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 nuts and bolts…

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 with the Problems with the scenarioscenario

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

Silent killerSilent killer

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

Fight or flightFight or flight Adrenaline, epinephrine, Adrenaline, epinephrine,

norepinephrine.norepinephrine. Fast heart rate, fast breathing, high Fast heart rate, fast breathing, high

pressure, pressure, Hyper-acute vision and hearingHyper-acute vision and hearing No painNo pain Diverting blood from gut to muscleDiverting blood from gut to muscle No procreation (viva viagra!)No procreation (viva viagra!)

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

The Relaxation ResponseThe Relaxation Response

Coined by Herb BensonCoined by Herb Benson Studied Tibetan MonksStudied Tibetan Monks Lower HR, RR, BP, TLower HR, RR, BP, T Decrease stress Decrease stress

hormoneshormones

The Love HormoneThe Love Hormone

-Oxytocin-Serotonin-Dopamine

When Parasympathetic > When Parasympathetic > SympatheticSympathetic

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 People find their People find their

DharmaDharma

Yoga!Yoga!

A lifestyle not an exerciseA lifestyle not an exercise Hot commodity in commercial salesHot commodity in commercial sales Predominantly femalePredominantly female Comes from Comes from AyurvedaAyurveda

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, TCM and Greek medicine Tibetan, TCM and Greek medicine

have rootshave roots

Yoga Yoga

Sanskrit = yolk or union Sanskrit = yolk or union

mind body/ soul spiritmind body/ soul spirit Yoga postures or asana formulated Yoga postures or asana formulated

to help move energyto help move energy Energy/life force/breath = pranaEnergy/life force/breath = prana

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 minutesminutes

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.

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

Now 47y/oNow 47y/o