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sult, the physiological and biochemical parameters of an organism
should take other sets of values, than in the case of deterioration of
health. The reaction to the effect of medicines should also be different.
Unfortunately, K.P. Buteyko and his qualified disciples had no opportu-
nities of a laboratory research into the features of transition to a "health-
ier zone of stability ". However, the available information on a few
cases, when the patients found themselves in hospital during this period,
confirm the registered feature. In particular, by the notes of the experts,
who have carried out the diagnostics of such situations, the observable
clinical picture was completely unclear to them. The attempts to apply
the habitual medicinal therapy caused, as a rule, not the improvement,
but aggravation of symptoms in such patients. If the patient started to
fulfil the recommendations following from Buteyko theory, the exacer-
bation was safely overcome.
From the dynamics of the chronic form of the disease consid-
ered above two more laws immediately follow.
The first Law: Recovering from a chronic disease of Deep
Respiration is impossible without overcoming of at least one period
of an exacerbation of symptoms.
The second Law: At least a partial recovering from a chronic
disease of Deep Respiration is considered taken place only when
steady values of a control pause have passed the boundary between
the stages of the disease.
Since in convalescence the changes in metabolism proceed in a
reverse order, the activation of MRRs occurs also in the order, which is
IX. Dynamics of disease of Deep Respiration 77
reverse to that observed during the process of deterioration of health.
Hence, the process of convalescence reminds "a motion picture in re-
wind" (6-8), i.e. it is possible to formulate the next Law for the chronic
form of the disease: In a true recovering, the order of final disap-
pearance of the basic symptoms is reverse to the order of their first
occurrence.
It is obvious also that the patient's state at a boundary of a "zone
of stability" is unstable and it cannot last for a long time. Therefore, if
the patient declares, for example, that for a long time his/her Control
Pause is equal to 10, 20, 40 or 60 seconds at the corresponding values of
the pulse, most likely, the measurements are incorrect.
The application of the 4-th principle “about overcoming a dis-
comfort” to the dynamics of convalescence considered above allows us
to formulate one more Law: The closer to health is the boundary be-
tween the stages of the disease, the more difficult it is to overcome it
during convalescence. In practical application of Buteyko therapy no
exception to this rule is known. Thus, money can buy neither health, nor
love, nor qualification, etc.
IX.7. Psycho-restructuring (psycholomka).
Until now we were limited by a "linear" model of disorders in
the MRR of breathing. At the same time, obviously, this mechanism is
very complicated itself, and can be considered as a certain complex sys-
tem with internal feedbacks. Therefore, one should expect that in such a
wide range of disorders - recoveries, which is taken into account in But-
eyko theory, qualitative changes should also be observed, and they are
really observed in practice. In fact, in the course of a disease towards
deterioration at the second and deeper stages of the disease a qualita-
tively new feature of disorder of management of breathing - its non-
uniformity - is observed.
We shall consider now the process of convalescence. Note also
that during the application of Buteyko theory for convalescence an abso-
lutely new factor operates - a conscious influence on the MRR of
breathing. It is obvious that first of all the uniformity of breathing
should be restored. But apart from the restoration of uniformity, due to
the new factor one more qualitative change takes place, such that it
should be taken into consideration in the principles of application of
Buteyko theory in practice.
This change occurs usually on the fourth day of the training,
78 IX. Dynamics of disease of Deep Respiration
and, as shown above, it should be accompanied by a transient phenome-
non in the MRR of breathing, As is expected, such transitive process is
accompanied by unpleasant sensations, as though the patient had lost
that relative freedom with which he/she controlled the breathing earlier.
Among the experts of Buteyko therapy this transitive process has re-
ceived the name of "psycho-restructuring (psycholomka)".
The essence of the occurred qualitative change consists in the
fact that in the case of a successful overcoming of psycho-restructuring
the patient starts to notice automatically the instances of the deepening
of breathing until the moment of display of the corresponding symp-
toms. With reference to the basic model it means that in the link from
the MRR of breathing to consciousness a new component is formed.
This property is so objective that it often manifests itself even in sleep,
i.e. the patient wakes up ahead of time, not feeling any unpleasant
sensations, only with the comprehension that his or her breathing
became deeper. Thus, if he or she restores the former depth of breathing,
the desire to continue sleeping comes back.
The listed laws and a correct specific model exclude unexpected
occurrence of symptoms during Buteyko therapy. Investigations of op-
posite cases have provided only two reasons. The first: a patient omitted
an episode from the case record. The second: a patient did not tell about
a drug, which has been used by him earlier.
In other words, the qualified practitioner has the following op-
portunities:
- To predict in advance (usually a day before) the approach of ab-
stersive-regenerative reaction.
