«В.К. Бутейко, М.М. Бутейко ТЕОРИЯ БУТЕЙКО О КЛЮЧЕВОЙ РОЛИ ДЫХАНИЯ ДЛЯ ЗДОРОВЬЯ ЧЕЛОВЕКА Научное введение в метод Бутейко для специалистов ООО "Общество Бутейко" Воронеж, 2005 Vladimir K. Buteyko ...»
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On the other hand, from the theory of automatic control (20) it is well known that a control system having feedbacks (fig. 1) keeps the working ability, if its parameters are within certain "zones of stability (potential well, etc.)". If the parameters overstep the bounds of "a zone of stability", then the system either loses the working ability, or starts working in a new "zone of stability ". From centuries-old experience of medicine and also from the biological principle of survival of species it follows that live organisms (including a human being) possess "multi level protection" of the process of vital functions. This is reflected in a base model (and, accordingly, in specific models) by the presence of different in importance MRRs. Hence, under some disorders of the MRR of breathing, the organism should adapt to this by transition to a new zone of stability, in which it can stay long enough. Further on, there can be an additional disorder in the MRR of breathing, and the parame ters will be beyond the limits of a new zone of stability. As a result, the organism can get in the third zone of stability and so on, until "safety factor" will not run low and death will ensue. The values of a control pause corresponding to the boundaries of such zones of stability or de grees of the disease of Deep Respiration are experimentally obtained.
For the adult person they are accordingly 60, 40, 20 and 10 seconds (6 8, 21). As a result, the states of health of a person can be presented in Table 1.
74 IX. Dynamics of disease of Deep Respiration States of health The 3rd "im- 1st stage of the 2nd stage of the stage "Normal" health proved disease disease of the health" disease Steady val ues of a control pause (seconds), in >60(60) 60(60)>;
>10(90) 10(90)> brackets the correspond ing pulse (ictus/min).
Table 1. States of health The stability of values of a control pause is understood as abil ity of the patient to keep these values within the limits of a zone corre sponding to one and the same stage of health or a stage of the disease within at least a day. The presence of the state "the improved health" follows from the asymmetry of the scale of the state of breathing dis cussed in section VII.
IX.4. Process of deterioration of health.
At approaching the boundaries of the "zone of stability" the "next" MRRs should be switched on, which have not been involved to the full earlier. As a result, the doctor and the patient should observe the occurrence of new symptoms, which were not observed earlier. For ex ample, if in the first zone of stability rhinitis (stuffiness in nose) was observed at approaching the boundaries between the second and third zones, then there can be spastic strictures of bronchuses, coughs, either attacks of hypertension or any other new symptoms. At reaching the boundary of a zone, for example, in the case of transition through it, acute display of new and old symptoms should be observed. The acute form of new symptoms follows from an obvious strain of newly switched on MRRs. The possibility of display of old symptoms follows from the general laws of transient phenomenon in the theory of auto matic control for the systems with a feedback. Even for man-made con trol systems, their behaviour during a transient phenomenon is accom panied by poorly prognosticated rapid "wandering" across the space of parameters at the approach of these parameters to their boundary values.
Figuratively speaking, the system as though "searches for a new conven ient place, rushing from side to side". From this also follows that during a transient phenomenon the parameters of the system can go beyond the Death IX. Dynamics of disease of Deep Respiration boundary values (death is probable). In fact, numerous cases are known when a not so old and not so sick person unexpectedly dies, for exam ple, of an infarction, acute heart failure, hematencephalon, etc. Cer tainly, the application of symptomatic therapy can "smooth" some inten sity of symptoms under transient phenomenon, but it increases the prob ability of "failure to return" to the "healthier" zone of stability, if no measures are taken against deterioration of breathing.
IX.5. Process of convalescence.
We shall assume now, that the patient in some way influences the MRR of breathing in the direction of its correcting. According to the 6-th postulate, the corrections of the MRR of breathing should lead to correcting the work of other mechanisms and, consequently, to the be ginning of the process of convalescence. In fact, this occurs due to a shift in the favourable direction of the state of metabolism. The effect of these shifts accumulates, and depression of an intensity of symptoms should be observed. And true, the depression of symptoms is observed in the following sequence. At the beginning there appears a possibility to overcome attacks without usual dosages of preparations. Then the more frequent and longer periods of subjective sensations of a "good" state are observed.
