Yoga for Yoga for HypertensionHypertension

Enrique Saguil, MDEnrique Saguil, MD

HypertensionHypertension

““high blood pressure”high blood pressure”

““high blood”high blood”

““white coat response”white coat response”

““stress response”stress response”

““pressure issues”pressure issues”

““renal hypertension”renal hypertension”

““salt sensitive”salt sensitive”

““type A personality”type A personality”

““holds a lot of holds a lot of aggression”aggression”

““old fashion Italian”old fashion Italian”

““Newtonian” definitionNewtonian” definition

As per the JNC 7 (2003):As per the JNC 7 (2003):

Systolic <140mmHgSystolic <140mmHg

Diastolic < 90mmHgDiastolic < 90mmHg

With diabetes or chronic With diabetes or chronic kidney disease:kidney disease:

Systolic <130mmHgSystolic <130mmHg

Diastolic < 80mmHgDiastolic < 80mmHg

““Einstein-ean” definitionEinstein-ean” definition EE=MC2=MC2 Everything exists as Everything exists as energyenergy Even an atom exists Even an atom exists as as energyenergy not a solid mass not a solid mass

… ….thus, the human body is nothing but .thus, the human body is nothing but energyenergy!! Hypertension is too much Hypertension is too much energyenergy in the wrong in the wrong

placeplace

More later!?

Back to bolts and nuts…

Huh?

The “Plumbing” ScenarioThe “Plumbing” Scenario Human vascular system Human vascular system

is closed.is closed. A house is closedA house is closed There is some flexibility There is some flexibility

to the systemto the system There is no flexibility to There is no flexibility to

the housethe house If poor blood flow is If poor blood flow is

getting to an organ, getting to an organ, heart beats strongerheart beats stronger

If water is not getting If water is not getting to a faucet, open the to a faucet, open the flood gatesflood gates

Problems in the scenarioProblems in the scenario

Opening the flood gates for one faucet, Opening the flood gates for one faucet, they all get more water pressure they all get more water pressure (leaks/wear and tear)(leaks/wear and tear)

The heart beating harder leads to The heart beating harder leads to hypertrophy of heart muscle tissue and hypertrophy of heart muscle tissue and the other organs get slammed with the other organs get slammed with high pressure (eye, brain, kidney)high pressure (eye, brain, kidney)

Blindness, stroke, renal failure, heart Blindness, stroke, renal failure, heart attack, pulmonary edema.attack, pulmonary edema.

Leading causes of death Leading causes of death USUS

Heart disease 631,636Heart disease 631,636 Cancer 559,888Cancer 559,888 Stroke 137,119Stroke 137,119 Chronic LRD 124,583Chronic LRD 124,583 Accidents 121,599Accidents 121,599 Diabetes 72,499Diabetes 72,499

CDC 2006CDC 2006

Hypertension is a Silent Hypertension is a Silent killerkiller

Pressure fronts in the blood vessel Pressure fronts in the blood vessel system and be tolerated with the system and be tolerated with the elasticity of the blood vesselselasticity of the blood vessels

Not for daily encounters with saber Not for daily encounters with saber tooth tigerstooth tigers

Rips, tears, ballooning, narrowing, an Rips, tears, ballooning, narrowing, an organ has to protect itself.organ has to protect itself.

Tolerance until the organ suffers Tolerance until the organ suffers (dies)(dies)

strokestroke

Congestive Heart FailureCongestive Heart Failure

Renal FailureRenal Failure

What happens What happens

What makes the “closed” system react What makes the “closed” system react this way?this way?

The Stress ResponseThe Stress Response

Coined by Dr Walter B Cannon Coined by Dr Walter B Cannon 1942 Harvard physiologist, 1942 Harvard physiologist, “Vodoo Death”“Vodoo Death”

Something has to arrive in the Something has to arrive in the CNS at the inappropriate time CNS at the inappropriate time to cause the “autonomic to cause the “autonomic storm”.storm”.

The Stress ResponseThe Stress Response

Fight or flight (sympathetic stimulation)Fight or flight (sympathetic stimulation) Adrenaline, epinephrine, norepinephrine.Adrenaline, epinephrine, norepinephrine. Fast heart rate, fast breathing, high Fast heart rate, fast breathing, high

pressure, pressure, Hyper-acute vision and hearingHyper-acute vision and hearing Decreased pain perception (MVA)Decreased pain perception (MVA) Diverting blood from gut to muscle Diverting blood from gut to muscle (don’t (don’t

eat before swimming)eat before swimming)

No procreation (viva viagra!)No procreation (viva viagra!)

