Yogasena

pranayama / Cooling Breath

Sitali

How much
9 rounds, about 3 minutes, building to 18 rounds and 6 minutes
Count
4:6, inhale to exhale, with no retention
When
Late morning or early afternoon in hot weather
Kind of practice
pranayama
Written by Published 6 min read

In one breath

Sitali, the cooling breath, is done in 9 rounds, about 3 minutes, building to 18 rounds and 6 minutes, on a 4:6, inhale to exhale, with no retention count. Best time: late morning or early afternoon in hot weather, and again in the evening before bed. not first thing on a cold morning, and not within an hour of a meal.. Read the list of who should not do it before your first round.

Line drawing of a seated pose for Sitali, the cooling breath drawn in over the tongue
On this page

What Sitali is, and the numbers first

Sitali is nine rounds, about three minutes, at a ratio of four counts in to six counts out, with no breath retention, practised in the late morning or the early evening in hot weather. Build to eighteen rounds over six weeks. That is the whole dose, and everything else on this page is detail.

The technique itself is one thing: the tongue is rolled into a tube, poked a centimetre past the lips, and the air is drawn slowly in over it, then let out through the nose. The name means cooling, and the cool feeling at the back of the throat arrives inside two or three rounds. Whether the body actually cools is a separate question with a clear answer, and it is further down this page, because I would rather you had the real answer than the traditional one.

It sits with Sitkari and Chandra Bhedana as the three practices I hand out in the hot months. Of the three, Sitali is the one people remember, because it is odd enough to be interesting on the first attempt.

How many rounds of Sitali, and how long

Nine rounds. At four counts in and six counts out, a round takes about eighteen seconds once you allow for the tongue coming in and out, so nine rounds is a little under three minutes.

  • Week 1 to 2: 6 rounds, 4:6, about two minutes.
  • Week 3 to 6: 9 rounds, 4:6, about three minutes. This is a complete daily practice.
  • Week 7 onwards: 12 to 18 rounds, 4:8 if the longer exhale is comfortable. Six minutes at the outside.
  • Twice a day is fine in hot weather: once in the late morning, once before bed.
  • No retention for the first three months, and none at all if you have high blood pressure or heart disease.

The ceiling is eighteen rounds and I am firm about it. Beyond that the mouth dries out, students get a dull headache, and the cool feeling stops arriving. If you want a longer sit, follow Sitali with Anulom Vilom for another five minutes rather than adding rounds here.

Rounds and ratio, week by week

Published numbers for this practice range from three rounds to sixty, and nobody says where their number comes from. Mine comes from the hall, and it takes six weeks to reach eighteen.

WeekRoundsRatio (in over the tongue : out through the nose)Total timeStop if
Week 16 rounds4:62 minutesThe throat feels scratchy
Week 26 rounds4:62 minutesYou cough at all
Week 3 to 49 rounds4:63 minutesThe mouth is dry before the end
Week 5 to 612 rounds4:64 minutesYou feel light headed on standing
Week 7 onwards15 to 18 rounds4:85 to 6 minutesAny wheeze, or a headache

The ratio column is where people cheat. Four in and six out means the exhale is genuinely half again as long, and if you are counting fast on the way out you have made it 4:4 and lost the settling effect. Count the exhale out loud in your head, slowly, and let the last two counts empty the chest completely.

Sitali vs Sitkari: which one you can actually do

These are the same practice with two mouth positions, and the reason both exist is that a quarter of the population cannot make the first one work.

 SitaliSitkari
TongueRolled into a tube, out past the lipsFlat, tip lightly behind the upper teeth
Air entersThrough the tongue tubeThrough lightly parted teeth, lips drawn back
SoundA soft sipA soft hiss, which is what the name means
ExhaleNose, both nostrilsNose, both nostrils
Who cannot do itAnyone who cannot roll the tongue, which is inheritedAnyone with sensitive teeth or exposed dentine

Try Sitali first. If the tongue will not roll after two attempts, do not persevere: go to Sitkari and forget about it. The cool sensation, the slowing of the breath and the effect on the mood are the same in both, because both work by drawing air slowly over a wet surface and then breathing out long through the nose.

Does Sitali actually cool the body? No

The classical texts describe Sitali as cooling and every page you will read repeats it. The one study that put a thermometer on people found the opposite, and I think you should know that.

