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6 Healthy Breathing Practices

Sustainable Health Nutshell: The breath is the simplest tool you have to increase your physical, mental, energetic, and emotional health. Try some of these exercises to learn more about your own body, breath, and energy.

Why is breathing so important? In yoga practices, the breath is an observable aspect of Prana, or energy, but prana is more thoroughly defined as the ‘breath of life’ or ‘energy of life.’ It includes all flows, seen and unseen, such as blood circulation, digestion, and nervous system flow as well as flow of creative thought, emotion, and energy through acupuncture meridians. Even things that don’t ‘breathe’ have prana- rocks, water, and the air itself, and all prana affects all other prana. The best example of this is that a huge amount of herbal medicine deals with the ‘life energy’ of plants and how to change human energy that is diseased by using healthy plant energy. Improving your breathing and learning about it can do wonders for many aspects of your health- let me know what you think of these exercises. (They are marked with *** to make sure you find all 6 to try!)

Physical Health:

Breathing deeply and slowly moves the large diaphragm as well as the lower pelvic diaphragm, and improves lymph flow and digestion, which together improve total health remarkably. Try breathing consciously throughout your day to improve oxygenation, and use the two following practices for a few weeks and see how your fitness improves.
*** 1) While sitting to work or relax, try getting up every 15 minutes or so to walk and stretch, and when you think of it, take a deep slow breath, with even counts of several seconds in and out, filling up your abdomen first and your upper chest last.
*** 2) While walking, hiking, or running (other rhythmic exercise may work as well, but these are the easiest to start with), try inhaling through your nose for 4 steps and exhaling through your nose for 4 steps. If this is easy at your current pace, increase to 8 steps in and out. Go up to 20 if you can. Breathe in deeply, all the way into your abdomen, and fill up your upper chest last, keeping your neck and shoulders relaxed. See how your breathing speed needs to change with increases in pace or hill grade, and how you can extend your breaths by slowing down. First, slow your usual workout pace to work on increasing your breathing depth and slowness, then increase your pace while keeping your breathing slow and deep. You’ll find you are less fatigued after a workout, more energized, and after a while able you may be able to work out longer and with less injury.

Mental Health:

Several meditation traditions use the breath as a focus or point of concentration to help settle the mind. The Anapana portion of Vipassana training is a good example of this. *** Try the following for 7 days and see how you feel. Before breakfast and dinner, spend 5 minutes calming the body with Nadi Shodhana or Nadisuddhi (= alternate nostril breathing) (my simple video is here) followed by 5 minutes of breath observation in this manner: Sit comfortably, close your eyes, and intend to simply observe. Watch the air go in and out, feel the temperature of the air in and out, notice the moisture, or whether one nostril is more open than the other, feel the breath on your upper lip, in your sinuses, and down your throat. Notice if the breath is fast or slow, and if it changes when thoughts or emotions arise. With each thought, emotion, or sensation, observe how your mind automatically judges each thing as ‘good’ or ‘bad.’ When you realize you are no longer sensing your breathing, return to observation. This is the most basic form of meditation, which uses concentration on a physical sensation to calm the mind and learn non-judgement. This is not the easiest form! But it is safe and something anyone can try. Twice a day, 5 minutes at a time is a nice beginning practice. Let me know your results and what issues and resistances arise for you, for they can be very helpful in learning compassion for yourself. How you respond to this type of meditation can lead you in a direction of learning other forms as well, so please ask questions if you like.

Emotional Health:

Next time you’re feeling a powerful emotion, notice your posture and breathing. Our response to emotion is physical as well as energetic and emotional, so many types of emotional reactions can be understood and helped to shift by gently changing our posture and breathing. Over time, the body can store stress unconsciously, which can contribute to blocked energy flows and ill health. To help with this on an emotional level, try the following two simple exercises.
*** 1) When anxiety arises, notice your breathing and see if you can slow it down (even a tiny bit!) and deepen your breaths into your abdomen instead of your upper chest. Count seconds and see if you can make your exhalations longer than your inhalations. Straighten your posture and close your eyes to focus on your breathing. Sit or stand with your back against something sturdy like a wall or tree trunk, and press your shoulderblades into the wall as you breathe slowly and relax your neck and head back towards the wall.
*** 2) When anger arises, first remove yourself from the object of your anger to give yourself time. Notice your breathing and see if you can create slower even breaths, the same number of seconds in and out. Place your right hand on your heart and your left hand on your belly. Let the anger shift and subside as you continue to breathe. As it subsides, clearer thought will return regarding the situation you just put on pause, and an ability to intend non-violent resolution may become easier over time.

