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To Meditate of Medicate? While folk belonging to Buddhist and Hindu traditions have known the value of meditation from time immemorial, it is only recently that western medicine has learned that meditation can actually be good for patients. According to a recent issue of Time magazine, no less than ten million Americans today admit to practicing some form of meditation. It was Dr. Herbert Benson, professor of medicine at Harvard who appraised the medical establishment of the benefits of meditation. In 1967 he studied a group of 36 meditators – measuring heart rate, blood pressure and body temperature while they meditated – and demonstrated that meditation significantly reduced resting heart rate and metabolic rate. “All that I did,” said Benson, “was simply provide a scientific explanation for techniques that people have been using for thousands of years.” Subsequently, other researchers ‘scientifically’ studied the physiological effects of meditation. In Cambridge, for example, John Teasdale showed that meditation benefited those suffering from psychological depression – halving the relapse rate among the depressed patients in his study. Boosting the immune system Meditation has also been shown to boost the body’s immune system. In two groups of subjects given flu vaccine in the University of Wisconsin, the group who were meditators had higher levels of antibodies in their bloody compared to the non-meditating group – implying that their level of resistance to this disease was better. Several studies have established beyond doubt that regular meditation can significantly lower blood pressure. Says American cardiologists Dr. Dean Ornish, “If you want to prevent build up of cholesterol plaques in your arteries, start meditating.” Ornish is not the only physician recommending meditation to his patients. Patients today are being recommended meditation as a method of preventing or controlling chronic diseases such as cancer, heart disease and high blood pressure. How does meditation produce these therapeutic effects? Modern MRI scans and other means of tracking blood flow and electrical activity have shown that meditation virtually rewires the brain to reduce stress, raising the threshold at which an individual reacts to perceived irritations. If one looks on the brain as analogous to a pressure cooker set to build up pressure in a confined space and release steam at a particular temperature, what meditating does is reset the boiling point – so that tolerance level is raise and one does not explode in the face of external annoyances. Physiologically, meditation deactivates the Frontal lobe of the brain (which receives and processes sensory information and is responsible for reasoning and emotional awareness) and the Parietal lobe (responsible for orienting a person in space and time). With these two lobes functioning ‘offline’, as it were, one loses one’s sense of self and the emotional awareness of outside sensations. The brain does not shut itself off – it simply blocks information unnecessarily going into the frontal and parietal lobes and creating unwanted physiological activity. Benson showed the meditating increased Theta waves (that appear just before one falls asleep) in the brains of meditators without them actually falling asleep. He postulated that this created a sense of calmness, thus allowing them to overcome the body’s natural stress response – the ‘fight or flight’ reaction to the perception of external danger or irritation – and so achieve a calmer, more contented state of mind. Perhaps this is the essence of Buddhist philosophy – training oneself to focus on the present, to live in the moment – and not to allow past and future worries to set off the ‘reactionary’ systems that potentiate disease. Dr. Sanjiva Wijesinha MBBS MSc (Oxon) FRCS FRACGP is a senior lecturer in the Medical Faculty at Melbourne’s Monash University as well as Sri Lanka’s Kelaniya University.