1) The document discusses how yoga practices like Hathenas (asanas, kriyas, and mudras) can be used mindfully to improve lung function by forcing air into all parts of the lungs. 2) It describes different types of targeted pranayama or breathing techniques (vibhaga pranayama) that focus on low, mid, upper, and whole lung areas and their benefits. 3) Recent research from CYTER found that adjuvant Hathenas yoga therapy improved lung function and reduced symptoms more than medication alone for patients with COPD and diabetic lung disease.

1. HATHENASHATHENAS
~~ forcing techniques to enhanceforcing techniques to enhance
lung function~lung function~
YogacharyaYogacharya
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
DirectorDirector
Centre for Yoga Therapy, Education and Research (CYTER),Centre for Yoga Therapy, Education and Research (CYTER),
Sri Balaji Vidyapeeth, Puducherry. www. sbvu.ac.inSri Balaji Vidyapeeth, Puducherry. www. sbvu.ac.in

2. MechanismsofYoga
MechanismsofYoga

3. 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

4. HATHENASHATHENAS
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, there the energy flows!

8. VibhagaVibhaga
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 bodyaffects the whole body
Focusing consciousness into broncho-pulmonary segments

9. 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

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

15. Pranava PranayamaPranava Pranayama
 Using foundation of VibhagaUsing foundation of Vibhaga
 Chanting Akara, Ukara, Makara andChanting 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)

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

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

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

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

20. Recent research on Hathenas andRecent research on Hathenas and
COPD from CYTERCOPD from CYTER

21. Comparison of delta changes in lung function in adjuvant
yoga therapy group and control (medication alone) group
before and after the four weeks study period.
***p<0.001 by Student’s unpaired ‘t’ test for inter group comparison.***p<0.001 by Student’s unpaired ‘t’ test for inter group comparison.
***
***

22. *p<0.05, **p<0.01 & ***p<0.001 by Student’s unpaired ‘t’ test for inter group comparison.*p<0.05, **p<0.01 & ***p<0.001 by Student’s unpaired ‘t’ test for inter group comparison.
Comparison of delta in symptoms, activities, impact & total
SGRQ scores in adjuvant yoga therapy and control (medication
alone) groups before & after 4 weeks study period.
***
*****
*
SS – symptoms score, AS – activity score, IS – impacts score, QS – quality score (total)

23. Recent research on Hathenas andRecent research on Hathenas and
Diabetic lung from CYTERDiabetic lung from CYTER

24. Comparison of delta changes in adjuvant yoga therapy (Hathenas)
and control groups before and after 4 months study period
Values are given as mean ± SD. Actual p values are given for intergroup comparison by Student’s unpaired T test.
Parameters Yoga
(Hathenas)
Control p value
Weight (kg) -4.01 ± 1.50 0.42 ± 2.05 < 0.0001
BMI (kg/m)² -1.55 ± 0.63 0.12 ± 0.75 <0.0001
FBS (mg/dl) -38.21 ± 23.72 5.08 ± 6.88 <0.0001
PPBS (mg/dl) -82.41 ± 42.91 5.72 ± 12.04 <0.0001
HbA1c (%) -1.09 ± 0.43 0.13 ± 0.20 <0.0001
FEV1 (l) 0.54 ± 0.77 0.04 ± 0.18 0.0003
FVC(l) 0.52 ± 1.06 0.13 ± 0.35 0.042
FEV1/FVC 2.77 ± 14.01 -1.51 ± 3.49 0.083
Blood Urea (mg/dl) -2.08 ± 1.52 0.6 ± 1.82 <0.0001
Sr Creatinine (mg/dl) -0.15 ± 0.13 0.07 ± 0.14 <0.0001

25. Accredited with ‘AA’ grade by NAAC