Breathing exercise · 4 · 2 · 6

4-2-6 breathing: 5 rounds for a long illness

A 4 · 2 · 6 rhythm — a short hold in the middle, a long way out.

Ready0

Follow the circle. It counts for you.

How it works

Breathe in through your nose for 4 counts, hold for 2. Then out for 6, slowly, without pushing. Nothing here assumes you have done this before. Stay with what you can actually feel.

Why it can help

A long, unforced exhale tends to slow the heart a little. You may notice it in your chest before anywhere else.

The pattern, in seconds

PhaseLengthStarts at
Inhale4s0s
Hold2s4s
Exhale6s6s

One round is 12 seconds. At the default 5 rounds this practice runs 60 seconds — about 1 minute — plus a breath or two of ordinary breathing between rounds.

Good for

  • when the afternoon has gone flat
  • in a hospital corridor, waiting for news
  • when the day has been fine but you still feel braced

Tips

  • Try the same pattern at a different time of day and see whether it feels different.
  • Sit upright. Your lungs work better when you are not folded in half.
  • Never push through a hold. Coming out of it early is always the right call.

Please note

If holding your breath makes you dizzy or uncomfortable, skip the holds entirely and breathe slowly and evenly instead. Never push through lightheadedness. If you are pregnant, or manage a heart, blood pressure or lung condition, check with a doctor before doing breath holds.