IX.6. Abstersive-regenerative reactions.
If the patient continues to correct breathing in a right way, the shift in the favourable direction of the state of metabolism should con tinue. Hence, the next period of the "good" state of the patient should be observed, when the value of his/her control pause approaches close to the boundary of a stage of disease. This testifies to the fact that after a while at least some of the depressed before processes of regulation and restoration should be activated. And true, such a moment of an attempt of transition of all systems of regulation to a new state comes within one day. The intensity of display of various symptoms grows (attacks of dis ease). Again difficulties occur in the management of breathing. Besides, the depressed earlier processes of purification of an organism from the accumulated slag, insufficiently oxidised substances, medicines, etc.
should be activated. This generates the activation of secretory processes.
For example, sweating, or plentiful expectorations, or slack stool, or the speeded up emiction, etc.
Such transitive process from a deeper degree of disease to its less deep degree is also known among Buteyko practitioners under the 76 IX. Dynamics of disease of Deep Respiration following names: "breaking"(lomka), "cleaning reaction"(chistka) or "reaction of sanogenesis" (24). However, the practitioners unable to measure CP often confuse these reactions with reactions to withdrawal of drugs or to a hypoxia caused by addiction to breath-holding and "in tensive exercises". Certainly, here again it is possible to reduce the in tensity of display of symptoms due to the use of breath-diminishing factors (see above) and the application of symptomatic therapy. How ever, in order not to lower considerably the probability of transition to a healthier zone of stability, it is necessary to use other principles of pre scription and dosage of medicines. See below the section "Principles of symptomatic therapy ".
It is necessary to note that at transition to a "healthier" zone of stability, obviously, in an organism there should be other physiological processes (processes of restoration), than at a return transition. As a re 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 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 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 ommendation to the patient to try to exclude mouth breathing, i.e. to breathe only through a nose.
- To influence deliberately the MRR of breathing with the pur pose of: a) levelling breathing, b) restoring sensitivity to air deficit in the case of its disorder, c) correcting breathing by a slight reduction of its intensity.
"Passive trainings" and other techniques are used for the restora tion of sensitivity. "Passive training" is only relaxation without the sensa tion of lack of air.
The necessity to control sensitivity has arisen because of a great number of pseudo-Buteyko practitioners who by virtue of low qualifica tion replace a functional idea of “correcting breathing” by a primitive "increase of CO2". In a pursuit of momentary effect they, instead of cor recting breathing of patients, train pauses, delays and other techniques unfavourable for correcting breathing. As a result, there occur the de pression of sensitivity to air deficit (the law of beyond-the-limit inhibi tion), as well as other disorders in the MRR of breathing.
The 5-th postulate forbids operating the process of breathing di rectly, i.e. to control amplitudes and/or duration of respiratory move ments and pauses. As a result, there remain the following ways: relaxa tion, mental associations and general commands to diminish breathing of the same type as a person gives himself/herself to decrease the rate of walking or running, i.e. without intervention in the formation of partial automatic elementary motions.
The degree of easiness of sensation of lack of air at correc tion of breathing. It is obvious that the obstacle to natural operations of MRR of breathing should be minimal. Here the sensation of air deficit at the moment of the termination of measuring a control pause can serve as a criterion. I.e. it is admissible to diminish breathing only to the con siderably weaker sensation than at the moment of the termination of measuring a control pause.
The specific model in combination with the dynamics of a con trol pause and other standard diagnostic parameters makes it possible to expect changes in the state of the patient and to prepare him/her for such changes, as well as to make exact recommendations for application of XI. Application of the theory (the Buteyko therapy) symptomatic therapy. Naturally, within the limits of the above-stated, various specific methodical, pedagogical and psychological aspects for training patients to correct breathing are possible;
their number could fill up a thick book.
Contra-indications to application of the therapy are obvious as well. These are the illnesses in which the process of a real convales cence represents danger to life or traumatism. The pathologies con nected with thrombogeneses can serve as examples.
In (9) the epidemiological conclusions, possible preventive ac tions, principles of the organisation of rehabilitation establishments, the requirements to the specialist and some other questions of practical ap plication of the theory have been presented.
