The breath is just a fabrication but you adjust it to take care of it, in the same way you wash and clean your body even though it's just a fabrication, too.

"Years back, I knew someone who was going to study in Thailand and she’d been practicing Ajaan Lee’s method. She was staying with an ajaan who didn’t have any background in Ajaan Lee’s method, and he told her, “Why are you adjusting the breath? It’s just a fabrication.” She told me that, and my response, although I didn’t say it to him, was, “Well, why are you washing your body? Why do you clean your body? It’s just a fabrication.” You have to take care of these things because they’ll then take care of you. And in taking care of them skillfully, you learn an awful lot about the body and the mind."

~ Thanissaro Bhikkhu "Tapping into the Breath" (Meditations9)

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