pranayama / Breath Retention
Kumbhaka
In one breath
Kumbhaka, the breath retention, is done in 9 rounds, about 4 minutes, on a 4:4:6, inhale four, retain four, exhale six, with no held breath on empty for the first year count. Best time: morning only, on an empty stomach, at least four hours after a meal, and only after three months of slow breathing without any hold. never in the evening and never within four hours of bed.. Read the list of who should not do it before your first round.
On this page
- Who must not hold the breath, and why
- What kumbhaka is, and the numbers first
- How many rounds, how long a hold, and how often
- Rounds and ratio, month by month
- Antara and bahya kumbhaka, and why one waits a year
- Where retention fits in a practice
- Which pages here warn you off retention
- How to do it, step by step
- What it is good for
- Who should not do this
- What Vaithialingam sees people get wrong
- Questions people ask
Who must not hold the breath, and why
This page leads with the warnings because retention is the one part of breathing practice where the risk is not theoretical, and because the list includes conditions that a great many readers have.
Do not practise breath retention if you have high blood pressure, heart disease of any kind, an arrhythmia or a pacemaker, glaucoma or raised eye pressure, epilepsy or any seizure disorder, a hernia, a recent stroke or head injury, a cerebral aneurysm, or if you are pregnant. Do not practise it during an asthma attack or a chest infection, or within three to six months of chest or abdominal surgery. Do not teach it to children. And never hold the breath in or near water: people drown doing that, without warning.
Why those, specifically. A held breath raises the pressure inside the chest, which slows the return of blood to the heart, and the effect grows sharply the moment somebody strains against a closed throat, which beginners do without realising. The same pressure travels up through the chest into the head, which is why raised eye pressure is on the list. And retention changes blood flow in the brain: a study of fifteen men holding for sixty seconds measured significant increases in cerebral flow velocities, which is the mechanism behind both the effects people seek and the dizziness people report.
If you are on that list, you are not missing much. Slow breathing at four counts in and six counts out, which is the practice on the three part breath page, produces most of the measured benefits attributed to pranayama and excludes almost nobody.
What kumbhaka is, and the numbers first
Kumbhaka as I teach it is nine rounds at 4:4:6, inhale four counts, retain four, exhale six, with two ordinary breaths between rounds. That is about four minutes, morning only, on an empty stomach, and not until three months of slow breathing without any hold. There is no retention on empty in the first year.
Kumbhaka means pot, in the sense of a vessel holding something. The word covers two practices: antara kumbhaka, holding after the inhale, which is what this page teaches, and bahya kumbhaka, holding after the exhale, which is stronger and belongs with a teacher in the room. Alongside puraka, the inhale, and rechaka, the exhale, it is the third of the three parts every classical description of pranayama is built from.
It is also already in your practice if you do box breathing, where the two four count holds are exactly this, and it is the part of the classical Surya Bhedana and Nadi Shodhana descriptions that most beginner pages quietly leave out. Four counts, comfortably, is the whole practice for most people, and I would rather somebody stayed there for ten years than got to twenty counts in a year.
How many rounds, how long a hold, and how often
Nine rounds, four count hold, once a day. The count grows slowly or not at all.
- Prerequisite: three months of slow breathing with no hold. Twelve rounds a day at four in and six out. I do not waive this.
- Month 1 to 2 of retention: 9 rounds at 4:4:6, two ordinary breaths between rounds. About four minutes.
- Month 3 onwards: 9 rounds at 4:6:8 if and only if the four count hold is entirely unhurried. About five minutes.
- Ceiling in a class: a six count hold against four in and eight out. Longer holds exist and they belong to a taught practice with somebody watching, not to a page.
- Frequency: once a day, morning, empty stomach. Not twice, and never in the evening.
- Retention on empty: not in the first year, and not unsupervised at all.
The inhale is to three quarters, not to full. That is the most important number on this page after the four, and it is the one nobody writes down.