XII. About "checks" of Buteyko therapy Independent attempts to "check" Buteyko therapy (25,26 and other sources) are known. The listed publications show that the genuine theory was unknown to the examiners. As a result, notwithstanding all the conscientiousness of the examiners, they have been compelled to be limited to the examination of the patients, trained to use the therapy by the practitioners, whose qualifications have remained unknown. I.e. the number of "improvements" in the state of health among such patients was counted up. Since Buteyko therapy is an application of the theory, this technique of testing should be recognised completely unfounded.
This is like checking the validity of the laws of physics by calculating the number of successfully solved physical problems by a person with an unknown level of knowledge of these laws.
Besides, some tests of an estimation of a state of health of the patients seem to be doubtful, since before the appearance of Buteyko therapy doctors did not practically observe regular cases of cure of such pathologies as asthma, allergy, etc. As a result, to check the absence of such pathologies the criteria based on the comparison with the proper ties of the organism that never knew a disease are used. Methodologi cally this is incorrect. In fact, in the case of a wound repair, the conva lescence is considered true despite the presence of a scar. I.e. the pa rameters of the organism, which has endured a disease, can differ from the corresponding parameters of the organism that has never been sick.
Therefore the medical science faces a problem of revising the specified criteria for the pathologies from a subject domain of the sug gested theory, which earlier were considered incurable. In particular, the cases are known when the patient feels perfectly well during the treat ment of an allergy by Buteyko therapy, the pathology is not visible, but the measurement of the level of eosinocytes shows the values, which are considerably beyond the limits of the norm. Nevertheless, such devia tions in the parameters disappear, but only after an appreciable time in terval.
Conclusion From the logic of the theory it follows that its qualified applica tion is capable of providing progress in the true convalescence for more than ninety percent of the patients with the corresponding pathologies, including victims of pseudo-Buteyko practitioners. This has been con firmed by K.P. Buteyko's practice, by the practice of his qualified pupils (V.A. Genina, P.P. Redkin, etc.), and also by fifteen years of work of Voronezh Buteyko Centre (Russia). On the other hand, gnosiological property of "logic uniqueness" (27), which the suggested theory pos sesses, does not allow one to remove from it even one element. This is proved by the practice, i.e. the efficiency decreases threefold or more. In (9) it is shown that the stated theory completely corresponds to all gnosiological criteria. In the appendix the proof of the theorem "The role of biochemical processes for proofs in medicine" is given. This is an answer to a probable criticism of the Buteyko theory for insufficient biochemical substantiation. It is easy to formulate and prove similar theorems for cytological level, as well as for neuroendocrinal level.
It is obvious that the given description of the theory is rather schematic, i.e. it may generate a great number of scientific problems for its development. At the same time the authors believe that the material given above already allows independent doctors to try and apply the given theory to simple cases, and also will help to lower the number of mistakes in the application of Buteyko therapy by present practitioners.
Besides, the acquaintance with the given theory will allow researchers to continue the work instead of taking anew a thorny path, which K.P.
Buteyko has already gone along tens years ago.
It became possible at last to create anew from scattered elements a scientific substantiation of Buteyko therapy in the form of the theory about human health, from which follow all key moments of the therapy.
We hope that this will put an end to numerous speculations based on:
- Alleged "affinity" of some persons to K.P.Buteyko.
- Statements of the type "I heard that K.P.Buteyko has said … ".
- Possession of certain "exclusive" rights, "patents", etc.
- Other subjective nonprofessional instants.
We hope that such approach:
- Will allow exposing the authors of the numerous unscientific res piratory techniques who have stolen the name of Doctor Buteyko.
88 Conclusion - Will allow passing to professional scientific discussion of Buteyko therapy and correction of the distortions and errors brought into it.
- Will draw to this therapy new experts aspiring to professionalism, objectivity and quality.
Appendix 1. Theorem: the role of biochemical processes in medicine Statement of the theorem: At present time biochemical proc esses cannot be used in medicine either as proofs, or as disproofs.
Present time is an interval of time, when only a part of the whole set of biochemical processes in a human organism is known.
This fully corresponds to the present-day state of the biochemical sci ence.
Let us assume that N biochemical processes testify in favour of some medical decision Z regarding a condition of the patient or a way of providing the medical care. But it is impossible to deny that in future M new biochemical processes can be discovered which will testify against medical decision Z, and their contribution will appear more decisive than the contribution of N biochemical processes known today.
Hence, the first part of the theorem is proven.