Good for survival Good for survival (occasionally)(occasionally)

Not good at other timesNot good at other times

The Relaxation ResponseThe Relaxation Response

Coined by Herb BensonCoined by Herb Benson Decrease stress Decrease stress

hormoneshormones Studied Tibetan MonksStudied Tibetan Monks Lower HR, RR, BP, Lower HR, RR, BP,

Temp

The Love ResponseThe Love Response

-Oxytocin-Serotonin-Dopamine

When Parasympathetic > When Parasympathetic > Sympathetic Response…Sympathetic Response…

Civilization prospersCivilization prospers Relationship growRelationship grow Humans feel goodHumans feel good Digestion is efficientDigestion is efficient Thinking is creativeThinking is creative Sex is goodSex is good Disease is controlledDisease is controlled People find their People find their

DharmaDharma

When Para is > SympaWhen Para is > Sympa

The “Conventional MD’s” say:The “Conventional MD’s” say: Psoriasis Psoriasis Psychosomatic Medicine 60: 625-632, 1998Psychosomatic Medicine 60: 625-632, 1998 Cytokine Production in Breast and Cytokine Production in Breast and

Prostate CA Prostate CA Psychosomatic Medicine 65: 571-581, 2003Psychosomatic Medicine 65: 571-581, 2003 Immune Function Immune Function Psychosomatic Medicine 65:564-570, 2003Psychosomatic Medicine 65:564-570, 2003 IBS IBS BehavBehav ResRes TherTher. 2002 May ;40 (5):541-6. 2002 May ;40 (5):541-6  

Cortisol Response in Yoga Cortisol Response in Yoga P3-196 P3-196

The Influence of Classical Yoga Practices on Plasma Cortisol Levels.The Influence of Classical Yoga Practices on Plasma Cortisol Levels.

Justin Mager*1, Vijayendra Pratap2, Barbara Levitt2, John Hanifin1, George Brainard1. 1Ctr for Justin Mager*1, Vijayendra Pratap2, Barbara Levitt2, John Hanifin1, George Brainard1. 1Ctr for Integrative Med, Jefferson Med Coll, Philadelphia, PA; 2Yoga Res Soc, Philadelphia, PA. Integrative Med, Jefferson Med Coll, Philadelphia, PA; 2Yoga Res Soc, Philadelphia, PA.

What is Conventional What is Conventional Medicine Any Way?Medicine Any Way?

Allopathic Medicine Allopathic Medicine “Names” “Names” (ego’s)(ego’s)

AntonieAntonie van Leeuwenhoek van Leeuwenhoek in 1676 in 1676

microscope microscope

Joseph ListerJoseph Lister in 1865 antisepsisin 1865 antisepsis

Charles DarwinCharles Darwin in 1859 species categoriesin 1859 species categories

WatsonWatson and and CrickCrick in 1953 DNAin 1953 DNA

Robert KochRobert Koch in 1905 bacteriologyin 1905 bacteriology

Barack Hussein Obama II Barack Hussein Obama II 20102010

Allopathic Evolution Allopathic Evolution CFSCFS Hahnemann 1842Hahnemann 1842

In the US some schools date back 300 In the US some schools date back 300 yearsyears

Trends changed when the microscope Trends changed when the microscope was developedwas developed

Washing hands, pasteurization, public Washing hands, pasteurization, public health, nutrition, pharmacology, health, nutrition, pharmacology, RoentgenRoentgen

EBM, EMR, Wikipedia, DNA, Healthcare EBM, EMR, Wikipedia, DNA, Healthcare reform, FDA, USDA, pharmaceutical reform, FDA, USDA, pharmaceutical industry, health insurance industryindustry, health insurance industry

Ayurveda Ayurveda

Ayur = lifeAyur = life

Veda = science of knowledgeVeda = science of knowledge

5000 year old system of healing5000 year old system of healing Health is a balance between Health is a balance between

environment, body, mind and spiritenvironment, body, mind and spirit Tibetan medicine, TCM and Greek Tibetan medicine, TCM and Greek

medicine have roots in ayurvedamedicine have roots in ayurveda

Yoga!Yoga! Comes from Comes from AyurvedaAyurveda A lifestyle not an exerciseA lifestyle not an exercise Hot commodity in commercial salesHot commodity in commercial sales 18 million Americans practice18 million Americans practice Predominantly female but attracting Predominantly female but attracting

malesmales Like jogging in the 60s and aerobics in Like jogging in the 60s and aerobics in

the 70sthe 70s 1990 study by Ornish used yoga (+) to 1990 study by Ornish used yoga (+) to

reduce heart disease.reduce heart disease.

