High BP is frequently difficult to treat in a short time by acupuncture or herbs. Patients become discouraged and turn to western medicine. some forms of Qigong can help lower Blood Pressure. However, most about these forms must be taught to the patient & are not simple to learn. the majority of the of these Qigong methods have common factor. the rate about respiration is slowed down. it may be the chief parameter which accounts for they’re lowering of BP. Recent research shows that 3 or 4 15-minute sessions about slow breathing (less then or equal to 10 breaths per minute) can lower both systolic and diastolic Blood Pressure, usually within 8 weeks (1) – (19). in one clinical trial, some diabetics were not able to sufficiently lower they’re respiration rate. However, with longer training period lower rate of respiration might be achieved. the breathing exercise should be performed using normal, Buddhist or diaphragmatic breathing, like opera singers. the Daoists thought that normal breathing was one of the secrets about longevity. If you look at baby at Its crib you will only notice Its stomach move up and down as this breathes. By contrast, when most seniors breathe their upper chest heaves up & down & theyre is no visible movement of their abdomen, consequence of shallow breathing. a Chinese physician looks at the abdomen about a critically ill patient. If it moves up & down as patient breathes, patient has better chance about surviving then patient with no visible abdominal movement on breathing. Thus, you may have to instruct patients so that normal or diaphragmatic breathing is done automatically. Normal or diaphragmatic breathing canbe practiced lying down or sitting in a chair. the practice methods are similar. the method of practice while sitting in chair will be described. Inhale and exhale gently, smoothly & continuously through your nose. Sit comfortably, with you’re knees bent and your shoulders, head & neck relaxed. Place one hand on your upper chest and the another just below your rib cage. this will allow you to feel some your diaphragm move as you breathe. As you inhale, hand on your chest must move as small amount as possible, while hand on you’re abdomen must move outwards. When you exhale, hand on your abdomen moves inward, which you can help by slightly & gently pulling youre abdominal muscle inward. once again, hand on your chest moves as very small amount as possible. at 1st, you’ll probably get tired while doing this exercise because an increased effort will be needed to use diaphragm correctly. Keep at it, because with continued practice, diaphragmatic breathing will become easy and automatic. Practice this exercise 5-10 minutes a few times day. Slow breathing has physiological effect of relaxing muscles surrounding small blood vessels, which allows blood to flow more easily. Alpha blockers block receptors in arteries & smooth muscle. this action relaxes blood vessels & leads to an increase in blood flow & lower pressure for the control of High Blood Pressure. action in urinary tract enhances urinary flow for an enlarged prostate. Slow breathing seems to have the same effect as alpha blockers. Thus, it may also reduce symptoms of an enlarged prostate. it conjecture has not been subjected to clinical trials, but has worked on two subjects. there is other easy breathing technique purported to help eliminate and prevent Heart Attacks due to abnormal electrical events to heart, and to generally enhance performance of central nervous system (CNS) and to help eliminate effects about traumatic shock & stress to CNS. most patients would prefer to try this approach rather than risks of ablation or a cardiac pacemaker. method requires 1 breath per minute (BPM) respiratory exercise with slow inspiration for 20 seconds, breath retention for 20 seconds, & slow expiration for 20 seconds, for 31 consecutive minutes. don’t attempt to use the required time intervals to start. Use clock interval – say, 5 seconds, or even less, so that no straining is involved. Try to practice every day. it technique produced favourable shifts in every hemodynamic variables measured since 4 subjects during the 1 BPM exercise & in post-exercise resting period (20). the authors conclude that the long-term effects of this technique appear to reset a cardio-respiratory brain-stem pacemaker. this effect may be basis since purported health claim of this yogic breathing exercise. large scale clinical trials seem warranted. References 1. Device-Guided Breathing to Lower Blood Pressure: Case Report and Clinical Overview. W Elliott, J Izzo. Medscape General Medicine, 2006; 8(3). two. Graded Blood Pressure Reduction in Hypertensive Outpatients Associated with Use about a Device to Assist with Slow Breathing. W Elliott, J Izzo, Jr., WB White, D Rosing, CS Snyder, Alter, B Gavish, HR Black, J Clin Hypertens, 2004 6(10): 553-559. 