Let us assume now, that L biochemical processes testify against some medical decision Y regarding a condition of the patient or a way of rendering of the medical help. But it is impossible to deny that in fu ture K new biochemical processes can be discovered which will testify in favour of medical decision Y, and their contribution will appear more decisive than the contribution of L biochemical processes known today.
As a result, the theorem is completely proven.
Corollary 1. Biochemical processes can be used in medicine only as additional information in the empirical decision-making process.
Corollary 2. Biochemical processes can be used in pharmacol ogy as additional information in the empirical process of inventions of medicines.
Appendix 2. Some attributes showing low qualification of a practitioner.
• He/she refuses to start your training at time of an exacerbation of your illness.
• He/she allows you to take advice from other traditional and/or non traditional medicine experts in addition to his/her treatment.
• He/she measures the control pause until the “you want to breathe in”.
• He/she suggests you “accumulate CO2” instead of correcting breath ing.
• He/she thinks of the Buteyko Method as a system of exercises.
• He/she trains you seldom, e.g., once a week;
or training is limited by less than a week’s time for all patients.
• He/she agrees with standard (taken from manuals or accompanying forms) doses of symptomatic drugs.
• He/she recommends taking in hormonal preparations to those who have never taken them before or at least for six months.
• He/She does not aspire to withdraw you from medicinal therapy by cancelling some preparations and changing dosages of others almost daily.
• He/She does not warn you of the period of bad state of health a day before.
Appendix 3. FAQ Question: Where can I study the Buteyko Method for autother apy?
Answer: We strongly recommend using only the article (21). If this does not help, please do not begin experimenting, just turn to an expert.
Question: I’ve been studying the Buteyko Method for some months (years). How can you help me?
Answer: If you haven’t learned the Buteyko Method within ten days for a selftreatment, you either entirely misunderstand the Method or are studying not the Buteyko method. If you study the Method with a practitioner, turn to a more qualified one.
Question: I studied (started studying) the Buteyko Method with a practitioner not from your Center. I have such and such question about my health (or health of a member of the family). Can you answer it?
Answer: We do not normally answer such questions since qualified practitioners stick to the obvious rule of never advising pa tients who studied under another practitioner. Due to the specifics of how the human mind acts, similar information from different people can actually mess the patient up. On the other hand, such advice takes re sponsibility off the initial practitioner and does not motivate him to in crease of own qualification, thus doing him more harm than good. Be sides, it is fraught with other ethical and psychological problems. As a result, the only possibility is re-starting “from scratch”.
Question: Does Voronezh Center have branches in other towns (countries, regions)?
Answer: Voronezh Center does not have any branches in other towns (countries, regions) at the moment.
Question: Are there Buteyko practitioners in such and such country, town or region?
Answer: Recommending a practitioner means bearing responsi bility for their qualification. Unfortunately, we have no information 92 Appendix 3. FAQ about qualification of the majority of those declaring itself as the But eyko practitioners.
Question: The procedure of measuring the control pause in your articles is different from the procedure in books “The Buteyko Method” and “The Buteyko Breathing”. How can you explain that?
Answer: The only difference in description is explanation of the “first difficulty”. The description of the procedure in the books was taken from the “Instruction for Doctors’ Autotherapy” (1984). The skilled doctor knows perfectly well that the difficulty is straining of some muscles. Since strain occurs by itself, it is reflex. Thus, the de scriptions of the procedure do not differ per se.
Question: Are there exclusive rights in and to the Buteyko Method (patents, etc.)?
Answer: The Buteyko Method is a system of principles and sci entific conclusions that are impossible to protect by patents or other le gal means. There are two patents pertaining to the Method. The first one is the “Method of Treatment of Hemohypocarbia”, whose restrictive action has expired (the author and owner - K.P Buteyko). The other pat ent is still effective;
it is the “Conscious Correction of Breathing” patent (author and owner is Margarita A. Buteyko from Cheliabinsk). This pat ent restricts just one of the methodical elements used for teaching pa tients.
Question: Where can I find books or articles to become a prac titioner on my own?
Answer: The Buteyko Method has not been publicized to the extent that would allow completely independent self-training. But, it is being worked on. However, remember that reading the respective pub lished texts does not guarantee sufficient qualifications. For instance, you can freely buy manuals in mathematics, physics, medicine, and other subjects, yet the overwhelming majority of experts are trained in correspondent educational establishments.