Seventeen healthy men, four sessions each in random order, Sitali, Sitkari, breath awareness and quiet lying, with axillary temperature and metabolic measurements before, during and after. Body temperature rose significantly during both breathing practices and fell during quiet lying. Oxygen consumption rose 9.0 per cent during Sitali and 7.6 per cent during Sitkari. The authors' conclusion was that the results do not support the description of these practices as cooling, and that they may induce a mild hypermetabolic state.

So what is the cool feeling? Evaporation from a wet tongue and a wet throat as fast moving air passes over it, which is a real local cooling of the mouth and pharynx and has nothing to do with core temperature. That is why it works so well on the sensation of being overheated and so poorly as a way of actually cooling down.

I still teach it. A practice that changes how hot you feel, slows the breath to about seven a minute and gives an agitated person three minutes of something to do is worth having. It is just not a thermostat, and if you are genuinely overheating, shade, water and salt are the answer. This is the kind of claim I would rather correct than repeat, and the same goes for the ones on the Kapalbhati page.

Where Sitali fits in a practice

Sitali goes at the end of the breathing work, not the beginning, because it opens the mouth and everything else here wants a settled nose.

  1. Nadi Shodhana or Anulom Vilom: 12 rounds. Six minutes.
  2. Sitali: 9 rounds. Three minutes.
  3. One minute sitting still, mouth closed, breathing through the nose.
  4. Savasana for five minutes if there is time.

On a hot evening I reverse it and use Sitali on its own, sitting in Padmasana or on a chair, as the last thing before bed. Nine rounds, then lie down. Students with trouble sleeping in the summer months report more from that than from anything else I give them, and it pairs naturally with the bedtime sequence.

If you are new to breathing practice altogether, the order in the home practice guide is the one to follow, and Sitali is a reasonable second practice to learn after alternate nostril breathing. In the online classes I ask people to turn the camera towards the face for this one, because the tongue position is the only thing I cannot correct by voice.

Which pages here send you to Sitali

Sitali turns up in the gentler recommendations on this site and never in the forceful ones.

  • Yoga for high blood pressure includes it, without retention, as one of the slow practices that is safe when the fast ones are not.
  • Yoga for anxiety includes it for people who cannot tolerate sitting with the eyes closed and the breath unaltered, because having something to do with the mouth carries them past the first two minutes.
  • Yoga for thyroid conditions mentions it only to say that the claims made for cooling breaths and metabolism have no trial evidence behind them.

Sit for it in Vajrasana if the knees allow, or on a chair if they do not. If you have never been to a class and want the tongue position checked once by somebody watching, that is what an introductory class is for.

How to do it, step by step

9 rounds, about 3 minutes, building to 18 rounds and 6 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 both feet flat on the floor. The head should be level, because the tongue has to reach the lips without the chin lifting.

  2. Step 2. Rest the hands on the knees, close the eyes and take five ordinary breaths through the nose. Sitali is a mouth breathing practice and it should begin from a settled nose, not from a rush.

  3. Step 3. Open the mouth a little and put the tongue out about a centimetre past the lips. Curl the two long edges of the tongue upwards towards each other so the tongue forms a tube or a trough. Roughly one adult in four cannot do this at all, and that is genetic rather than a failure of practice. If you cannot, go to Sitkari instead, which needs no tongue roll.

  4. Step 4. Draw the air in slowly through that tube, over the wet upper surface of the tongue, for a count of four. It should feel cool at the back of the throat and make a soft sipping sound. Do not suck hard. The sound should be barely audible from an arm's length away.

  5. Step 5. Draw the tongue in, close the mouth, and let the chin drop very slightly towards the chest.

  6. Step 6. Exhale slowly and completely through both nostrils for a count of six. The exhale is longer than the inhale, and it is the longer exhale rather than the tongue that does most of the settling.

  7. Step 7. That is one round. Do nine rounds, which is about three minutes. Then sit with the mouth closed and breathe normally through the nose for a minute before you get up.

  8. Step 8. Build to eighteen rounds over about six weeks, adding three rounds a fortnight. Eighteen rounds is around six minutes and is as much as I ask of anybody.

