Managing High Blood Pressure Using Qigong Practices

High blood pressure or hypertension (HTN) is a major public health issue affecting almost a billion people worldwide. HTN is often called a “silent killer” because while it has no obvious symptoms, untreated HTN can often lead to strokes, heart attacks and other health issues. As of 2015, an estimated 75 million adults in the U.S. had HTN.

Management of hypertension is typically addressed through lifestyle changes, diet and antihypertensive medications. A diet high in vegetables, fruits, and low-fat dairy type foods can help lower blood pressure among people having hypertension, as well as those without. Also, a diet low in sodium can also help to lower blood pressure across age, gender, race, weight, and physical activity subgroups. Other methods for lowering high blood pressure can include weight reduction if overweight or obese, increasing physical activity, and moderate alcohol consumption.¹

High blood pressure or hypertension is a disease in itself but also a major risk factor for other diseases. Normal blood pressure is typically 120 systolic (maximum pressure during one heartbeat) over 80 diastolic (minimum pressure between two heartbeats). Systolic blood pressure over 115 mmHg is usually considered as higher than normal. An average and sustained blood pressure of 140/90 would be defined as hypertension and considered to put an individual at risk of specific health issues. Medical studies have shown that an increase of hypertension is connected to an increasing rate of cardiovascular issues such as heart failure, atrial fibrillation, stroke, myocardial infarction, and premature mortality.

Blood pressure over 180/110 mmHg, if left untreated can overcome normal microvascular autoregulation. This can often lead to severe damage to the body’s blood circulation within the smallest blood vessels (microcirculation) resulting in a syndrome of accelerated or malignant hypertension and possibly cerebral hemorrhage where there is bleeding in or around the brain, which can be immediate threats to one’s life.²

information from the Mayo Clinic lists various factors that can put someone at a higher risk of experiencing hypertension and its relative ailments:

Age. As people grow older, the risk of high blood pressure increases. Up until around age 64, hypertension is more common with men. Women after age 65, are at higher risk of having high blood pressure.
Race. Those of African heritage often acquire high blood pressure earlier in life and more often than other ethnicities. Serious complications related to hypertension such as heart attack, kidney failure and stroke are more common in those of African heritage.
Family history. High blood pressure has a tendency to be hereditary.
Obesity and overweight. The more someone weighs, the more oxygen and nutrients are needed to be transported through the blood to tissues. Increased blood flow increases the pressure on the blood vessel walls throughout the body.
Lack of physical activity. People who are more sedentary often have higher heart rates making the heart having to work more with each contraction. Less physical activity also contributes to the risk of being overweight or obese.
Smoking and tobacco use. Smoking or chewing tobacco can immediately raise blood pressure temporarily, while the chemicals in tobacco may cause damage to the lining of the artery walls.
High salt (sodium) diet. High sodium in your diet may cause the body to retain fluid, which leads to an increase in blood pressure.
Low potassium diet. Potassium helps keep the balance of the amount of sodium in the cells of our body. If there is not enough potassium in our diet, sodium can build up in the blood.
Excess alcohol consumption. Excessive drinking can cause damage to the heart. More than one drink per day for women and more than two drinks per day for men can affect blood pressure.
Stress. Stress left unchecked can cause a temporary increase in blood pressure. Habits related to stress like binge eating, tobacco use and excess alcohol can lead to further increases of blood pressure.
Chronic conditions. Certain chronic conditions can also increase risk of high blood pressure. These would include diabetes, kidney disease and sleep apnea.³

In recent years, news and media outlets have brought some attention to complementary alternative medicine (CAM) as options to use with or without pharmaceutical approaches to manage high blood pressure. Among these methods would be meditation, tai chi, qigong and its root origin of yoga. A research study conducted in 2015 titled Qigong for Hypertension: A Systematic Review, investigated the use of qigong practices for hypertension. It was widely distributed through various internet outlets such as PubMed, NCBI, Medicine, ResearchGate, Harvard Library and others.

