Posts in Insight
Yoga, Qigong and Chronic Illness
 
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All disease begins in the gut.
— Hippocrates

I’ve lived with Inflammatory Bowel Disease (IBD) for almost 20 years now; I was initially diagnosed with pancolitis (Ulcerative Colitis) in 2002, then had total colectomy surgery and was subsequently diagnosed with fistulating Crohn’s disease. Auto-immune illnesses tend to be complex, layered pathologies, meaning there will inevitably be multiple components to a possible ‘cure’.

I am a firm believer of the idea that everyone needs to find their own path in health; in most complex auto-immune illnesses there is no one solution or wonder-drug that can cure them. They are complex illnesses where the body is out of balance and they require good medical guidance, but also individual inquiry and effort.

For me realising that I could and needed to take ownership, rather than solely relying on medical science, has helped me improve a lot. I realised that I was very disconnected from actually feeling, from listening to my body’s signals; from my own inherent wisdom. Yoga and Qigong opened the door to help me reconnect. 

 

Yoga is a mind-body practice, helping to unite the different layers (Koshas) of our being; the physical, energetic, mental/emotional, wisdom and deeper Self. Through the path of the 8-limbs of Yoga we are able to connect to the deeper Self and feel total connection to ourselves and the outside world. We have the realisation that we are all one; non-duality. We find our bliss by quieting the ‘monkey mind’, that incessant voice in our heads constantly judging/fixing/comparing and can completely present in the moment. No more reminiscing the past or ‘what if-ing’ the future. Just being here, right now.

To get to this state in our fast-paced world, we need to slow down and do the work of yoga. The path of yoga follows ethical standards (Yamas), spiritual observances (Niyamas), movement (Asana), breathwork (Pranayama), going inward (Pratyahara), focus (Dharana) so we can go deeper into meditation (Dhyana) in order to find our deeper Self or Bliss (Samadhi). Yoga is also not just practiced on the mat, you try to live your Yoga every day. By being mindful, practicing Yamas (like non-violence, truthfulness and non-stealing) and Niyamas (like contentment, self-study and discipline), setting an intention to be living your life with more purpose and awareness.

Yoga has has changed -perhaps even saved- my life as I found it when I was in a very dark place. I was struggling with my physical and mental health and I was giving up on life. Yoga made me feel strong and flexible both physically and mentally and it also helped to open my mind to the more spiritual aspects. I could break away from my closed “I Know” mindset into a more “Maybe” frame of mind, open to the idea that life gets far more interesting when you really listen and become curious.

The one aspect that I still found very difficult to connect with was the energetic part. The Kosha model in Yoga views us as having five layers, starting with the physical, which is the most tangible. The second layer is the energetic (Pranamaya Kosha) also known as the subtle body as it is something we can’t see but feel; it is the part of us where the energy flows. The energy flows through energy channels; the three major ones being the central channel (Sushumna) and Ida and Pingala (the left and right channels weaving around the central channel) representing the Yin (feminine) and Yang (masculine) energy in the body. Besides the 3 major channels the Yogis believe we have some 72.000 minor channels (or Nadis) transporting the energy (or Prana) through our body. Along the central channel there are 7 energy wheels (or Chakras) from the base of the spine to the crown of the head, all representing different developmental and emotional parts of our being. One more way of energy to flow through the subtle body are the five Winds (Vayus). These flows represent the way that air and energy can flow in, through and out the body and the energetic quality this creates.

As you can see, it is all quite involved and then I found out that there are other ways to map energy; when I started learning about Yin yoga, we learned there were 12 main energy channels and 8 extraordinary ones and that energy (now named Qi or Chi) was stored in three energy centres (or Dantian). Then while learning Thai Yoga massage, they used 10 energy channels (or 10 Sen) but I did recognise the 3 main energy channels (although named them slightly differently; Sumana, Ittha, Pinkala). Finally those energy channels have connection points on the surface of the skin (acupressure points) where we can stimulate/manipulate the energy via needles (acupuncture) or pressure (massage, tapping).

While this all got pretty complex, it was also remarkably easy. Energy (Prana, or Qi/Chi) flows through our body through channels (Nadis, or Meridians or Sen). It can concentrate in certain areas (Chakras or Dantian) and if the energy flows freely and we have enough of it, we feel balanced, healthy and happy. When energy is deficient or blocked, we feel unwell emotionally and/or physically.