Energetic Health:

Learning about your own subtle energy is fun and can also give great insight into any health issues, especially recurrent or persistent ones. Western medicine uses things like biofeedback to teach how breathing affects and is affected by relaxation, blood pressure, and heart rate as well as mental and emotional stability. In many different branches of eastern medicine, breathing practices are used as a tool for healing, and some are very powerful (a teacher is always recommended since these practices have physical side effects- especially if you have health problems, so please be gentle and mindful and consult your physician). Pranayama (‘extension’ or ‘drawing out’ of the life energy) is a group of practices that help you understand your breath (and energy) flows, and how controlling the breath and observing changes in your own energy can teach you about your own system. Qi Gong is one of the most structured and gentle practices, and finding a teacher is definitely recommended.
*** I teach something called the Healing Breath (a shortened version is in video format here), which can be used to relax the body, but also can be used to clear out negative energy. Once sufficiently clear and able to feel a sensation of heat in the lower abdomen (the location of the lower dan tien in Chinese medicine or the 2nd chakra in Ayurveda), healing energy can be sent to different parts of the body, or even to the hands to encourage healing in others. To use this breathing activity in that way, take a slow breath into the abdomen for 7 seconds, hold for 3 seconds, and breathe out slowly for 12 seconds- keep this rhythm going for 5 minutes. On the in breath, picture clear positive energy flowing into your energy system, and on the out breath, picture any negative or unhealthy energy swirling in your lower abdomen then returning to the earth. Once you feel more clarity and joy present, and possibly heat in the lower abdomen, intend for the clear healing energy now swirling around to be moved on your out breath to your hands. Allow the sensation to grow. After practicing this for a good while, see if you can send the healing energy to other parts of your own body. Expecting results creates resistance, so just practice and see how you feel, have fun with it, and above all be gentle and don’t practice for too long at a time. Enjoy!

stop and smell the roses :)

Daily Routine

5/12/13 edited! see below for minor additions :)

Sustainable Health Nutshell: Keep a schedule and routine to allow your body to trust you, so it will not have to compensate for stressful circumstances (that over time leads to ill health). Starting every morning off with a gentle cleansing routine sets a stress-free tone for the day and prepares you to calmly meet whatever demands life has in store.

A fellow meditation teacher recently led me to a site that included Dr Vasant Lad’s daily routine suggestions. I was initially entertained by the sheer number of things one is “supposed to do every morning” (19!), but as I thought more about it, I decided rather than writing them off, I would try the suggestions in order and see if I noticed any changes. After two days, my system has had a major overhaul. So I figured I should tell ya’ll about it so you can too!

Now, in Ayurvedic school we learned a loose bunch of suggestions for mornings that seemed nearly impossible, and until I was in my own practice and doing the suggestions myself, I had no idea if any of them actually worked, so I think my recent (in the past year more or less) obsession with routine is because of direct experience more than any teaching I’ve received.

The following is a modification of Dr Vasant Lad’s daily routine prescription. I have combined a few steps so it seems less overwhelming, and changed the order of a few d/t my own experience, as well as added my own suggestions. Please let me know if any of you try all these steps and how you feel! I used to meditate immediately on awakening, check my email on my phone directly after, do the other steps whenever I felt like it, sometimes in the afternoon, and sometimes picked up a Backyard Bowl hot quinoa bowl on my way to work late in the morning. Since spending last week with my grandfather, I decided to get on a schedule while there to make caring for him easier, and it seems to have stuck, so upon returning I started this daily routine and am not going back- I have more energy and feel much less pressed for time during the day, which helps me get even more accomplished while feeling super relaxed. Enjoy!

1. Go to bed early! Before 10pm.  Wake between 5 and 6am (at first you may need more sleep to catch up, that’s ok). Look at your hands, move them over your face and down to your waist to clear your aura. Move to get out of bed, touch both hands to the ground, then to your forehead, then fold at your heart. Give thanks to the earth and the divine for the opportunity to practice your true purpose today: to be a light of love, joy, peace, and compassion.

2. Wash your face (try just a splash of rosewater), rinse your mouth and eyes (pure additive-free eye drops work well).

3. Drink a cup of warm or room temp water. Sit in a squat pose and do 5 min of alternate nostril breathing pranayama [if your nose is clogged in the morning, do the nose oil first :) ). Then evacuate the bowels and bladder. Cleanse yourself with a bit of rosewater followed by a few drops of sesame oil on your paper.

4. Gently sniff 1 drop of plain or herbalized sesame oil into each nostril (Nasya), place 1-2 drops of sesame oil into each ear (Karana Purana).

5. Scrape your tongue, brush teeth, and use a ‘gum annoyer’ if you have one. Hold and swish 1 Tbsp of sesame oil in your mouth (Gandusha or Oil Pulling) until out of the shower, then spit into toilet (in order to not clog sink or shower).

