Padahastasana allowing the hands to hang loosely down. Then return to Tadasana This is one cycle. Repeat five times slowly and continuously. 2. Movement with breathing (5 times) Synchronize the movements with breathing. While inhaling move to Ardhachakrasana and while exhaling move to Padahastasana. Then again while inhaling come up and move to Ardhachakrasana. Repeat the cycle five times. 3. Movement with M-kar (5 times) Chant M-kar in a low voice while bending forward to Padahastasana.
  • 30. Step 8 (Quick relaxation technique) a) Starting position Sthithi: Savasana b) Practice Phase I Feel the abdominal movements, observe the movements of the abdominal muscles going up and down as you breathe in and out normally. Count five times. Phase II Synchronize the breathing with the abdominal movements. While inhaling the abdomen bulging up and while exhaling the abdomen sinking in. Continue five times.
  • 31. Phase III As you inhale, energize the body and feel the lightness and as you exhale, collapse all the muscles, release the tension and enjoy the deep relaxation. Continue five rounds. Chant an A-kar in a low voice while exhaling. Feel the vibration in the lower parts of the body. Slowly come up from either the right or the left side of the body.   Note: Initially this Yoga Chair Breathing Technique takes about 30-35 minutes. With practice the time required to about 20 minutes. The patient is asked to use this technique, instead of Bronchodilators when an attack is about to come. With this technique he/she can learn to relax Bronchospasm effectively.
  • 32. INTEGRATED YOGA MODULE FOR ASTHMA Breathing practices Hands in and out breathing Ankle stretch breathing Tiger breathing Rabbit breathing Dog breathing (eyes closed) Straight leg raise breathing Back stretch Tiger stretch Yoga chair breathing Sithilikarana Vyayama (loosening exercises) Pavanamuktasana kriya Suryanamaskar
  • 33. Yogasanas Ardhakati cakrasana Padahastasana Ardha cakrasana Vakrasana/ Ardha-Matsyendrasana Bhujangasana Salabhasana Sarvangasana Matsyasana Deep relaxation technique (DRT)
  • 34. Pranayama Kapalabhati Vibhaga pranayama (Sectional breathing) Surya Anuloma Nadi suddhi Bhramari Meditation (Dhyana Dharana) Nadanusandhana OM meditation Kriyas Jala Neti Sutra Neti Vaman Dhouti
  • 35. SPECIFIC PRACTICE Yoga tries to cure asthma by cleaning your lungs and making you emotionally strong so that you do not react to stressful situations. As the disease is primarily of the lungs and respiratory system the pranayama and asanas selected are to restore the health of lungs and the respiratory system. The postures prescribed drain mucus from your lungs, and relax your lung muscles. Yoga also teaches you to breathe correctly. Yoga not only clears your lungs but also gives you the will power to give up smoking through Meditation.
  • 36. Daily Practice : Jal Neti Kriya Bhastrika Pranayam Nadi Shodak Pranayam Ujjayi Pranayam Pranayama massages the body cells and inner organs. The Breathing Exercises oxygenate your lungs, and increase their flexibility. By strengthening your immune system, they also reduce your dependency on medication.
  • 37. General considerations : This problem is often associated with bronchitis or allergy. Contraindications : There are few contraindications of yoga for patients with asthma which is not complicated (e.g. acute bronchitis). The environment in which yoga is practised should be, as far as possible, free of the substances which may cause allergic reaction. Recommendations : These patients often benefit from many yogic practices including relaxation and meditation, see publications of Bihar School of Yoga.
  • 38. Recommended Asanas : Ekpada Uttana Asana - helps in activating the bronchial lining. Tadasana (Palm Tree Pose) - strengthens bronchioles and lungs; builds up muscles of chest. Ustrasana (Camel Pose) - activates facial tissues, the nasal passage, the pharynx & the lungs. Simhasana (Lion Pose) - cures throat trouble, voice deficiency and tonsillitis; activates the larynx, trachea and all bronchioles; invigorates the thyroid cartilages.
  • 39. Sarvangasana (Shoulder Stand) - corrects any disorder of circulatory system. Matsyasana (Fish Pose)- - corrects the disorders of the respiratory system as all organs concerned with respiration such as, the nasal passage, the pharynx, the larynx are exercised. system. Padmasana (Lotus Pose)- relaxes the body; appropriate asana for pranayam. Savasana (Corpse pose) - removes fatigue and quitens the mind; must be practiced at the end of asana. Pause for half a minute between the asanas.