Qigong has its root origin in yoga. Tai chi and daoyin are types of qigong (or basically yoga) where the body is trained to perform “yoga in motion” where exercises are linked together to form sets of movements. While all of these methods have quite different names, they all share the same Eastern Indian origins and similar philosophy. All of these types of exercise use mindful breathing with deliberate body positioning. The mind is focused inward on one’s thoughts, breathing and posture. All have elements for mind, body & spiritual (or higher consciousness) development. These practices have been practiced for thousands of years (origins between 5000-1500 BC), and Tai Chi originated in the 12th century. The following is a basic translation of these methods:

Qi, chi or gi = air, energy, or breath
Gong or kung = work or effort
Qigong = energy or breath work
Daoyin = guide the qi, stretch the body (sometimes referred to as Taoist yoga)
Tai chi, taiji, tai chi chuan = supreme ultimate fist
Yoga = to join or unite

The systematic review of this study was conducted in coherence with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Only RCTs investigating the effects of qigong on high blood pressure (hypertension) were included. The results from this meta-analysis study suggests that qigong is an effective therapy for hypertension.

At the time of this study in 2015, China had roughly 5% of its 1.3 billion population practicing qigong on a regular basis. They believe qigong to improve health, prevent illness, and extend life by addressing a wide range of ailments and conditions. These ailments would include hypertension, chronic pain, fatigue, stress, movement disorders, cancer, depression, anxiety, heart failure, coronary heart disease, cardiac rehabilitation, diabetes, metabolic syndrome, chronic obstructive pulmonary disease, immune function and to enhance the overall quality of life (QOL). Qigong here is widely practiced by middle-aged and elderly people, many who cannot engage in moderate-to-vigorous–intensity aerobic exercise. This makes qigong more appropriate for elderly patients, being a gentle alternative to intense physical activities. Static (non-moving) qigong can be practiced which has even lower physical demands.

The results from this meta-analysis study suggests that qigong is an effective therapy for hypertension. Qigong is better than no intervention but with antihypertensive drugs. However, it was found that qigong was inferior to exercise in lowering high blood pressure. Additionally, qigong used as a supplemental therapy to antihypertensive drugs, can significantly lower hypertension. Qigong could be recommended as a complementary intervention for hypertensive patients.

If other well-designed RCTs were to offer a high quality of methodology confirming that qigong is beneficial, it could be used as a recommended evidence-based complementary or alternative therapy for the management of high blood pressure on a global scale.

Due to inferior systematic quality of some of the included studies, further RCTs with strictly designed methods need to be pursued along with long-term follow-up focusing on definitive clinical outcomes are required in order to confirm the results. From here, a higher level of evidence could support qigong as an alternative to regular conventional exercise for elderly patients. In contrast, negative outcomes can challenge the clinical evidence supporting qigong.

A methodical search for literature was executed from 7 databases, from their respective inceptions up until April of 2014. These databases included PubMed, the Chinese National Knowledge Infrastructure, the Chinese Scientific Journal Database, the Cochrane Library, EMBASE, the Chinese Biomedical Literature Database, and the Wanfang database. Randomized controlled trials were a mixture identifying interventions of qigong as either practice alone (monotherapy) or adjunctive therapy with antihypertensive (high blood pressure lowering) drugs versus no intervention, exercise, or antihypertensive drugs for hypertension.

The controls included wait-list control, jogging, conventional exercises, no exercise, oryzanol, or antihypertensive drugs. Participants in the treatment group were given the same type and dosage of antihypertensive drugs, and with the same standard that was used for the control group. All studies were parallel-designed and single-centered.

A total of 2349 patients with hypertension were evaluated. Participants were of any age, gender, and ethnic origin, being clinically diagnosed as hypertensive in any stage, with at least 1 of the current or past guidelines or definitions of hypertension. Of the trials, 18 were held in China and 2 trials were conducted in South Korea. From data presented in the study, participant ages ranged from as young as 21 and as old as 84. The average age appeared to be in the mid 50’s. The data compiled in this study spanned from as early as 1959 up until 2014. The duration of qigong treatments ranged from 8 weeks to 12 months.

