yoga for asthma

1. Welcome 1
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

2. 2
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

3. Dr Anupama Krishnan
Dept of Swasthavritha
V.P.S.V Ayurveda College Kottakkal
Yoga for Asthma
3
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

4. Asthma
• Greek word "panting“
• Common chronic inflammatory disease airways
• Collection of inflammatory mediators
• Inflammation of airways
• Exaggerated broncho constrictor response to stimuli
• Reversible airflow obstruction , bronchospasm
• Recurrent variable episodes of airway obstruction
4
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

5. Relevance
• Two million emergencies
• 6% of Under five children
• More than 250,OOO death world wide
• Sickness absentism
5
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

6. Population disparity
Current asthma prevalence is higher among
Children than adults
Boys than girls
Women than men
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

7. Signs & Symptoms
• Recurrent episodes of wheezing
• Shortness of breath
• Chest tightness, coughing
• Difficult expulsion of sputum by coughing
• Worse at night, morning
• Adverse impact: exercise ,cold air
7
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

8. Linked ailments
Somatic
• Gastro-esophageal reflux disease (GERD)
• Rhino sinusitis
• Obstructive sleep apnea
Psychological
• Anxiety disorders (52% )
• Mood disorders in (4O%)
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

9. Cause
• Increases severity , responsiveness
• Pollution , Occupational Hazard
• Cold exposure
• Hypersensitivity immune reaction
• Family history
• Epi genetics
• Stress
9
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

10. Cause
• Genes: 100 genes linked to asthma
• Stress and psychological factors: encourages
smoking, modifies immune system
• Physical exertion: Strenous exercise
• Viral infections: Syncytial virus and rhinovirus
• Overweight adults: BMI ( 25-30) 38% chance
• Obese adults - BMI( 30 or greater) have
twice
10
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

11. Cause
Bronchial hyper- responsiveness
cGMP (cyclic Guanine Mono Phosphate)
NOT BALANCED
cAMP (cyclic Adenosin Monophosphate )
11
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

12. Cause
• Allergens: dust, cockroaches, hay, pollen,
fungi, food animal proteins - allergic asthma.
• Allergic reactions triggered by antibodies in
the blood - airway inflammation
12
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

13. 13
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

14. 14
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

15. Cause
• Medicinal drugs: Beta Blockers.
• Tobacco Smoke: Wheezing ,respiratory
infections, Increased case , mortality
• Adolescent smoking
• Environmental factors: Indoor air pollution
(mold, fumes from household chemicals,
nitrogen oxide from gas stoves).
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

16. Changes
• Allergens activate immunocompetent cells
• B-lymphocytes produce antibodies of Ig E
class
• Excessive B-lympocytes activation,Ig E
production
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

17. 19
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

18. Changes
• Antigen-Antibody reaction
• Hyperergic inflammation
• Mucous edema, spasm of smooth myocytes
• Viscous exudate formation bronchial lumen
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

19. Changes
• Bronchial wall :Infiltration mast cells
eosinophils, basophils, T-lymphocytes
• Bronchial epithelium : Destruction
• Bronchial smooth muscles: Hypertrophy
• Submucous glands: Hyperplasy
• Microvessels : Dilation
21
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

20. Phase
Three phases
• Prodromal period
• Height period
• Period of reverse changes
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

21. Phase
Three phases
• Prodromal period
• Height period
• Period of reverse changes
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

22. Phase
Prodromal phase
• Profuse watery discharge
• Sneezing, dryness in naso pharynx
• Paroxysmal cough with viscous sputum
• Excessive sweating
• Skin reactions
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

23. Phase
Peak Period
• Expiratory dyspnea
• Forced position with supporting on arms
• Poorly productive cough
• Cyanotic skin and mucous tunics
• Hyper expansion of thorax :all accessory
muscles during breathing
25
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

24. Phase
Period of reverse changes
• Dyspnea ,breathlessness relieve
or disappear
• Sputum becomes less viscous
• Cough productive
• Breath easier
26
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

25. Classification
.Depending : etiology
Exogenous (atopic)
Endogenous (non-atopic)
.Depending: clinical course
Intermittent (beginning, early)
Persistent (chronic, late)
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

26. Classification
• Depending on control assessment
Well-controlled
Partially controlled
Uncontrolled
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

27. Asthma Control
• Daytime symptoms <2 /week;
• Engage in normal daily activity;
• Absence of night time awakenings
• Bronchodilators administration <2 /week;
• Absence of asthma flare
• Normal/near :lung function parameters.
29
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