I was able to understand this in my mind and was open to believing it to be true, but the disconnect happened with sensing into it. In my Yoga practices I could feel energised through movement and breath, but ‘feeling energy’ I couldn’t…. Enter Qigong!

Qigong (Qi = Life Force Energy, Gong= Work/Skill) came across my path some 15 years ago when for two years I would practice Tai Chi (a mind-body practice based on martial art used for health and meditation) for 2 hours a week. At the time I wasn’t practicing Yoga yet. The Tai Chi felt flowy, it required focus and movement and to memorise the sequence, all of which I loved. The first hour of the practice was Qigong; it was slow and repetitive and for me at the time perhaps a little too slow. Fast forward to 2020 where I reconnected with Qigong. This time as a Yogi. I was able to slow down, focus and enjoy the repetitive movement as a moving meditation. Very quickly I was able to tune into the sensations in my body, the tingling, swirling movement of Qi (Qigong uses the same energy map as we do in Yin Yoga where they speak of Qi and Meridians). I could actually feel the energy. With practice I can start feeling where energy flows, but also where it is blocked or deficient. This I believe is crucial in my healing process.

 
Whereas Yoga played a vital part in helping me to reconnect my mind and body, Qigong has been instrumental in connecting to the part of me my western mind was struggling to tune into; my energy, subtle body, soul or deeper self.
 

Energy is closely connected to Emotions. The energy sheat or subtle body (Pranamaya Kosha) sits between the Physical sheat (Annamaya Kosha) and the Mental/Emotional sheat (Manomaya Kosha). It is the link between the mind and the body and an important place to address mental and physical health.

Emotions, experiences, events which we haven’t properly processed (things we’ve experienced as traumatic), are stored in the body (see Bessel van der Kolk’s ‘The Body keeps the Score’ or Gabor Maté’s When the Body says No’ for more insights on this).  Furthermore, studies show that people suffering from IBD and other auto-immune illnesses who suffer from chronic fatigue, might suffer disrupted emotional processing. A lack of emotional regulation (unprocessed emotions, avoidance, suppressed emotions) might develop into anxiety and/or depression. Crohn’s disease itself can trigger traumatic experiences, worsening the illness and the emotions surrounding it. It’s a vicious cycle. So being able to better deal with emotions, in the moment through emotional regulation, but also the unprocessed emotions stored in the body, by being able to feel where the energy is blocked, I believe is a big part of my journey to better health.

Another simple yet highly effective tool is EFT (emotional freedom technique). EFT uses tapping on specific acupressure points (on those same meridians I mentioned from Yin Yoga and Qigong) in combination with recognising an emotion and positively affirming the underlying feeling (or limiting belief) was another big breakthrough. I feel I am about to extrapolate what I’ve learned so far from these simple yet powerful practices, the essential ingredient missing from my treatment plan; dealing with my dysregulated nervous system by working with and through my sublte/energy body. Finding the combination of awareness, focus, movement and understanding what energy to release, and what energy to strengthen I believe makes a big impact on health.

My plan is to keep combining Yoga and Somatics with Qigong and EFT in order to process emotions and balance my energy system. I want to share my practices with other people suffering with Chronic Illness such as Crohn’s and Colitis. More soon!

 
When Anxiety Takes Over
 
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Some 12 years ago, I was suffering from panic attacks; every time I would get on an underground train and the doors would close (accompanied with the little ‘ding-ding-ding’ sound), I would be overwhelmed by fear that I couldn’t reach a toilet in time and that I was going to have an accident whilst on the train. It was a very physical sensation, with heart palpitations and feeling hot and sweaty, and it would hit me like a wave. I would push my nails into my palms hard, so I could feel pain as distraction. When we would reach the next station I would run out and find a toilet.

I needed to take the train to and from work, so these attacks would happen most days and I knew all the public toilets along the train-lines. My psychologist said it was common in IBD-sufferers to have panic attacks, as physically there is a lot of abdominal discomfort and pain, which can trigger fear of accidents. So when there is a situation where a toilet isn’t available, there is a trigger (ding-ding-ding) and the fear will take over.