All studies showed qigong as either monotherapy or supplemental therapy to hypertension drugs in the treatment group. Two of the trials had a 3-group study design with 1 trial including jogging, qigong, and antihypertensive drugs groups, while the other trial included qigong plus antihypertensive drugs groups. Practice sessions for that practicing qigong, were usually at least 15 minutes long and sometimes up to 60 minutes. 1-2 practice sessions per day were reported in the data.⁴

I find it quite commendable that there was data compiled from over such a long period of time for this study. Qigong is so embedded within Asian culture for thousands of years, where in the United States it is relatively new to our country. I have found as usual with many of these medical studies regarding ancient Eastern methods, the researchers are careful to say that more research and investigation is required. Regardless of the research, these methods have been used for thousands of years by other cultures that look beyond the scientific data and see a strong correlation between the mind, body and spiritual connection affecting health and well-being.

I feel that qigong is a great method to reduce hypertension, having worked with hundreds of individuals over my 40 years of teaching these methods. Any methods that encourage mindful regulation of one’s breathing patterns, can have a profound positive effect on their autonomic nervous system. Management of the “fight or flight” response of the sympathetic nervous system or “rest and digest” response of the parasympathetic nervous system, is directly connected to the body’s autoregulation of the cardiovascular system and consequently high blood pressure.

References

¹ Langford, A. T., Solid, C. A., Gann, L. C., Rabinowitz, E. P., Williams, S. K., & Seixas, A. A. (2018). Beliefs about the causes of hypertension and associations with pro-health behaviors. Health Psychology, 37(12), 1092–1101. https://doi-org.northernvermont.idm.oclc.org/10.1037/hea0000687

² Gabb, G. (2020). What is hypertension? Australian Prescriber, 43(4), 108–109. https://doi-org.northernvermont.idm.oclc.org/10.18773/austprescr.2020.025

³High blood pressure (hypertension). (n.d.). Www.Mayoclinic.Org. Retrieved July 18, 2021, from https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410

⁴ Xiong, X., Wang, P., Li, X., & Zhang, Y. (2015). Qigong for hypertension: a systematic review. Medicine, 94(1), e352. https://doi-org.northernvermont.idm.oclc.org/10.1097/MD.0000000000000352

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I offer instruction, lectures and seminars on qigong, Taoist yoga, tai chi, martial arts, ship pal gye, hapkido, fitness, wellness and many other avenues to improve health and well-being.

I am currently accepting new clients for group, small group & private instruction.

Mind and Body Exercises on Google: https://posts.gle/aD47Qo

Be well!

Jim Moltzan

407-234-0119

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Where the Rubber Hits the Road – Personal Responsibility

Personal Responsibility

We are here…right here where the rubber hits the road.

When the action really begins, is when you begin the job, when you really get serious.

So the question I have is, how serious are you folks about doing anything? Likes and smiley faces are nice, but really don’t make us healthier, more fit or more connected.

None of us really have “extra” time but rather “make” time for what we prioritize in our lives. True is true, either we walk the talk, or we talk the walk.

Talk is cheap, time is priceless.

If every person in American spent 5 minutes (or more) every day by exercising, more people could better manage their weight and suffer less from related illnesses.

If every person in American spent 5 minutes (or more) every day calming their mind by practicing deep breathing exercises, more people would be less stressed and suffer less from related illnesses.

If every person in American spent every day becoming more conscious of their nutrition habits, more people would be able to maintain their health through the choices they make while eating and drinking, and suffer less from related illnesses.

If everyone could assume personal responsibility for their own health, our nation would not have to spend as much time, effort, energy and money trying to keep people healthy.

These concepts seem easy enough, but in reality, most people lack the desire or self-discipline to take the effort and do what it takes to stay healthy, prevent illness or cure their own ailments. Self-discipline is one of five steps known to help achieve better mental and physical wellness.

1) Respect – This is where values begin. You must understand and have respect for yourself (self-respect) before you can demonstrate it to others. Taking the steps to take care of your physical and mental well-being effects you first and then those closest to you second.

2) Discipline – Developing control of one’s own desires, commitments, and ultimately your own actions, leads to self-discipline. Control of physical exercises can lead to management of thought and emotion.

3) Self-Esteem – As you review your achievements of respect and discipline, your sense of worth is elevated and appreciated.

4) Confidence – Understanding and accepting your weak areas as well as your stronger aspects removes insecurity. When you feel that you are physically well and mentally sharp, confidence can fill your personality. You can accomplish whatever goal you set out to achieve.