- To predict the set of symptoms, that should be observed during
such exacerbation.
- To formulate clear recommendations to the patient for a safe and
successful overcoming of the period of the exacerbation.

Other laws of the chronic form of the disease of Deep Respira-
tion. The suggested approach allows one to deduce easily other laws of
the chronic form of the disease of Deep Respiration, such as periodicity
and aperiodicity of display of the symptoms, features of grave condi-
tions, specificity of hormonal-dependent forms of the disease, zones of
"the improved health", etc. However, the purpose of this book is only to
present the fundamentals of Buteyko theory. Therefore, we shall pass
on to the next section.
X. Principles of symptomatic therapy

The wrong understanding of the theory has generated the whole
series of "legends" about the opposition of Buteyko therapy to medicinal
therapy. On the contrary, the formal models and laws, considered above,
demand to provide doctors and patients with a "toolkit" for counteract-
ing the outlet of the parameters of an organism beyond admissible lim-
its, i.e. the means to influence symptoms, or symptomatic therapy. This
is especially necessary near the boundaries of zones of stability, in other
words, during the periods of an exacerbation or at abstersive-
regenerative reactions.. The Buteyko theory does not forbid application
of medicines, but it deduces rather new principles of their testing, pre-
scription and dosage.
X. 1. Drug therapy methods.
The standard approach to prescription and dosage of sympto-
matic medicinal preparations is to prescribe preparations at occurrence
of a symptom of any intensity. The dosage should provide the greatest
possible degree of depression of intensity of a symptom. It is obvious
that such principles correspond to the social request for the "medicine of
comfort" and are inapplicable from the point of view of Buteyko theory.
It is obvious that all substances getting in an organism can in-
fluence both the state of metabolism and the MRR of breathing directly.
Hence, a threat arises to damage this mechanism. That will lead to the
beginning or aggravation of the disease of Deep Respiration. Hence fol-
lows the necessity of testing medicines by their effect on the MRR of
breathing.
Let us pass on to the symptomatic preparations intended for
weakening those signs, which are a display of the work of MRRs. From
the 5-th principle it obviously follows that it is necessary to interfere
with the work of these mechanisms only when it threatens the vital pa-
rameters of an organism. As it is only necessary to suspend the devel-
opment of a symptom, the scheme of application should be constructed
on the basis of a dose, which corresponds to a principle of minimum,
i.e. the first indication of effect on intensity of a symptom.
A maximum admissible dosage has substantiation in that the
symptom cannot be weakened in such a degree that it loses its protec-
tive action. This rule is well illustrated by an example of such a symp-
tom as a high body temperature. This increase plays its protective role
80 X. Principles of symptomatic therapy
only starting from a certain value differing from normal, but a threshold
of coagulability of proteins limits it.
It is known that approximations of dependences of reactions of
live organisms to any influences represent, as a first approximation, the
functions close to logarithm. Hence, at selection of dosages of medicinal
preparations it is necessary to use a principle of ratio, i.e. it is necessary
to increase or decrease a dose not by a plus/minus value but by
multiplying/dividing.
From the suggested physiological model of an organism (fig. 1)
it follows that some MRRs can simultaneously participate in the devel-
opment of an attack of the disease. Hence, it is possible to prevent the
development of an attack by rendering assistance to the weakest or most
damaged mechanism. From this follows the application of a functional
principle in prescribing preparations instead of a symptomatic one. For
example, it is often possible to prevent the development of an asthmatic
attack by micro doses of Corvalolum instead of bronchial spasmolytic in
the patient suffering from asthma with attributes of a heart failure.
If the patient demands a greater depression of a level of a symp-
tom by medicines than follows from the rules stated above, he/she
should be warned about the danger of the intensifying of the disease of
Deep Respiration with all consequences following from it.
Now let us take a look at what goes on in the traditional medi-
cine, when conventional principles of symptomatic therapy are applied.
By maximally decreasing a symptom’s intensity the adherents of the
intensive drug therapy liquidate the organism’s protection against a dis-
ease. Thus, the resistance to the factors deepening respiration decreases
and the disease intensifies. And in accordance with the third postulate
the disease develops imperceptibly both for the doctor and the patient.
As a result, in less than a year, the patient’s health deteriorates from a
simple chronic bronchitis to severe forms of asthma, allergy and cardio-
vascular pathologies, i.e. to the third stage of the disease.
The noted regularity can be easily traced in the medical cards at
any out-patient clinic. It is enough to select the cards of the disciplined
patients of those doctors who use standard schemes and dosages of
symptomatic preparations as the main and basic means.
