Mashyal Prakash, Bhargav Hemant, Raghuram Nagarathna
Department of Yoga and Cardiology, Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), Bengaluru, Karnataka, India.
J Ayurveda Integr Med. 2014 Oct-Dec;5(4):227-35. doi: 10.4103/0975-9476.131724.
Yoga and Ayurveda texts emphasize the role of cleansing the bowel as an important component of management of hypertension (HTN). Observations during our clinical experience and pilot studies on Laghu shankha prakshalana kriya (LSP), a yogic bowel cleansing technique, appeared to be safe and complimentary.
To test the safety and effectiveness of LSP in patients with essential hypertension.
This self control study recruited 32 patients with mild to moderate essential HTN admitted for a week long residential integrated yoga therapy program at the integrative health home in Bengaluru. Patients had a daily routine of 6 hours of integrated approach of yoga therapy (IAYT) module for HTN that included physical postures, relaxation sessions, pranayama and meditations. LSP, an additional practice, that involved drinking of luke-warm water (with or without a herbal combination, triphala) followed by a set of specific yoga postures that activates defecation reflex, was administered on 2(nd) (LSP without triphala) and 5(th) day (LSP with triphala). Assessments (sitting blood pressure and pulse rate) were done just before and after both the sessions of LSP. Secondary outcome measures such as body mass index (BMI), symptom scores, medication scores, fatigue, state and trait anxiety, general health and quality of life were assessed on 1(st) and 6(th) day of IAYT intervention.
There was significant (P < 0.001, paired t test) reduction in blood pressure (systolic and diastolic) and pulse rate immediately after both the sessions (LSP with and without triphala). There were no adverse effects reported during or after LSP. There was no significant difference between the two techniques (P < 0.505, independent samples t test), although the percentage change appeared to be higher after triphala LSP session. The number of visits to clear the bowel during the procedure was significantly (P < 0.001, independent samples t test) higher after LSP with triphala than LSP without triphalā. After weeklong IAYT, there were significant reductions in blood pressure (P < 0.001), BMI (P < 0.004), medication score (P < 0.001), symptoms score (P < 0.001), fatigue (P < 0.001), state and trait anxiety (STAI, P < 0.001), scores of general ill health (GHQ, P < 0.001), and increase in comfort level (P < 0.001) and quality of sleep (P < 0.001).
LSP (a part of IAYT) is a safe and useful procedure for patients with essential hypertension. LSP with triphala is more useful.
瑜伽和阿育吠陀文献强调肠道清洁在高血压（HTN）管理中作为重要组成部分的作用。在我们对一种瑜伽肠道清洁技术——Laghu shankha prakshalana kriya（LSP）的临床经验和初步研究中观察到，它似乎是安全且有益的。
测试LSP对原发性高血压患者的安全性和有效性。
这项自我对照研究招募了32例轻度至中度原发性高血压患者，他们在班加罗尔的综合健康之家参加了为期一周的住院综合瑜伽治疗项目。患者每天有6小时的高血压综合瑜伽治疗（IAYT）模块日常安排，包括体式、放松环节、调息法和冥想。LSP是一项额外的练习，包括饮用温水（加或不加草药组合三果），然后进行一系列激活排便反射的特定瑜伽体式，在第2天（无三果的LSP）和第5天（有三果的LSP）进行。在LSP的两个疗程前后均进行评估（坐位血压和脉搏率）。在IAYT干预的第1天和第6天评估次要结局指标，如体重指数（BMI）、症状评分、用药评分、疲劳、状态和特质焦虑、总体健康状况和生活质量。
在两个疗程（有三果和无三果的LSP）后，血压（收缩压和舒张压）和脉搏率立即显著降低（P < 0.001，配对t检验）。在LSP期间或之后均未报告不良反应。两种技术之间无显著差异（P < 0.505，独立样本t检验），尽管有三果的LSP疗程后的百分比变化似乎更高。与无三果的LSP相比，有三果的LSP后排便次数显著增加（P < 0.001，独立样本t检验）。经过为期一周的IAYT后，血压（P < 0.001）、BMI（P < 0.004）、用药评分（P < 0.001）、症状评分（P < 0.001）、疲劳（P < 0.001）、状态和特质焦虑（STAI，P < 0.001）、总体健康不佳评分（GHQ，P < 0.001）均显著降低，舒适度（P < 0.001）和睡眠质量（P < 0.001）增加。
LSP（IAYT的一部分）对原发性高血压患者是一种安全且有用的程序。有三果的LSP更有用。