5) Determination to Achieve Goals – The positive sum of the previous aspects leads to one’s determination. Good judgment and focused effort toward positive goals result in true personal success.

Qigong, Tai Chi and Yoga all are methods to achieve these traits.

It doesn’t matter so much that you do these exercises, as much as it matters that you do some type of exercise. Walk, jog, swim or whatever – just get going and do something. 5 minutes here and there can quickly turn into 15 or 30 minutes at one time or over the course of a day. Once you are moving or mentally engaged, it is much easier to stay motivated and try a few more exercises for a few more minutes.

Be well, become healthier, be wise.

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I write often about topics that affect our health and well-being. Additionally, I teach and offer lecture about qigong, tai chi, baguazhang, and yoga.

For more info, contact Jim Moltzan at info@mindandbodyexercises.com, 407-234-0119 or through my site at http://www.mindandbodyexercises.com

Physical Activity Effects on COVID-19

A root concept of healthcare for literally thousands of years, but apparently dismissed for the last 2 years:

PHYSICAL ACTIVITY HELPS TO PREVENT DISEASE AND ILLNESS

Become a researcher of health and wellness for your own benefit. Click on any of the following medical studies, to understand and then perhaps follow the science as to why physical activity & exercise are even more important today than maybe any other time before.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7361852/

https://medicine.umich.edu/dept/psychiatry/michigan-psychiatry-resources-covid-19/your-lifestyle/importance-physical-activity-exercise-during-covid-19-pandemic

https://bjsm.bmj.com/content/55/19/1099

References:

Diamond, R., & Waite, F. (2021). Physical activity in a pandemic: A new treatment target for psychological therapy. Psychology and psychotherapy, 94(2), 357–364. https://doi.org/10.1111/papt.12294

https://medicine.umich.edu/dept/psychiatry/michigan-psychiatry-resources-covid-19/your-lifestyle/importance-physical-activity-exercise-during-covid-19-pandemic

Sallis R, Young DR, Tartof SY, et al Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients British Journal of Sports Medicine 2021;55:1099-1105.

Pitanga, Francisco & Beck, Carmem & Pitanga, Cristiano. (2021). The Big Mistake of not Considering Physical Activity an Essential Element of Care During the Covid-19 Pandemic. International Journal of Cardiovascular Sciences. 34. 10.36660/ijcs.20200274.

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Qigong, tai chi, baguazhang, and yoga are not the only methods that can be used within this formula but have proven the test of time as methods to cultivate harmony of the mind, body and spirit. These exercise practices offer a wide spectrum of physical wellness benefits, stress relief as well as means of self-awareness. Not all teachers nor students practice these for the same goals. For more info, contact Jim Moltzan at info@mindandbodyexercises.com, 407-234-0119 or through my site at http://www.mindandbodyexercises.com

I started my martial arts training at the age of 16, starting with Korean martial arts and evolving into BaguaZhang, Tai Chi, and Qigong. I have been training, studying and teaching for almost 40 years effectively educating hundreds of students.

As a recognized master instructor, I have trained with a diverse group of masters and high-level martial arts teachers of many different disciplines. My specialty is teaching exercises to improve chronic conditions, working with people of all ages, especially senior adults. Offering guidance and instruction, I have also worked with Parkinson Disease patients through Florida Hospital. I offer regular lectures as requested by AdventHealth (Florida Hospital) regarding the benefits of Eastern practices.

I am the author and graphic artist of numerous journals, graphic charts and study guides relative to the mind and body connection and how it relates to martial arts, fitness and self-improvement.

I continue training and teaching in the Orlando, Florida area conducting classes, seminars and lectures as my schedule allows. I balance my teaching and businesses with my own personal cultivation and time spent with my wife and two college-age kids.

Therapeutic Benefits of Singing Bowls

Therapeutic Benefits of Singing Bowls

Illness and diseases such as addiction, mental health issues, heart disease, diabetes, and mental health issues have all been linked to stress and tension. Meditation and mindfulness-based methods of relaxation, have shown potential in bringing about the relaxation response, helping reduce anxiety and enhance well-being. The relaxation response is the term used for the body’s physiological response to relieving stress, where respiration and blood pressure is lowered to counter the “fight or flight” response, thereby activating the body’s parasympathetic nervous system (Goldsby, et al 2017).