Rounds and ratio, month by month
Published progressions for retention are reckless in a way that has no parallel elsewhere in this family: 1:4:2 ratios and sixteen count holds handed to beginners in week one. This ladder is measured in months and it starts before the first hold.
| Stage | Rounds | Ratio (in : hold : out) | Rest between rounds | Total time | Stop if |
|---|---|---|---|---|---|
| Months 1 to 3, no retention | 12 rounds | 4:0:6 | None needed | 5 minutes | Any dizziness |
| Month 4 | 9 rounds | 4:2:6 | 2 ordinary breaths | 4 minutes | You strain, or the face reddens |
| Months 5 to 6 | 9 rounds | 4:4:6 | 2 ordinary breaths | 4 minutes | Headache, or ears feeling full |
| Months 7 to 12 | 9 rounds | 4:4:8 | 2 ordinary breaths | 5 minutes | Tingling in hands or lips |
| Year 2 onwards, taught | 9 rounds | 4:6:8 | 2 ordinary breaths | 5 to 6 minutes | Anything at all in the chest |
| If you have high blood pressure, heart disease, glaucoma or epilepsy | 12 rounds | 4:0:6, no hold ever | None | 5 minutes | Stay here. This is your practice |
That last row is the row I care about most. It is not a lesser practice. It is the practice that has the meta analysis behind it, and the hold adds a long safety list in exchange for something I cannot demonstrate.
Antara and bahya kumbhaka, and why one waits a year
The two retentions are not two doses of the same thing.
| Antara kumbhaka | Bahya kumbhaka | |
|---|---|---|
| Held | After the inhale, lungs about three quarters full | After the exhale, lungs empty |
| Pressure in the chest | Raised, and much more so if you strain | Lowered |
| Urge to breathe | Builds gradually | Builds fast and hard |
| Usual first experience | Manageable at four counts | Alarming, even at four counts |
| When I teach it | After three months of slow breathing | After a year, in person, never from a page |
Bahya kumbhaka is often presented as simply the next step and it is not. Holding on empty produces a much stronger drive to breathe, and it is the version behind most of the frightening episodes people describe when they write about breath work going wrong. It also belongs with the bandhas, the internal locks, which need somebody's hands and eyes and cannot be learned from a description. So: a year, and a teacher, and not otherwise.
Where retention fits in a practice
Retention goes in the middle of a morning practice, never at the start and never at the end.
- Three part breath: 12 rounds at 4:6. This is the warm up and it is not optional.
- Kumbhaka: 9 rounds at 4:4:6, with two ordinary breaths between each. Four minutes.
- Two minutes sitting still, breathing normally.
- Anulom Vilom: 12 rounds with no hold. The settling counterweight.
- Asana, if the day allows it, then Savasana.
Sit for it in Padmasana or Vajrasana if you can, because a hold with a vertical spine is a different experience from a hold with a collapsed chest, and a chair with the back off the backrest is a perfectly good substitute. The eight limbs guide is worth reading alongside this page, because pranayama is the fourth limb and retention is a fraction of that fourth, and treating it as the summit of yoga gets the whole scheme backwards.
In the online classes I teach retention only to people I have watched breathe for several weeks, and I say so at the time. It is the one practice where I would rather be in the same room.
Which pages here warn you off retention
More pages on this site advise against holding the breath than recommend it, and that is deliberate.
- Yoga for high blood pressure excludes retention entirely and gives the no hold version of every practice.
- Yoga for anxiety warns that for some people a held breath is the exact sensation of a panic attack, and sends them to slow breathing instead.
- Yoga for beginners over 40 leaves retention out of the first three months as a matter of course, because blood pressure and eye pressure are so often unknown.
- Box breathing is the one place a four count hold is recommended freely, and even there the table says to remove both holds if pressure or the eyes are a question.
- Kapalbhati is the other practice on this site with a warnings first structure, for related reasons.
If you want the hold watched by somebody rather than counted from a page, that is what an introductory class is for, and this is the practice I would most want to see before you did it alone.
How to do it, step by step
9 rounds, about 4 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.
Step 1. Read the contraindications before anything else on this page. Retention is the one part of breathing practice where the risk is real rather than theoretical, and the list of people who should not hold a breath at all is long and includes several very common conditions.
Step 2. Do not begin until you have practised slow breathing without any hold for three months. Twelve rounds a day of three part breathing at four in and six out, or alternate nostril breathing, is the entry requirement I use and I do not waive it.
