Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Manual (Instructional Guide) How to deal with GI problems using the Buteyko method Copyrights: Artour Rakhimov 2010, PhD; www.NormalBreathing.com -2- Content of the manual “How to deal with GI problems using the Buteyko method” Chapter 11. Breathing and some GI problems Introduction If a breathing teacher or a student decides to learn more about how to deal with GI problems, to understand the normal work of the GI (gastrointestinal) system can be the first step. It will include learning about: - basic anatomy of the GI system; - main stages of digestion and functions of the digestive organs; - the work of the ENS (enteric nervous system). When these norms are known, study of GI disturbances can be the next preliminary step. It can include understanding of pathological changes and interpretation of lab tests (endoscopy, scans, permeability, gastric probes, various blood results and others). This information can be found in textbooks. The information below is provided with the assumption that the reader has some minimum understanding in these areas. 11.1 Normal digestion and abnormalities The normal goal of the digestive system is to be a harmonious part of the organism, or to provide energy and nutrients for all systems (nervous, cardiovascular, hormonal, GI itself, etc.) and eliminate waste products from the system. The GI system can be imagined as a sophisticated or complicated conveyor, which is similar to the conveyor belt that we can see on, for example, car assembly lines where hundreds or thousands of processes take place. Delays, problems with parts, absence of important components, mistakes in communication and many other abnormalities can slow down or speed up the whole conveyor, causing various abnormalities. Our GI conveyor is not just a mechanical assembly line where only one type of cars is manufactured. There are many other organisms (bacteria, fungi, etc.) that influence the work of the conveyor by producing its own, useful or harmful, substances and effects. The complexity of the work of the GI conveyor is extraordinary. Just think about such known facts: - The work of our GI system is more complicated than all mechanical, chemical and biochemical controlled plants created by humans on Earth. - Even the work of the single cell of the human body is still not understood completely. Visible parameters of digestion Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com -3Which symptoms or factors indicate good digestion and which ones GI abnormalities? When our digestion is healthy, we just do many other things using our brains, muscles, spirit and imagination. We do not notice various GI processes and effects. Indeed, they probably should not be the focus of our lives. However, sometimes the act of eating generates, later in time, certain effects that we do not like. For example, we can get pains and aches due to some foods; we may bloat; nausea, gas, diarrhoea, confusion, headaches and many other effects can be results of faulty digestion. Why? The GI system cries for help. We need to do something to restore its normal work. Hence, we need to pay close attention to these sings. Possible symptoms The GI tract is hidden from our eyes. However, various symptoms and signs can point out to places and types of these abnormalities. Each seemingly tiny sign can say us something important. Among questions are: What are the triggers of problems? What are their effects? Which foods are well tolerated? Is there any pain, or gas, or burping, or thirst, or bowel movements triggered by wrong foods, or ear buzzing after some meals and activities? What are the locations, intensities and durations of these signs? What is the time sequence of appearance of the symptoms? The results of digestion can be found in the sinks of the toilets (or washrooms) after defecation. Analyzing own faeces is probably not a favourite human activity, if we compare it with music, meditation, prayer, and many other things that are more appealing and pleasant from the emotional or spiritual viewpoint. However, if one gets and has GI problems, this analysis is rather a necessity. Otherwise, many other activities become less meaningful. 1. What is the transition time? When digestion is normal, we may expect that there is no diarrhoea or constipation, the GI conveyor is slow enough to re-absorb minerals, bile and other useful nutrients, but dynamic enough to prevent self-intoxication that takes place in case of constipation when harmful substances from the faecal matter stay for too long time and enter the blood system due to this delay in their elimination. To find out your time, you may swallow about 10-12 corn grains. They will not be digested and, due to their bright yellow colour, it would be possible to notice some of them later. As an alternative you may use seeds of oranges, lemons or grapefruits. Activated charcoal tablets or powder will make your faeces very dark. The normal transition time is about 24-36 hours. 2. Are bowel movements regular in relation to food intake? This question relates to the first one since both of them reflect the mechanical parameter (velocity) of the digestive belt (although occasionally some parts of the conveyor can malfunction speed-wise, while other can remain normal or nearly normal). 3. What is the shape of the faeces after they fall in water or on hard surface? Are they regular, well-formed, smooth, homogeneous in colour, etc.? Normal transition time usually creates good conditions for making the shape of faeces regular. Diarrhoea results in irregular or watery faeces. Constipation makes them dry and hardened (at least in the frontal part). 4. Does the water in the sink change its colour after defecation? Normal re-absorption of nutrients means no colour changes. Diarrhoea, depending on degree, results in less clear water. Constipation is often combined with dried initial and watery final part of faeces. 5. When faeces are in contact with the clean surface of the sink (sinks are usually white), do they leave marks or traces? Normal faeces leave no marks indicating good absorption of nutrients and right bacteria in faeces (faeces are over 50% bacteria). Faecal matter with abnormal bacterial content can have a tendency to stick to the walls of the sink (as well as to the lining of the colon causing faecal impaction!). 6. Are marks or traces on the anus present after defecation? In other words, do you need to use toilet paper or tissue to wipe yourself after defecation? Normal faeces should not pollute the body. Wild animals are not provided with toilet rolls or water. How, for example, are bears or elks supposed to clean themselves? Faecal matter with abnormal bacterial content has tendency to leave residues. Presence of various marks indicates that these pathogens would also try to stick to the walls of both colons affecting absorption of nutrients, removal of waste products and many other normal physiological processes. The healthy body needs normal healthy bacteria in the GI tract. 7. Do you produce gas? Is the smell offensive or neutral? Normal digestion may result in small amount of odourless gas. These findings could be summarized in the following simple table. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com -41. Transition time 2. Regularity of bowel movements 3. Shape of faeces 4. Water in the sink 5. Marks or traces on the sink 6. Residues on the anus 7. Gas Normal digestion Diarrhoea Constipation 24-36 hours Less than 24 hours More than 36 hors Yes No No Well-formed large regular sausage(s) …remains clean Flaky, watery, or irregular pieces …does not remain clean None Very likely Hardened or dried in the front part, while often more watery at the end … can remain clean or change colour Possible (when the final part is watery) Possible Offensive, can be frequent None Very likely Little, if any; odourless Offensive, can be frequent Table 11.1 General parameters of digestion 11.2 Chronic hyperventilation and its effects on the GI system A wide variety of abnormalities are normal outcomes of heavy breathing: Due to low CO2 concentrations, arteries and arterioles in the digestive organs get constricted. Vasoconstriction reduces blood supply to all GI organs. Published physiological evidence confirms this effect on the stomach, liver, spleen, and the colon. Hence, GI organs get less oxygen, glucose, amino acids and other nutrients necessary for their normal work and repair. Reduced rate of removal of waste products can also be expected. The suppressed Bohr effect, due to low CO2 values in the blood and tissues, further reduces the oxygenation of the digestive organs. Hypocapnia causes abnormally excited state of all nerve cells, including the nerve cells in the GI system or the ENS (the enteric nervous system). The ENS comprises various nerve cells located in the lining of intestines, stomach and other parts of the GI tract. This nervous system evolved well before the appearance of the primitive brain and the hypothalamus. Since normal functioning of any nerve cells requires normal CO2 concentrations, tissue hypocapnia (low CO2 concentrations) could make various parts of the ENS over-excited contributing, for example, to various problems with peristalsis. Instead of regular waves that have certain predictable patterns, the excited nerve cells may intensify or hamper certain processes or peristalsis in parts of the GI tract. Hypocapnia can influence the contraction of the muscular layers, the production and secretion of digestive enzymes and other functions. Indeed, a group of American gastroenterologists from the Mayo Clinic in Rochester recently studied Hyperventilation, central autonomic control, and colonic tone in humans (Ford et al, 1995). They tested the effects of voluntary over-breathing with normal and CO2-rich air. A drop in the CO2 level of the blood (hyperventilation) caused abnormalities in the contractility and peristalsis of the colon. Irritable bowel syndrome is one of the conditions where irritability of the nerve cells can cause abnormal peristalsis. While hypocapnia in the brain can create a favourable ground for epilepsy, depression, panic attacks, addictions, and many other abnormalities, similar effects can be expected in the ENS. It is possible to draw rough analogies between mental and GI problems. For example, epilepsy and Crohn’s disease both can be characterized by powerful massive discharges of neuronal activity. Clinical depression can be compared with constipation, diarrhoea with hyperactivity syndrome, and bipolar disorders with alternating diarrhoea / constipation periods. Since normalization of breathing leads to normal state and, hence, normal work of the nerve cells in the brain, similar effects should be expected in the nerve cells of the ENS. Alveolar hyperventilation (e.g., 15-20 s CP or less) indicates the general state of stress for the body. As such, CHV often produces abnormal changes in the immune system. The normal immune reaction and ability to fight many parasites and pathogens can disappear. That can favour, in case of the digestive tract, uncontrollable growth of, for example, Candida Albicanis, Helicobacter Pylori, Blastocystis hominis, and salmonella-related, botulismrelated and other pathogens. Moreover, the immune system, due to CHV, can become over-sensitive to relatively harmless food substances, like gluten, animal proteins, substances in peanuts, corn, chocolate, citrus fruits, and many others. CHV means chronic state of emergency when various intruders from outside are perceived as Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com -5damage-causing agents. It is normal then to launch an attack for their destruction as a defensive mechanism of the fighting for life organism. In case of asthma, the allergic reactions in airways can be triggered by dust, dust mites, pollen, proteins from dogs and cats, and other triggers. Avoidance of such triggers is a necessary step for recovery. The digestive tract can become the stage of similar battles. Hence, a breathing teacher who has clear vision of development and treatment of asthma has theoretical basis for understanding of GI problems, including their development and treatment. CHV interferes with normal inflammatory responses. Excessive inflammation again makes sense due to the chronic emergency state. This can contribute to inflammatory bowel disease, Crohn’s disease, ulcers, gastritis and other problems and complaints where inflammation is an important component. Here, again inflammation of airways and enlarged mast cells in asthma are analogous effects. Hypocapnia makes the nerve cells of the brain excited. Increased excitability interferes with normal perception causing over-reacting to various stressful situations, confusion, depression and mood swings. These psychological abnormalities can hamper production of digestive enzymes and normal work of the GI system since the GI system serves the whole body and controlled by both, the CNS (central nervous system) and ENS. In addition, CHV can lead to dis-regulation of food tastes and preferences, abnormalities in appetite and abnormal changes in blood sugar regulation. Most people react to hyperventilation by gaining weight. According to some Russian evidence, permeability of cellular membranes in relation to blood glucose is connected with CO2 concentrations. Hypocapnia creates conditions when glucose is driven from blood into fact cells. Hence, most people get hungrier. To go on through the day, they need to eat more just because of heavy breathing. Occasionally, small number of people gets abnormalities in nervous regulation of appetite. They can suffer from lack of appetite and bulimia nervosa. Since many HV people often breathe through the mouth, they can’t utilize their NO (nitric