Yogasena

pranayama / Left Nostril Breathing

Chandra Bhedana

How much
9 rounds, about 3 minutes, building to 27 rounds and 9 minutes
Count
4:6, in through the left nostril and out through the right, with no retention
When
Evening
Kind of practice
pranayama
Written by Published 6 min read

In one breath

Chandra Bhedana, the left nostril breathing, is done in 9 rounds, about 3 minutes, building to 27 rounds and 9 minutes, on a 4:6, in through the left nostril and out through the right, with no retention count. Best time: evening, or any time you are too hot, too irritable or too wound up. also good in the afternoon slump. not needed on an empty stomach, though an hour after food is better.. Read the list of who should not do it before your first round.

Line drawing of a seated pose for Chandra Bhedana, one nostril closed by the thumb
On this page

What Chandra Bhedana is, and the numbers first

Chandra Bhedana is nine rounds, about three minutes, at four counts in through the left nostril and six counts out through the right, with no breath retention, practised in the evening or whenever you are too hot or too wound up. Build to twenty seven rounds, about nine minutes, over two months. That is the dose.

The name means piercing the moon, and chandra is the left nostril, associated with ida nadi and with coolness and quiet. The single rule that defines the practice is that the inhale is always on the left and the exhale always on the right. It does not alternate, which is what separates it from Anulom Vilom, and it is the mirror of Surya Bhedana.

This is the practice I give away most freely, because the list of people who must not do it is unusually short. There is no forceful movement, no abdominal contraction and no retention, so almost nothing about it raises pressure anywhere. It is also the nostril practice with the most directly relevant trial behind it: twenty seven rounds in twenty two people with high blood pressure, which is where the count of twenty seven on this page comes from.

How many rounds of Chandra Bhedana, and how long

Nine rounds to begin, twenty seven as the working practice. A round at 4:6 with the hand moving takes around eighteen seconds.

  • Week 1 to 2: 9 rounds at 4:6. Three minutes.
  • Week 3 to 6: 15 rounds at 4:6. Five minutes.
  • Week 7 onwards: 27 rounds at 4:6. Nine minutes. This is the count used in the published hypertension study and it is where I stop.
  • Frequency: once or twice a day. Evening is the natural slot, and there is no harm in a second sitting when you are wound up in the afternoon.
  • Retention: none. I do not teach it in this practice at all.

If you have low blood pressure, do four or five rounds and stand up slowly rather than working up to twenty seven. And if you want a longer sit, add Bhramari after it, which goes in the same direction and is equally safe.

Rounds and ratio, week by week

Twenty seven is not an arbitrary number here. It is the count the published study used, at six breaths a minute, in patients with essential hypertension. This ladder walks up to it over two months.

WeekRoundsRatio (in left : out right)RetentionTotal timeStop if
Week 1 to 29 rounds4:6None3 minutesYou feel light headed
Week 3 to 412 rounds4:6None4 minutesThe shoulder aches from the raised arm
Week 5 to 615 rounds4:6None5 minutesThe left nostril closes up
Week 7 to 821 rounds4:6None7 minutesYou feel flat rather than settled
Month 3 onwards27 rounds4:6, or 4:8 if the long exhale is easyNone9 to 10 minutesAny dizziness on standing

The exhale column is the one that decides whether this works. Six counts out against four in, with the last two counts emptying the chest, is what takes the breath down towards six a minute. At 4:4 you are simply breathing through one nostril and wondering why nothing happens.

What the blood pressure study actually found

This is the most quoted evidence for left nostril breathing and it is worth stating precisely, because it is usually inflated.

Twenty two patients with essential hypertension, twelve men and ten women, mean age 58. They did twenty seven rounds of left unilateral forced nostril breathing at six breaths a minute. Measurements before and after, using a semi automatic monitor. Heart rate fell, systolic pressure fell, pulse pressure fell and the rate pressure product and double product both fell, all statistically significant. Men showed reductions in both heart rate and systolic pressure, women in heart rate alone.

Now the limits, which the authors state themselves. Twenty two people. A single group with no control arm. One session, so nothing at all is known here about lasting effects. No blinding. Accidental sampling. What this study supports is the sentence: one session of twenty seven rounds produced an immediate fall in heart rate and systolic pressure in a small group of people with hypertension. It does not support the sentence: left nostril breathing treats high blood pressure. The high blood pressure page here keeps to the first sentence, and so should you when somebody tells you to stop your tablets.

Chandra Bhedana vs Surya Bhedana vs Anulom Vilom

One hand position, three practices, and a lot of confident writing about which does what.