6. Do your daily warm oil massage (Abhyanga) with the oil prescribed for you- if you don’t know, try sesame or sunflower, then take a warm shower.

7. After the shower, use simple gentle scents without chemicals, and dress in clothes that lift your spirit and feel comforting.

8. Exercise gently- yoga, a 15-30 minute walk, or stretching exercises- this warms the body and starts the metabolism.

9. Meditate. If you are new to this, start with 5 minutes of the Healing Breath pranayama I may have given you already at your appointment. If you’ve been taught to meditate, aim for 20 minutes, but start with 10 if that seems too much. Remember, you can likely sit easily for 2 hours watching a movie, so sitting lovingly with your highest self for 20 isn’t nearly as hard as it sounds!  :)

10. Eat a nourishing breakfast, seated, near a window, without computer or phone. Breathe in the scent of spices, chew well and enjoy helping your body digest, enjoy with gratitude.

Still a lot of steps, but getting up early, giving yourself this time to care for and show utmost respect for your body is a game-changer. See what appeals to you, try a few steps, or commit and jump into the whole routine- let me know how it goes!

And for fun, here’s another picture of my fantastic grandfather- please wish him a happy 91st!


Links day!

Just a quick post to say hello to some friend’s sites I’ve been overdue to link to:

1. Didi Pershouse has a Center for Sustainable Medicine too! How great is that! She came up with the name back in 2006, and I came up with mine in a brainstorm sesh a few years later- love it how great ideas are birthed simultaneously by many of us!! She’s on the other coast up in Vermont, so we’re doing a little back-and-forth on how to collaborate and get our extremely-similar messages out! Check out her site linked up there, and by all means if you’re on the East Coast, go see her!  :)

2. My friends at Rebelle Society have published two little bits of my writing, see what you think, and leave comments please!

a. My poem Guru            b. my modified meditation manifesto (not the same as the one here… I might just keep writing them :)

3. A great talk by Choyam Trungpa on how to talk to kids about meditation

4. My friend Dawn from MedMob who lives in Canterbury England and has a business called “Fresh Connective Coaching” linked to ME and said such sweet things!!!! so here’s her blog (with her post about me first, but please check out her other fabulous articles too!)

5. My friend Robert who is a great supporter of MedMob and is a fabulous artist and yoga teacher as well as a physicist (! right?), has a line of t-shirts he’s working on called Rocket Buddha. Please take his survey and let him know which ones you’d like best!

6. Then there’s this guy, Ben Riggs, whose articles keep popping up and are a really good perspective (and less wordy than mine!) on meditation and evolution… Reading other people’s ideas is a great way to open up your mind and learn new things about your own… Enjoy his posts!

That’s probably good for now… In other news, the new office is picking up speed which is great, MedMob Santa Barbara has returned to Thursday nights in Alice Keck park, I’m offering free Biodynamic CranioSacral treatments to friends/family while I’m refining what I learned at my conference in Oregon last month, and in April I’ll be in SF for the weekend of the 13th and in STL from the 27th-May 6 for my Grandfather’s birthday and my cousin Danny’s pharmacy school graduation. Busy fun times. Hope everyone is well- please drop me a line and tell me how you’re doing!

Much love,



Sustainable Health Nutshell: (I tell all my patients the following- thought it was a good time to reiterate!)
My job as a doctor is to help you contact the part of yourself that knows what is best for you and will allow you to most efficiently bring yourself back to balance and truly heal. I cannot fix anything and could never (and would never) do your work for you. If it were even possible, that would be cheating, and disrespectful to your own process. I can, however, help you contact that part of you that naturally pulls you towards health, I can educate about physical, mental, and energetic things that may help you become more aware of how your body works, I can translate your body’s messages, and I can encourage tissues to live in a place of more ease and efficiency with OMT… and I can hold space and encourage you to do the right things for yourself. But only you can truly heal yourself, or rather, remember that you are whole and allow parts of you that have forgotten that fact to reintegrate.

This may be a bit esoteric, but after spending 4 days immersed in what I can only describe as ‘medical meditation,’ I thought it was a good idea to put it out there since the concepts are central to what I’ve been doing all along anyway. (yay, synchronicity! love when that happens) The class I took was phase 2 of Osteopathic Biodynamics. The system teaches how to contact and engage the patient’s indwelling therapeutic force and promote healing. After learning and using Osteopathic manipulative skills for years, it’s fascinating that I’ve seen more healing happen with this version of A.T. Still‘s teachings than the standard methods developed and taught since his passing.

