Meridian Approach for Asthma By Barbara Afield Meridian approach for Asthma (BOLSTER/STRAP/NOODLE/BLOCK/BLANKET) Music: Touch of the Deer Relate personal story and why I chose this condition. Relate how yoga has helped. Relate one of my asthma attacks. What Is Asthma? Asthma comes from the Greek word’AZO’ for "panting or breathing hard". A chronic lung disease characterized by coughing, wheezing and inflamed airways. Airway narrowing causes symptoms such as wheezing, shortness of breath (difficulty in breathing), chest tightness, and coughing, strain in exhaling the air. The asthmatic has to try hard for just getting a breath. Though asthmatics always have some degree of inflammation, an asthma attack or "flare" occurs when some trigger provokes increased swelling, mucus, coughing, and a tightening of the smooth muscle around the airways. As airways close, breathing becomes shallow, fast, and difficult. Symptoms can be mild, severe, or even fatal. Triggers? Attacks involve physical and psychological factors. emotions, environmental extremities (cold air, exercise or exertion, allergen) and viral infections. Pollution is often cited as a cause. Although most asthmatics are unaware of it, we tend to chronically breathe at a rate two to three times higher than normal which disrupts the vital balance of respiration. instead of providing more oxygen, over breathing actually robs our cells of this essential fuel. We do take in more oxygen when we over breathe; but, more importantly, we also breathe out too much CO2. when we breathe we expel carbon dioxide as a waste gas but how much we expel is very important . If the CO2 level get too low, the hemoglobin that carries oxygen through the blood becomes too "sticky" and doesn't release sufficient oxygen to the cells. Eventually, starved for oxygen, the body's natural defenses kick to try and halt the dangerous depletion of CO2. These measures produce the classic symptoms of an asthma attack: smooth muscles tighten around the airways, and the body produces excess mucus and histamine (which causes swelling) to constrict them even further. We also tend to be mouth breathers. Meridian Approach: The bladder meridian is used to treat all organs, and specifically to treat those that are in the area it traverses via the back points, there are several bladder points on the upper back (13 15 17) that are used for treating asthma. These bladder points turn out to be amongst the most important for treating asthma, perhaps because it is a blockage in flow of qi in the back that most strongly influences the severity of asthmatic breathing. We will focus on the bladder meridian which is the longest of all the meridians. It starts at the inner corner of the eye, runs over the head, down the neck, down the back twice along each side of the spinal column and down the back of the legs. These areas are associated with protecting the body. We will also use the lung and large intestine meridians – the lung meridian points for coughing, run from the inside of shoulder along the top of outside of arm to thumb. The large intestine runs from the outside bottom of nostrils to the jaw, neck and along the outer edge of arm to index finger. Theme Class – WIDE EXPANSE Centering: ASTHMA MUDRA – INCREASES BREATH CAPACITY – PRAYER POSITION – FOLD MIDDLE FINGERS TOWARD PALMS; PRESS FINGERNAILS OF MIDDLE FINGERS INTO EACH OTHER WITH OTHER FINGERS EXTENDED. READING - VISUALIZE PICTURES OF A WIDE EXPANSE – THE OCEAN, THE SKY WITH WHITE PUFFY CLOUDS, AND MOUNTAINS WITH YOU STANDING ON THE PEAK. TAKE THIS EXPANSIVENESS INTO YOUR LUNG AREA. WHILE EXHALING, LET THE DISTANCES BECOME GREATER, WHILE INHALING, LET THEM BECOME SMALLER. REPEAT THIS AFFIRMATION TO YOURSELF IF IT REASONATES WITH YOU – I detach myself from everything that constricts me and fully enjoy my new freedom. I feel safe and secure in the divine light, which gives me support. Release mudra/Open eyes DEEP RELAXATION ~ 5- 10 minutes LAY ON BACK OVER BOLSTER – STIMULATING BLADDER MERIDIAN POINTS on BACK by brining