Tibetan or Himalayan singing bowls and other ancient instruments used for religious and spiritual ceremonies have been in practice for a very long time. Use goes back thousands of years, with origins in China and Mongolia. Tibetan Buddhist monasteries used the bowls in this manner to keep time or to signal the end of a meditation (Pikörn 2021). Cultures including native peoples, throughout the world have been using sound for healing for thousands of years. The didgeridoo is an instrument used by Australian aboriginal tribes for over 40,000 years, as a sound healing instrument. (Goldsby, et al 2017).

Contemporary music therapy has been known to benefit suffers of various health conditions, including mental illness and pain. Meditation has long been known to also offer improved health and well-being with modern studies indicating that meditation is effective in managing many ailments. such as anxiety, depression, and pain issues (Stanhope & Weinstein (2020). How singing bowls produce health benefits is ambiguous. While sound bowls can help some people to relax and feel better, more research needs to be done to show how they may be able to target the same regions of the mind that meditation does (Pikörn 2021).

A singing bowl or standing bell, are mostly crystal or metal alloy bowls where, by rubbing a mallet around the bowl’s outer rim and edges produce sounds. Singing bowls and sometimes gongs, surround the user with tones that offer the goal of relaxation by decreasing stress, anxiety, and depression. These sounds offer an escape from the everyday incessant inner dialogue or chatter of thoughts within one’s mind. Singing bowl techniques can be very mind engaging, similarly to meditation practices and yoga, and are often practiced in tandem (Pikörn 2021).

Alfred A. Tomatis, a 20th-century French otolaryngologist (one who studies diseases of the ear and throat) offered the thought that music can influence brain waves. Don Campbell’s 1997 book, The Mozart Effect, focused on how music could make one smarter and increase concentration (Pikörn 2021).

The Influence of sound on the human mind and consequently the physical body, has been theorized that sound bowls can help calm the mind, by mimicking the brain’s electrical impulses, also referred to as “entraining”. Here, sound vibrations can “re-tune” the wave patterns of one’s mind, in this case Theta brain waves, similar to the vibrations that occur while in states of deep relaxation or concentration. Theta patterns resonate at 4-8 Hertz, occurring also during REM sleep, states of creativity, and during meditation. Studies report the theory that music can indeed change the brain’s bio-electrical oscillations. However, this effect is most evident in the range of alpha (8-13 Hertz) and beta (13 Hertz or greater) frequencies. From listening to singing bowls, one can guide their mind towards theta brain wave activity (Pikörn 2021).

A study published in 2017, explored the benefits of using singing bowls along with meditation, using data from a sample of 62 individuals participating. Ages were from 21-77 years old with a mean age 49.7 years. 9 were males and 53 females. The study was held at 3 locations in southern California at The Seaside Center for Spiritual Living in Encinitas, The Chopra Center for Wellbeing in Carlsbad, and the California Institute for Human Science (CIHS) in Encinitas (Goldsby, et al 2017). From my own personal knowledge, I know this particular area of the US to be a hub for meditation and other alternative medicine practices. So, it really didn’t surprise me that the results would show that these particular methods yielded positive health benefits. People in the 20-39 age group, reported the largest change in a reduction in their tension. However, the study did not specify what type of tension they were experiencing to begin with such as mental, muscular, or otherwise. Those in the 40-59 age group, reported the most noticeable effects from the meditation, with a decrease or even elimination of physical pain before and after the meditation (Goldsby, et al 2017).

It is not hard to find and purchase singing bowls as they are widely available online and elsewhere, costing as little as $20 per bowl and as high as thousands of dollars on the higher end for complete sets of various sizes and compositions. Also available are bowls that will produce different notes and different frequencies. In particular the 432 Hertz range is thought to be more desirable in achieving the desired results of the entraining the theta brain waves. Some avid practitioners of singing bowl meditations, prefer usage of the bowls or recorded sounds that are tuned to 432 Hertz. There is also some speculation that listening to music or sounds that have a frequency of 432 Hertz is thought to encourage a positive shift in consciousness, providing the listener a greater sense of peace. Meditation practitioners seem to favor this music as well. A frequency of 432 Hertz is thought to be the tone of nature, assisting the listener to become more calm, peaceful, and creative. Benefits thought to come from exposure to sounds with the 432 Hertz frequency include release of stress and tension from the body, induction of healing during and after surgeries and the release of endorphins and serotonin (Bawah Reserve 2020).

