The 4-7-8 breath stands for the following. You inhale for a count of four, then you hold your breath for a count of seven, and then you exhale through your mouth through pursed lips for a count of eight. The durations of these breaths aren’t as important as the ratio of the inhalation breath, breath-hold, and particularly the exhalation breath. The exhalation breath, you’ll notice, is twice as long as the inhalation breath. This allows for the lungs to completely empty of stagnant air, and oftentimes people who have chronic lung disease, particularly those with obstructive lung disease, have a tendency to air trap. This 4-7-8 breathing meditation offers the opportunity to completely exhale. It’s also a much more intentional practice. If, for instance, awareness of breath might be anxiety-provoking, particularly for lung disease patients, which has been the case for some of my patients, then perhaps a 4-7-8 breath would be more helpful. Pursing your lips when you exhale has been shown to basically stent open the airways. This type of breathing also activates your vagus nerve, which is your “rest and digest” nerve. 

A Guided 4-7-8 Breathing Meditation

The recommended number of times to do this type of breathing meditation is going through four breath cycles up to twice a day initially. Sometimes, if you do more than that, it can cause some lightheadedness and dizziness. If that should happen, you can definitely decrease the number of breath cycles you do with the 4-7-8 breath and slowly build up. But perhaps this is a breathing technique that you might want to try before you do your daily mindfulness practice. Incorporating an intentional, mindful type of breathing before your formal practice. The invitation is there, the choice is yours.

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