3. Nonpharmacologic Treatment about Hypertension by Respiratory Exercise in the Home Setting. E Meles, C Giannattasio, M Failla, G Gentile, a Capra, G Mancia, American Journal of Hypertension 2004, 17:370–374. 4. Respiration and Blood Pressure. G Parati, JL Izzo Jr, B Gavish, in Hypertension Primer, Third Edition. JL Izzo & HR Black, Eds. Baltimore, Lippincott, Williams, and Wilkins, 2003; Ch. A40, p117-120. three. Non-Pharmacological Treatment of Resistant Hypertensives by Device-Guided Slow Breathing Exercises. R Viskoper, I Shapira, R Priluck, R Mindlin, L Chornia, Laszt, D Dicker, B Gavish, a Alter, American Journal of hbp 2003; Vol 16:484-487. 6. Device-Guided Breathing Exercises Reduce Blood Pressure – Ambulatory and Home Measurements. T Rosenthal, Alter, E Peleg, B Gavish, American Journal of High Blood Pressure 2001; 14:74-76. 7. Breathing-control lowers Blood Pressure. E Grossman, a Grossman, MH Schein, R Zimlichman, B Gavish. Journal of people Hypertension 2001; 15:263-269. 8. Treating hbp with device that slows & regularizes breathing: randomised, double-blind controlled study. M Schein, B Gavish, M Herz, D Rosner-Kahana, P Naveh, B Knishkowy, E Zlotnikov, N Ben-Zvi, RN Melmed, Journal about people Hypertension 2001; 15:271-278. 9. Changes about Noninvasive Hemodynamic Parameters after Device-Guided Slow Breathing Exercise in Hypertensive Patients. J Y Kim, M S Han, H H Yoo, H M Choe, B S Yoo, S H Lee, J Yoon, & K H Choe. Journal about Clinical Hypertension,2006, Vol 8, Issue 5, Suppl a. 10. Does Baseline Systolic BP Affect Antihypertensive Efficacy with Device-Guided Breathing Exercise?Kim JY, Han ms, Yoo HH, Choe HM, Yoo BS, Lee SH, Yoon J, and Choe KH. Journal of Clinical hbp,2006, Volume 8, Issue 5, Suppl a. 11. Non-pharmacological treatment about High Blood Pressure in diabetics by device-guided paced breathing: randomized controlled study. M H Schein, Alter & B Gavish. Journal of Clinical hbp, 2006, Vol 8, Issue three, Supl, . P- 79. 12. Blood Pressure change following 8-week, 15-minute daily treatment with paced breathing guided by device: korean multi-center study. J H Bae, J H Kim, K H Choe, S P Hong, K S Kim, C H Kim & W H Kim. Journal of Clinical Hypertension,2006, Vol 8, Issue 5, Suppl, . P-8613. Treating hbp in diabetics with device-guided breathing: randomized controlled study. MH Schein, Alter and B Gavish. EGPRN 2005. 14. Treating Hypertension / Hypertension by device-guided paced breathing in the home setting: Evidence-based approach. M Schein, E Grossman, T Rosenthal, C Giannattasio, W Elliott, R Viskoper, Alter, B Gavish British High Blood Pressure Society Annual Meeting, Cambridge, UK. Sept 200515. Reduction of home blood pressures & white coat effect after 8 weeks of device-guided paced breathing. W Elliott, B Gavish, a Alter, J L. Izzo, & H R. Black, American Journal about Hypertension, 2005, 18(5): 211A16. Blood Pressure reduction with device-guided breathing: Pooled data from 7 controlled studies. Elliott, HR Black, Alter, B Gavish. Journal of Hypertension,2004; 22(2): S11617. Acute effects about device guided-breathing on cardiovascular parameters & baroreflex sensitivity in normal subjects. G Parati, F Glavina, G Ongaro, a Maronati, B Gavish, P Castiglioni, M Di Rienzo, G Mancia. American Journal of Hypertension2002; 15(4,2)182A. 18. the pressure dependence about arterial compliance: a model interpretation. B Gavish, American Journal of Hypertension, 2001; 14:121A. 2004; 17(5):54A19. breathing exercises an active component in reducing Hypertension? retrospective view. B Gavish. Journal of Hypertension 2001, Supplement 2, S79-S80. Repeated Blood Pressure measurements may probe directly an arterial property. Gavish B., American Journal of Hypertension 2000; 13:190A. 20.. Hemodynamic Observations on a Yogic Breathing Technique Claimed to Help Eliminate and Prevent Heart Attack: Pilot Study. David S. Shannahoff, Khalsa, B., Bo Sramek, Matthew B. Kennel, Stuart W. Jamieson, J. about Alternative & Complementary Medicine, Volume 10, Number three, 2004, pp. 757 -766.
By profession, Dr. Eisen was university Professor specializing in constructing mathematical models used for studying medical problems such as those at cancer chemotherapy & epilepsy.