Mind-body therapies such as yoga and breath training are popular among those with severe asthma, though evidence is mixed
uring her time working with underserved communities in southwest Philadelphia, Maureen George encountered many unconventional asthma treatments, including the use of homemade botanical teas or tonics.
Ernst allows that some treatments may provide indirect benefits for people with severe asthma. But he also sees risks. “Some alternative practitioners claim that they are a true alternative to conventional medicine—so you [the patient] can leave your inhaler at home or stop taking your medication,” he says. “I see a real danger there, because asthma is potentially deadly.”
However, he says that any discussion of such treatments must emphasize that these should be used only as truly complementary therapies—meaning they should be employed alongside, never in place of, doctor-prescribed treatments or medications. “One of the things mindfulness training does is it focuses people on their relationship with their internal experience in ways that can decrease anxiety or arousal,” says James Carmody, co-author of the study and a professor at the University of Massachusetts Medical School. MBSR may help people with asthma control their fear, stress, and other symptom-stoking thoughts or emotions, he says.
Many of Buteyko’s techniques overlap with those of older breathing exercises, including pranayama—a method of controlled breathing closely linked with. Another form of breath retraining known as the Papworth method uses similar methods, combined with relaxation training. Some research on these different practices has found evidence of symptom improvements among people with asthma.
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