your attention to those points and continuing to visualize a wide expanse. EXTEND/FOLD ARMS OVER HEAD - PRESS THUMBS INTO ELBOWS LUNG 5 Observe breath, create space in lungs Roll to side DFD/Standing SHOULDER OPENER SERIES SHOULDER CIRCUMDUCTION LUNG MERIDIAN STRETCH Belly PECTORAL STRETCH TWIST Lung meridian points along inside arm ANTERIOR SHOULDER STRETCH ROLL PECTORALS using noodle- visualizing wide expanse REST Modified CROCODILE – THUMBS EXTENDED PRESSING INTO (LI 20 for nasal congestion) BELOW OUTSIDE OF NOSTRILS TABLE DFD (Bladder meridian – stretching back of legs) Uttanasana to Standing PARTNER – STANDING A/B Forearm press/Shoulder squeeze/inhale/exhale/Massage neck/back/hands down arms to balance chi/shake hands out. 5X each action MASSAGE (BLADDER MERIDIAN AND LUNG MERIDIAN AND TRIPLE WARMER) PARTNER – FLOOR; ASSISTED LUNG MERIDIAN STRETCH W/ BACK MASSAGE (LUng and BLADDER); SIT IN THUNDERBOLT PARTNER – V legs; clasp hands (Lung and LI meridian points and bladder) STANDING Mountain PRAYER TWIST (TW AND LU)/ROTATED LATERAL ANGLE –extend leg back YTT 20 (switch sides) Floor Back Prone EAGLE ARMS (LI/LU/TW) Breathing Exercises: SOFTENTING THE INHALATION– try to soften the effort you use to inhale, and decrease the length on your inhalation until it is shorter than the exhalation by as much as half. This may be counterintuitive to you but remember that over breathing is a habit that perpetuates the asthma. Begin to count the length of your exhalation, the pause afterward, and the following inhalation. After several minutes, start to modify your breath rhythm to emphasize the exhalation. Don’t struggle to lengthen your exhalation; instead, shorten your inhalation. With practice, this becomes easier. COMPLETE DIAPHRAGMATIC EXHALATIONS Roll on your back, knees bent, with feet flat on the floor An inability to exhale fully is a defining symptom of asthma. do this exercise to help slow breathing down and restore the diaphragmatic movement that allows a good exhalation, which in turn sets up a smooth inhalation. practice this exercise frequently whenever you feel short of breath. It is also a good exercise to do when you need to calm down in general. Lie on your back with your eyes closed and arms relaxed out to the sides. Beginning with an exhalation, purse your lips and blow the breath out in a steady stream. You will feel a strong action in the belly as the abdominal muscles assist the exhalation. Your exhalation should be longer than usual, but it is important not to push this too far. If you do, it will be very difficult to pause after exhaling and your subsequent inhalation will be strained. Pause for a few seconds after your exhalation, relaxing the abdomen. Then, keeping your throat open, allow the inhalation to flow in through the nose. Because of the stronger exhalation, you should be able to feel the inhalation being drawn effortlessly into the lower chest. Count the length of the exhalation, the pause, and the inhalation. At first, try to make the exhalation at least as long as the inhalation; do this by shortening your inhalation as in the previous exercise. Unlike the previous exercise, where breathing is at a resting rate, the overall rate of breathing here will be stronger and longer. Eventually, aim to make your exhalation more than twice as long as the inhalation and to make the pause after the exhalation comfortable rather than hurried. (It may take you a while to accomplish these goals.) Since asthmatics find exhalation difficult, it may help to imagine and eventually feel the sensation of the exhalation "flowing" upward, like a breeze, inside the ribs as it leaves the body. Repeat 5 to 10 cycles of this exercise. As with all the exercises, I recommend you take several normal breaths between cycles. When finished, hug your knees toward your chest As with all these exercises, patience yields better results than force. Repeat the exercises 5 to 10 times, and feel free to take normal breaths between cycles. SAVASANA ~15 min ~ Walk around and adjust shoulders