28. Classification
. Depending :
•Frequency of exacerbations
• Limitations of patient’s physical activity
• Lung function persistent asthma is divided
into
Mild,
Moderate
Severe
30
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

29. Complications
• Pneumothorax
• Lung atelectasis
• Pneumonia
• Acute or subacute cor pulmonale
• Asthmatic status.
31
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

30. Complications
• Fibrosing bronchitis
• Small bronchi deformation and obliteration
• Emphysema
• Pneumosclerosis
• Chronic respiratory failure
• Chronic cor pulmonale.
32
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

31. Investigation
• Eosinophilia
• Moderate leukocytosis
• Increased serum level of Ig E
• ECG(right axis deviation,v1-v2 changes)
• Chest X ray
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal
33

32. Hyperlucency of lung fields
Expanded intercostal spaces
Horizontal rib position.
Investigation

33. Assessment
• Diagnosis ,severity assessment
• Parameters of lung function
• Forced expiratory volume in 1 second (FEV1)
• Peak expiratory flow (PEF)
• Measured during spirometry at forced
breathing-out.
35
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

34. Current Management
• Mild attack- Bronchodilators
• Moderate attack- Bronchodilators & Steroids
• Severe Attack- O2, Bronchodilators &
Steroids
36
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

35. Ideal Management
• Avoid trigger factors
• Correct distorted position
• Correct faulty breathing habit
• Strengthen expiratory procedure
• General muscle relaxation
• Resolve supressed emotions
• Self awareness
37
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

36. Solution
38
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

37. 39
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

38. • Systematic methodology
• Development of Physical, Mental ,Intelluctual
Emotional ,Spiritual components
• Overall personality grooming
Yoga
40
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

39. Yoga
• Aggregate of Panchamahabhoota
• Harmonious flow of Pranic energy (vital energy)
• Channels of transport and communication Nadis
• Dormant potential-Kundalini
• Energy substratums –Shad chakra
41
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

40. Physical body
Energy sheath
Emotional sheath
Intellectual sheath
Bliss sheath
Annamaya
kosa
Pranamaya kosa
Manomaya
kosa
Vijnanamaya
kosa
Anandamaya kosa
Man has 5 major sheaths of existence
42
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

41. Adhi
affects
mind
Vyadhi-
affects
bod
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

42. Concept of disease…
• Adhi
• Lack of Knowledge
• Desires and Arrogance
• Improper eating
• Unintelligent behaviour
• Negative thoughts
• Infliction of injury
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

43. • Resultant Entropy of Prana
• Vijnanamayakosa - Ignorance
• Manomaya kosa - Stress,Negative thoughts
• Pranamayakosa - Functional disorders
• Annamayakosa - Physical ailment Vyadhi
45
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

44. Yogic view
Lack of discrimination power
Negative emotions at mind level
Leads to disturbance in the prana channels
Interruption in flow of prana
Vyadhi
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

45. Yogic view
Manomayakosa(Adhi)
Pranamayakosa(Vyadhi)
Annamayakosa(Vyadhi)
Asthma
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

46. Yoga Resume
• Rebalancing pranic energy
• Revitalizing mind
• Readjustment of body system
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

47. 50
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

48. • Psychological level
• Vital energy level
• Somatic level
51
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

49. Psychological level
• Achieve deep Internal awareness
• Solve psychological & emotional
conflicts
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

50. Prana level
• Mastery over Life energy
• Correcting disturbances in Prana flow
• Correct alternation in the prana flow
53
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

51. Somatic level
• Relaxation & improve tolerence
• Immune system balance
• Postural normalcy
• Respiratory stamina
• Drainage secretion
• Desensitization
54
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

52. ANNAMAYAKOSA
Satkriya
Loosening movements
Yogasana
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

53. Suddhi kriyas
(Shatkarmas)
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

54. SUDDHI KRIYA
• Neti (jala neti & sutra neti)
• Kapalabhati
• Dhauti (jala dhauti)
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

55. SUDDHI KRIYA
Benefits
• Clean the airway passage
• Tone up the function of lungs and respiratory
muscle
• Desensitize the hyperactive mucus
membrane
• Enhance the internal awareness
58
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

56. Neti
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

57. नेति
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

58. Sutraneti
• सूत्रं वितस्ततसुस्तिग्धं िासािाले प्रिेशयेत् ।
मुखास्निर्गमयेच्चैषां िेतत: ससद्धैतिगर्द्यते
(H.Y.2/29)
• Pull a thread 12 inches in length through one
of the nostrils. Pull it out through the mouth.
61
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