Yoga Yoga

Definition in Sanskrit = yolk or union Definition in Sanskrit = yolk or union

-of mind-body / spirit-collective -of mind-body / spirit-collective

consciousness consciousness

Yoga postures or asana formulated to help Yoga postures or asana formulated to help move energymove energy

Yoga breathing or pranayama formulated Yoga breathing or pranayama formulated to move breath /life forceto move breath /life force

more on it’s definition………………..more on it’s definition………………..

Patangali Patangali

Lived in the 3Lived in the 3rdrd century before Christ century before Christ Compiled “sutras”/ “threads” of Compiled “sutras”/ “threads” of

informationinformation Each sutra is a “knot” of informationEach sutra is a “knot” of information The writing is called The Yoga SutrasThe writing is called The Yoga Sutras Yoga was a way of life before patangali Yoga was a way of life before patangali

wrotewrote

his format makes easier understanding his format makes easier understanding of and esoteric conceptof and esoteric concept

The Eight Limbs of Yoga The Eight Limbs of Yoga PatangaliPatangali

1 Law of life (yama)1 Law of life (yama)2 The rules of living (niyama)2 The rules of living (niyama)3 Posture (asana)3 Posture (asana)4 Breathing exercises (pranayama)4 Breathing exercises (pranayama)5 Retirement senses (pratyahara)5 Retirement senses (pratyahara)6 Focusing of attention (dharana)6 Focusing of attention (dharana)7 Meditation (dhyana)7 Meditation (dhyana)8 The settled mind (samadhi)8 The settled mind (samadhi)

Old languageOld language

Difficult to convey the meaningDifficult to convey the meaning Not to be taken in a “step-wise Not to be taken in a “step-wise

approach”approach” ““Limbs” all develop simultaneouslyLimbs” all develop simultaneously Postures and Breathing exercises Postures and Breathing exercises

together known as together known as Hatha YogaHatha Yoga Hatha YogaHatha Yoga is preparation for the is preparation for the

heart of yoga - meditationheart of yoga - meditation

Bastrika Pranayama Bastrika Pranayama Break!Break!

Please bring your seatbacks forward and remain seated !

Pranayama Break!!!Pranayama Break!!!

4-7-84-7-8

Andrew WeilAndrew Weil

Salute the Sun Break!Salute the Sun Break! Salutation Salutation TempleTemple Hand to footHand to foot Equestrian Equestrian MountainMountain 8 limbs8 limbs CobraCobra MountainMountain EquestrianEquestrian Hand to footHand to foot TempleTemple Salutation -hands to heart and back to business!Salutation -hands to heart and back to business!

Chakra’sChakra’s

Nadi’sNadi’s

Meridia’sMeridia’s

Energy pathways = Energy pathways = einstein-ean einstein-ean

When the highways are moving, the When the highways are moving, the city is happycity is happy

When the 90 and 53 is bottlenecked,When the 90 and 53 is bottlenecked,

tempers flare, people become late, tempers flare, people become late, road rageroad rage

… …..the city is unhappy...the city is unhappy.

YogaYoga

Helps to unblock the highway or Helps to unblock the highway or nadi’s and move energy making the nadi’s and move energy making the city/body happy.city/body happy.

Helps “still” the mind and bring bliss Helps “still” the mind and bring bliss (consciousness)(consciousness)

Helps secrete the love hormones.Helps secrete the love hormones. Helps decrease the stress hormones.Helps decrease the stress hormones. Helps improve breathing and Helps improve breathing and

oxygenate the body.oxygenate the body.

Why stretch nadi’sWhy stretch nadi’s Stretching nadi’s lets energy flow.Stretching nadi’s lets energy flow. Energy flowing through the nadi’s, flows Energy flowing through the nadi’s, flows

through the chakra’sthrough the chakra’s Reflexology? (lazy man energy moving)Reflexology? (lazy man energy moving)

Postures (asana) unblock Postures (asana) unblock and flow and flow

Unblocked flow = health Unblocked flow = health

When anahata flows hbp goes.The heart chakra is responsible for love and compassion.