oxide) synthesized in nasal passages. Even when nasal breathing is present, other effects of CHV (like quick exhalations, slow inhalations, reduced blood and oxygen supply of nasal passages, etc.) do not allow normal production and absorption of NO. This gas is a recently discovered powerful hormone that dilates blood vessels, participates in transmission of messages in the nervous system, and creates normal conditions for the work of the immune system. There are still many questions in relation to this substance. Since most people with HV are chest breathers, normal massage and drainage of the lymphatic nodes of the GI system (they are located under the diaphragm) is not possible. Keeping in mind, inadequate blood supply and suppressed Bohr effect, all these processes make the GI tissues polluted with free radicals, products of anaerobic metabolism, and other waste products. CHV usually means more frequent breathing (about 15-20 times per minute instead of physiologically normal 1012 times corresponding to about 40 s CP) and shorter phases of inhalation and, especially, exhalation. Often, with increased CHV, exhalation becomes shorter than inhalation. This indicates an abnormal state of the autonomic nervous system. Indeed, inhalations are modulated by the sympathetic nervous system and exhalations by the parasympathetic. Breathing, therefore, is a window through which we can get information about the work of the autonomic nervous system, which apart from orchestrating breathing muscles, regulates digestive processes. Likely dominance of the sympathetic nervous system during CHV can hamper normal healing and tissue repair since these processes are more active when the parasympathetic system is dominant. Alveolar HV leads to slightly higher concentrations of free oxygen in the blood. Free oxygen in our bodies generates free radicals causing cellular damage and aging of all tissues, GI organs included. This damage is stronger during hyperventilation. Since production of digestive enzymes is not normal, metabolism of proteins can be hampered due to heavy breathing. At the same time, the GI tract is the main consumer of the eaten proteins. Therefore, repair of the GI tract is less efficient. Deficiencies in essential minerals and other elements are frequent due to chronic overbreathing. Any particular deficiency can create its own negative impact on the normal work of the GI conveyor. 11.3 Interaction of these destructive CHV factors with the organism It can be difficult to tell at the present time what the isolated effects of these factors are. Clearly, they are individual. There are no studies that compare these effects or define the individual differences. Similarly, the Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com -6impact of permanent changes in breathing, in both directions, closer and further from the norms, is also not investigated. Moreover, since hyperventilation creates combinations of abnormalities, their possible number can be very large. And, indeed, during last decades the number of known GI abnormalities has been continuously growing. It is well known that the effects of CHV are very individual, from both physiological and psychological viewpoints. Hence, possible development of specific GI problems in a particular person is based on interactions of variety of factors, including: - hereditary characteristics that can be revealed due to CHV (weak or predisposed to damage systems, organs and tissues, appearance of abnormal chemical and immune reactions, reversal or disappearance of some processes, etc.); - historical and environmental influences (quality, quantity and types of food, water, air, radiation, etc.). One can see that appearance and development of GI problems have very large number of initial variables and that makes prediction of the behaviour of the biological system or development of pathologies practically very difficult unless all these factors are known and are carefully monitored and analyzed. On the other hand, normalization of breathing, when the CP approaches 35-40 s, should gradually and significantly reduce or even eliminate all these CHV-based abnormalities creating conditions for repair and restoration of normal GI processes. 11.4 Factors that define the time of digestion Current CP CHV generally leads to decreased GI perfusion, hypoxia and slower peristalsis. The time required to empty stomach after an ordinary meal can increase up to 2-3 or more hours, depending on current CP, meal and other factors. This effect (slower digestion when breathing is heavier) is known even to healthy people who may occasionally have infection, flue, fever or other stressful state with CHV and low CPs. During such times, appetite is suppressed, and desire to eat, for example, fats and proteins are greatly reduced due to their burden on the GI system causing more stress and increased HV. At such times, we drink water or juices and may snack on fruits. Very large CPs greatly facilitate digestive abilities of the human organism due to, for example, increased blood supply and oxygenation of the GI organs. The immune system becomes more sensitive and can effectively fight pathogens in the GI tract so that they cannot attach themselves and remain in the GI tract. This leads to normalization of the flora in the digestive tract. It was mentioned by Doctor Buteyko that people with over 90 s CP could eat almost nails. Probably, he implied increased digestive abilities of the human organism in relation to roughage (like bark, leaves, flowers, etc.). Ancient hatha yoga manuscripts noticed that hatha masters (over 3 min CP) would not get intestinal worms since their eggs would be digested in the stomach. Presence and degree of hunger Presence of real hunger is the factor that, according to Doctor Buteyko, is crucial for preservation or restoration of normal breathing. Real hunger means presence and sufficient amounts of various digestive enzymes (in the mouth, stomach walls, pancreas, liver, and the small intestine). Hunger also indicates current needs for diminishing reserves in energy, amino acids, minerals and other nutrients. When the CP is about 40 s or higher, the organism is intelligent enough to make right choices in foods so that the physiological needs can be satisfied and food is the fuel for the body, brain and soul. Low CPs, on the other hand, create grounds for food addictions. This is especially true for coffee, alcohol, sugar and other refined and junk foods. To stop eating at the first earliest signs of satiety (or even just before they appear) is another important rule emphasized by Buteyko. Extra food needs additional enzymes to digest it. In addition, appearance of additional nutrients in blood, after the meal, creates stress for other organs in order to normalize their concentrations. However, when the amounts of the enzymes are not sufficient, the only way to produce them is by slowing down peristalsis so that these chemicals can be produced. Slowing down the GI conveyor would also make the work of regulation of nutrients concentration easier. The wise step of the biological system is to hyperventilate slowing the digestive process. Why? The alternative for the GI tract, in case of over-eating, is to continue the work of the conveyor with the same rate. However, since some part of the meal would not be digested, this would cause putrefaction of these food substances, production of toxic or harmful chemicals, their absorption by the blood and stress for the immune system and the whole organism. Similar stressful situations appear during bacteraemia or food poisoning. It is likely that the ENS possesses a certain in-built or acquired mechanism of self-defence that can prevent these Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com -7abnormalities by signalling us to stop eating and get busy with the real life challenges. However, human beings may rationalize continuation of eating so that meals and eating become the main battling grounds. Simple diagrams reflecting these ideas can be useful. When we are hungry: - our organism prepared or will secrete in time certain amounts of various enzymes to digest the meal; - there are certain depots that have needs and space for glucose (e.g., liver and muscles), amino acids (repair of GI and other tissues, cells of the immune system, etc.), and other nutrients. Case 1 (the usual meal). Let us assume that the person finished the meal just at the first signs of satiety. This can be shown on the following simplified way: Container 1: Enzymes Container 2: Meal CP 0 1 2 3 4 hours These are three containers. One has enzymes, another is the meal, and the third one is empty for storage of the mixture. The amount of enzymes corresponds to the amount and type of the meal. Let us assume that it would take 2 hours to digest this meal. We mix containers 1 and 2 together and put everything in container 3 for the chemical reaction to take place. The normal duration of the reaction (until completion) is 2 hours. The graph on the right shows the CP as function of time. First, breathing gets heavier, and the CP gradually decreases. When the meal left the stomach, the CP quickly restores to the pre-meal values. Case 2 (overeating). Let us assume that the person finished the meal, but decided to ignore the first signs of satiety and ate more food. According to chemical laws governing slow chemical enzyme-involved reactions, if the amount of the main reagent is just slightly more, the time for completion of the reaction will be much longer. Practically, probably as much as 10-20% more food could mean about 50% increase in time to empty the stomach. Excessive eating also means that there is not enough space to store the consumed nutrients. For example, excessive amounts of carbohydrates means more stress for the pancreas (to secrete insulin), higher blood sugar level, and the need to store more carbos in fat cells. Excessive amino acids (from eaten proteins) mean the need for the kidneys to eliminate them from the blood. All these processes indicate stress for various organs and systems of the body. This further intensifies breathing. This reduces blood and oxygen supply for the GI system and makes peristalsis slower. Due to this effect and inadequate amounts of enzymes, pathogenic bacteria would be able to snatch larger portion of nutrients (simple sugars, fermented carbohydrates, proteins, fats, etc.). These bacteria will produce their toxins, absorbed into blood stream and to be eliminated by the immune system. This is another stress for the biological system, this time for organs of elimination and the immune system. It is not surprising to conclude that extra food would not feed the organism but will produce variety of negative effects manifested in lower CPs. The diagram below demonstrates steep CP fall for next 3 hours and the CP is not recovered completely later due to the likely toxic load created by extra food. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com -8Container 1: Enzymes Container 2: Meal CP Enzymes 0 1 2 3 4 hours The CP drop due to eating can be as high as 2-3 times meaning that breathing can become about 2-3 times heavier. It is no surprise then that severely sick people can experience acute attacks and even die from overeating. Having many small meals or snacking through the course of the day makes sense for many of them. Case 3 (restricted eating). Here only some part of the meal (e.g., 60-70%) is consumed. The meal is completed with the signs of hunger still present. The ample amounts of the enzymes mean that the digestion will be completed much sooner (in about 1 hour). There are no problems with deposition of the digested nutrients (the systems and organs of the body needs CPis small. The essential part of this decrease can be due to them: the digested substances are welcome). The CP dip the energy required for peristalsis. Hence, CO2 concentrations may remain nearly the same and slightly increased breathing indicates greater production of CO2 and generation of extra energy due to muscular activity of peristalsis. Moreover, getting enough essential elements (e.g., minerals, EFAs, amino acids, etc.) could create conditions for achieving even higher CPs. Container 1: Enzymes Container 2: Meal CP 0 1 2 3 4 hours Finally, practical measurements reveal that the CP, for example, during fasting can often increase up to 5080%. However, when the initial CP is low and the body is in the likely state of deficiency in relation to certain substances, prolonged water fasting would not be the optimum solution. It is not a surprise then that numerous studies found benefits of restricted eating (in terms of calories, first of all) and its positive effects on longevity of various species. From health restoration viewpoint, restricted eating has another great advantage. Reduced breathing and breathing sessions can safely be resumed as soon as food left the stomach. Not only the initial CPs will be higher, but also more time can be spent on breathing normalization since daily time with empty stomach is much longer. Note that it is not the goal of the Buteyko method to be undernourished or feel hungry all the time. Restricted eating can be used as a temporary measure to increase the CP and normalize breathing. When we control our breathing, blood sugar control is also more efficient and hunger is not as strong. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com -9From these views, walking, mechanical restrictions of ventilation, use of supplements, and restricted eating are all temporary measures to reduce breathing. After achievement of the new level of homeostasis with higher CP values, the person has new (smaller) needs in air, water and food due to improved absorption, utilization and retention of food substances. The biological system will function more efficiently in terms of physical and mental outputs. Hatha yoga teachers noticed that when they students achieve very large breath holding times (3-5 minutes), these students can have only 1-2 meals per day or to go on for 2-3 days with no food, no water and no sleep while still having excellent CP and excellent health. At the opposite end, we have severely sick people who often need frequent small meals to recover sooner. These and other observations confirm the general ideas that: - When the CP is very high we can “abuse” ourselves, in various respects, without large negative effects; - When the CP is low, we have to be more (or very) careful about food, exercise, sleep, water balance, etc. 11.5 Breathing control during and after meals Breath holds and RB (reduced breathing) intensify peristalsis. That can be dangerous for people with existing GI problems or inflammation. About half of modern Westerners, according to recent studies, have some inflammation in the lining of the stomach that is usually accompanied by the presence of Helicobacter Pylori. These people often do not have any essential symptoms or complaints. It would make sense then to discourage students from doing any RB or pauses after meals or while food is still in the stomach. This is one of the requirements of Doctor Buteyko and his numerous pupils in relation to breathing exercises: on empty stomach. CHV has great protective value preventing further damage to the GI tract in cases of various digestive problems accompanied by inflammatory processes, ulcers and other structural or mechanical abnormalities. How? HV, by slowing down peristalsis after meals, preserves structural integrity of the GI tract in areas with ulcers, inflammation, or bleeding. That relates, first of all, to the stomach and the first part of the small intestine (duodenum). Mild voluntary hyperventilation, when the meal is in the stomach, slows down peristalsis. Can it have good effects and for whom? In order to understand the effects, think about the analogy with skin brushing. When the skin is inflamed or bruised, it would make sense to give it rest and apply something very gentle in mechanical and chemical sense, for example, mild creams or water. Rubbing, stretching, strong massage, or application of irritating substances would retard recovery. Moreover, when open wounds are present, especially bleeding ones, even more care is required. However, when the skin starts to heal, very gentle massage can help to increase blood supply, increase strength and improve the tone of the smooth muscles. Similarly, even when inflammation is absent, the optimum level of stimulation should correspond to the current state of the skin. For example, if an ordinary modern person takes a rough skin brush and vigorously brushes an arm or a leg just with several strokes, this could result in appeared inflammation. However, gentle skin brushing for some days and gradual increase in its intensity makes the skin strong and resilient. Later, more rigorous brushing is possible and even beneficial. This analogy also helps to understand why during prolonged water fasting (2 or more days) the lining of digestive organs become thinner and weaker so that gradual transition to more rough food (both in mechanical and biochemical senses) is necessary. It also becomes clearer why healthy skin needs strong stimulation in order to remain strong and healthy. CO2 content (or intensity of breathing) can be compared with the intensity of skin brushing: the higher the CO2 or CP, the stronger the peristalsis. The sizes and solubility of meal particles are comparable with thy type of the skin brush one uses. This also explains how HV reduces mechanical wear of the lining of the stomach and the small intestine. This can be very useful, when GI inflammation or damage is already present. Moreover, voluntary after-meal HV can be beneficial in acute stages of Crohn’s disease, ulcers, IBD, IBS, etc. during flare-ups, when chronic diarrhoea, gas production, or blood in the stool are the observable symptoms. As the strong skin can withstand and even need vigorous prolonged brushing, raw diet with well-chewed greens, nuts, and seeds provide such stimulation for the healthy GI tract. Healthy people with high CPs and no Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 10 digestive problems can, therefore, practice breathing control (RB) after meals. Moreover, breathing control after meals (very light air hunger) is a positive factor to break through the 40 s CP threshold. 11.6 Chewing and particle size of the swallowed food The analogy with skin brushing helps to understand the variable effects of chewing, cooking and particle size of digested meals depending on the current state of the GI tract. When food is well chewed, up to 80% starches, 15% fats, and 5% proteins can be digested in the mouth reducing the burden of digestion for the stomach, liver, and, especially, pancreas. Moreover, good chewing helps the ENS to better identify the incoming substances and prepare the appropriate enzymes for efficient processing down the conveyor. When chewing is insufficient, some food particles remain large. As a result, many nutrients remain locked in their cells and become unavailable for the organism. Instead of providing nourishment, these large particles, with locked-in goodness, become a burden for the GI tract causing more wear of the GI linings even for very health people. What would happen if one blends an ordinary meal with proteins, complex carbohydrates, and fats and drinks it in a minute? The GI distress is almost certain. It would be very hard for the stomach and other GI organs to find out which enzymes to produce and how fast to propel the chum along the conveyor. Such meal can stay very long time in the stomach indicating confusion and stress in the GI system. Recent archaeological studies of teeth and jaws of Europeans living during medieval times showed that our recent predecessors were spending up to 4-5 hours per day on chewing. Why is it good for the GI system and health? We reduce a burden on the digestive organs, like the stomach, pancreas, liver, and the small intestine due to small particle size, pre-digested state of the chum, ability of the ENS to prepare the whole GI conveyor to processing such meals, easier control of blood sugar, and our ability to control breathing after the meals. 11.7 Effects of various foods on breathing As discussed above, it is presence of real hunger during the whole meal that matters most for effective digestion. Chewing is another important factor. Obviously, the food should fit current needs of the organism. Apart from these factors, we have usually choices in what to eat. Methods of food preparation/processing and their effects on breathing Generally, processing destroys enzymes and other nutrients, while generating free radicals and introducing toxic chemicals. Let us look at the impact of various food preparation techniques on breathing. Small Moderate Large Very large Fig. 11.4 Impact of various food preparation techniques on breathing. Canned foods, which are not shown here, can be at the right end of this row, depending on the methods of preparation, types of food, packaging, and conditions and durations of storage. Russian doctors observed that canned foods could produce the worst effect. Raw foods are most natural due to maximum amounts of own enzymes and minimum damage due to processing. Freezing causes destruction of some vitamins and other useful nutrients. During drying enzymes and some other nutrients can be destroyed. Milling and making flours greatly increase the surface area of the food Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 11 generating more free radicals due to oxidation. Heating eliminates enzymes and, depending on temperature, pressure and duration, destroys other nutrients and introduces free radicals and other dangerous chemicals. Frying, for example, causes oxidation of oils (causing again formation of free radicals). Changing food colour reflects the degree of chemical and structural transformations. For example, formation of dark brown or black crust on breads or meats, e.g. during baking, grilling or deep-frying, means appearance of carcinogenic substances. There are many other parameters, like duration of storage and appearance of molds, fungi, pathogenic bacteria, etc. due to spoilage or inappropriate conditions of storage that can greatly affect the nutritional value of any particular product. In some cases heating or pasteurization, while destroying enzymes and other nutrients, can be beneficial due to hygienic reasons in order to prevent, for example, bacterial infections in raw milk. Conventional non-organic foods have some harmful chemicals, especially in animal products, and have slightly decreased concentration of minerals and other useful nutrients. Types of the food Considering various types of foods, the following approximate order can be suggested: Small Moderate Large Very large Fig. 11.5 Impact of various foods on breathing. This simple diagram roughly reflects the degree of stress of various foods on the GI organs. For example, raw fruits and their freshly-squeezed juices usually have the least impact on breathing due to minimum requirements from the GI system (they have abundant minerals, very little proteins, presence of own enzymes). However, biologically, for example, buckwheat and avocado are fruits, but their nutritional compositions are very different from typical fruits. Hence, their effects on breathing would be closer to grains-nuts. Dairy products can have wide concentrations of fats (from 0 to about 80%), proteins (from 0 to over 30%), lactose, etc. Additionally, one needs to take into account possible allergic reactions in predisposed people and individual differences in abilities of digestive organs. Processing, as mentioned above, greatly influences the effects on breathing. Sprouting of grains, legumes and nuts increase bio-availability of many nutrients making them similar to raw fruits and vegetables. Cooked animal proteins and fats are at the other end and are most burdensome for breathing. One might be surprised by very small negative effect of, for example, raw fish or meat due to presence of self-digestive enzymes in lysosomes of raw cells. The particular effects of foods in people with GI problems are often individual and depend on current needs and existing GI pathologies. Some of these effects will be considered below. 11.8 Focal infections and their GI effects Focal infections, while being dormant for low CPs (below 20 s), can directly affect possible recovery from various GI problems. In some cases, there is a simple mechanism of such influence. Cavities Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 12 For example, cavities in teeth mean presence of various types of pathogens in the mouth. These pathogens, which are often anaerobes, generate exceptionally powerful toxins swallowed with saliva. Even tiny amounts of these toxins produce 2 effects: - the global impact on breathing (the CP will remain below 30-40 s unless the source of infection is eliminated); - the local impact on the regions located further along the digestive conveyor, especially on the stomach and the duodenum intensifying, for example, existing inflammation. A case study. A person with bad teeth and chronic acute gastritis or gastric ulcers fasted on water, but burping (passing gas through the mouth) took place about every hour during fasting since he swallowed those cariesproducing pathogens and they generated further inflammation, degradation of damaged stomach surfaces, leading to putrefaction of the affected lining. Normally, fasting is supposed to be the time of self-repair of the system with no need to deal with food digestion. (The same enzymes would be used for digestion of own malignant, inflamed and other abnormal cells). Here the biological system was dealing with self-generated pathological process instead of self-repair. Hence, recovery from the GI problem, even while fasting, was not possible. Infected tonsils Similar effects can be expected when tonsils are dysfunctional or dead. They can be inflamed and enlarged or in the state of atrophy and almost invisible. Such tonsils harbour pathogens that are inaccessible for blood and, hence, cells of the immune system. Swallowing of the generated toxic substances can produce similar symptoms as in case of cavities. The situations with bad tonsils can be even worse. Larger CPs (up to 30-35 s) will lead to increased sensitivity of the immune system. The cells of the immune cells will attack the areas neighbouring to tonsils and create even more inflammation. This can result in fever, headaches, soar throat and other symptoms of acute tonsilar infection. Successful recovery, according to Russian Buteyko experience, needs surgery (tonsillectomy). Helmints or intestinal worms Similar ideas can be applied for cases of helmintic infestation (presence of intestinal worms). Large and medium parasites often reside in the first part of the large colon near the appendix since they are probably are not very comfortable up the GI stream due to digestive juices present there. During meals the worms travel along the small intestine against the chum flow to duodenum, in order to feed on nutrients before they get absorbed in blood. This migration of large bodies upstream is accompanied by spread of small pathogens to the parts of the GI tract, which should normally be almost sterile (e.g., most of the small intestine). In addition, the immune system is chronically challenged by waste products generated by worms and absorbed into the bloodstream. Depending on severity of the infestation, the CP is restricted by 25-35 s. Further normalization of breathing and repair of