59. • Should pass easily and smoothly through the
valve at the back of the nose (the choanae) -
nasopharynx near the Eustachian tubes
curling under the upper palate
62
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

60. Benefits
कपालशोधधिी चैि दिव्यदृस्टिप्रिातयिी ।
जत्रूर्धिगजातरोर्ौधं िेततराशु तिहंतत च
(H.Y.2/30)
• Cleanses the skull(sinuses)
• Makes the eyes sharp
• Removes diseases above the shoulders.
63
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

61. Benefits
• Frictional massage: membranes are strengthened ,
work more efficiently
• Blood supply to the nerves of the air passages are
energized
• Relieves mouth breathing
• Stimulates nerves and related brain functions of
the eyes, tear ducts. sinus, ears, and head.
64
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

62. Jala neti
• Flushing nasal cavity with saline water
• Inhibition of the seasonal Ig E increase to
Dactylis glomerata by daily saline nasal
sinus irrigation during the grass pollen
season.
(J. Subiza et al., 1999)
65
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

63. Procedure
• Mix in salt to the proportion of one teaspoon
for half a litre of water.
• Equates to 0.9%( isotonic solution)just to
alter the taste
• Filter it , fill the neti pot
66
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

64. •Water simply flows up one nostril to just
above the bridge of the nose
•Backwards into the middle cavity
•Water flows down ,out the other side of the
nose.
•Passes by the frontal and mid nasal sinuses
67
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

65. Rinses dirt ,bacteria
Gravity & venturi effect
Vaccum pressure
Sinus passages are drained
68
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

66. Benefits
• Stimulating , tones nerves, glands & organs entire
nasal & cranial area
• Correct working envt: temperature humidity
regulation in the nose
• Balance nasal breathing- balance whole body
nervous function- better physical and mental health
• Improves sensitivity of the olfactory nerves
• Helps to restore lost sense of smell
69
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

67. Kapala bhati
•Perform exhalation and inhalation
rapidly like the bellows
Bhala and Kapal - cranium or forehead
Bhati - light or splendour
• Perception and knowledge
• Frontal brain purification
70
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

68. Normal breathing
Inspiration-active
Expiration –passive
Kapalabhati
Exhalation - active
Inhalation – passive
• Reversal in the flow of the nerve impulses to
and from brain stimulation and
awakening of the brain centres.
71
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

69. Benefits
• Clears the respiratory passages
• Forceful breaths - allergens , infectious
materials evacuated
• Improve flexibility of diaphragm - improves
circulation
• Increase the total lung capacity ,improves
respiratory efficiency
72
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

70. वमन धौति कुं जल क्रिय
73
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

71. Vamana dhauti
वपबेत्िारर चाकण्ठं पूररतं सुधी:
ऊर्धिाां दृस्टिं क्षणं कृ त्िा तज्जलं िमयेत्पुि:
तित्यमभ्यसयोर्ेि कफवपत्तं तििारयेत्
(G.S 1/38)
• Drink water pull up to the throat, looking for
a short while upwards vomit it out again
• Daily practice, disorders phlegum ,bile cured.
74
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

72. Procedure
• In empty stomach in morning
• After evacuation of bladder,bowel
• 1lt lukewarm water- 1tbs salt (1% saline)
• Drink as quickly as possible until cant take it
more
• When stomach is full - urge to vomit seems
automatic - almost involuntary gesture
75
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

73. G.S 1/38
76
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

74. Benefits
• Cleanses entire digestive,respiratory tract
• Rid of excess bile, mucus and toxins
• Restore body's natural balance, chemical
composition
• Increase in production of gastric enzymes
77
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

75. Duration
• Jalaneti- daily upto 14 days
• Sutra neti- weekly twice
• Vamana dhauti- weekly once
78
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

76. Sookshma Vyayama
“Movements of all joints -slow rhythmic
pattern”
• Relieve stiffness of the joints
• Stretch and relax muscle
• Stimulate production of synovial fluid
• Improve strength and stamina
79
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

77. Loosening exercise
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

78. Loosening exercise
for legs
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

79. Loosening exercise
for hands
82
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

80. • Loosening of Neck
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

81. 84
Skandha chakra
• Shoulder rotation
• Increase flexibility,
• Tone the shoulder muscle
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

82. Postures
• Forward Bending
• Backward Bending
• Lateral Stretch Standing poses
• Twisting Poses
• Inversions
85
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

83. Forward bending
• Stretches the posterior part of the lungs
• Relieves fatigue
“Forward leaning has been noted clinically to be
effective in COPD , most adopted body
position,decreases dyspnea
increases exercise capacity”
( Am J Respir Crit Care Med Vol 173. pp 1390–1413, 2006)
86
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