Step 3. Sit upright in padmasana, ardha padmasana, sukhasana or vajrasana, or on a firm chair with the feet flat. The spine must be vertical and stay vertical through the hold. A slumped chest during retention is where the pressure goes wrong.
Step 4. Hands on the knees. Eyes closed. Twelve ordinary breaths, slow, four in and six out, before the first hold. You are not starting cold.
Step 5. Inhale through the nose for a count of four, to about three quarters full. Not to the top. A hold taken on a maximum inhale is where the strain and the raised pressure come from, and three quarters is the whole difference between a comfortable retention and an unpleasant one.
Step 6. Hold for a count of four. This is antara kumbhaka, retention on full. Keep the throat open, the jaw and face soft, the shoulders down, and do not press down against a closed throat. If anything is gripping, the hold is too long.
Step 7. Exhale slowly through the nose for a count of six, completely, so the last two counts empty the chest.
Step 8. Breathe normally for two full breaths before the next round. This recovery is part of the practice and not an interval to be trimmed. Nine rounds with two ordinary breaths between each is about four minutes.
Step 9. Do nine rounds and stop. Then sit and breathe normally for two minutes, or better, do twelve rounds of alternate nostril breathing without any hold to settle.
Step 10. Do not practise bahya kumbhaka, retention on empty, in the first year, and do not practise it at all without a teacher watching. Holding the breath out is a stronger stimulus than holding it in and it produces the frightening episodes people write about.
Step 11. Add one count to the hold every two weeks at the very most, and only if nine rounds at the current count leave you completely unhurried. Six counts held against four in and eight out is a serious practice and is as far as I take anybody in a class.
What it is good for
- It measurably increases blood flow in the brain while it is being done, which is the mechanism behind most of what people report. Fifteen healthy men held the breath for sixty seconds and peak systolic velocity, end diastolic velocity and mean flow velocity in the cerebral arteries all rose significantly, with the pulsatility index falling. The same study found the opposite pattern during forceful fast breathing, where the flow velocities fell. Fifteen young men, and the authors note they did not measure oxygen and carbon dioxide directly, so the mechanism is inferred. Source
- The physiological argument for it is brief intermittent hypoxia and a rise in carbon dioxide. A 2024 discussion paper in the Journal of Ayurveda and Integrative Medicine proposes that retention raises erythropoietin and vascular endothelial growth factor, induces nitric oxide synthesis and assists stem cell migration, and that carbon dioxide rises during practice while staying below the maximum acceptable level. It is a mechanistic discussion rather than a trial, and it does not address safety at all, which I think is a fair criticism of it. Source
- Short retention inside a slow pattern does help people steady themselves before something difficult. The randomised trial of box breathing, which is retention at both ends for four counts, found heart rate fell rather than rose before a social stress test and a salivary stress marker stayed flat while it climbed 27.7 units in the control group. That is the friendliest and best evidenced dose of retention there is: four counts. Source
- Adverse events from yoga do get published, and they are concentrated in the forceful practices. A systematic review of published case reports and case series on adverse events associated with yoga is the honest counterweight to the mechanism papers, and it is the reason this page is arranged with the warnings first. Source
- What I have seen in the hall is narrower than any of that. A student who can hold four counts comfortably sits noticeably steadier for the rest of the practice, and the pause seems to interrupt the running commentary in a way a long exhale alone does not. I would not claim more, and I have never seen retention do anything for a disease.
- What it does not do: it does not increase lung capacity by being held longer, it does not train the body for altitude in any way you should rely on, and there is no trial evidence that it treats any condition. The claims made for long retention in the older literature are not claims I can source.
Who should not do this
- High blood pressure, controlled or not. A held breath raises pressure inside the chest and slows the return of blood to the heart, and the pressure rises further the moment somebody strains against a closed throat, which beginners do without knowing. Practise slow breathing at four in and six out with no hold at all. This is the commonest reason I refuse to teach retention.
- Heart disease, angina, a previous heart attack, an arrhythmia, heart failure or a pacemaker. Do not hold the breath. There is no gentle dose that makes retention appropriate here.