 Chandra BhedanaSurya BhedanaAnulom Vilom
InhaleAlways left nostrilAlways right nostrilAlternates each round
ExhaleAlways right nostrilAlways left nostrilAlternates each round
Traditional tendencyCooling, settlingHeating, stimulatingBalancing
WhenEvening, or when wound upMorning onlyAny time
High blood pressureSuitable without retentionNot suitableSuitable without retention
AnxietyThe one to chooseThe one to avoidSafe and useful

The 2024 crossover trial of forty seven men found the two unilateral practices behaved much more alike than the table's third row suggests: both raised SDNN, both slowed the breath, neither moved the parasympathetic markers. So use the traditional distinction to choose your time of day, which is what it is genuinely good for, and be careful about asserting the mechanism. If you want a practice for both ends of the day, learn Nadi Shodhana and be done with it.

Where Chandra Bhedana fits in a practice

Its natural place is at the end of the day, and it is one of the few practices here that works well entirely on its own.

  1. Sit down. Nothing else needed. A cross legged seat or a chair, spine upright.
  2. Chandra Bhedana: 9 to 27 rounds, three to nine minutes.
  3. One minute of ordinary breathing through both nostrils.
  4. Straight to bed, or into Bhramari for another five minutes if sleep is the aim.

After an asana practice it goes at the very end, after Savasana rather than before it, because it needs the mind steady enough to count. It also works as an afternoon reset in the middle of a working day, which is where it overlaps with the desk sequence, and it sits naturally at the front of the bedtime sequence.

If you are building a first practice at home, this and alternate nostril breathing are the two I would start with, in the order the home practice guide sets out. In the online classes this is the practice I use to close, because it is the only one nobody in the room has to sit out.

Which pages here send you to Chandra Bhedana

This is the practice most often recommended across this site and almost never warned against, which is unusual.

Sit for it in Vajrasana, Padmasana or a chair. If you want somebody to check the finger pressure and the count once, that is what an introductory class is for.

How to do it, step by step

9 rounds, about 3 minutes, building to 27 rounds and 9 minutes is a full practice. Stop early on any round that feels like effort rather than ease: strain in pranayama is not something you push through.

  1. Step 1. Sit upright in sukhasana, ardha padmasana, padmasana or vajrasana, or on a firm chair with the feet flat. The spine vertical without being stiff, the chin level.

  2. Step 2. Make vishnu mudra with the right hand: index and middle fingers folded into the palm, thumb and ring finger extended. The thumb will close the right nostril, the ring finger the left.

  3. Step 3. Left hand on the left knee. Eyes closed. Five ordinary breaths through both nostrils first, so you do not begin on a short breath.

  4. Step 4. Close the right nostril with the thumb. Inhale slowly through the left nostril alone for a count of four. Quietly, so the sound is barely there.

  5. Step 5. Release the right nostril and close the left with the ring finger. Exhale slowly and completely through the right nostril for a count of six.

  6. Step 6. That is one round: in through the left, out through the right, every round, without alternating. If you are swapping sides you have drifted into alternate nostril breathing.

  7. Step 7. Do nine rounds, about three minutes. Then let the hand down and breathe normally through both nostrils for a minute, and notice that the jaw and the shoulders have usually let go without being asked.

  8. Step 8. Build to twenty seven rounds over two months. Twenty seven at 4:6 is about nine minutes and is the count used in the published study of this practice in people with high blood pressure.

  9. Step 9. Do not add breath retention. This practice does what it does through the slow rhythm and the long exhale, and a hold adds a long list of exclusions in exchange for nothing I have been able to see.

  10. Step 10. If the left nostril is blocked, lie on your right side for two or three minutes first. The lower nostril tends to block and the upper to open, which is enough to make the practice possible on most days.

What it is good for

  • It lowers heart rate and blood pressure immediately after practice, and this is the one nostril practice with a published trial in people who actually have high blood pressure. Twenty two patients with essential hypertension, mean age 58, did twenty seven rounds of left nostril breathing at six breaths a minute. Heart rate, systolic pressure, pulse pressure and the rate pressure product all fell significantly. It was a single group pilot with no control arm, twenty two people, one session, so treat it as a promising immediate effect and not as a treatment. Source
  • The claim that it is the calming counterpart to right nostril breathing is only partly supported. A 2024 randomised crossover trial of 47 healthy men compared Chandra Bhedana, Surya Bhedana, breath awareness and quiet rest. Both nostril practices raised SDNN and low frequency power during practice and slowed the breath by about three breaths a minute, and neither moved RMSSD or high frequency power. Low frequency power rose after Chandra Bhedana alone. The two sides differed far less than the tradition suggests. Source
  • A smaller observational study of twenty experienced practitioners found SDNN rose more during left nostril breathing than during right, from 41.6 to 77.7 milliseconds, which the authors described as partially supporting the traditional description of left nostril breathing as the cooler of the two. Twenty people, no control group, experienced practitioners only. Source
  • Slow pranayama as a family reduces heart rate in people with hypertension, on a 2026 meta analysis of seven randomised trials and 683 participants, with blood pressure effects that were significant on one model and not on another because the trials varied so widely. Three of the seven were rated high risk of bias. Source
  • This is the practice I hand out most often, because it is the one with almost nobody excluded from it. No forceful movement, no abdominal work, no retention, nothing that raises pressure. I can teach it to somebody with a hernia, somebody with high blood pressure, somebody recovering from surgery and somebody in their eighties, and I have.
  • In the hall it is the practice that works fastest on a hot temper. Nine rounds, and the person who came in tight and short with everybody is answerable again. That is my observation across a lot of years rather than a measurement, but it is consistent enough that I plan classes around it.

