Face-to-face consultation: breathing rate & peak flow

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Our Manasa Ayurveda consultations are undertaken by registered healthcare professionals and as well as using traditional Ayurvedic methods also include professional physical health checks. One of these checks of your rate of breathing and how fast you can breathe out.

Why do we do this?

Both increased and decreased breathing (respiration) rate can be a sign that there may be something wrong in the body. Our rate of breathing can increase or decrease due to a heart or respiratory condition, fever, infection or dehydration, whereas our breathing can be slowed down by drinking too much alcohol, a head injury or some medicines for pain such as codeine or morphine.

Measuring how fast you can breathe out (peak flow) gives a better understanding of what’s going on in your lungs if you have any issues with breathing. It can help to see how open your airways are.

What happens?

To measure your breathing (respiration) rate, your Manasa Ayurveda therapist will simply observe how many times you breathe in and out in one minute. One full breath in and full breath out counts as one respiration.

To measure your peak flow, you may be asked to take a deep breath in and blow as fast as you can into a small, hand-held plastic tube called a peak flow meter. The measurement taken is called your peak flow.

The lungs are the organs that receive oxygen that we breathe in through our nose and mouth. According to Ayurveda, the lungs are an important site of kapha dosha, the force in the body which is governed by the elements of water and earth. According to Ayurveda, most disorders of the respiratory system are a result of imbalanced kapha dosha. To see how well your lungs work you may also ask you to breathe into a peak flow meter (a white plastic tube)

What do the results mean?

The normal respiration rate for an adult is about 12-18 breaths per minute. If your rate of breathing is lower or higher than this, your Manasa Ayurveda therapist will talk with you about this and may suggest that you also inform your GP.

Your peak flow score – also known as your peak expiratory flow (PEF) – will be displayed on the side of your peak flow meter. This is given in litres of air breathed out per minute (l/min).

What's considered a normal score depends on your age, height and gender. Your Manasa Ayurveda therapist will inform you of what would be considered a normal score for you and may suggest that you also inform your GP.

Based on these checks, particular Manasa Ayurveda therapies may be suggested for you such as certain herbs, therapies and breath control (pranayama) exercises.

Face-to-face consultation: taking your temperature...


Our Manasa Ayurveda consultations are undertaken by registered healthcare professionals and as well as using traditional Ayurvedic methods, can also include physical health checks which are used within NHS hospitals. One of these checks is taking temperature.

Why do we do this?

According to Ayurveda, body temperature can be affected by the three “doshas”. For example, an excess of “pitta” is often connected with more heat in the body, and this may be associated with symptoms such as, acne, heartburn, skin rashes and diarrhoea. Temperature can also be affected if you have an infection, by taking certain medicines, if you are dehydrated and if you are very emotional. We need to know if your temperature is too low, normal or too high, because this can help us plan the therapies we offer.

What happens?

A professional Manasa Ayurveda therapist will take your temperature during the face-to-face consultation. We will check your temperature using an electronic thermometer which is placed in your ear for a few seconds. Your therapist will write down what the result is on the chart. During your therapy programme we may continue to monitor your temperature if this is found to be an especially important factor for you.

What do the results mean?

Normal temperature is around 35-37°C. According to Ayurvedic principles, cooler temperatures may be associated with aggravation of vāta and warmer temperatures associated with aggravation of pitta.

Crisis Support

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Manasa Ayurveda means Ayurveda for the mind. We are serious about mental health and wellbeing. Our service offers a traditional natural and holistic Ayurvedic approach to mental health. Our service is in demand, so we seek to ensure that everyone who approaches us has access to direct support when they need it.

A mental health crisis can mean different things to different people. In a mental health crisis, you might feel so distressed that you want to harm yourself or someone else. You might hear unpleasant voices, or feel that people are watching you or trying to hurt you. At such times it can help to tell someone you trust, maybe a family member or a friend. They can be with you and help you decide what to do. They can also contact services on your behalf.

If you need urgent help:

Call 111 to speak to the free NHS helpline for anyone with an urgent healthcare need. Tell them if you need a translator. They can:

  • give you self-care advice

  • connect you to a nurse or GP

  • book you a face-to-face appointment

  • send an ambulance, if necessary

  • direct you to the local service that can help you best

If you are with someone who has attempted suicide, call 999 and stay with them until the ambulance arrives.

If you need less urgent help:

Don’t suffer in silence. Get help. You could:

Speak to your GP. They can put you in touch with local services.

Contact the Samaritans - Call for free: 116 123 (24 hours a day) email: jo@samaritans.org

London and national contacts:

Services for people who need help and those who are worried about them (numbers beginning 0800 and 0808 are free to call from landlines and mobiles. 0300 numbers are local rate).

Alcoholics Anonymous
call: 0800 9177 650 (24 hours) www.alcoholics-anonymous.org.uk

CALM (Campaign Against Living Miserably) For men of all ages.
call: 0800 802 58 58 (5pm to midnight) www.thecalmzone.net

Alzheimer’s Society
call: 0300 222 11 22 (various times) www.alzheimers.org.uk

Domestic Violence Helpline
freephone: 0808 2000 247 (24 hours a day) email: helpline@refuge.org.uk www.refuge.org.uk

FRANK (Drugs and alcohol advice) call: 0300 123 6600 (24 hours a day) www.talktofrank.com

HOPElineUK. For those aged up to 35. call: 0800 068 41 41 text: 07786 209697 email: pat@papyrus-uk.org www.papyrus-uk.org

LGBT+ (Lesbian, Gay, Bisexual and Transgender+)
call: 0300 330 0630 (10am to 10pm) www.switchboard.lgbt chris@switchboard.lgbt

National Association for People Abused in Childhood (NAPAC) call: 0808 801 0331 (various times) www.napac.org.uk

Rape Crisis
(Support for women and girls)
call: 0808 802 9999 (various times) www.rapecrisis.org.uk

call: 0300 304 7000 (6pm to 11pm)

Silverline - support for older people call: 0800 4 70 80 90 (24 hours) www.thesilverline.org.uk

Victim Support
call: 08 08 16 89 111 (various times) www.victimsupport.org.uk

Manasa Ayurveda - Service User Feedback

The following is written feedback from Manasa Ayurveda clients and service users in London:

'For me a very positive well-being session. I hope to maintain a wellbeing attitude daily. I like the Ayurvedic approach’

‘I was happy and it was interesting what you use’

‘Very helpful and beneficial’

‘Having the peaceful sensation of a face massage is certainly worth having long-term’

‘Today was different in terms of more detail focus on feeding the senses and possible outcome; very useful and mindful and interesting’

‘very sufficient with the therapist’

‘I was interested in everything, it was something new’

‘Being able to verbally express my feelings around family life and circumstances has been mentally and emotionally de-stressing’

‘Extremely relaxing and I had positive reflections on wellbeing’

‘Mindfulness… I find very interesting in terms of its apparent simplicity though NOT simple and needs my attention and practice’

‘Very interesting’

'Today’s session was extremely beneficial and relaxing, beneficial discussing my sleep and wellbeing patterns; extremely useful for service users’.

'Very practical and beneficial’

‘The Nasya oil was introduced to me in today’s session; very soothing. I hope this will in time alleviate my congestion. I look forward to Ayurveda sessions’.

‘Excellent treatment’

‘The massage was very helpful and teas’

‘The mindful, sensual, wellbeing impact of Ayurveda creates thoughts of the possibility of a healthier future’

‘Very beneficial experience’

‘Today’s session was most helpful for me. Discussion on sleep, wellbeing and talking around my feelings helped greatly’