84. Backward Bending
• Allows for deep inhalation.
• Ribs expand and separate ,space for
lungs to inflate
• Heart stretched out along with left
ventricle
• Cardiac muscle toned up
• Clear bronchial tree of mucus
• Opens thoracic cage
• Allows blood from right ventricle to
enter without strain 87
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

85. Lateral Stretch Standing poses
• Expand the intercostals
• Tone up the lung walls
• Stretch the lungs
88
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

86. Twisting Poses
• Increase elasticity of intercostals
• Squeeze , stretch lungs
• Squeeze lateral parts of lungs
• Free flowing breath
89
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

87. Inversions
• Help drainage from the basal parts of the
lungs
90
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

88. Asana
Standing
o Ardhakatichakraasana
o Padahasthasana
o Ardhachakrasana
o Trikonsana
o Parivritta trikonasana
Sitting
o Sukhasana
o Sasankasana
o Ushtrasana
o Paschimottanasana
o Suptha vajrasana
o Vakrasana
o Ardhamatsyendrasana
Prone
o Bhujangasana
o Salabhasana
Supine
o Sarvangasana
o Halasana
o Matsyasana
91
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

89. Padahasthasana
Padahasthasana
• Stretch the entire backside of the body from
head to heels
• Allows lungs , heart to rest
• Stretches posterior part of lungs
• Relieves fatigue
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

90. Ardhachakrasana
• Ribs expand and separate
• Provide more room for lungs to inflate.
• Stretches intercoastal muscle
• Increase lungs capacity.
93
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

91. Trikonasana
• Stretching of Deltoid
• Latissimus dorsi
• Intercoastal muscle
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

92. Parivritta trikonasana
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Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

93. Sukhasana
• Normalize breathing pattern
• Lungs diaphragm require space to inflate
deflate during respiratory process.
• Spine kept erect
• Open space for organs respiratory muscles
• Vital in taking efficient breath
96
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

94. Sasankasana
•Calming the nerves
•Providing a feeling of tranquillity
97
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

95. Ushtrasana
•Tone up abdominal viscera
•Improves the flexibility of scapula
trapezius muscles
98
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

96. Paschimottanasana
• Keep the upper shoulders neck area relaxed
• Calm and soothe nervous system
• Stress reliever
• Remove anxiety, anger
99
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

97. Suptavajrasana
• Brings more oxygen to system
• Tones spinal nerves, neck back muscles
• Stretches ribcage
• Diminishing anger aggression relaxes mind
100
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

98. Vakrasana
Ardhamatsyendrasana
101
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

99. • Lungs chest cavity is expanded
• Stretches muscles in the shoulders, chest
and abdominals
• Opens chest helps to clear passages of
heart and lungs
Bhujangasana
102
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

100. Salabhasana
• Tightens the abdominal muscles and
expands the upper part of the body.
• Enhancing capacity
103
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

101. oSarvangasana
Cleans the airways in lower zone
Balance prana, calms down the mind
oMatsyasana
Clear the air way narrowing
104
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

102. Pranamaya kosa
• Breathing exercise
• Kapalabhathi
• Suryanuloma viloma
• Suryabhedana
105
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

103. Pranamayakosa
• Breathing practise & pranayama
• Warmth generating
• Avoid cooling practise
106
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

104. • Full utilization all lobes of lungs
• Normalizing breathing pattern
• Uniform and Rhythmic breathing
107
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

105. SECTIONAL BREATHING
• Abdominal breathing(diaphramatic )
• Thoracic breathing (intercoastal)
• Upper lobar breathing(clavicular)
• Full yogic breathing(combination)
108
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

106. Breathing Practice
• Hand in and out
• Hands stretch breathing ( 90°, 135°, 180°)
109
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

107. Benefits
• Opening the lower, middle and upper zone of
the chest
• Deep internal awareness
• Prana balance
• Trains the chest wall muscle for rhythmic
breathing
• Improve concentration and calm down the
mind
110
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

108. Ankle stretch breathing
•Breath awareness
•Expansion constriction of airways n mid zone
•Strengthen clavicular muscle
•Relax body and mind
111
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

109. Dog breathing
•Full diaphragm contraction empties locked up air
in alveoli
•Cleanses lower middle portion of lungs
•Relaxing bronchi
•Calms body and mind
112
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

110. Rabbit breathing
• Effortless rapid breathing
• Increasing speed of diaphragmatic
movements
• Open up prana block in upper chest
113
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