Standard “warm up’s”Standard “warm up’s”

Only hit major Only hit major muscle groupsmuscle groups

Usually opposing Usually opposing groupsgroups

Less than 5 Less than 5 minutes…minutes…

……then onto body then onto body building building movements or movements or straight to runningstraight to running

Problem with standard Problem with standard exerciseexercise

There’s a “high” with bodybuilding movementsThere’s a “high” with bodybuilding movements enkephalin’s and endorphin’s secreted enkephalin’s and endorphin’s secreted

(short).(short). No energy flow using the energy models and No energy flow using the energy models and

just the opposite with muscle stiffness .just the opposite with muscle stiffness . There’s a “high” with running, (short) but the There’s a “high” with running, (short) but the

rhythm and breathwork with running also rhythm and breathwork with running also bring out a “calming” effect (long).bring out a “calming” effect (long).

No energy flow using the energy models.No energy flow using the energy models.

E. Saguil, MDE. Saguil, MD

The benefits of yoga over The benefits of yoga over standard:standard:

No short high, there is and endorphin No short high, there is and endorphin response but included with mind stilling response but included with mind stilling – long, all day for continued tolerance to – long, all day for continued tolerance to further stressors.further stressors.

By stretching the nadi’s/chakra’s, By stretching the nadi’s/chakra’s, energy moves from the root to the energy moves from the root to the crown and into the crown and into the universe/consciouness, the spirit stays universe/consciouness, the spirit stays healthy, body also follows and maintains healthy, body also follows and maintains health.health.

More benefits of yogaMore benefits of yoga

Due to mind “stillness”, oxytocin flows Due to mind “stillness”, oxytocin flows and the inflammatory response lessens.and the inflammatory response lessens.

Interactions that are presented from Interactions that are presented from the environment becomes less the environment becomes less provoking for the stress response.provoking for the stress response.

The breathwork or pranayama takes 4 The breathwork or pranayama takes 4 phases of breath and makes 26 phases of breath and makes 26 different techniques-more efficient different techniques-more efficient lungs=more efficient heart.lungs=more efficient heart.

The Hook:The Hook:

Control the Control the stress responsestress response and you and you control the control the hypertensive responsehypertensive response

Control the Control the relaxation responserelaxation response and and you control the you control the stress responsestress response

Live in Live in blissbliss and you control the and you control the relaxation responserelaxation response

Add the practice of Add the practice of yogayoga and you can and you can find find blissbliss

The Saguil ApproachThe Saguil Approach Any new lifestyle will be difficult to assimilateAny new lifestyle will be difficult to assimilate ““RPM” and as “bed time prayer”RPM” and as “bed time prayer” 4-7-8 breathing bid can expand to an activity4-7-8 breathing bid can expand to an activity Catch any exercise form and add Catch any exercise form and add AsanasAsanas Dovetail yoga routines with PT/Dietary/PostopDovetail yoga routines with PT/Dietary/Postop Encourage a month trial in a local studio.Encourage a month trial in a local studio. ““When you can take the pebbles from my When you can take the pebbles from my

hand it will be time for you to leave” ….?hand it will be time for you to leave” ….?

Or else….Or else….

The scientific teaching of The scientific teaching of Hatha Hatha YogaYoga is like a ladder. is like a ladder.

Those who wish to reach the higher Those who wish to reach the higher realms of the realms of the Royal WayRoyal Way climb up it. climb up it.

Goraksha Samhitain the relationship Goraksha Samhitain the relationship between hatha and raja yogabetween hatha and raja yoga

The Yoga’sThe Yoga’s

ViVigorousgorous- Power Yoga, Jivamukti Yoga, - Power Yoga, Jivamukti Yoga, White Lotus Yoga, and Ashtanga Yoga White Lotus Yoga, and Ashtanga Yoga

FlowFlow- Vinyasa-style practices - Vinyasa-style practices HotHot- Bikram Yoga- Bikram Yoga RestorativeRestorative- Yin Yoga and Svaroopa Yoga - Yin Yoga and Svaroopa Yoga Attention to detail-Attention to detail- Iyengar, Anusara, and Iyengar, Anusara, and

Kripalu Yoga Kripalu Yoga Deepak Chopra-Deepak Chopra- 7 Spiritual Laws of Yoga 7 Spiritual Laws of Yoga

Midwest Yoga Midwest Yoga ConferenceConference

http://midwestyoga.com/http://midwestyoga.com/index.phpindex.php

Teen Mr Natural NJ Teen Mr Natural NJ 18y/o18y/o

Now 47y/oNow 47y/o

Namaste!Namaste!

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