Who should not do this

  • Low blood pressure, or a tendency to faint on standing. This practice lowers heart rate and pressure, which is precisely the problem if yours is already low. Do four or five rounds rather than twenty seven, and stand up slowly. This is the main caution on an unusually short list.
  • Depression with marked lethargy, or that heavy flattened state where getting going is the whole difficulty. A settling practice pushes further in the direction that is already the problem. Something brisk, or simply a walk, does more.
  • A blocked left nostril, a heavy cold or sinusitis. Lie on the right side for two or three minutes to open the left nostril, and if it still will not pass air, leave it for today rather than forcing it.
  • Any added breath retention, if you have high blood pressure, heart disease, glaucoma or raised eye pressure, epilepsy, or if you are pregnant. Without retention this practice suits nearly everybody, which is the reason I teach it without.
  • Immediately after a meal. An hour is enough, unlike the forceful practices which need four.
  • Asthma during an exacerbation or a chest infection in progress, in the sense that any breath control is the wrong project during an attack. Between attacks it is fine and often useful.
  • Cold weather, if you find nasal breathing on one side gives you a sinus headache. This is uncommon but it happens, and there is no need to persist.
  • Do not treat it as a substitute for blood pressure medication. The published trial measured an immediate effect after one session of twenty seven rounds in twenty two people. That is not the same thing as control of hypertension, and stopping a prescription on the strength of it would be a serious mistake.

Breathing practices change blood pressure and heart rate for real, not metaphorically. If any of these describe you, say so before you start, and leave breath retention alone until somebody has watched you practise.

What Vaithialingam sees people get wrong

What goes wrong most often in this practice, on the left, and what to do instead, on the right.

  • Alternating the nostrils so it becomes Anulom Vilom.

    The fix. In through the left, out through the right, every round, all the way to twenty seven. The inhale side never changes. That single rule is the practice.

  • A short exhale, so the ratio quietly becomes 4:4.

    The fix. Six counts out, slowly, and let the last two counts empty the chest. The long exhale is where the settling comes from, and it is the first thing to disappear when somebody is in a hurry.

  • Pressing the nostril flat with the thumb.

    The fix. Rest the thumb on the soft flesh beside the nostril and close it with the pressure you would use on a closed eyelid. Squashing the nose narrows the other side too and makes the breath noisy.

  • Forcing air through a blocked left nostril for three minutes.

    The fix. Lie on your right side for two or three minutes first. The lower nostril congests and the upper one opens, which is usually enough. If it is still blocked, do Bhramari today and come back to this tomorrow.

  • Using it in the morning as the day's only practice.

    The fix. It settles rather than starts you. Use it in the evening or when you are wound up. If you want a morning practice, Anulom Vilom in the morning and this one at night is the pairing I teach.

  • Holding the elbow up at shoulder height.

    The fix. Let the elbow rest on the ribs, or prop it on a cushion in the lap. Nine minutes of a raised arm gives people an aching shoulder, and then they stop practising and blame the breath.

  • Stopping the blood pressure tablets because a page said this practice lowers pressure.

    The fix. Do not. The evidence is a single session, single group study in twenty two people showing an immediate fall. Keep taking what your doctor prescribed and tell them you have taken up a breathing practice.

Where these claims come from

Anything on this page stated as a fact about the body is sourced below. Anything not sourced is written plainly as what the teacher has seen in his own classes, and is labelled that way in the text.