Of further interest may be that a small group of people having a strong dislike to the sounds made from singing bowls, due to the sounds increasing their self-reported depressions and anxiety. This leads to the possibility that the sound bowls themselves have no special powers of relaxation in and of themselves (Pikörn 2021).

image courtesy of http://www.ZenWellness.com

I have studied various methods of using sound with meditations, quite a bit over the years and have observed how particular sounds in our daily life, like traffic, thunder, loud music from various genres, yelling, etc. can cause damage on the nervous system. This can happen at the moment or over time, potentially causing even more damage. Consequently, I think the bowls are but another tool to hack the human nervous system to be in a more relaxed state of homeostasis from the parasympathetic nervous system. Any healthcare method that is relatively inexpensive, exhibits no negative side-effects, can easily be obtain by most people, and can offer the user some level of health benefits, is worth further scrutiny and usage by those in particular needing a reduction in their stress levels.

References:
Bawah Reserve. (2020, November 9). Sound bathing and the positive impact of 432 Hz listening. https://blog.bawahreserve.com/sound-bathing-singing-bowl-432hz-listening

Goldsby, T. L., Goldsby, M. E., McWalters, M., & Mills, P. J. (2017). Effects of Singing Bowl Sound Meditation on Mood, Tension, and Well-being: An Observational Study. Journal of evidence-based complementary & alternative medicine, 22(3), 401–406. https://doi.org/10.1177/2156587216668109

Pikörn, I. (2021, March 5). The Joyful Use Of Singing Bowls In Meditation Or Yoga Practice. Insight Timer Blog. https://insighttimer.com/blog/singing-bowls-meditation-benefits/

Stanhope, J., & Weinstein, P. (2020). The human health effects of singing bowls: A systematic review. Complementary Therapies in Medicine http://dx.doi.org/10.1016/j.ctim.2020.102412

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I am the author and graphic artist of numerous journals, graphic charts and study guides relative to the mind and body connection and how it relates to martial arts, fitness and self-improvement.

A New Year’s Commitment to Improve Your Life (Using The 8-Step Path)

A Method to Pursue Mind, Body & Spirit Harmony – The 8-Step Path

Quite often I hear people talking about wanting to pursue a better understanding of the mind, body and spiritual (or self-awareness) relationship. Usually, most people have little understanding of this concept beyond repeating someone else’s words. Understanding of this relationship cannot come from someone else, but rather grown or cultivated in oneself from personal knowledge, experience and wisdom. There are no books, shortcuts, seminars, gurus or masters that can do this for the individual, however they may help guide one to reach self-realization. I am sharing here what I have learned and have tried to live as part of my daily life. Spirituality and religion are often lumped together but have rather distinctly different meanings. With this article, I look at spirituality more as a level of self-awareness, purpose and life direction and not necessarily a membership to any particular religion or belief system.

A long-understood method of achieving harmony between one’s mind, body and spirit, is this 8-Step Path. It has its origin in the ancient Chinese philosophy of Daoism but is highly relative to modern culture. The figure “8″ is important to understand that as the infinity circle, there is no beginning nor end to entering into this process. It is a journey of self-awareness that can be entered into at any point throughout one’s lifetime. Life is a challenge, and so is staying on this path of self-improvement. The reward is at the end of one’s journey, knowing that they have pursued a meaningful life with direction and purpose.

The graphic immediately below shows how the 8 steps are all interconnected. Below that are the brief descriptions of each of the 8 steps. This is by no means the only method to find this harmony of mind, body and spirit. It is a time-proven method that I have learned and have tried to cultivate for many years.

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For more info, contact Jim Moltzan at info@mindandbodyexercises.com, 407-234-0119 or through my site at http://www.mindandbodyexercises.com

I am the author and graphic artist of numerous journals, graphic charts and study guides relative to the mind and body connection and how it relates to martial arts, fitness and self-improvement.