08:10

A Pain Reduction Practice

by Zach Perlman

Rated
4.6
Type
guided
Activity
Meditation
Suitable for
Everyone
Plays
4.9k

This meditation is especially helpful if you are struggling with intense pain, either physical or emotional. This technique is often taught by American Zen Master, Shinzen Young. Instead of just focusing on the breath, we're going to do so in a very special way. On the outbreath for example, notice how your body naturally relaxes. It takes no effort to breath out. It is more like an easy letting go.

PainRelaxationBreathingFocusConcentrationEmotional PainPhysical PainLetting GoZenMeditationOxygenationDual FocusConcentration DevelopmentBreathing Awareness

Transcript

This is a meditation I learned from Americans and masters Shins and Young,

And it can be especially useful if you're struggling with either intense emotional or physical pain.

Instead of simply watching our breath,

We're going to do so in a very special way.

The mind can only focus well on one or two things at a time,

So for this meditation we're going to take a few moments to focus on your breath,

The physical sensation of breathing in and out.

We're going to explore two pleasant sensations associated with breathing in and out.

The oxygenation pleasure you feel when you breathe in,

And the relaxation pleasure that you experience when you release the breath out.

First let's explore the oxygen pleasure.

If you're not sure what I'm referring to,

Breathe out for a few moments and hold it there.

You'll begin to feel some tension and discomfort.

Then when you're ready,

Breathe in and notice the pleasant sensation,

Which contrasts with that.

The pleasure of the nurturing oxygen filling your lungs.

Focus in on that pleasure as you breathe in.

We'll refer to this as the oxygen pleasure.

On each in-breath from beginning to end,

Focus all your attention on that pleasure.

To the best of your ability,

Let your pain or pains be in the background.

Let your thoughts be in the background.

Let your emotions be in the background.

Just to the best of your ability,

Focus continually on the pleasure sensation of each in-breath.

Just to the best of your ability,

Focus continually on the pleasure sensation of each in-breath.

Now,

Changing things up a bit,

Take a slow in-breath and notice how there's some effort when you breathe in,

The muscles have to work.

Your whole body rises up slightly on the in-breath,

Contracting inward ever so slightly.

Now breathe out and notice that by contrast,

The out-breath takes no effort at all.

There's a natural quality of relaxing associated with breathing out.

Now,

On each out-breath from beginning to end,

Focus on that relaxation pleasure,

The natural relaxation of letting go.

I know this might be challenging,

The discomfort might be much stronger than the relaxation pleasure,

But to the best of your ability,

Focus on that relaxation pleasure.

From the beginning to the end of every out-breath.

Good.

Now,

On the in-breath,

Focus on the oxygen intake pleasure,

And on the out-breath,

Focus on the relaxation pleasure.

So there's an alternating rhythm of two kinds of pleasure.

Always be focusing on one of the two kinds of sensations.

Developing a high state of concentration,

Breathing in,

Breathing out,

Gradually more and more focused.

Good.

Continue to do that as I speak.

If this reduces the pain or discomfort,

Good.

There's a small chance though that relaxing in this way makes the discomfort seem to spread.

If you can tolerate that,

Keep going a little while longer,

And it may change or relent.

If you just wish to work with the sensation of breathing in,

You can do that.

If you just wish to work with the pleasure of breathing out,

You can do that.

Or you can alternate between the two if that feels more productive.

Focus in this way for as long as seems helpful,

For as long as you like.

Good.

Good.

Good.

Meet your Teacher

Zach PerlmanEugene, OR, USA

4.6 (411)

Recent Reviews

Michael

July 29, 2025

Amazingly effective at reducing my pain. Thank you!

Blair

May 20, 2025

This was very accessible and could be done by most practitioners. I especially appreciated its simplicity.

Gena

February 5, 2025

I liked the different ways to look at both positive parts of breathing in and out.

Rashmi

November 12, 2024

amazing. My physical pain drastically lessened with this one meditation. Thank you

Amy

October 22, 2024

Excellent! I sought this out for managing pain. It was so helpful it will make it into my regular rotation even without the presence of pain.

Melissa

September 10, 2024

Did this helpful meditation while taking a bath. Seemed to help my neck and I am ready to sleep now. Thank you

Marianne

October 22, 2023

Really nice! I found it very helpful for increasing depth of concentration on the breath. Thank you🙏

Cai

May 6, 2023

So sim0le to concentrate on the opposite. This is valuable info for a chronic pain patient. Thank yòu! Nameste.

Kristie

June 19, 2022

Excellent exercise. VERY helpful!!! 🙏

GURANDA

January 7, 2021

Very helpful thanks🙏it worked on Migraine as well

Heron

May 25, 2019

Thank you for your simple guidance and clarity

aimee

April 18, 2019

Thank you. I like learning this new way of thinking about in and out breath. Dealing with kidney stone pain. This gives me something to focus on besides pain and fear of pain.

Smitha

April 2, 2019

A pretty amazing meditation, that helps with my pain every time! Thank you for putting this up ❤️🙏

Haven

March 8, 2019

I had glimpses of relief. Nice! But I kept confusing pleasure as the outbreath because it's pleasurable to relax. I changed the inhale to "richness" - the flow in of a lovely necessity. That helped me be more clear in my focus.

Marie-Claude

February 26, 2019

Got me through my stomach spasms. 👍🏻

Chaya

February 11, 2019

Thank you! I really appreciate this new focus. With each inhale and exhale I could feel my cells saying, "ohhh, wonderful."

Charlie

February 5, 2019

The pain I was feeling was really intense. After meditating I'm calm and feeling a lot better. Thank you very much.

Neet

January 14, 2019

Interesting concept, it helped a little… Thank you 😊

Irene

January 7, 2019

Brilliantly simple and effective. Thank you!

Virginia

December 30, 2018

Great, this is so helpful. Namaste.

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© 2026 Zach Perlman. All rights reserved. All copyright in this work remains with the original creator. No part of this material may be reproduced, distributed, or transmitted in any form or by any means, without the prior written permission of the copyright owner.

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