the GI tract, without elimination of worms, is impossible. Athlete’s feet Another focal infection relates to athlete’s feet. This contagious skin infection is usually caused by a fungal species of Trichophyton or Epidermophyton. It is often called tinea pedis. As with cavities and dead tonsils, larger CPs (up to 35-40 s) causes stronger immune reaction, but due to inaccessibility of the infectious source (the blood can not reach the skin), the resulting inflammation near the infected areas creates more favourable conditions for further spread of the infection. Hence, higher CPs favour, as in case of caries, further spread of the infection. While being far from the GI system, presence of this focal infectious source also restrict the CP below 3040 s. Being a burden that distract the immune system, athlete foot also makes normalization of breathing impossible unless special measures against the focal source are taken. Application of special creams against these fungi assists elimination of the pathogens and helps to increase the CP. However, the situation with athlete’s feet, in relation to GI problems, can be different. Its treatment may not be as necessary as other factors. Imagine an asthmatic with allergy to dust mites, gastritis due to Helicobacter Pylori, athletes feet infection, and round worms. In order to naturally eliminate gastritic inflammation (using the innate ability of the immune system), the student needs high CPs (about 30-40 s). It would be necessary to avoid allergic reactions due to dust mites and eliminate worms. However, the fungi in feet will not be attacked by the immune system, unless the gastritis is over. Only when Helicobacter is eliminated, the immune system starts to deal with the fungi in feet. There are certain priorities for the immune system in what it sees as a most urgent problem of the human organism. Periodontal problems and root canals There is too little information about effects of pathogens due to periodontal problems on the CP and digestion. It is possible that anaerobic bacteria that can be present in root canals or periodontal bones can temporary suppress the immune system retarding treatment of the GI problem. The conditions for these processes are still Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 13 unclear and need systematic studies. It is obvious though that since bones have very limited blood supply, restoration of tissues and elimination of pathogens are slow. Root canals are not considered focal infections, and it is possible to achieve large CPs (up to 1-3 minutes), while having dead teeth. However, their presence, when the CP is below 20 s, can lead to spread of bacterial infections from dead teeth to surrounding bones. This can hinder breathing normalization. 11.9 Positive effects of high CPs on the GI tract As it is indicated by Russian medical professionals, when the CPs are about 30-40 s, the immune system can successfully deal with pathogens in the digestive system due to intrinsic immunity. That relates to, for example, elimination of Helicobacter Pylori usually present in cases of gastritis and duodenal ulcers. Candida, another frequent culprit of various digestive disorders, can often be subdued at about 25-30 s CP. Note that while medical doctors suggest use of antibiotics and other drugs, normalization of breathing naturally eliminates many unwanted pathogens, indicating hidden wisdom of the human body and strength of the immune system when right conditions for health restoration are created. Repair of damaged tissues, elimination of inflammation, improvements in blood perfusion, oxygenation, muscular tone, neuronal communication, these and many other processes are enhanced when the morning CP is approaching 30-40 s. Moreover, there is some evidence that, if these CP values are maintained for some weeks, not only tissues will be repaired, but autoimmune reactions will disappear due to desensitization of the immune system to previously allergic stimuli. As in cases of asthma, one needs to maintain high CP (30-40 s) for some weeks in order to be allergy free in relation to previous triggers (like dust mites, cats, dogs, pollen, etc.), so are the allergic reactions in cases of GI disorders. However, one should keep in mind that not all GI problems can be successfully solved using breathing normalization and avoidance of triggers. In some rare cases, the damage to the GI tract and other systems can be so extensive that, for example, any meal would result in toxaemia and further health deterioration. This can happen after gun or knife wounds, deep fire burns, poisoning, industrial accidents, and in other extreme conditions due to mechanical damage to the GI organs. Such cases are usually addressed using parietal nutrition (intravenous injection of ready to sue nutrients) so that the GI tract can take care of itself (no need to deal with food). When its integrity is restored, food consumption through the mouth can be resumed. Let us assume then that it is possible to pull the body out of the abnormal situation without parietal nutrition. In other words, we assume that the student can improve own health and get nutrients using the own GI system. 11.10 Triggers of GI problems and the soft diet The triggers, as in cases of asthma, are numerous and individual, and successful treatment depends on a correct plan and strict adherence. Just one factor, as in asthma, can, if it is present on a daily basis, provoke acute episodes retarding the recovery or making it impossible. However, most triggers in asthma produce their effects almost immediately, and, hence, they are identifiable. In cases of GI problems, it may take up to 3-4 hours for the abnormal reaction to take place and the abnormal symptoms can be sometimes attributed to irrelevant causes. While there are various GI abnormalities and different symptoms known to the medical science and reported by the students and patients, let me consider triggers in cases of severe GI disturbances when, for example, ulcers and GI inflammation present in the duodenum and the stomach. (The duodenum, due to its central role in digestion and absorption of most nutrients, is the most trouble-some part of the GI system.) Such cases can be accompanied by bleeding in the affected areas. For many GI problems their triggers are CP-dependent. For example, symptoms of gastritis, heartburn, pancreatic insufficiency, etc. are strong when the CP is low (e.g., 10-15 s or less) and may disappear when the CP gets higher (up to 35-40 s). Successful dealing with serious GI problems requires not only high CPs, but many other factors, like good chewing, right choice of foods, proper timing, avoidance of allergens and triggers, etc. Some GI concerns are relatively easy to solve. Here, we consider more difficult situations with inflammation, active state of the gut and other aggravating factors. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 14 Soft diet and its examples Western medical professionals understand and use special diets for various diseases (including arthritis, colitis, IBS, ulcers, Crohn’s, lupus, etc.). For example, in Fasting and Eating for Health (A Medical Doctor’s Program for Conquering Disease) by Joel Fuhrman, in section Inflammatory Bowel Disease: Ulcerative Colitis and Crohn’s Disease, Dr. Fuhrman writes, ”…Frequently, when the disease is active and there is bleeding, individuals cannot tolerate any uncooked food. They are best fed with stewed vegetables exclusively. Persons who are bleeding should consume a diet of soft (steamed or stewed) vegetables until they can embark on a fast. The diet should be composed of vegetables such as stewed zucchini (courgettes), sweet potatoes, squash, and new potatoes (no skin). All foods should be chewed exceptionally well. No fruit juices, citrus fruits, or tomatoes should be eaten; even other fruits may need to be avoided. Avoid cereals and all grains except well-cooked rice…” The soft diet should satisfy two important requirements. It is to be exceptionally soft and gentle: 1) in mechanical terms (no skin of fruits or vegetables, no rough fibres as in celery, white cabbage, etc.) 2) in biochemical terms (as for most spices, fresh citrus fruits, tomatoes, green and yellow peppers, etc.) Baby foods would be well tolerated, while any food that is even slightly crispy during chewing would be damaging. It is doubtful if one can chew brown rice, even well cooked, to such a consistency that it can be squeezed between teeth. Porridge or gruel from organic brown rice flour cooked with liberal amounts of water can be tried instead. Some rice cakes, rice bread made with, for example, baking soda or rice puffs, depending on processing, may be agreeable. Thorough chewing of all these foods, even when they are in the state of the paste, is important. Raw vegetable juice (cabbage or lettuce juice with a little carrot juice added) is usually non-irritating. Taking large amounts of essential fatty acids, such as flax oil, borage oil, evening primrose oil, or fish oils, is sometimes helpful as a natural anti-inflammatory to help patients avoid or lessen the need for medication. Why does it happen that the body does not accept normally certain foods? What could be wrong with eating raw vegetables or skins of fruits? The ENS (enteric nervous system) was designed by Nature to protect its owners from damage when various dangerous creatures and foods were consumed. For example, eating some sharp objects can result in severe bleeding and death, should normal (slow) digestion take place. Indeed, normal digestion would move the sharp object back and forth inside the stomach and intestines causing damage and bleeding. Hence, the protective mechanism of the ENS should include intensification of peristalsis along the digestive tract so that to vomit or propel damaging foods forward faster minimizing the damage to the GI tract. Absorption of nutrients would suffer but less damage would be done to the organs of digestion. This is the question of survival. In other words, imagine that a primitive man swallowed some small creature similar to a hedgehog or porcupine. Normal digestion could result in death, while very intensive peristalsis would minimize the damage. Severe GI problems need exceptional attention to chewing, cooking and types of the food used. In case of severe problems, as pointed above, very few foods are well tolerated. The above list of allowed foods, suggested by Dr. Fuhrman, can be expanded and explained. Cooking of vegetables should be done till very soft or mushy consistency. This changes the chemical structure of fibres so that they attract large number of polarized water molecules and reduce the mechanical friction with the lining of GI organs. Generally, several different fibre types known, depending on their ability to attract water molecules. Any food, which remains crispy when chewed, would be a problem. For example, raw potatoes or sweet potatoes are crispy no matter how well they are chewed. Cooking makes them acceptable but thorough chewing of starches is necessary. For example, 30-40 min of cooking can make even cauliflower, broccoli, or Brussels sprouts very soft and possibly suitable (unless they provoke an allergic reaction). When cooking is shorter (e.g., 10-15 minutes), they may still be crispy. When these vegetables are over-ripe, the structure of their fibres becomes different (more rough and strong like grasses or woods), making even long cooking inefficient. Younger varieties are generally softer and better digested. It is almost impossible to chew cooked whole carrots till the state of the paste, even if they were cooked for 30-40 minutes. However, if one blends these carrots and cooks them only for few minutes, they would not produce GI problems. Similarly, one can cook their pulp left after juicing. Frozen foods (many countries have frozen cauliflower, broccoli, and Brussels sprouts) might be even advantageous. They have less or no chemicals, which are required for long shelf or display life. In addition, freezing ruptures cells making the food softer after defrosting. They become less crispy. As a result, frozen vegetables need less cooking. That should favour preservation of vitamins and other useful nutrients in comparison with long cooking of fresh varieties. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 15 Other vegetables, like beets, celery, and numerous greens are poorly tolerated, in severe GI cases, due to various reasons. For example, most greens and cabbages remain crispy and no cooking, chewing or blending can change their insoluble rough fibres. Probably, among greens, only spinach might be blended and then cooked so that to become suitable. (Spirulina powder should not cause problems too.) Skin of many vegetables, like peas, beans, carrots, and others, are poor attractors of water even after cooking. Many vegetables, like beets, cucumbers, peppers (green, yellow, and red), tomatoes, and others, even when peeled and cooked, usually produce adverse effects, probably due to some adverse chemical effects. Possibly, some of their substances produce more irritation for already inflamed GI surfaces. When one eats rice cakes, they are crispy in the mouth at the beginning of chewing, but sufficient chewing can make them smooth and acceptable. For example, 100 g rice cakes may need about 30-40 minutes to chew. Hence, one needs patience and discipline. Some foods can be made soft, but their particles may still be a problem, even after very long cooking, like in case of carrots. The test for good chewing is simple: if you can squeeze the content between your teeth and nothing left than it can be swallowed. Practically, such rigorous chewing usually results in small and gradual leakage of the food to the stomach. That means that any swallowing should be discouraged. One can check that, for example, with bread one bite may need as many as 50-100 chewing movements. The amount of required saliva would be much greater than the amount of food. Chewing is exceptionally important even for liquefied foods. For example, one can liquefy cooked rice, pumpkin, zucchini, sprouts, broccoli, carrots and many other vegetables and drink them. This can result in GI stress with indigestion, burping and other unpleasant symptoms. Symptoms related to urination It is sometimes possible that frequency of urination can reflect how irritable the GI tract currently is. During “flare up”, the person may go to urinate more frequently since the intestines have more intensive and more frequent waves of peristalsis causing, due to physical proximity, irritation of the urinary bladder. When flare up is over, more urine can be accumulated in the bladder without discomfort. When the bladders accumulate more urine they press stronger on neighbouring GI organs helping them to restore their normal positions. However, when the GI organs inflamed, the tissues are over-sensitive and urinations, during flare-ups are frequent. From respiratory viewpoint, voluntary suppression of the desire to urinate decrease breathing and hence can help to increase the CP. Suppression and postponement of defecation, on the other hand, lead to hyperventilation. Chemical factors or triggers Patients with an active gut and on soft diet are usually aware about negative effects of: - spices (black pepper, ginger, etc.); - salt; - essential oils, like mint, peppermint, menthol, camphor, etc. (even in tooth pastes or chewing gums); - coffee and chocolate; - acidic substances (un-buffered vitamin C, citric acid present in many modern foods, various supplements, etc.); - gluten; - smoking; - chemicals in non-organic foods (pesticides, herbicides, antibiotics, hormones, etc.). In some cases, the list of adverse parameters can also include: - animal proteins; - air pollution; - excessive radiation (from sun, computer screens, TV, etc.); - rigorous mechanical shaking. As in case with asthma, the only way forward is to avoid these “flare-up” triggers. Essential nutrients and their deficiencies Chronic hyperventilation interferes with chemical reactions related to activity of vitamins, enzymes and minerals. In addition, absorption and retention of various nutrients can be hampered. In order to maintain the normal work, the hyperventilating organism requires larger amounts of some nutrients. The needs in others can get smaller. Practical actions and typical suggestions were considered before. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 16 - 11.11 Mechanical shaking of the body Doctor Buteyko indicated that mechanical shaking has numerous positive effects and can be very useful for restoration of normal breathing. Why? Biochemical processes in our bodies are usually governed by various messenger-substances, which are produced, stored and secreted by various organs and tissues. Numerous body chemicals can do their job much faster if they can quickly access the whole cell or any other area or tissue. Prevention of accumulation of faecal impaction, mucus, and other debris on the walls of the gut, is essential for good absorption of nutrients, suppression of pathogens and general GI health. Possibly, jogging is one the natural methods how this can be achieved. However, healing of various GI parts sometimes require absence of vigorous shaking and, indeed, a patient with severe GI problems can notice that shaking causes worsening of the symptoms. For example, imagine a patient whose fast walking or running results in burping every 5-10 minutes or gas, thirst and diarrhoea. What are the causes? It is possible that shaking can tear apart the healing sides of the stomach ulcer. This would cause self-digestion in the stomach and production of gas passed out through the mouth. Similar pathological processes can take place in the small intestine and, through the pyloric valve, the gas can be produced. Thus, just healed surfaces can re-open and get in contact with GI juices and pathogenic bacteria. The unprotected tissues can be partly digested by secreted digestive enzymes, with possible putrefaction due to pathogenic bacteria. These processes will lead to inflammation of the lining causing appearance of thirst. Practical factors that can trigger this abnormal reaction with intensive peristalsis (flare up) can include: - shaking (due to movements of the body, including walking, running, cycling on bumpy or uneven surface; riding in vehicles, for examples, in cars, trains, or buses; holding vibrating devices, like mowing machine, vacuum cleaner, etc.; tooth brushing; rubbing of body parts during self-washing; and many other activities); - mechanical compression of the belly after meals due to: tight trousers or belts, bending forward with slouching, caring boxes with pressure on the stomach, caring a backpack of the chest, etc; - large size and poor solubility and digestibility of the food particles. Any of these factors alone can produce flare-up with GI distress. 11.12 Use of spices Using of large amounts of spices is one of the significant features in the diet suggested and used by Doctor Buteyko and his colleagues. What are the reasons? Spices, used for millennia to preserve and enhance the taste and flavour of foods, have numerous beneficial properties, according to recent scientific evidence. Antimicrobial properties Scientists from Cornell University (Ithaca, NY) investigated and confirmed, according to the title of their paper, Antimicrobial functions of spices: why some like it hot published in Quarterly Review in Biology. Specifically, they concluded, “In support of this is the fact that spice plant secondary compounds are powerful antimicrobial (i.e., antibacterial and antifungal) agents” (Billing & Sherman, 1998). Lampe from the Fred Hutchinson Cancer Research Center in Seattle wrote,” Thousands of chemical structures have been identified in plant foods. Many are found in spices… In plants, these compounds function to attract beneficial and repel harmful organisms, serve as photoprotectants, and respond to environmental changes. In humans, they can have complementary and overlapping actions, including antioxidant effects, modulation of detoxification enzymes, stimulation of the immune system, reduction of inflammation, modulation of steroid metabolism, and antibacterial and antiviral effects. Embracing a cuisine rich in spice, as well as in fruit and vegetables, may further enhance the chemopreventive capacity of one's diet” (Lampe, 2003). Indian microbiologists Arora and Kaur from Guru Nanak Dev University in Amritsar studied Antimicrobial activity of spices (Arora & Kaur, 1999). They found that “Some bacteria showing resistance to certain antibiotics were sensitive to extracts of both garlic and clove. Greater anti-candidal activity was shown by garlic than by nystatin. Spices might have a great potential to be used as antimicrobial agents” (Arora & Kaur, 1999). Numerous publications, according to their titles, revealed various specific effects of spices. Turkish scientists published an article Inhibitory effects of spice essential oils on the growth of Bacillus species. They studied such popular spices as black thyme, cumin, fennel (sweet), laurel, marjoram, mint, oregano, pickling herb, sage, savory, and thyme and found that” All of the tested essential oils (except for cumin) showed antibacterial activity against one or more of the Bacillus species used in this study” (Ozcan et al, 2006). Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 17 An Egyptian researcher El-Maraghy from Assuit University wrote, “The high antimycotic activity of four kinds of spices, viz, Chinese cassia, cinnamon, clove and thyme, were tested as preservatives for agricultural commodities. Clove, thyme and a mixture of the four kinds of spice completely inhibited aflatoxin production on lentil seeds during eight weeks of incubation” (El-Maraghy, 1995). Danish biotechnologists from the Technical University of Denmark published a study Inhibition of fungal growth on bread by volatile components from spices and herbs, and the possible application in active packaging, with special emphasis on mustard essential oil (Nielsen & Rios, 2000). A large group of Mexican scientists published a study Antifungal activity of Mexican oregano (Lippia berlandieri Shauer (Portillo-Ruiz et al, 2005). Several food and environmental hygienists from the University of Helsinki examined Antibacterial efficiency of Finnish spice essential oils against pathogenic and spoilage bacteria. They found that “Oregano, savory, and thyme showed the broadest antibacterial activity by distinctly inhibiting the growth of all the organisms tested” (Nevas et al, 2004). Japanese health professionals from the National Research Institute of Fisheries Science in Yokohama studied Antimicrobial effect of spices and herbs on Vibrio parahaemolyticus (a foodborne pathogen). They found that “Basil, clove, garlic, horseradish, marjoram, oregano, rosemary, and thyme exhibited antibacterial activities at incubation of 30 degrees C… These results suggest that the spices and herbs can be practical for protecting seafood from the risk of contamination by V. parahaemolyticus and used in hurdle technology with low temperature” (Yano et al, 2006). There are many other studies of the similar nature. Their results, as well as the findings from the just mentioned references, are summarized in the following table. Spices and their extracts used Pathogens or toxins inhibited Chinese cassia, cinnamon, clove and thyme Aflatoxin Garlic bulbs, green garlic, green onions, hot peppers, ginger, Chinese parsley, and basil 35 different Indian spices including clove, cinnamon, bishop's weed, chilli, horse raddish, cumin, tamarind, black cumin, pomegranate seeds, nutmeg, garlic, onion, tejpat, celery, cambodge Essential oils of oregano (Origanum vulgare), mint (Menta arvensis), basil (Ocimum basilicum), sage (Salvia officinalis) and coriander (Coriandrum sativum) Mustard, cinnamon, garlic, oregano and clove Aspergillus niger and Aspergillus flavus (fungi) Cloves, thyme, oregano, rosemary and basil Place of the study Reference Botany Department, Faculty of Science, Assiut University, Egypt Institute of Nutritional Science, Chungshan Medical and Dental College, Taiwan Department of Biochemistry, University College of Science, Calcutta, India El-Maraghy, 1995 Aspergillus ochraceus and ochratoxin A production Dpto. Biotechnología, Facultad Ingeniería Química, Universidad Nacional del Litoral, Santiago del Estero, Santa Fe, Argentina Basílico & Basílico, 1999 Penicillium commune, P. roqueforti, Aspergillus flavus and Endomyces fibuliger (most important spoilage fungi of bread) Shigella sonnei and Shigella flexneri (vegetable pathogens) Department of Nielsen & Biotechnology,Technical Rios, 2000 University of Denmark Bacillus subtilis, Escherichia coli and Saccharomyces cerevisiae Laboratory of Food Microbiology and Food Preservation, Faculty of Yin & Cheng, 1998 De M Krishna et al, 1999 Bagamboula et al, 2001 Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 18 - Licorice Methanol extracts of Myristica fragrans (aril); extracts from Barringtonia acutangula (leaf) and Kaempferia galanga (rhizome); Cassia grandis (leaf), Cleome viscosa (leaf), Myristica fragrans (leaf), Syzygium aromaticum (leaf) Pouzolzia pentandra (leaf), Cycas siamensis (leaf), Litsea elliptica (leaf) and Melaleuca quinquenervia (leaf) Chilli, cinnamon, cloves, ginger, nutmeg, oregano, rosemary, sage, thyme Juniperus essential oils from different species of Juniperus Bacillus subtilis, all gram-positive bacteria tested 18 strains of Helicobacter pylori (the primary etiological agent responsible for the development of gastritis, dyspepsia, peptic ulcer disease and gastric cancer) Aeromonas hydrophila, Listeria monocytogenes and Yersinia enterocolitica (foodborne pathogens) Aspergillus flavus (fungi, an aflatoxin B1 producer) Nutmeg, mint, clove, oregano, cinnamon, sassafras, sage, thyme, rosemary Bacillus cereus (vegetable pathogen) Oregano, savory, and thyme 12 bacterial strains, including spoilage and pathogenic bacteria (Clostridium botulinum and Clostridium perfringens) Vibrio parahaemolyticus, Staphylococcus aureus, Listeria monocytogenes, Escherichia coli and Salmonella Enteritidis (foodborne pathogens) 4 strains of Helicobacter pylori (the primary etiological agent responsible for the development of gastritis, dyspepsia, peptic ulcer Leaf extracts from Japanese persimmon, white cedar, and grape Turmeric, cumin, ginger, chilli, borage, black caraway, oregano and liquorice, Columbo weed, long pepper, parsley, tarragon, nutmeg, yellow-berried nightshade, threadstem Agricultural and Applied Biology Sciences, University of Gent, Gent, Belgium Research Laboratory, Higashimaru Shoyu Co., Tatsuno, Hyogo, Japan Department of Plant Science, Faculty of Science, Mahidol University, Bangkok, Thailand Tsukiyama et al, 2002 Bhamarapravati et al, 2003 Laboratorio di Microbiologia, Arcispedale S. Maria Nuova, Reggio Emilia, Italia Department of Experimental Biology, University of Cagliari, Sardinia, Italy Departamento de Producción Vegetal y Microbiología, Escuela Politécnica Superior de Orihuela, Universidad Miguel Hernández, Alicante, Orihuela, Spain Department of Food and Environmental Hygiene, Faculty of Veterinary Medicine, University of Helsinki, Finland Fabio et al, 2003 Department of Microbiology, National Institute of Health Sciences, Setagaya-ku, Tokyo, Japan Hara-Kudo et al, 2004 Centre for Infectious Diseases and International Health, Royal Free and University College London Medical School, O'Mahony et al, 2005 Cosentino et al, 2003 Valero & Salmerón, 2003 