- Glaucoma, raised eye pressure, a detached retina or eye surgery within the last six months. Pressure travels up through the chest and the head during a hold and the eye tolerates it least well. This is also why the head down poses come with the same warning.
- Epilepsy or any seizure disorder. Both the fall in carbon dioxide from over breathing beforehand and the changes during a long hold are recognised seizure triggers. Do not self teach this.
- Pregnancy, at any stage. Retention is not something I teach during a pregnancy and there is no need for it.
- Panic disorder or a history of panic attacks, if the sensation of a held breath is the sensation you are afraid of. For a good number of people it is exactly that, and the practice provokes rather than settles.
- Asthma or COPD during an exacerbation, any chest infection in progress, emphysema, or a history of a collapsed lung.
- Any hernia, including a hiatus hernia, and any abdominal or chest surgery in the last three to six months. A held full breath presses on the abdominal wall.
- A recent stroke, a head injury, a cerebral aneurysm, or migraine in progress. Retention changes cerebral blood flow, which is precisely the thing you do not want to be experimenting with.
- Untreated severe anaemia, or any condition where your doctor has told you your oxygen carrying is impaired.
- Children. There is no reason for a child to practise breath retention and I do not teach it to anybody under eighteen.
- Never, under any circumstances, practise breath holding in or near water. People drown doing this. It is not the practice on this page, and it kills.
- A full stomach. Four hours after a meal, morning only.
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.
Inhaling to absolutely full and then holding.
The fix. Three quarters full. A maximum inhale held is where the pressure and the strain come from, and dropping to three quarters is the single change that turns an unpleasant retention into a comfortable one.
Closing the throat and pressing down against it, which is a Valsalva manoeuvre rather than a retention.
The fix. Keep the throat open and simply do not breathe. Nothing should be pushing. If your face goes red or your ears feel full, you are straining against a closed throat, which is the mechanism behind the raised pressure and the dizziness both.
Over breathing first to make the hold longer.
The fix. Do not. Blowing off carbon dioxide before a hold removes the signal that tells you to breathe, which is how people faint. Twelve ordinary slow breaths before you start, and the first hold at four counts.
Lengthening the hold every day, chasing a number.
The fix. One extra count every two weeks at the most, and only when the current count is completely unhurried for nine rounds. The count is not the practice. A comfortable four beats a strained twelve every time.
Skipping the two ordinary breaths between rounds.
The fix. They are part of the practice. Nine holds back to back with no recovery is how a manageable practice becomes a hyperventilation exercise, and it is where the dizziness and the headaches come from.
Practising retention on empty because a video described it as more advanced.
The fix. Not in the first year, and not without somebody watching you. Holding the breath out is a much stronger stimulus than holding it in and it is behind most of the alarming episodes people describe.
Holding the breath in or near water, in a pool or a bath, because it seems like good practice.
The fix. Never. People die doing this, and the drowning happens without any warning sensation. Breath practice happens sitting on the floor, dry, with nothing to fall into.
Taking up retention without three months of slow breathing behind you.
The fix. Do the three months. Almost every problem I have seen with retention was in somebody who could not yet breathe low and slow without it, and the hold was covering for a breath that had nowhere to go.
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.
- Cerebrovascular hemodynamics during pranayama techniques, Journal of Neurosciences in Rural Practice 2017
- Proposed physiological mechanisms of pranayama: a discussion, Journal of Ayurveda and Integrative Medicine 2024;15(1):100877
- Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series, PLoS ONE 2013
- Box breathing and prolonged exhalation reduces markers of physiological stress reactivity in response to a virtual trier social stress test, Comprehensive Psychoneuroendocrinology 2026
- 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
From Vaithialingam's class
Retention is the practice I teach least and refuse most. Not because I doubt it. Because of the arithmetic of a beginner class: in any intake of twenty, several have blood pressure they have not measured, one or two have eye pressure nobody has mentioned to them, and somebody has a hiatus hernia they call indigestion. Every one of those people should not be holding their breath, and none of them knows it on the first evening. So I teach the hold late, to people I have watched breathe for months, and I have never once regretted the delay. When I do teach it, two corrections do almost all the work. The first is the inhale: people fill to the absolute top and then hold, and their face goes red, and I ask for three quarters instead and the whole thing becomes comfortable. The second is the throat. Almost everybody closes the throat and presses down against it, which is not a retention at all, it is straining. I ask them to keep the throat open and simply not breathe, and they usually laugh, because it turns out to be easy once nobody is fighting.
