Techniques

    Alternate nostril breathing (nadi shodhana): benefits and steps

    Breathe On Team·June 11, 2026·4 min read
    Reviewed by Dr. Anya Sharma, MD (Pulmonology)

    Definition

    Nadi shodhana, or alternate nostril breathing, is a pranayama practice that alternates inhalation and exhalation between the left and right nostrils to balance autonomic activity and improve heart rate variability.

    Alternate nostril breathing — nadi shodhana — is a 3,000-year-old practice with surprisingly modern evidence. Trials show it lowers heart rate, reduces blood pressure acutely, and improves heart rate variability within a single session.

    How to do nadi shodhana

    • Sit upright. Rest the left hand on the knee.
    • Use the right thumb to close the right nostril.
    • Inhale slowly through the left nostril for 4 seconds.
    • Close the left nostril with the ring finger, release the thumb.
    • Exhale through the right nostril for 6 seconds.
    • Inhale right for 4. Switch. Exhale left for 6.
    • That is one round. Continue for 5–10 minutes.

    Why it works

    Each nostril preferentially activates a different hemisphere and a different branch of the autonomic system. Alternating evens out left-right cortical activity and slows respiration to a baroreflex-friendly rate.

    Best times to practice

    • Morning — gentle activation without caffeine jitter.
    • Before focused work — improves sustained attention.
    • After a stressful meeting — quick reset.

    A common mistake

    Forcing through a blocked nostril. If one side is congested, do 2 minutes of right-side-only slow breathing first, then begin.

    Log your nadi shodhana sessions in Breathe On to watch your HRV trend respond.

    Frequently asked questions

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    alternate nostril
    pranayama
    HRV
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