Nevas et al, 2004 Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 19 carpetweed, sage and cinnamon Anise, basil, cumin, dill, Aegean sage, fennel (sweet), laurel, mint, oregano, pickling herb, rosemary, sage, savory, sea fennel, sumac, and thyme (black) Mexican oregano Essential oils of Ocimum basilicum L., Origanum vulgare L., and Thymus vulgaris L Black thyme, cumin, fennel (sweet), laurel, marjoram, mint, oregano, pickling herb, sage, savory, and thyme Basil, clove, garlic, horseradish, marjoram, oregano, rosemary, thyme and turmeric disease and gastric cancer) Aspergillus parasiticus the UK Department of Food Engineering, Faculty of Agriculture, Selçuk University, Konya, Turkey Ozcan, 2005 Twenty-one fungal strains, which included Penicillium, Geotrichum, Aspergillus, and Bipolaris 13 bacterial strains and 6 fungi, including multiresistant strains of Pseudomonas aeruginosa and Escherichia coli Bacillus brevis, B. cereus, B. amyloliquefaciens, B. megaterium, B. subtilis, and B. subtilis var (all are foodborne pathogens) Vibrio parahaemolyticus (foodborne pathogen) Facultad de Ciencias Químicas, Universidad Autónoma de Chihuahua, México Portillo-Ruiz et al, 2005 Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Serbia and Montenegro Department of Food Engineering, Agricultural Faculty, Selçuk University, Konya, Turkey Seafood Safety Section, National Research Institute of Fisheries Science, Fukuura, Yokohama, Japan Department of Analytical Chemistry, Faculty of Chemical Technology, University of Pardubice, Czech Republic Faculty of Technology, Khon Kaen University, Thailand Bozin et al, 2006 Faculty of AgroIndustry, Department of Product Development, Kasetsart University, Bangkok, Thailand Matan et al, 2006 Cinnamon, bearberry, chamomile, sage, rosemary, … Arcobacter butzleri, Arcobacter cryaerophilus, and Arcobacter skirrowii Vanillin 4 bacteria (Pantoea agglomerans, Aeromonas enteropelogenes, Micrococcus lylae, and Sphingobacterium spiritovorun), 4 fungi (Alternaria sp., Aspergillus sp., Penicillium sp., and Fusarium sp.), and 3 yeasts 4 fungi (Aspergillus flavus, Penicillium roqueforti, Mucor plumbeus and Eurotium sp.), 4 yeasts (Debaryomyces hansenii, Pichia membranaefaciens, Cinnamon and clove oils Ozcan et al, 2006 Yano et al, 2006 Cervenka et al, 2006 Ngarmsak et al, 2006 Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 20 Zygosaccharomyces rouxii and Candida lipolytica), and 2 bacteria (Staphylococcus aureus and Pediococcus halophilus) Many spices, as these and other studies revealed, retain their properties at low temperatures and after heating or boiling. The GI tract of the human being harbours billions of bacteria, fungi and other organisms. When we are healthy, these bacteria, for example, produces vitamins, generate energy, help to bind toxins with the fibre. Antioxidant properties Spices also have antioxidant properties and are able, for example, to prevent oxidation of oils: “The results indicate that rosemary and oregano are more effective HOCl scavengers than the other substances analyzed, which, in decreasing order, were propyl gallate, annatto, sweet and hot paprika, saffron, and cumin. The effect of Mediterranean food spices on the oxidative stability of refined olive oil tested by the Rancimat method was compared with common food additives during storage (72 h, 2, 4, and 6 months) at room temperature. The results showed that the spice extracts analyzed have significant stabilizing effects (P < 0.05)” (Martínez-Tomé et al, 2001). This study was conducted at the Department of Food Science of the University of Murcia in Spain. Indian biochemists from the Central Food Technological Research Institute in Mysore wrote, “Spices and vegetables possess antioxidant activity that can be applied for preservation of lipids and reduce lipid peroxidation in biological systems. The potential antioxidant activities of selected spices extracts (water and alcohol 1:1) were investigated on enzymatic lipid peroxidation. Water and alcoholic extract (1:1) of commonly used spices (garlic, ginger, onion, mint, cloves, cinnamon and pepper) dose-dependently inhibited oxidation of fatty acid, linoleic acid in presence of soybean lipoxygenase. Among the spices tested, cloves exhibited highest while onion showed least antioxidant activity. The relative antioxidant activities decreased in the order of cloves, cinnamon, pepper, ginger, garlic, mint and onion. Spice mix namely ginger, onion and garlic; onion and ginger; ginger and garlic showed cumulative inhibition of lipid peroxidation thus exhibiting their synergistic antioxidant activity. The antioxidant activity of spice extracts were retained even after boiling for 30 min at 100 degrees C, indicating that the spice constituents were resistant to thermal denaturation. The antioxidant activity of these dietary spices suggest that in addition to imparting flavor to the food, they possess potential health benefits by inhibiting the lipid peroxidation” (Shobana & Naidu, 2000). Two years later the scientists from the same institute published a study about the effects of curcumin, capsaicin, quercetin, piperine, eugenol and allyl sulfide “on copper ion-induced lipid peroxidation of human low density lipoprotein (LDL) by measuring the formation of thiobarbituric acid reactive substance (TBARS) and relative electrophoretic mobility (REM) of LDL on agarose gel” (Naidu & Thippeswamy, 2002). All spices “inhibited the formation of TBARS effectively through out the incubation period of 12 h and decreased the REM of LDL” (Naidu & Thippeswamy, 2002). Their conclusion was that “These data suggest that the above spice active principles, which constitute about 1-4% of above spices, are effective antioxidants and offer protection against oxidation of human LDL” (Naidu & Thippeswamy, 2002). Antioxidant properties of spices were the focus of research for a group of biologists from the University of Hong Kong. Their study Antioxidant capacity of 26 spice extracts and characterization of their phenolic constituents was recently published in the Journal of Agriculture and Food Chemistry (Shan et al, 2005). These biologists observed that “Many spices contained high levels of phenolics and demonstrated high antioxidant capacity. … phenolic compounds in the tested spices contributed significantly to their antioxidant capacity. Major types of phenolic constituents identified in the spice extracts were phenolic acids, phenolic diterpenes, flavonoids, and volatile oils (e.g., aromatic compounds). Rosmarinic acid was the dominant phenolic compound in the six spices of the family Labiatae. Phenolic volatile oils were the principal active ingredients in most spices. The spices and related families with the highest antioxidant capacity were screened, e.g., clove in the Myrtaceae, cinnamon in the Lauraceae, oregano in the Labiatae, etc., representing potential sources of potent natural antioxidants for commercial exploitation. This study provides direct comparative data on antioxidant capacity and total and individual phenolics contents of the 26 spice extracts” (Shan et al, 2005). Moreover, “A wide variety of phenolic compounds and flavonoids present in spices possess Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 21 potent antioxidant, antimutagenic and anticarcinogenic activities” (Prasad et al, 2004), as Indian researchers claim. They continue, “We examined whether 5-lipoxygenase (5-LO), the key enzyme involved in biosynthesis of leukotrienes is a possible target for the spices. Effect of aqueous extracts of turmeric, cloves, pepper, chilli, cinnamon, onion and also their respective active principles viz., curcumin, eugenol, piperine, capsaicin, cinnamaldehyde, quercetin, and allyl sulfide were tested on human PMNL 5-LO activity by spectrophotomeric and HPLC methods.” The conclusions are: “The inhibitory effect of quercetin, curcumin and eugenol was similar to that of synthetic 5-LO inhibitors-phenidone and NDGA. Moreover, the inhibitory potency of aqueous extracts of spice correlated with the active principles of their respective spices. The synergistic or antagonistic effect of mixtures of spice active principles and spice extracts were investigated and all the combinations of spice active principles/extracts exerted synergistic effect in inhibiting 5-LO activity. These findings clearly suggest that phenolic compounds present in spices might have physiological role in modulating 5-LO pathway” (Prasad et al, 2004). Synergetic effects Two of the above-mentioned studies (Shobana & Naidu, 2000; Shan et al, 2005) emphasized the synergetic effects, when even weak inhibitory effects of separate spices are greatly amplified, if the same spices are used together. For example, Shobana and Naidu claim, that “Spice mix namely ginger, onion and garlic; onion and ginger; ginger and garlic showed cumulative inhibition of lipid peroxidation thus exhibiting their synergistic antioxidant activity” (Shobana & Naidu, 2000). Diabetes, heart disease, cancer and GI problems Spices can have effects on particular health conditions. In 2005 the International Journal of Food Science and Nutrition published a study Plant foods in the management of diabetes mellitus: spices as beneficial antidiabetic food adjuncts conducted at the Central Food Technological Research Institute in Mysore, India. The abstract states, “Diet has been recognized as a corner stone in the management of diabetes mellitus …spices are also known to exert several beneficial physiological effects including the antidiabetic influence. This review considers all the available information from animal experimentation as well as clinical trials where spices, their extracts or their active principles were examined for treatment of diabetes. Among the spices, fenugreek seeds (Trigonella foenumgraecum), garlic (Allium sativum), onion (Allium cepa), and turmeric (Curcuma longa) have been experimentally documented to possess antidiabetic potential. In a limited number of studies, cumin seeds (Cuminum cyminum), ginger (Zingiber officinale), mustard (Brassica nigra), curry leaves (Murraya koenigii) and coriander (Coriandrum sativum) have been reported to be hypoglycaemic” (Srinivasan, 2005). American study at the US Department of Agriculture, Beltsville Human Nutrition Research Center, MD revealed that “Among the spices, apple pie spice, cinnamon, cloves, bay leaves, and turmeric potentiated insulin activity more than three-fold… Spices are generally used for flavor and taste in food preparations, but cinnamon, cloves, bay leaves, and turmeric may have an additional role in glucose metabolism” (Khan et al, 1990). Australian scientists from the National Centre of Excellence in Functional Foods, University of Wollongong reviewed available research in the paper Health benefits of herbs and spices: the past, the present, the future. Among the findings are: the antioxidant properties of herbs and spices in the development of atherosclerosis (e.g., use of garlic for cholesterol-lowering effect, blood pressure reduction and anticlotting effects; effects of bioactive compounds in herbs and spices on cancer; effects of herbs and spices on type 2 diabetes mellitus; and use of food extracts as alternatives to non-steroidal anti-inflammatory agents in the management of chronic inflammation (Tapsell et al, 2006). This historical review suggests, “At present, recommendations are warranted to support the consumption of foods rich in bioactive components, such as herbs and spices. With time, we can expect to see a greater body of scientific evidence supporting the benefits of herbs and spices in the overall maintenance of health and protection from disease” (Tapsell et al, 2006). The Table above includes 2 studies on Helicobacter pylori (HP), a bacterium and well recognized primary etiological agent responsible for the development of gastritis, dyspepsia, peptic ulcer disease and gastric cancer. Among the useful spices are turmeric, cumin, ginger, chilli, borage, black caraway, oregano and liquorice, Columbo weed, long pepper, parsley, tarragon, nutmeg, yellow-berried nightshade, threadstem carpetweed, sage and cinnamon, as well as methanol extracts of Myristica fragrans (aril); extracts from Barringtonia acutangula (leaf) and Kaempferia galanga (rhizome); Cassia grandis (leaf), Cleome viscosa (leaf), Myristica fragrans (leaf), Syzygium aromaticum (leaf) Pouzolzia pentandra (leaf), Cycas siamensis (leaf), Litsea elliptica (leaf) and Melaleuca quinquenervia (leaf). Additional evidence relates to stimulating abilities of herbs on secretion of stomach acid, bile and various GI enzymes. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 22 Indian medical professionals from the Rajah Muthiah Medical College in Annamalainagar studied the effect of spices on gastric acid secretion. They found that “All the spices tested increased acid secretion in the following declining order: red pepper, fennel, omum, cardamom, black pepper, cumin, coriander. Red pepper increased acid secretion (mean [SEM] 0.93 [0.16] mL 0.1N HCl) to about 7 times the basal secretion (0.14 [0.05]; p < 0.005). The increase in acid secretion by the other spices was as follows: fennel 0.42 (0.11) mL 0.1 N HCl from basal secretion (0.12 [0.03]) (p < 0.02); omum 0.33 (0.05) from 0.09 (0.02) (p < 0.01); cardamom 0.28 (0.04) from 0.10 (0.03) (p < 0.005); black pepper 0.19 (0.03) from 0.04 (0.01) (p < 0.005); cumin 0.12 (0.02) from 0.08 (0.01) (p < 0.05); coriander 0.18 (0.03) from 0.09 (0.02) (p < 0.005)” (Vasudevan et al, 2000). Another group of Indian scientists wrote, “The present study examined the favourable influence of three spice mixes derived from a few commonly consumed spices of known digestive stimulant action on digestive enzymes of pancreas and small intestine, and on bile secretion and composition in experimental rats. The common ingredients of these mixes were coriander, turmeric, red chilli, black pepper and cumin, while the spice mix II additionally had ginger, and spice mix III contained onion. All the three spice mixes favourably enhanced the activities of pancreatic lipase, chymotrypsin and amylase when consumed during the diet. In addition, these spice mixes brought about a pronounced stimulation of bile flow and of bile acid secretion. Among the three spice mixes examined, spice mix III which is customized so as to include spices that are desirable from the point of view of stimulation of digestion, had the highest stimulatory influence particularly on bile secretion, bile acid output and the activities of pancreatic enzymes. While activities of pancreatic lipase, amylase and chymotrypsin were elevated by 40, 16 and 77%, respectively, the bile volume as well as the bile acid secretion were almost doubled in spice mix III treatment” (Platel et al, 2002). Therefore, use of spices can be very beneficial for students with pancreatic insufficiency and other disorders related to poor digestive abilities. Moreover, anybody who has abnormal gut flora will be able to better digest meals providing less chance for pathogens to multiply. 11.13 Other observations and suggestions Gluten When a person has GI inflammation and various symptoms of abnormal GI flora, it is better to avoid gluten for days, follow the good diet, get high CP, and see the effects. This relates not only to people with the diagnoses of the celiac disease. Many more people have gluten sensitivity that can be revealed by the allergies-revealing prick test (solutions of various substances are injected under the skin and the effects are observed). Many people with GI problems cannot efficiently digest proteins. Undigested gluten proteins act like a sandpaper on the villi of the duodenum greatly reducing the area for absorption of nutrients, creating inflammation of the GI mucosa, depleting cortisol reserves, and causing various other negative effects. In many cases eating, for example, bread, would not cause any serious symptoms or problems after the meal, but the practical effects are: 1. Efficiency of absorption of nutrients is greatly reduced. 2. Inflammation is created. 3. Pathogenic bacteria, feeding on broken villi, multiply producing pathogenic GI flora and generating toxins. All these effects are slow to be revealed. It is only after some days with avoidance of all triggers and with the CP at least 30-35 s 24/7, the student can notice improvement in symptoms. Another interesting effect relates to the ability of gluten to clean the mucus and other residues that can accumulate on the walls of the intestines when the person follows soft diet for long time. Roughage acts like a brush and when there is no such stimulation, the residues can stick to the walls of the intestine for days or even weeks. In such conditions, the person may notice that sporadic eating gluten-containing food will improve the CP and well being, but it can be a better idea to chew very well some vegetables when the state of the gut is improved. Fruits When GI problems are present and the gut flora is abnormal, there are often several pathogens that can dominate the GI tract. Candida yeast is one of them. In such cases, avoidance of fruits is beneficial. High morning CPs (30-35 s) and avoidance of simple sugars prevent Candida from attachment to the wall of the gut, but it can take 2-3 weeks for its suppression and control. Candida Albicanis This yeast is probably the most common GI concern for modern man. The main problems with Candida is that when the person eats simple sugars (e.g., fruits and table sugar), Candida grows and divides without producing any significant symptoms. The yeast attaches to the gut, especially the duodenum, and the snatch whatever is available. But when it is starved to death (after days of good diet with no simple sugars), it dies releasing powerful Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 23 toxins that are able to penetrate the blood-brain barrier causing mood swings, depression, and anxiety. Among other symptoms is thirst if Candida participates in the inflammatory processes in the gut. When the CP gets below 20 s, Candida easily spread through the small intestine and can even colonise the mouth, sinuses, oesophagus, and other surfaces of the body. When the CP is below 10 s, Candida can be found in blood and it can freely colonize the mouth and tissues of internal organs. How could one know that Candida is present and active in the gut? Try taking grapefruit seed extract (about 5-7 drops in a glass of water) and see the effects. A person without Candida would not notice any effects. The severity of negative symptoms reflect the degree of the problem. Doctors usually treat Candida with antibiotics and nystatin. However, if the CP of the person remains low (e.g., about 15-20 s), Candida can come back. The keys to success are in high CP (over 30 s) and good diet for about 2-3 weeks. Further CP growth makes the immune system even stronger. As about the diet, avoidance of simple sugars is crucial. Even refined foods, like white bread and white rice, are better to avoid too. Among spices, in trials, garlic showed higher activity against Candida than nystatin. Onions, ginger and many other spices are useful. Note that efficiency of these natural remedies, as well as medical drugs, is CP-relevant. When the CP is high (e.g., 35 s or more) 24/7, small amounts are sufficient to do the job. When the CP is below 20 s, even large amounts can be useless or have limited effects. Chewing food well, days of reduced eating, and raw diets are other possible steps. Later, when the CP is high for weeks, gradual introduction of fruits is possible. Ideally, over 60 s CP is the best guarantor against Candida recurrence. Helicobacter Pylori overgrowth It is typically found in patients with gastritis, ulcers, and certain other digestive problems. Medical doctors usually suggest a course of antibiotics, but antibiotics kill other (good) bacteria in the gut too making chances of Candida higher in future. Besides, rates of H. Pylori recurrence is high since the gastric or duodenal mucosa usually does not heal (elimination of inflammation requires over 30 s CP for about 2-3 weeks). Hence, the solution is again in high CP and good diet (eating only when hungry, stopping in time, chewing very well, etc. ). Some spices and Manuka honey are known partners in H. Pylori eradication, but their efficiency depends on one’s CP. Helicobacter Pylori is usually treated by most western doctors with antibiotics. However, these bacteria can be defeated by the immune system within 1-2 weeks (in most cases), if the CP of the patient is about 35-40 s. as practice of Russian Buteyko doctors revealed. Blastocystis Some years ago, many medical experts and authorities re-classified Blastocystis Hominis, a common parasite found in the GI tract of most people, as a dangerous disease-producing organism, as opposed to just a harmless organism. The resultant disease Blastocystosis has presented a challenge to the medical and scientific community due to the diversity of hosts the organism can infect, the diversity of Blastocystis species which exist, and the fact that most species of Blastocystis found in mammals and birds are able to cause infection in humans. Blastocystis is generally considered to be a weak parasite. It attacks those people who have a low CP (e.g., less than 20 s) and, hence, the weakened immune system and a weakened digestive tract. It often occurs together with other parasites, like Candida. Almost 50% IBS patients have Blastocystis in their samples. The average person with Blastocystis may not have any symptoms. Those who are affected may complain about abdominal pain, constipation, diarrhoea, allergies, and skin problems, which appear and disappear unpredictably depending on the CP fluctuations, diet, and other parameters. Blastocystis likes fats and grains. Some sufferers, especially with weak liver and problems with fat digestion, may notice that eating fats and oils result in production of offensive gas and very cold hands and feet. The amoeboid form of the Blastocystis (it exists in 4 different forms), is strongly adhesive. This form is particularly frequent in symptomatic individuals and is very difficult to get rid of. It hides in the mucosal surface of the intestines, sticks, and holds there making elimination, without high CPs, very difficult. Medical drugs for its eradication are highly toxic. Taken over long periods of time, they damage one's liver or kidneys. Herbs and spices, in addition to breathing- and diet-related steps, are better solutions. Michael Biamonte, CCN suggests, “These herbs must be rotated--meaning taken by themselves for a period of 4-5 days, then stopped, a new one introduced and taken for 4-5 days, stopped, and then another new one introduced, etc. In this way, the Blastocystis will not build up an immunity to any of these items. Herbs and Dosages: Black Walnut, 300mg Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 24 Wormwood, 500mg Cloves, 300 mg Oil of Oregano, 5 drops Quassi Amara, 200mg Gentian, 100mg Coptis chinensis Extract (10:1), 100mg Forsythia suspense Extract (20:1), 50mg Lonicera japonica Extract (7:1), 150mg Allium sativum Extract (Allicin 13mg/g), 200mg Commiphora myrrha powder, 200 mg Echinacea angustifolia (4% phenolics), 250mg Citrus Bioflavonoid Complex 40%, 200mg Zinc (citrate), 10mg Vitamin A, 10,000 IU Vitamin C (pure ascorbic acid), 500mg Recommended dosage: 2 or 3 capsules or tablets, 3-4 times daily. Colon cleanses are necessary in order to eliminate Blastocystis” (www.health-truth.com/118.php). Enzymes that digest fats can also assist eradication. Elimination of other parasites and shaking of the body (for mechanical detachment of faecal impaction, old mucus, and other residues, which harbour Blastocystis, from the GI mucosa) is another crucial step. Hence, jogging, if tolerated, is an excellent choice. Even riding in a car, bus or train can produce good results. Hatha yoga school developed a variety of similar applicable techniques, including nauli (drawing the belly in and then relaxing it hundreds of times per day) and bhastika (a high frequency lowvolume breathing exercise that does not reduce CO2, but mechanically stimulates the lymph nodes and organs located under the diaphragm). Here, again, higher morning CP will be the leading factor in restoration of GI strength and integrity. Over 30-35 s CP 24/7 for some weeks provide the crucial part of the natural solution, but serious dietary changes, good chewing, and use of spices and herbs can also be necessary for some students. Q&A section for Chapter 11 Q: Why do Buteyko breathing teachers, even in Russia avoid treating patients with ulcers, Crohn’s disease, gastritis and other GI problems? A: Western breathing teachers, in general, have very little, if any, experience with GI problems. An average breathing practitioner would rather teach the method to a student with emphysema or severe heart disease, than with complex GI problems. In the past, in Russia it was more common in the past to deal with GI concerns. Why did the situation change? Practice shows that teaching students with emphysema, or asthma, or heart problems does not require rigorous discipline of the students in relation to diet. The main requirements are in the simple rules: eat only when you are really hungry and stop in time. When allergies to foods are present, the students are taught to avoid them. GI disorders require, in addition to breathing retraining, deep knowledge and understanding of effects of diet on health. These disorders also need much more time to educate students about diet, nutrition, triggers, inflammation, and various other effects. Finally, students should be self-organized and consistent in both areas: breathing control and meals. Hence, the time and energy that the breathing teacher needs to spend on the student with serious GI problems are about 2-3 times more than for many other conditions. These were also the reasons why this edition of this book had much more information about GI disorders and useful steps in this area. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 25 - Breaking through 40 s CP threshold The course outline (Level 3) Requirements: Morning CP > 25 s (more than 2 days in row) Evening CP > 30 s (more than 2 days in row) 1 hour/day for breathing exercises 2 hours/day for intensive physical activity Other possible conditions: - if GI problems, organic food only, pure water only, gluten-free diet; - standing during most of the day; 3 group sessions (2 hours+) + 3 individual meetings (1 hour+) Restore the gut step Why slow CP progress? Compare with the high CP child who does one session. Effects? Why? Why older students are slow? GI flora: soiling effect, unclean tongue, offensive smell. 