Question: Does Voronezh Center educate new practitioners and on what conditions?
Answer: Voronezh Center does educate new practitioners. The underlying condition is to pass through selection at a stage of studying Appendix 3. FAQ of the Method as the patient. After achieving the sufficient qualification, the students become legally and financially independent. The remaining conditions are to be discussed with successful candidates or in private correspondence.
Question: Why do pages of your website have inscriptions on top of them saying V.K. Buteyko and M.M. Buteyko cannot be held responsible for information on the Method and its author from other sources?
Answer: This is a enforced measure. Because some pseudo relatives, pseudo-followers and pseudo-friends of K.P.Buteyko began to distribute the incorrect and inexact information both on the Buteyko method, and on the its author in the mercenary motives, having taken advantage of his death. They cover own incompetence by legends about special affinity for K.P.Buteyko and about unreasonable "rights" to dis tribution and teaching of the Method, and also attribute to itself an other's merits in development and promotion of the Buteyko method.
Question: How unique is the surname of Buteyko? Who is Konstantin Buteyko’s relative and who is not?
Answer: The surname of Konstantin Pavlovich may be trans lated to English by three equivalent ways, as But eyko=Buteiko=Butejko. It is not unique. For instance, one of the Ukrainian diplomats is Anton Butyeko, whose relation to Konstantin Buteyko is unknown. The closest relatives are:
- Maria Philippovna Buteyko, Konstantin Pavlovich Buteyko’s mother;
buried in the village of Pervy Liman, Panino District, Voronezh Oblast.
- Pavel Grigorievich Buteyko, Konstantin Pavlovich Buteyko’s father;
buried in Bykovo, not far from Moscow.
- Alexandra Ivanovna Buteyko, Konstantin Pavlovich Buteyko’s first wife;
buried in Semenovka, Panino District, Voronezh Oblast.
- Susanna Nikolaevna Zviagina, Konstantin Pavlovich Buteyko’s second wife. She was still alive and she was his official wife till the moment of his death. She has never participated in affairs of the Buteyko Method.
- Vladimir Konstantinovich Buteyko, Konstantin Pavlovich But eyko’s eldest son to the first marriage. He now lives in Vo 94 Appendix 3. FAQ ronezh and continues what his father began. His wife, Marina Mikhailovna Buteyko is the head physician-methodologist of the Buteyko Center in Voronezh. Vladimir and Marina have two children.
- Susanna Konstantinovna Maltseva, Konstantin Pavlovich But eyko’s middle daughter to the second marriage. She now lives in Moscow and has not participated in affairs of the Method.
She has the son.
- Grigory Konstantinovich Buteyko, Konstantin Pavlovich But eyko’s youngest son. His mum - Svetlana Andreevna Tolstova.
They now live in Novosibirsk and have not participated in af fairs of the Method.
Konstantin Pavlovich did not have other relatives with the sur name of Buteyko. Others having surname Buteyko are namesakes.
References 1. O meropriyatiakh po vnedreniyu metoda volevoy reguliatsii glubini dihania pri lechenii bronkhialnoy astmy [About the actions for the introduction of the method of conscious regulation of the depth of breathing in the treatment of bronchial asthma] Ministry of Health of the USSR. The order N 591 of 30 April 1985. In: Me tod Buteyko: Opyt vnedrenia v meditcinskuyu praktiku [Buteyko Method: Experience of introduction into a medical practice] Col lected papers. 2nd ed. Compiled by Buteyko K.P. Odessa: Titul;
1991. p. 166-167.
2. United Kingdom Parliament, The Official Report (Hansard), Daily debates, Tuesday 25 June 2002, Volume No. 387, Part No. 165, Column: 851-858, Asthma. London;
3. Thomas M, McKinley RK, Freeman E, Foy C. Prevalence of dys functional breathing in patients treated for asthma in primary care:
a cross-sectional survey. BMJ 2001;
4. Thomas M, McKinley RK, Freeman E, Foy C, Prodger P, Price D.
Breathing retraining for dysfunctional breathing in asthma: a ran domised controlled trial. Thorax 2003;
5. Thomas M. Breathing exercises and asthma Thorax 2003;
58: 649 650.
