2.1 Yoga Therapy 2 : Diabetes Mellitus

(continued from December issue)

Prasad: please try and remember your experience of a terrible anxiety or fear or depression you went through in your life.
Pratiksha: Oh! Yes, recently just 2 months ago, I made a big mess of myself when I had to face the interview for my job.

Prasad: Tell me where was that anxiety?
Pratiksha: It was obviously starting as an intense distress or a fear in my mind but it soon gave me palpitation, tremors and I started sweating profusely.
Prasad: Yes, you are right, just 2 minutes before you entered the interview room, when you were in a terrible confusion, the thoughts were "My God, how I wish I do very well, what if I do not do well, I do not think I can do well" these thoughts but it had picked up enormous speed. It was so quick that it went beyond your capacity to comprehend it. The speed percolates into the body when the heart speeded up, breathing speeded up and led to this great confusion.

Prasad: What the sages tell us is that in all our emotions like extreme fear, anxiety, anger, frustation and even depression, the problem is that of uncontrolled surge of this speed, first at the level of the mind, which goes on to disturb the energy (prana) balance, percolates into extremely speeded up or blocked functions of the body resulting in physiological responses of anxiety or depression.

Prartiksha: My good God. It is very interesting. It sounds very simple. It is very practical. I can now see what you want to say further. I can see that speed is the root cause of all the problems I had. The answer should be to get mastery over this speed. All that I have to do is to ‘run the car slowly initially, so that I do not get into accidents.' Is this what you want to say?
Prasad: When Srirama was in deep depression, sage Vasistha gives him this truth and tells him “Manah prasamana upayah yogah" - (mind slowing down trick is yoga) and goes on to give very simple hints of breathing to get mastery over the mind. (Yo.Va.3.9.32)

How does yoga work in Anxiety and Depression?
The technique is to start with loosening exercises which are body movements repeated with jerks and speed. This helps initially to distract the mind from the loop of repeating anxiety producing thoughts. Once it is distracted by fast body movements you go on to slower body movements (Süryanamaskar and yogasanas). Similarly one can start with fast breathing practices (like Kapalabhati) and then move on to slower breathing practices (pranayama). After alternating between a set of alternating fast and slow body and breathing practices for about 20-30 minutes, mind is pulled out of its loop of worrying thoughts. Now it can be set into further slowing down by Nadanusandhana, and then to actual meditation which is nothing but very slow effortless flow of a single thought in the mind sinking down into total inner silence for a few seconds.

Has Yoga helped persons with anxiety and depression?
Yes, SVYASA has systematically recorded case histories of large number of patients with various types of anxiety and depression, and also followed them up for 2 weeks to 10 years after yoga practices.

Dr. Horia Crisan, a medical graduate from Germany worked with us in 1980, studied the effect of 4 weeks of pranayama practice in 19 cases of carefully diagnosed cases of general anxiety and showed statistically significant reduction in their anxiety scores, pulse rate, blood pressure, and also a reduction in the urinary excretory product (urinary VMA) of adrenaline.
Further, 129 subjects with different forms of anxiety including panic disorders, phobias and general anxiety disorders were studied during 1996-98. Within 2 weeks, the self-rating anxiety scores, psychophysiological check list and the anti anxiety meditation scores reduced significantly after the practice of Integrated Approach of Yoga Therapy (IAYT) as described in this book.

Dr. Jayakiramiah et.al (2000) in 45 subjects with melancholia, compared the efficiency of Electrocovulsive therapy, imipramine and Sudarshan Kriya Yoga and concluded that Sudarshan Kriya Yoga is a potential alternative to drugs as a form of treatment.

(to be continued in next issue)