This continued for months, and nothing I tried seemed to help, until one day I read the PanicAway program, and it was like a switch had been flicked; I’ve not had a panic attack since. The program encouraged to not resist the fear, which is what we instinctively do when we panic; automatically we will try to push the fear away as we don’t want whatever the bad thing it is we fear, to happen. The thing is when we resist, the feeling gets stronger. So the program said something along the lines of, ‘the next time the fear comes, recognise the fear is here and try and make it stronger’. You say to the fear “is this the best you have, come on then, make it stronger”. For me, it was good to think about of the worst that could happen, embarrassment (people on the train would see me) and inconvenience (I would have to waddle home with soiled pants and wash my clothes and shower). Surely I could deal with embarrassment and the laundry and shower weren’t too bad either. So it was that fear of something that I knew I could deal with, that became bigger than the issue itself. That was a revelation. So I did it, the next time the fear came, I was ready for it, “come on then, bring it on, is that the worst you can do?”. And it stopped. Just as fast as it had begun, the fear went, and it never came back.

That is the power the mind has. It plays tricks that can feel so real that it has physical and emotional consequences. The beauty is that you can train the mind, become mindful and have real, lasting results. PanicAway was simple, yet for me, life-changing, and there are many other programs which focus on recognising the emotions in the body; Kripalu has BRFWA , Tara Brach has RAIN , the fabulous Jill Bolte-Taylor has a BRAIN huddle (in Whole Brain Living) and I’m sure there are many. I feel like I need to make a sidenote here as I realise there are perhaps people with a deep rooted fear, which might stem from a trauma and this perhaps goes beyond the ability to help yourself; I’m not trying to say that it’s always as easy reading a book and something clicking into place. But I do want to say that for me, seeing a psychologist and trying various other things didn’t work, whereas the program worked instantly. I am much more aware of my emotions and feelings in my body and I believe it is very important to allow feelings to move through you, rather than to push them away.

From a yogic perspective

This all happened before I was introduced to Yoga and I understand now that these techniques (awareness, feeling and allowing the sensations) are a big part of Yoga; recognising the tricks the mind plays, observing the body, mind and breath, and allowing whatever is to be and looking at yourself with compassion.

When yoga became popular in the West, the emphasis was very much on the physical part of the practice, but originally a large part of the yogic philosophy has to do with the mind. The original yoga posture is a seated meditation seat and in the Yoga sutras (1.2), Patanjali wrote: “Chitta vritti nirodha”  translated as “Yoga is the practice of quieting the mind.”

In yogic philosophy, the subconscious mind suffers due to our egos clinging to the world we have created; our attachment to the things we like, our aversion to the things we dislike, our ignorance of the bigger picture and a fear of the inevitability of death, all creates a lot of suffering.

Yoga provides tools that may help us relieve this suffering, so that we do not have to be slaves to our moods, being it anxious or depressed, but working towards equanimity and balance.  Yoga can help increase this space of equanimity and balance (our ‘window of tolerance’); it means we are able to deal with change and our general lack of control of external things, in a much healthier way.

Noticing how different postures can have a real impact on your mental state (eg. forward folds are calming, backbends are energising) and that breath practices have similar if not more profound effects (for instance try lengthening your exhale when you feel anxious) can help you tailor your practice to make a real change the way you are feeling physically, mentally and emotionally. Moving your awareness to sensations in the body, gets you out of your (overactive) mind.

After an hour of focussed movement and breath, the mind is focussed, the gaps between the thoughts lengthen, you feel more spacious in body and mind and maybe you start to realise what Patanjali meant with quieting the mind.

If you are suffering from an anxious mind, have a look at the material. Also try a mind-body practice like Yoga; it has made a profound difference in my life.

It’s About Life
True yoga is not about the shape of your body, but the shape of your life.
Yoga is not to be performed; yoga is to be lived. Yoga doesn’t care about what you have been; yoga cares about the person you are becoming. Yoga is designed for a vast and profound purpose, and for it to be truly called yoga, its essence must be embodied.
— Aadil Palkhivala
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Yoga

moves my body

gives me strength

deepens my breath

opens my mind

feeds my soul

makes me live

 

Yoga helped me when I was at a real low point in my life, recovering from major surgery and while learning to deal with a chronic illness. It helped me physically with flexibility and strength, but it also opened up the door to other aspects; the breath helped me deal with pain and it impacted my mind and taught me how to deal with difficult emotions. Yoga has given me deeper awareness and a sense of compassion for my body, mind, emotions and spirituality.