6. Metod Buteyko: Opit vnedrenia v meditsinskuyu praktiku [But eyko Method: Experience of introduction into a medical practice] Collected papers. Compiled by Buteyko K.P. Moscow: Partiot;
7. Metod Buteyko: Opit vnedrenia v meditsinskuyu praktiku [But eyko Method: Experience of introduction into a medical practice] Collected papers. 2nd ed. Compiled by Buteyko K.P. Odessa:
8. Dihanie po Buteyko. Metodicheskoe posobie dlia obucha yuschihsia metodu volevoy likvidatsii glubokogo dihaniya [The Buteyko respiration. A manual for patients of the method of con scious elimination of deep respiration.] Compiled by Buteyko VK, Buteyko MM, Voronezh : Obl. Org. souza zhurnalistov;
96 References 9. Buteyko K.P., Buteyko VK, Buteyko MM. Strogoe izlozhenie os nov teorii K.P. Buteyko o phiziologicheskoy roli dihaniya v genezise nekotorih zabolevanii [A rigorous presentation of funda mentals of K.P. Buteyko’s theory about a physiological role of respiration in genesis of some diseases]. Voronezh: Buteyko Co Ltd;
2005, 80 pp., Dep. in VINITI, February 8th 2005, № 185 В2005.
10. Buteyko K.P., Buteyko VK, Buteyko MM. Formalizovannoe pred stavlenie osnov teorii K.P. Buteyko o genezise bolezni glubokogo dihaniya (Chast 1) [The formalized representation of fundamentals of the Buteyko theory about genesis of illness of deep respiration (section 1)]. Zhurnal teoreticheskoi i prakticheskoi meditsini [Journal of theoretical and practical medicine] 2005;
11. Buteyko K.P., Buteyko VK, Buteyko MM. Formalizovannoe pred stavlenie osnov teorii K.P. Buteyko o genezise bolezni glubokogo dihaniya (Chast 2) [The formalized representation of fundamentals of the Buteyko theory about genesis of illness of deep respiration (section 2)]. Zhurnal teoreticheskoi i prakticheskoi meditsini [Journal of theoretical and practical medicine] 2005;
3: 167- 12. Buteyko K.P.. Komplexnie issledovaniya phunktsionalnih sistem v biologii i meditcine [Multivariate researches of functional systems in biology and medicine] In: Doklasi sektsii meditsinskoi elek troniki 9-i oblastnoi nauchno-tehnicheskoi konferentsii, posvi aschennaya Dniu Radio [Reports of medical electronics section at the 9th regional scientific-technical conference dedicated to Radio Day]. Novosibirsk;
18. Buteyko K.P., Shurgaya ShI. Phunktsionalnaya diagnostika koronarnoy bolezni [Functional diagnostics of coronary disease].
In: Tez. simp. po khirurgich. lech. koronarnoi bolezni [Theses of Symposium on surgical treatment of coronary disease]. Moscow;
19. Buteyko K.P., Odintsova MP, Nasonkina NS. Ventiliyatsionnaya proba u bolnih bronhialnoy astmoy [Ventilation test in patients with bronchial asthma] Vrachebnoe Delo 1968;
20. Besekerskii VA, Popov EP.Teoriya sistem avtomaticheskogo upravleniya [Theory of systems of automatic control]. Moscow:
21. Buteyko MM, Buteyko VK. Metod Buteyko iz pervih ruk [The first-hand Buteyko method]. Astma i allergia [Asthma and allergy] 2005;
22. Buteyko K.P. Komplexnie metodi issledovaniya serdrchno sosudistoy sistemi i dihaniya [Multivariate methods for investiga tion of cardiovascular system and respiration]. In: Voprosi phunktsionalnoi diagnostiki. Materiali Pervoi naucno prakticheskoi konferentsii vrachei podrazdelenii grazhdanskoi aviatsii po funktsionalnoi diagnostike [Issues of Functional Diag nostics. Materials of the First scientific-practical conference on functional diagnostics for doctors from civil aviation organiza tions]. - Novosibirsk;
23. Averko NN Neyrogennaya giperventiliatsiya i problemi sovre mennoy kardiologii: uchebnoe posobie [Neurogenic hyperventila tion and problems of modern cardiology: manual for students].
