Thursday, March 24, 2022

Yoga: 'Is it validated?'

In 2015, I somehow managed to contract a gut infection and was admitted in the hospital for about 10 days.  During the prolonged recuperation period post-discharge, I resolved that I should do something about my health/immunity.  I decided to take up yoga lessons and enrolled myself at a local yoga teacher's class.

Since then I have been doing yoga asanas, pranayama, meditative exercises, walking, and mild weight training, while taking adequate quantity and quality of mostly vegetarian diet.  Even though I am not practising vigorous yogic asanas, I make sure I do them regularly - more than the duration or intensity, I score high on consistency.  Yoga has become a way of life, something that I do as a daily routine.  

This has kept me going since then without any adverse health event, bar an occasional upper respiratory infection, and I continue to maintain my weight and fitness at a reasonable level.    

I have also advised patients that I see to take up yoga to maintain health, and/or to reduce the symptoms of disorders such as anxiety and stress.  I have tried to modify my own medical practice by incorporating holistic healing techniques, including Ayurveda and yoga, in collaboration with a qualified practitioner.

However, I have also realised that yoga is fraught with misconceptions and scepticism.  Generally, I divide the naysayers into two broad groups: sceptics and bigots.  The former are those who are genuinely sceptical about the health benefits of yoga; that is, they want to do it, but are uncertain about the overall effect of doing yoga.  They are more trusting of allopathic medical systems, and cast a distrusting eye over anything eastern/oriental.  

Then there are the bigots, by which I mean adherents of dogmatic religions who have been brainwashed into believing that anything outside their own religious practice is worthy of condemnation and derision.  These are the incorrigibles who will go to any extent to discredit, vilify, demonize and discourage anything that is remotely sanatanic, be it yoga, consecrated food, worshipping images/idols, or wearing bindis, for that matter.  

I quote a few examples.  A few years ago, a pastor in the US famously called yoga a 'demonic' practice.  When I was working in the UK, an Egyptian-Arabic doctor colleague spoke very condescendingly of yoga, and was dismissive of its healing power. 

Ironically, even in India, where yoga originated yugas ago, it has been reduced to a 'new age' fad, a necessity that we have taken to vicariously because the West has taken a fancy to it.  'Whatever they do, it must be good for us too,' seems to be the thought process behind the revival of yoga in our society, reflective of the underlying western bias thanks to the Macaulayian education system that we are all products of.  

In Bangalore, at a certain missionary hospital I was working in, a physician colleague of a certain denomination, inquired if yoga was 'validated' as a treatment when I said that I was advising my patients to do yoga.  He remained sceptical even after I explained that it was, and suggested that yoga was being promoted because of the wave of saffronization that was sweeping across the country!  

His religious bias against yoga became apparent when, during a later encounter, he was all for incorporating tai chi as a therapeutic practice in the treatment of neurological movement disorders, but evidently not yoga.  Perhaps, anything that was remotely sanatanic in its origin was a strict taboo for him due to his evangelical disposition.       

I find that sceptics, bigots and allopathy-chauvinists are quick to ask if yoga is 'validated' as a therapeutic intervention, fully ignoring the fact that the so-called evidence-based allopathic interventions hardly cure chronic illnesses, and worse, cause harmful adverse effects.   

More and more studies are confirming the physical and mental health benefits of yoga, such as those conducted at the premier neurosciences centre in the country, NIMHANS (in Bangalore), which has a dedicated yoga research centre.  These studies have been published in leading Indian journals, notably, the Indian Journal of Psychiatry, and at least on one occasion, in a special yoga supplement of the British Journal of Psychiatry.

But since we seem to value western opinion so much, I shall quote examples from western studies: in 2019, researchers in the USA found that yoga and breathing exercises improved the symptoms of Major Depressive Disorder after just one session, with cumulative effects in the long term [1].  A meta-analytic study published in the peer-reviewed journal in 2013, showed that yoga had beneficial effects on hypertension [2].  

If you look at the current the allopathic treatments for these very conditions, you will find that antidepressants can only increase serotonin and other neurotransmitter levels in the brain, but cannot address the root cause of depression.  Similarly, antihypertensives can symptomatically reduce the BP, but cannot cure hypertension.  Both these groups of medications are associated with their own unique side-effects. 

Researchers from Washington State and Ohio State Universities found that yoga can improve body image, which may be helpful in the treatment of eating disorders [3].  Again, there is no definitive treatment in the allopathic psychiatric system for any of the eating disorders, and mortality rate for anorexia nervosa, even with standard intervention, remains very high. 

For the sceptics among you, I would suggest that you ask yourself these questions: Is there any harm in doing yoga?  Clearly not, if done under proper guidance.  Is it beneficial for physical/mental health?  Several studies seem to indicate so.  Can it be the sole treatment for all conditions?  No, one has to judiciously use the right treatment technique for the right condition, or even combine allopathic, other complementary, or any of the yogic practices for a good therapeutic effect.  

Further, more than a therapeutic intervention, I see yoga as a preventive measure; a positive medical/psychiatric practice that can promote good health through balancing the body, mind and spirit.  Surely, with these conditions satisfied you should have no hesitation in accepting yoga as a holistic healing practice, unless religious bigotry prevents you from doing so.  

Which brings me to the bigots.  I have no solution for the bigots out there.  If bending your body a certain way in the pursuit of healthy body/mind is an affront to your religious belief, then it must be based on a very rigid and insecure premise [4], and frankly, it is your loss.  A case in point: similar sentiments were behind the decision to eliminate suryanamaskar from the very first International Yoga Day event in 2015 (but we did it anyway!).

Finally, the decision to do yoga has to come from within you.  Sanatana Dharma does not believe in enforcing any particular practice on anybody.  Watch videos and read books on the topic of yoga if you are unsure.  You can begin by reading the book Light on Life by the yoga master, B K S Iyengar, which clearly elucidates the spiritual nature of yoga.  Speak to those who are already doing it and ask if they have noticed any beneficial changes.  

And only if you are fully convinced, take up yoga classes from a trained practitioner.



Picture: How-To-Meditate-Making-The-Most-Of-Meditation.jpg (815×588) (meditationlifeskills.com)

References:
  1. https://www.researchgate.net/publication/313806681_Treatment_of_Major_Depressive_Disorder_with_Iyengar_Yoga_and_Coherent_Breathing_A_Randomized_Controlled_Dosing_Study (reported in bu.edu/brink)
  2. https://www.researchgate.net/publication/239948768_Effectiveness_of_Yoga_for_Hypertension_Systematic_Review_and_Meta-Analysis 
  3. https://cpb-us-w2.wpmucdn.com/u.osu.edu/dist/1/10560/files/2020/12/Cox_Tylka_2020_Conceptual-Model.pdf (reported in PsychologyToday.com)
  4. Quote attributed to Sadhguru Jaggi Vasudev
  

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