When I teach meditation (see my little manifesto here), I teach a technique to help students connect more easily to the part of themselves that is peaceful- really, that is pure consciousness, or love, or their soul that is a part of God, or whatever you like to think of it as (semantics and religion don’t really matter- the technique works whether or not you believe in anything or even the technique!). The funny thing is, what I learned this week was how to apply that exact principle to treating patients. The same core part of each of us that is peaceful, calm, and full of love, that is unfettered by the messiness we call ‘daily life,’ is what my teacher, Dr Jim Jealous, calls “the Health.” And the same thing I’ve been calling the ‘unified field’ or ‘pure consciousness’ is what he terms “the Tide.” Now, if I hadn’t been meditating and teaching it and attempting to get my patients to do the same, this whole class might have sounded not a little insane to me. But as it stands, I’m definitely interested in learning more, and can’t wait to use the skills I’m learning to help my patients and improve my Osteopathic technique.

So, it seems there is a practical medical application for meditation, and I am so glad I was led to it. Learning how to contact that indwelling therapeutic healing force that we all have to bring all the layers of ourselves back into the wholeness that we’ve forgotten we are. Who wants a treatment? :)


Ashland, Oregon


5 Tips to Keep Healthy During Holiday Travel

Sustainable Health Nutshell: To keep digestive and immune systems happy during travel and holiday party schedules, keep the nervous system as calm as possible. Meditate, listen to calming music, use sesame oil to moisturize the sinuses and skin, and take a warm, simple (and mostly liquid) diet when flying.

Do you expect holiday travel to be terribly stressful, exciting and fun, or a little of both?  Are you one of those people that always gets sick on planes? Or does your digestion becomes so irregular during travel or during the diet variations of the holiday season that you use medications to help with symptoms, or give up entirely, becoming resigned to being uncomfortable and vowing to improve ‘next year?’ Does this season more than others affect your sleep and compound any stress, digestive troubles, or immune system suppression? Besides the obvious (getting up and stretching during flights and car trips, resting if you do get sick, limiting alcohol intake, sleeping and exercising enough, and eating the healthiest food you can), you’ll be happy to know that all of these issues can be improved or avoided entirely with a few simple tips!

Flying! The altitude and pressure changes, the dryness, the close quarters and recirculated air, noise, and time zone changes our circadian hormonal rhythms must adjust to, all can wreak havoc on our nervous systems. Since the nervous system affects sleep, digestion, and the immune system, just flying itself can be a major player in our health during travel. The following will keep the stress on your body minimized during and immediately after the flight:

1. Use 2-3 drops of nasya oil in the nostrils before and after (and during if it’s longer than 2 hours). You can also place a drop or two in your ear canals (and use earplugs) to help with the noise. The oil acts as a physical barrier to viruses, bacteria, and allergens, and keeps the sinuses moisturized. Oils infused with herbs like brahmi can also help keep your mind clear and calm during travel too. Ask me for individual recommendations for herbalized oils or supplements for travel. Keep up your abhyanga routine as well to make sure your skin stays comfortable, and rub a few drops on your hands before and after flying- the daily massage also helps detoxify and move lymphatic fluid to keep your immune system humming along!

2. If you don’t need to, don’t eat anything right before, during, or right after your flight. The pressure change affects the gas in your digestive tract (imagine what it does to those plastic water bottles!), and affects its efficiency. If you are hungry or the travel is lengthy, eat small amounts of warm smooth things like thin oatmeal or soup- avoid foods that are more difficult to digest like dry, raw, or cold food (including meats and cheeses).

3. Keep hydrated with Spice Water. You’ve heard me talk about this often, but the extra-dry environment of a plane cabin is a perfect time to try it out. Pack a small bag of spices (2 parts fennel seeds, 1 part cumin seeds, 1 part coriander seeds, and perhaps a little ginger for winter), and an empty thermos. When you find a restaurant with a hot water dispenser or on the plane, ask to have it filled, and add ½ a tsp or so of your own spices to the water and sip throughout your flight. The spices keep your digestion gently stimulated to help you detoxify, and keeping hydrated of course helps all systems function optimally. The added benefit is that there are no plastic cups or cans to dispose of!

During car travel, listen to calming music or upbeat books on tape to pass the time without being disturbed by violence or negativity in popular music or news. A few good ones I’ve found recently (and I love singing along- but that might just be me J) are Deva Premal’s meditation cd and the 108 sacred names of the Mother Divine.

The last tip is arguably the most important of all and can be your gift to yourself this season: keep to your daily meditation practice as much as feasible. Whatever your practice- meditation, mindfulness, prayer, or yoga- the reminder that you are, at your core, love, peace, and joy, will help carry you blissfully and compassionately through the holiday season. At the same time it will help your immune system function optimally, stabilize emotions through stress and colder darker weather, and keep joy, love, and compassion (for yourself as well as everyone else) at the forefront of your holiday experience!

Love and Joy to you all this holiday season!