The application of modern powerful combined preparations
continue to produce subjective feeling well in such cases, but the re-
serves have already been exhausted, and a minor impulse can be suffi-
cient to cause death, especially against a background of the continued
X. Principles of symptomatic therapy 81
propaganda of the advice “to breathe deeply at the sensation of indispo-
sition”. Such lethal instances occur more often and they become so
scandalous as to draw the attention of mass media. Thus, recently, we
were informed about “sudden” deaths of the Russian school children,
who ran a cross-country race of an average intensity, and an American
girl who got excited because of a kiss.
X. 2. No-drug therapy methods.
Buteyko's investigations of the role of CO2 in an organism and
of the influences of pulmonary ventilation on intensity of symptoms (18,
19) have allowed him empirically to discover new means of sympto-
matic therapy, namely, the intensive depression of pulmonary ventila-
tion, for example, "breath-holdings", "intensive exercises", etc. The ab-
sence of restrictions on the lack-of-air sensation and the admissibility of
"direct" management of respiratory movements distinguish them from
the means of correction of MRR (see the next section).
From the laws considered above, it obviously follows that
breath-holding and "intensive exercise" cannot be viewed as a means for
correcting respiration. Nevertheless, they can be applied during render-
ing the medical help by the Buteyko therapy proceeding from the fol-
lowing principles.
A. From the point of view of the Buteyko theory they represent a
symptomatic means of influence on the intensity of a symptom.
B. Their application leads to additional disturbances in the MRR of
respiration.
C. It is possible to explain a short-term effect of breath-holdings and of
"intensive exercises" by the well-known influence of pulmonary
ventilation on the intensity of symptoms (18, 19) and by activation
of the reserve opportunities of an organism by stress resulting from
oxygen shortage.
D. Depression of pulmonary ventilation has an advantage in compari-
son with pharmaceutical preparations, since foreign substances do
not act in an organism. In addition, this "toolkit" is always with the
patient.
E. Application of depression of pulmonary ventilation is not allowed,
if the parameters of the systems maintaining a supply of an oxidizer
to an organism (for example, blood pressure) are close to critical
values, for example, under hypertension.
As a result, breath-holdings and "intensive exercise" can be rec-
82 X. Principles of symptomatic therapy
ommended only for eliminating attacks of a symptom (for example,
asthma) in view of the above restrictions and principles of application of
symptomatic therapy. After application of breath-holding and intensive
exercises it is necessary to take care of compensation of the harm done
to the MRR of respiration.
.
XI. Application of the theory (the Buteyko therapy)

Medicine is compelled to work with one of the most difficult
objects in Nature – a human being. The number of possible parameters
and illegibility of many of them grip imagination. So the process of
rendering the medical help cannot be reduced to a set of instructions,
which could free the doctor from the necessity to think and bear the re-
sponsibility for the recommendations to the patient. I.e. the doctor
should perceive each new patient as a new atypical task, which is nec-
essary to solve on the basis of the knowledge and experience. As a re-
sult, the Buteyko therapy represents an applied adaptation of the But-
eyko theory together with objective knowledge of other branches of
medicine, as well as the knowledge of philosophy, biology, psychology,
pedagogics, etc.
The fifth postulate dictates that the Buteyko Therapy for a
man/woman is a way of his/her adaptation to the conditions of modern
civilisation, where the breath-increasing factors prevail over the breath-
decreasing factors. Thus, the patients should consider their breathing
both as a tool and an indicator. It means that a patient should be trained
to adapt to various situations with the help of the Buteyko Therapy. But-
eyko practitioner should transform the theory to a variant, which is con-
vincing for the patient, and to teach it to him. Convincingness will be
achieved, if the patient is shown a relationship between cause and effect
in his/her acts and health. This increases the demand to begin work with
the patient during the display of symptoms (an exacerbation of illness),
which follows from the laws of disease.
Thus, the most natural recommendation is to avoid the factors
breaking the breathing and to involve the factors correcting the breath-
ing. However, in the conditions of the modern civilised city way of life
the application of these factors is rather limited, except for such factors,
as morals and asceticism. As a result, training the patient to correct the
breathing by a conscious influence on it is of crucial importance.
It is obvious that the patient should deliberately influence the
breathing according to the given theory. Thus, from the 5-th postulate it
follows that such influence should pose a minimal obstacle to the natu-
ral work of MRRs. Let us consider from this standpoint possible ways
of influencing the MRR of breathing:
84 XI. Application of the theory (the Buteyko therapy)
- To transform drug therapy according to the principles of this
theory. The moment of the beginning of replacement and its duration
(rate) vary significantly for different medicines and situations.
- To exclude unnatural ways of breathing. Hence follows a rec-

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