111. Tiger breathing
• Empties the lungs – Allow better aeration
during stretch
• Expansion contraction of chest wall –
harmonious functioning of muscle
• Awareness of expansion of air sac
• Complete emptying of air sac and airways
114
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

112. Tiger Breathing
115
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

113. Sasankasana breathing
• Expels air trap in the lower zone
• Releases prana block
• Train in diaphragmatic breathing
116
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

114. “ Yoga chair breathing for acute episode of
bronchial asthma.”
(R.Nagarathna, H.R.Nagendra 1991)
117
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

115. Results...
• Patients asymptomatic after an attack but
their lung functions were only 40- 50%
• Significant increase PEFR
• Yoga chair breathing is effective and risk free
118
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

116. 119
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

117. Pranayama
• Nadisudhi pranayama
• Ujjayi
• Suryabhedhana pranayama
• Surya anuloma viloma
120
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

118. • Link between body & mind
• Prana - breath/vital energy extension breath
scientific way
• Ayama - to extent/stretch regulating vital
energy
121Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

119. Nadisudhi pranayama
प्र ण य मेन यक्िेन सववरोगक्षयो भवेि ्
• Balance ida and pingala nadi
• Pure oxygenated air is breathed into the lungs
improve circulation
• Strengthen lungs increases overall lung
capacity
• Reduce stress
• Improve mental health
• Regulate metabolism
122
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

120. Ujjayi
• Sit erect spine straight.
• Inhale slowly while drawing the air by both the
nostrils.
• touch of air experienced in throat
• Sound is produced.
• Slow exhalation is to be done
123
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

121. Suryabhedana
• Sit in Padmasana or Sidhasana.
• Inhale slowly and deeply through your right nostril,
your left nostril shut with your ring finger and little
finger.
• Next, close your right nostril with the thumb of your
right hand. and then exhale through your left nostril,
keeping your right nostril closed.
• Repeat the act 5 – 10 times.
124
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

122. (Pingala Nadi)
•Stimulate sympathetic nervous system
•Increases the body temperature
•Removes blockages in pranic energy channels
•Purifying sinus
125
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

123. Surya Anuloma viloma
• Help in clearing the nasal passage
• Breath – Slow & smooth
126
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

124. “Effect of short term yoga practice on ventilatory
function test.”
(Makwana k et al.,1988)
• Maximal voluntary ventilation(MVV)
improved.
• Increase the compliance of lung - surfactants
127
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

125. Cont.....
Physiology Importance of Surfactant
• Stabilize alveoli
• Prevent collapse and sticking of alveoli
• Maintain the dryness of the alveoli
• Prevent the edema of the alveoli
128
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

126. Results..
Exercise support expiration beneficial.
Forcefully expiratory exercise helpful.
129
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

127. MANOMAYA KOSA
• Inhibit Negative thought
• Install Positive outlook
130
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

128. • Training thoughts
• Culturing emotions
• Developing Right Brain lobe
• Evoke Handle Diffuse thoughts
131
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

129. Manomayakosa
• Pratyahara
• Dharana
• Dhyana
• Cyclic meditation
• Chanting of mantras ,bhajans
132
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

130. Surya namaskara
133
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

131. Surya namaskara
Annamaya kosa
Strengthen and relax muscle
Rhythmic contraction and relaxation of the
chest muscle
Awareness
Pranamaya kosa
Balancing prana
Releasing prana block
Manomaya kosa
Emotional balance
134
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

132. Surya namaskara
“ A comparative study of slow and fast surya
namaskara on physiological function”
(Anand balayogi bhavanani et al.,2011)
• Different posture of suryanamaskara improve
chest wall expansion
• Improving strength all major respiratory
muscles specially inter costal muscles.
135
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

133. Vijnanamaya kosa
• Elimination of misconception
• Measures
Counselling
Awareness classes
Self study
Spiritual discourse
Psychotherapy
136
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

134. Vijnanamaya kosa
• Awareness classes
• Yama
• Niyama
• Relaxation
137
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

135. Relaxation
• Assimilation and Discrimination power
• Vital Energy store
• Relaxation
138
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

136. ANANDAMAYAKOSA
• Unparallel Bliss experience
• Karma yoga, Bhakti yoga
• Happy Assembly
139
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

137. Yoga Practice
• Energy Management
• Stamina Improvement
• Self Discipline
• Awareness
• Determination
• Perservance
140
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal

138. 141
Thank You
Anupama krishnan V.P.S.V
Ayurveda College Kottakkal