I am fascinated by yoga philosophy and its physical, mental, emotional and spiritual qualities; there is always another layer, another connection. While it is vast, I am struck by the beautiful simplicity; it all makes such perfect sense. 

It has opened the path to further learning about the mind-body connection, mindfulness, meditation, breathing, Buddhism, psychology, energy and massage to name a few. I’m absolutely relishing what I am learning about all these things and how they seem to complement each other perfectly.

Yoga has been the underlying current; its philosophy holding an abundance of wisdom which I continue to explore. It is a powerful tool for many challenges in life and I hope it can bring you as much as it continues to bring me. Wouldn't it be wonderful if this was actually something taught from a young age, valuable mind-training and physical exercise, giving us tools to better deal with our emotions, to help with the many challenges of life?

Please don’t be dissuaded by images of bendy people getting into impossible looking shapes, as yoga is so much more than the physical postures.

Anyone can do yoga; yoga is the practice of living wholeheartedly.

Yoga is the practice of quieting the mind.
— Patanjali, Yoga Sutra 1.2
 
 

The beginnings of Yoga were developed in Northern India over 5000 years ago. The word yoga was first mentioned in the oldest sacred texts, the Rig Veda. The Vedas were a collection of texts containing songs, mantras and rituals to be used by Brahmans, the Vedic priests. Yoga was slowly refined and developed in the Upanishads, a huge work containing over 200 scriptures. The most renowned of the Yogic scriptures is the Bhagavad-Gita, composed around 500 BC.

In the second century the Yoga-Sutras -the first systematic presentation of yoga- were written by Patanjali. This text organized the practice of yoga into an “eight limbed path” containing the steps and stages towards obtaining Samadhi or enlightenment (I prefer to think of it as equanimity and balance rather than a concept of bliss). You can read more on the 8 limbs below.

A few centuries after Patanjali, yoga masters created a system of practices designed to rejuvenate the body and prolong life. This led to the creation of what we primarily think of yoga in the West: Hatha Yoga.

In the late 1800s, yoga masters began to travel to the West, attracting attention and followers. In the 1920s, Hatha Yoga was strongly promoted in India with the work of T. Krishnamacharya, Swami Sivananda and other yogis practicing Hatha Yoga. Krishnamacharya opened the first Hatha Yoga school in Mysore in 1924 and produced three students that would continue his legacy and increase the popularity of Hatha Yoga: B.K.S. Iyengar, T.K.V. Desikachar and Pattabhi Jois.

The importation of yoga to the West still continued at a trickle until Indra Devi opened her yoga studio in Hollywood in 1947. Since then, many more western and Indian teachers have become pioneers, popularizing hatha yoga and gaining millions of followers. Hatha Yoga now has many different schools or styles, all emphasizing the many different aspects of the practice.

"The father of modern yoga". Tirumalai Krishnamacharya (1888 – 1989)

"The father of modern yoga".
Tirumalai Krishnamacharya (1888 – 1989)

 
“Yoga is a light, which once lit, will never dim. The better your practice, the brighter the flame.” B.K.S. Iyengar (1918 - 2014)

“Yoga is a light, which once lit, will never dim. The better your practice, the brighter the flame.” B.K.S. Iyengar (1918 - 2014)

 
 

Patanjali's 8-limbed path

1. YAMAS  - 5 Restraints or moral disciplines
   1 Ahimsa (non-violence),
   2 Satya (truthfulness),
   3 Asteya (non stealing),
   4 Brahmacharya (right use of energy),
   5 Aparigraha (non greed or non hoarding).

2. NIYAMAS - 5 Positive duties or observances
   1 Saucha (cleanliness),
   2 Santosha (contentment),
   3 Tapas (discipline),
   4 Svadhyaya (self-study),
   5 Isvarapranidaha (surrender to a higher power).

3. ASANA  - Postures

4. PRANAYAMA  - Breathing techniques

5. PRATYAHARA  - Sense withdrawal

6. DHARANA  - Focused concentration

7. DHYANA   - Meditative absorption

8. SAMADHI  - Bliss or enlightenment