June 2022: The Pulmonary Education and Research Foundation(PERF) was a 501(c)(3)Foundation that operated between 1984 and 2022. In 2022, PERF passed the torch to The Lundquist Institute for Biomedical Innovation, a 501(c)(3)non-profit organization, to continue PERF’s mission of improving the outlook for individuals suffering with chronic breathing difficulties or exercise intolerance. The PERF website is preserved here, but is no longer maintained.
 

Mastering the “Good” Cough

When you simply “cough” because you need to cough, you may not be doing a very good job of clearing the mucus and phlegm out of your lungs. If you have COPD, you can do a better job of clearing your lungs, and at the same time tiring yourself out less, if you master a huff cough, also known in COPD circles as a forceful cough or “good” cough.

First, slow down your breathing. Try counting to two, slowly, as you breathe in. Then slowly count to four as you breathe out. Do this three or four times.

Then, take another slow, deep breath in and let your belly push out as you fill your lungs as much as you can.

Hold your breath for a count of four.

Raise your chin up, open your mouth, and use your belly to push the air out of your lungs in short bursts, quickly and forcefully. Make the sound “huh, huh, huh.”

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