1. CP>30 s 24/7 2. Nutr. Def. (Omegas, Ca-Mg-Zn, seaweeds, fiber, 5 colours, food combining, nut factor, if ulcers, probiotics, enzymes?, … ) 3. Candida and fruits: citricidal test; sweating-perspiration effect and recycling of toxins in the GI system; over 30 s CP + sweating + OK GI signs => fruits are OK Gluten effects (if sensitive): inflammation (pulse, cortisol, licorice); increasing protein intake (from 70-80 g/day up to 90-120) Chewing effect: 1) wear of the gut; 2) absorption; 3) imagine 1% of protein to rot; 4) stress for pancreas (80% starches, etc.); etc. Food allergies and sensitivities (medical prick test vs. machine or kinesiology testing) Standing/shaking effect (especially during digestion and when soft diet and impaction is likely); stagnations zones; by-passes, strictures, diverticulas, and Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 26 - Pure water and GI tract Organic food and Al sensitivity Yoghurt and probiotocs (enteric coated) Speed of GI recovery: GI flora change: 1-2 days in ideal conditions; ulcer and inflammation is gone (about 3 weeks). Causes of diarrhea for a modern student: 1) Sitting vs. standing; 2) Immobile vs. moving/shaking; 3) dust vs. outdoors; 4) EMF computer vs. no computer; 5) eyes’ straining at close distance vs. relaxed looking far away; 6) heavy mental work vs. simple outdoor activities; 7) toxins vs. sweating; Sweating – perspiration Shaking – general- after meals Allergy avoidance Nut factor Colours Greens Trace minerals Proteins Hi, Janet and the group, Gradually reduced ventilation or increasing CP naturally eliminates Candida and this process is no different from elimination of infections in sinuses or bronchi. (However, one has to be careful not to feed Candida or have a diet free from simple sugars.) The difference is in the required CP level. H. Pylori requires even slightly higher CP. My understanding is that since getting over 30 or over 35 s CP is very hard or even impossible without a good daily dose of exercise, sometimes Buteyko students and practitioners may get a desire to invent excuses so that to justify own laziness. (Here it is good to explain to daring students, that when we have Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 27 between 20 and 30 s CP, going and doing PE usually requires some efforts, while at over 50 s CP people enjoy and even crave PE.) The effective formulas of probiotics include some forms of fiber (psyllium husk, inulin, etc.) for mechanical protection in the stomach and sometimes oligosaccharides to feed good bacteria in the duodenum. About allergy to dairy and differences between milk and fermented milk products (youghurt and kefir). Fermented milk products can cause fewer problems to those people who are sensitive to lactose (milk sugar). If a person is sensitive to casein (main milk protein), then protein content in dairy will be the factor to consider. Chewing, as Bud described, is another huge topic since many people keep and feed Candida and other sticky pathogens in the gut by having "usual" 20-25 min meals making progress difficult or even impossible. Best regards, Artour. From: [email protected] To: [email protected] Subject: RE: [BPSN] Candida, fungal infections Date: Wed, 13 Jan 2010 11:42:32 +0000 Artour, Fascinating as always, thanks for this. It all makes sense. Bit of a catch 22, need high CP to get candida under control, and need candida under control to get high CP? On a related topic, some people have low stomach acid. Can anyone comment on low stomach acid and the link to asthma (and other eg digestive problems http://www.drmyhill.co.uk/article.cfm?id=404 )? Can low stomach acid be a symptom of hyperventilation? Could these people benefit more from eg Kefir a)they are not sterilizing their stomach contents as they are not making enough acid, and are therefore more likely to get a gut flora imbalance? b)as the probiotic bacteria are more likely to survive in the low stomach acid? One more question, presumably kefir fermented milk does not have the same negative effects on breathing and allergies as whole milk? Good health to all of us, Janet From: [email protected] To: [email protected] Subject: RE: [BPSN] Candida, fungal infections Date: Wed, 13 Jan 2010 09:56:26 +0000 Dear Peter, Pippa, Bud, Janet, Fiamma, and Rosalba Candida has never been a fungal infection that requires a special medical attention. The key factor of 4 focal infections, or why they are called focal, is inability of the immune system to reach these pathogens via blood. This is the reason why they require medical attention or special help from outside. Candida on the GI lining is within the reach of the immune system. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 28 Probiotic supplements are useful depending on one's CP. When the CP is less than 10 s, one may consume tons of good bacteria without any positive effect. For over 10 s CP, probiotics efficiency depend on their amount and the way of supply. Conventional capsules, powders, kefir, and youghurt have very low survival rate in the stomach (this is what the stomach is for: to kill bacteria and pathogens). Out of 7-10 common strains of Lactobacillus, only Lactobacillus faecalis can pass through the stomach, while over 99% of others die due to hydrochloric acid. One solution is to use enteric coated capsules which are released in the duodenum. However, some Candida sufferers can not tolerate large capsules (possible flare-up) and they can use supplements with psyllium husks or other fibers which allow better survival of probiotics, possibly due to mechanical protection created by fiber particles and surrounding water attracted to the surface. (Probiotics hide themselves in fiber-water structure.) Try to add psyllium husks to youghurt or kefir and see the effects. When the CP is less than 25-30 s, one may require constant supply of probiotics due to chronic struggle with Candida, which is manifested, among other symptoms in "soiling effect" (or the need to use toilet paper) since pathogens, especially Candida clings to the GI lining, prevent absorption of useful nutrients, generate toxins, etc. Good bacteria, like good friends, do not cling to the gut, but produce useful substances staying away from the surface. Hence, when flora is abnormal people soil themsleves (sticky bacteria). The beauty of the Buteyko method is that at over 30 s CP, with perspiration and mechanical shaking of the body, Candida detaches itself fairly quickly so that the use of probiotics is a one-time action. A high CP student sooner or later would eat a spoon of yoghurt or kefir and get a voracious desire (craving) to eat more. This will happen only once because since then the gut flora will remain normal, provided that the CP grows. Hence, instead of spending weeks or months on strict diet, the method allows to eat fruits within 2-3 days without new problems with Candida. When one cannot increase the CP above 30 s 24/7 or it drops below 30, then probiotics can be used all the time. Best wishes, Artour. Spread the cheer with Messenger for mobile. Learn more. Got a cool Hotmail story? Tell us now Intensive CP growth and GI problems When a person with abnormal gut flora and pathological bacteria attached to villi (IBS, IBD, Crohn disease, etc.) has intensive breathing practice with large CP growth (2 zones up or over 20 s CP increase within the same day, e.g., from 30 s up to 50 s or more), but villi are still inflamed and require soft diet, this breath reduction over-stimulates the immune system causing intensive peristalsis that mechanically wipe away mechanically weak villi. The person experience diarrhea, flatulence, bloating and offensive smell. (Spontaneous abortion has the same mechanism.) While the CP can become high (over 50 s), increased inflammation is manifested in high heart rate (over 70-75). The broken villi can re-grow within 10-14 hours, but this daily over-zealous approach to breathing retraining can lead to the vicious circle and the gut have no time recover. Gradual repair of the mucosal surfaces (proper diet) with gradual and defensive CP growth leads to increased resilience of villi, detachment of pathogens from the mucosal surface, and disappearance of inflammation so that higher CPs do not lead to mechanical removal of villi and increased heart rate. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 29 - Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 30 - References for chapter 11 Arora DS & Kaur J, Antimicrobial activity of spices, Int J Antimicrob Agents. 1999 Aug; 12(3): 257-262. Bagamboula CF, Uyttendaele M, Debevere J, Inhibitory effects of spices and herbs towards Shigella sonnei and S. flexneri, Meded Rijksuniv Gent Fak Landbouwkd Toegep Biol Wet. 2001; 66(3b): 523-530. Basílico MZ & Basílico JC, Inhibitory effects of some spice essential oils on Aspergillus ochraceus NRRL 3174 growth and ochratoxin A production, Lett Appl Microbiol 1999 Oct; 29(4): 238-241. Bhamarapravati S, Pendland SL, Mahady GB, Extracts of spice and food plants from Thai traditional medicine inhibit the growth of the human carcinogen Helicobacter pylori, In Vivo. 2003 Nov-Dec; 17(6): 541-544. Billing J & Sherman PW. Antimicrobial functions of spices: why some like it hot, Q Rev Biol. 1998 Mar; 73(1): 349. Bozin B, Mimica-Dukic N, Simin N, Anackov G, Characterization of the volatile composition of essential oils of some lamiaceae spices and the antimicrobial and antioxidant activities of the entire oils, J Agric Food Chem. 2006 Mar 8; 54(5): 1822-1828. Cervenka L, Peskova I, Foltynova E, Pejchalova M, Brozkova I, Vytrasova J, Inhibitory effects of some spice and herb extracts against Arcobacter butzleri, A. cryaerophilus, and A. skirrowii, Curr Microbiol. 2006 Nov; 53(5): 435-439. Cosentino S, Barra A, Pisano B, Cabizza M, Pirisi FM, Palmas F, Composition and antimicrobial properties of Sardinian Juniperus essential oils against foodborne pathogens and spoilage microorganisms, J Food Prot. 2003 Jul; 66(7): 1288-1291. De M, Krishna De A, Banerjee AB, Antimicrobial screening of some Indian spices, Phytother Res. 1999 Nov; 13(7): 616-618. El-Maraghy SS, Effect of some spices as preservatives for storage of lentil (Lens esculenta L.) seeds, Folia Microbiol (Praha). 1995; 40(5): 490-492. Fabio A, Corona A, Forte E, Quaglio P, Inhibitory activity of spices and essential oils on psychrotrophic bacteria, New Microbiol. 2003 Jan; 26(1): 115-120. Fuhrman J, Fasting and Eating for Health (A Medical Doctor’s Program for Conquering Disease), St.Martin’s Press, New York, 1995. Hara-Kudo Y, Kobayashi A, Sugita-Konishi Y, Kondo K, Antibacterial activity of plants used in cooking for aroma and taste, J Food Prot. 2004 Dec; 67(12): 2820-2824. Khan A, Bryden NA, Polansky MM, Anderson RA, Insulin potentiating factor and chromium content of selected foods and spices, Biol Trace Elem Res. 1990 Mar; 24(3): 183-188. Lampe JW, Spicing up a vegetarian diet: chemopreventive effects of phytochemicals, Am J Clin Nutr. 2003 Sep; 78(3 Suppl): 579S-583S. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 31 Martínez-Tomé M, Jiménez AM, Ruggieri S, Frega N, Strabbioli R, Murcia MA, Antioxidant properties of Mediterranean spices compared with common food additives, J Food Prot. 2001 Sep; 64(9): 1412-1419. Naidu KA & Thippeswamy NB, Inhibition of human low density lipoprotein oxidation by active principles from spices, Mol Cell Biochem. 2002 Jan; 229(1-2): 19-23. Nevas M, Korhonen AR, Lindström M, Turkki P, Korkeala H, Antibacterial efficiency of Finnish spice essential oils against pathogenic and spoilage bacteria, J Food Prot. 2004 Jan; 67(1): 199-202. Ngarmsak M, Delaquis P, Toivonen P, Ngarmsak T, Ooraikul B, Mazza G, Antimicrobial activity of vanillin against spoilage microorganisms in stored fresh-cut mangoes, J Food Prot. 2006 Jul; 69(7): 1724-1727. Nielsen PV & Rios R, Inhibition of fungal growth on bread by volatile components from spices and herbs, and the possible application in active packaging, with special emphasis on mustard essential oil, Int J Food Microbiol. 2000 Sep 25; 60(2-3): 219-229. O'Mahony R, Al-Khtheeri H, Weerasekera D, Fernando N, Vaira D, Holton J, Basset C, Bactericidal and antiadhesive properties of culinary and medicinal plants against Helicobacter pylori, World J Gastroenterol. 2005 Dec 21; 11(47): 7499-7507. Ozcan M, Effect of spice hydrosols on the growth of Aspergillus parasiticus NRRL 2999 strain, J Med Food. 2005 Summer; 8(2): 275-278. Ozcan MM, Sağdiç O, Ozkan G, Inhibitory effects of spice essential oils on the growth of Bacillus species, J Med Food. 2006 Fall; 9(3): 418-421. Platel K, Rao A, Saraswathi G, Srinivasan K, Digestive stimulant action of three Indian spice mixes in experimental rats, Nahrung. 2002 Dec; 46(6): 394-398. Portillo-Ruiz MC, Viramontes-Ramos S, Muñoz-Castellanos LN, Gastélum-Franco MG, Nevárez-Moorillón GV, Antifungal activity of Mexican oregano (Lippia berlandieri Shauer), J Food Prot. 2005 Dec; 68(12): 2713-2717. Prasad NS, Raghavendra R, Lokesh BR, Naidu KA, Spice phenolics inhibit human PMNL 5-lipoxygenase, Prostaglandins Leukot Essent Fatty Acids. 2004 Jun; 70(6): 521-528. Shan B, Cai YZ, Sun M, Corke H, Antioxidant capacity of 26 spice extracts and characterization of their phenolic constituents, J Agric Food Chem. 2005 Oct 5; 53(20): 7749-7759. Srinivasan K, Plant foods in the management of diabetes mellitus: spices as beneficial antidiabetic food adjuncts, Int J Food Sci Nutr. 2005 Sep; 56(6): 399-414. Tapsell LC, Hemphill I, Cobiac L, Patch CS, Sullivan DR, Fenech M, Roodenrys S, Keogh JB, Clifton PM, Williams PG, Fazio VA, Inge KE, Health benefits of herbs and spices: the past, the present, the future, Med J Aust. 2006 Aug 21; 185 (4 Suppl): S4-24. Tsukiyama R, Katsura H, Tokuriki N, Kobayashi M, Antibacterial activity of licochalcone A against spore-forming bacteria, Antimicrob Agents Chemother. 2002 May; 46(5): 1226-1230. Valero M & Salmerón MC, Antibacterial activity of 11 essential oils against Bacillus cereus in tyndallized carrot broth, Int J Food Microbiol. 2003 Aug 15; 85(1-2): 73-81. Vasudevan K, Vembar S, Veeraraghavan K, Haranath PS, Influence of intragastric perfusion of aqueous spice extracts on acid secretion in anesthetized albino rats, Indian J Gastroenterol. 2000 Apr-Jun; 19(2): 53-56. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com - 32 Yano Y, Satomi M, Oikawa H, Antimicrobial effect of spices and herbs on Vibrio parahaemolyticus, Int J Food Microbiol. 2006 Aug 15; 111(1): 6-11. Yin MC & Cheng WS, Inhibition of Aspergillus niger and Aspergillus flavus by some herbs and spices, J Food Prot. 1998 Jan; 61(1): 123-125. Copyrights: Artour Rakhimov 2009, PhD; www.NormalBreathing.com