Novosibirsk: Novosibirsk State University;
24. Buteyko K.P., Genina VA, Nasonkina NS. Reaktsia sanogeneza pri lechenii metodom VLGD [Reactions of sanogenetis in BBT method therapy]. In: Nemedikomentoznie metodi lecheniya bolnih bronhialnoi astmoi. Tezisi dokladov vsesoyuznoi konferentsii [No drug methods of treatment of patients with bronchial asthma. The ses of reports of All-Union conference]. Moscow, 1986. 67-68.
98 References 25. Bowler SD, Green A, Mitchell CA. Buteyko breathing techniques in asthma: a blinded randomised controlled trial. Med J Aust 1998;
169: 575- 26. Cooper S, Oborne J, Newton S, Harrison V, Thompson Coon J, Lewis S, Tattersfield A. Effect of two breathing exercises (But eyko and pranayama) in asthma: a randomised controlled trial Tho rax 2003;
27. Kokhanovskii VP. Philosophiya i metodologiya nauki: uchebnik dlia VUZov [The philosophy and methodology of science: text book for higher educational institutions]. Rostov-on-Don: Phenix;
Бутейко В.К., Бутейко М.М.
ТЕОРИЯ БУТЕЙКО О РОЛИ ДЫХАНИЯ В ЗДОРОВЬЕ ЧЕЛОВЕКА научное введение в метод Бутейко для специалистов Научный редактор: В. Бутейко Редактор русского текста: А. Бондарев Издательство: ООО "Общество Бутейко" 394000, Воронеж, пр. Революции 7, т. +7(4732)554-655, факс: +7(4732)356- E-mail: firstname.lastname@example.org, http://www.buteyko.ru ********************************************************* Vladimir K. Buteyko and Marina M. Buteyko THE BUTEYKO THEORY ABOUT A KEY ROLE OF BREATHING FOR HUMAN HEALTH Scientific introduction to the Buteyko therapy for experts The scientific editor: V. Buteyko Editor of Russian text: A. Bondarev Publishing house: Buteyko Co Ltd 7, pr. Revolutsii, Voronezh 394000, Russian Federation ph.: +7(4732)554-655, fax: +7(4732)356- E-mail: email@example.com, http://www.buteyko.ru Подписано к печати 27.12. Для заметок / For notes Бутейко Константин Павлович (1923-2003) - неординарный новосибирский ученый и врач.
Он имел ученую степень кандидата медицинских наук, опубликовал более 40 научных работ.
Он был академиком Международной Академии Информатизации. Работал заведующим лабораторией функциональной диагностики в институте кардиологии Сибирского отделения Академии наук СССР (1958-1968).
Умер в Москве. Похоронен в Феодосии (республика Крым, Украина).
Бутейко Владимир Константинович - с 1991 года директор Общества Бутейко (Воронеж).
Одновременно преподает в Воронежском государственном университете с 1985 года, доцент, к.ф.-м.н., автор более 70 научных публикаций, включая 9 изобретений.
Старший сын Бутейко К.П.
Почтовый адрес: 394000, Воронеж, пр. Революции 7, Общество Бутейко Email: firstname.lastname@example.org http://www.buteyko.ru/.
Бутейко Марина Михайловна - с 1991 года главный врач-методист Общества Бутейко (Воронеж).
В 1990 году закончила Воронежскую государственную медицинскую академию, лечебный факультет.
Личный врачебный опыт по методу Бутейко - более 5000 пациентов.
Почтовый адрес: 394000, Воронеж, пр. Революции 7, Общество Бутейко Email: email@example.com http://www.buteyko.ru/.
Konstantin Pavlovich Buteyko (1923-2003), outstanding Novosibirsk (Russia) scientist and doctor.
He held a scientific degree of the Candidate of Medical Sciences and published more than 40 scientific publications. He was the academician of the International Academy of Informatization. He was head of the laboratory of functional diagnostics at the Institute of Cardiology of the Siberian Branch of the Academy of Sciences of the USSR (1958-1968).
He died in Moscow and was buried in Feodosiya (Republic of Crimea, Ukraine).
Vladimir Konstantinovich Buteyko, Director of Buteyko Co Ltd (Voronezh) since 1991.
He is at the same time senior lecturer at Voronezh State University, where he has been teaching since 1985. He holds the degree of the Candidate of Physical and Mathematical Sciences and is the author of more than scientific publications, including 9 inventions.
V.K. Buteyko is the elder son of K.P. Buteyko.
The mailing address: Buteyko Co Ltd, 7, pr. Revolutsii, Voronezh 394000, Russian Federation.
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