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 is kumbhaka in pranayama?
Kumbhaka is breath retention, the third part of a breath alongside puraka, the inhale, and rechaka, the exhale. There are two kinds: antara kumbhaka, holding after the inhale, and bahya kumbhaka, holding after the exhale. As I teach it, nine rounds of four counts in, four counts held and six counts out, with two ordinary breaths between rounds, about four minutes, and only after three months of slow breathing with no hold.
Who should not do breath retention?
Anyone with high blood pressure, heart disease, an arrhythmia or a pacemaker. Anyone with glaucoma, raised eye pressure, a detached retina or recent eye surgery. Anyone with epilepsy or a seizure disorder. Anyone with a hernia, a recent stroke or head injury, or a cerebral aneurysm. Anyone pregnant. Anyone in an asthma attack or with a chest infection. Anyone within three to six months of chest or abdominal surgery. Children. And nobody at all should hold the breath in or near water, because people drown doing that.
How long should you hold the breath in pranayama?
Four counts, against four counts in and six counts out. That is the working practice and most people never need more. Add one count to the hold every two weeks at the most, and only when nine rounds at the current count are completely unhurried. A six count hold against four in and eight out is as far as I take anybody in a class. A comfortable four is worth more than a strained twelve. Four counts is also the hold in box breathing.
What are the benefits of breath retention?
It increases blood flow in the brain while it is being done: fifteen healthy men holding for sixty seconds showed significant rises in cerebral flow velocities with a falling pulsatility index. A short four count hold inside a slow pattern has been shown to keep heart rate and a salivary stress marker flat before a social stress test. Beyond that the literature is mechanistic argument rather than trial evidence, and in the hall what I see is that a comfortable hold steadies somebody for the rest of the practice.
What is the difference between antara and bahya kumbhaka?
Antara kumbhaka is holding after the inhale, with the lungs about three quarters full, which raises pressure inside the chest and produces an urge to breathe that builds gradually. Bahya kumbhaka is holding after the exhale, with the lungs empty, which lowers pressure in the chest and produces a much faster and harder urge to breathe. Antara after three months of slow breathing; bahya after a year, in person, and never from a written description.
Is it safe to hold your breath during yoga?
For a healthy adult, a four count hold taken on a three quarter inhale with an open throat is safe, and it is what box breathing has been tested as. It stops being safe when somebody has an unmeasured blood pressure, an eye condition, a hernia, a seizure history or a heart problem, which describes a fair number of people in any class. It also stops being safe when somebody over breathes first to lengthen the hold, or strains against a closed throat, or holds the breath in water.
Why do I feel dizzy when I hold my breath?
Usually because you strained against a closed throat, which raises pressure in the chest and slows blood returning to the heart, or because you over breathed before the hold and blew off carbon dioxide. Stop the round, breathe normally until it clears, and next time inhale to three quarters, keep the throat open, take twelve ordinary breaths before you start, and drop the hold to two counts. Repeated dizziness means retention is not for you at the moment.
Does holding the breath increase lung capacity?
Not by being held longer, no. Holding the breath trains your tolerance of the urge to breathe rather than the size of your lungs. Reviews of yogic breathing in healthy adults do report improvements in measures like peak expiratory flow and vital capacity after weeks of practice, but those programmes are mostly slow breathing rather than long retention, and the studies compare before with after rather than against controls.
Can I do breath retention with high blood pressure?
No. A held breath raises pressure inside the chest, and the rise is much bigger when somebody strains against a closed throat, which beginners do without knowing. Practise the same rhythm without any hold: four counts in and six counts out, twelve rounds. That version has a meta analysis of seven trials behind it showing a reduction in heart rate, and it excludes almost nobody. Keep taking what your doctor prescribed, and read the high blood pressure page.
Practise live, from wherever you are
The same class, taught live over video, camera on and corrected by name. Slots that land in the evening in the Gulf and the UK, and an early-IST slot that is a US evening.
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