  1. Immediate effect of chandra nadi pranayama (left unilateral forced nostril breathing) on cardiovascular parameters in hypertensive patients, International Journal of Yoga 2012;5(2)
  2. Heart Rate Variability during Nostril-Regulated Yoga Breathing: A Randomized Crossover Study, International Journal of Yoga 2024
  3. Immediate autonomic changes during right nostril breathing and left nostril breathing in regular yoga practitioners, Journal of Education and Health Promotion 2022
  4. The effect of yogic breathing (pranayama) on heart rate and blood pressure in patients with hypertension: a systematic review and meta-analysis, Indian Heart Journal 2026
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From Vaithialingam's class

If I had to keep one breathing practice and give the rest away, it would be this one. Not because it is the most powerful. Because it is the one I can give to anybody who walks in. No abdominal work, no retention, nothing that raises pressure in the chest or the head, so the man with the hernia, the woman whose pressure runs high and the student recovering from surgery can all do the same practice as everybody else, which matters more in a hall than people realise. What I have to correct, almost always, is the exhale. Somebody will do twenty seven rounds with four counts in and four counts out and tell me it does nothing. Six counts out. Slowly. The last two counts should be work, emptying the chest, and then the next inhale arrives by itself. The other thing I say is about the left nostril: if it is blocked, lie on your right side for two or three minutes and it will open, and that small trick has saved more evening practices than any instruction I give about the mind.

This is what he sees in class, not a medical claim. Where this page states what a practice does for a condition, the evidence is in the sources cited on the page.

Vaithialingam, founder and teacher, 40 years of teaching.

Questions people ask

What are the benefits of Chandra Bhedana pranayama?

An immediate fall in heart rate and systolic pressure, measured in a study of twenty two patients with high blood pressure who did twenty seven rounds. A slower breath, down by about three breaths a minute. A rise in some heart rate variability measures during practice. In my own classes it is the practice that settles an irritable or wound up person fastest, usually inside nine rounds, and it is the one with almost nobody excluded from it.

How many rounds of Chandra Bhedana should I do?

Nine rounds at four counts in and six counts out for the first fortnight, which is about three minutes. Then build to twenty seven rounds, about nine minutes, over two months. Twenty seven is the count used in the published study of this practice and it is where I stop. If your blood pressure is low, keep to four or five rounds and stand up slowly.

Who should not do Chandra Bhedana?

The list is short. Anyone with low blood pressure or a tendency to faint should do four or five rounds rather than twenty seven. Anyone in a heavy, lethargic depression is better served by something brisk. Anyone whose left nostril is blocked today should wait. Do not add breath retention if you have high blood pressure, heart disease, glaucoma or epilepsy, or if you are pregnant, and I do not teach retention in this practice at all.

Is Chandra Bhedana good for high blood pressure?

It is one of the practices I am comfortable giving, and there is a small study behind that. Twenty two patients with essential hypertension did twenty seven rounds at six breaths a minute, and heart rate, systolic pressure and pulse pressure all fell significantly straight afterwards. It was a single group pilot with no control arm and one session, so it shows an immediate effect and nothing about long term control. Keep taking what your doctor prescribed, and read the high blood pressure page before you change anything.

What is the difference between Chandra Bhedana and Anulom Vilom?

In Chandra Bhedana the inhale is always through the left nostril and the exhale always through the right, so the practice pushes in one direction. In Anulom Vilom the sides swap every round, so it balances. The hand position and the counts are the same. If you find yourself alternating the inhale side, you are doing Anulom Vilom, which is also a good practice and a different one.

What is the best time to do Chandra Bhedana?

The evening, or any time you are too hot, too irritable or too wound up to think. It also works well in the afternoon slump. An hour after food is enough, unlike the forceful practices which want four. Do not use it as your morning practice: it settles rather than starts you, and alternate nostril breathing is the better morning choice.

Is left nostril breathing really calming?

Less cleanly than you will read. A 2024 randomised crossover trial of forty seven healthy men compared left and right nostril breathing with breath awareness and quiet rest, and found both raised SDNN and low frequency power and slowed the breath, with neither changing the parasympathetic markers RMSSD or high frequency power. A separate observational study of twenty practitioners found SDNN rose more during left nostril breathing, which partially supports the tradition. So the distinction is a useful guide and not a proven mechanism.

What if my left nostril is blocked?

Lie on your right side for two or three minutes. The nostril nearer the floor tends to congest and the upper one to open, and that is usually enough to make the practice possible. If it is still blocked, or you have a heavy cold or sinusitis, leave the practice for today and do humming bee breath instead rather than forcing air through a closed nostril.

Can Chandra Bhedana be done during pregnancy?

Without retention it is one of the mildest practices there is, with no abdominal work and nothing that raises pressure, and I have taught it to pregnant students. I would still have somebody watch the first few sittings, leave every breath hold out, and ask whoever is looking after the pregnancy first. Stop if it makes you light headed and get up slowly.

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