  9. Step 9. Do not add a breath hold in the first three months. Retention belongs to a separate practice and it changes the safety list completely.

What it is good for

  • It gives a distinct cool sensation at the back of the throat and in the chest within two or three rounds, and it reliably takes the edge off feeling overheated and irritable. That sensation is real and it is the reason students ask for this practice in April and May. What it is not is a fall in body temperature, which is the next point.
  • It does not cool the body, and the only study that measured this found the opposite. Seventeen healthy men aged 19 to 25 were assessed across four sessions in random order, and axillary body temperature rose significantly during both Sitali and Sitkari while it fell during quiet lying, with oxygen consumption up 9.0 per cent during Sitali. The authors concluded plainly that the results do not support describing these practices as cooling, and suggested they induce a mild hypermetabolic state instead. Seventeen young men in one laboratory is a small study, but it is the direct measurement and it points away from the traditional claim. Source
  • It raises heart rate variability while you are doing it, which is the usual physiological marker of a settling nervous system. A randomised crossover trial of 25 healthy adults compared sitting quietly, self paced and externally paced deep breathing, and self paced and externally paced Sitali or Sitkari. Heart rate variability rose in all five conditions, and rose more when the breath was paced by an external cue than when it was self paced, with breathing dropping from about 11 to about 7 breaths a minute. The practical lesson is that the pacing matters more than the technique. Source
  • There is one longer trial. Ninety post COVID patients aged 19 to 40 were randomised to Sitali, Bhramari or control and practised fifteen minutes twice a day for six months. Forced vital capacity in the Sitali group rose from 3.3 litres to 3.7 litres and RMSSD rose by 4.8 milliseconds. Six months of twice daily practice is a much bigger dose than I ever ask for, so read the numbers as what the practice can do at its outside limit rather than what nine rounds will do. Source
  • Slow pranayama in general has a modest effect on heart rate in people with high blood pressure. A 2026 meta analysis in the Indian Heart Journal pooled seven randomised trials and 683 participants and found a significant reduction in heart rate, with the systolic and diastolic results significant on a fixed effects model but not on a random effects model because heterogeneity was around 90 per cent. Three of the seven trials were rated at high risk of bias. That is a signal, not a treatment. Source
  • In the hall the most useful thing about it is that it gives somebody with a hot temper and no patience for sitting still something to do with the mouth. People who cannot settle into alternate nostril breathing will often do nine rounds of this without complaint, and then they can sit.

Who should not do this

  • Low blood pressure. Sitali tends to lower heart rate and pressure a little, and somebody who already faints on standing does not need help in that direction. If you are prone to dizziness, do four rounds and stand up slowly.
  • Asthma, chronic bronchitis, emphysema, or any chest infection in progress. This practice draws unwarmed, unfiltered air straight past the tongue into the airway, which is exactly what a twitchy airway reacts to. This is the commonest reason I take somebody off it.
  • Cold weather, or an air conditioned room at a low setting. Traditional teaching says not to practise cooling breaths in winter and I keep that rule, not for the metaphysics but because cold air into an open mouth gives people a sore throat.
  • A cold, blocked nose, sinusitis or a sore throat right now. Wait until the throat is comfortable. Mouth breathing over an inflamed throat is unpleasant and slows the healing.
  • Tonsillitis, or any mouth or dental infection. Leave it until it has settled.
  • Sensitive teeth or exposed dentine. Sitkari is worse for this than Sitali because the air passes over the teeth, but if a cold sip of water hurts, so will this.
  • Constipation as a standing complaint. Classical texts exclude cooling breaths here. I have no evidence either way and I mention it because the traditional teaching is consistent, not because I have seen it happen.
  • Any breath retention added to this practice, if you have high blood pressure, heart disease, glaucoma, epilepsy or are pregnant. Practise Sitali without retention and it is fine for most of these people. Add kumbhaka and it is not.
  • Immediately after a meal. Wait an hour. A mouth breathing practice on a full stomach makes people burp and lose the thread.
  • Poor air quality, which in a north Indian winter or beside a busy road matters. Nasal breathing filters and mouth breathing does not. On a bad air day, do Chandra Bhedana instead.

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.

  • Sucking the air in hard, so the sipping sound fills the room.

    The fix. Slow it down until the sound is barely there. If somebody sitting next to you can hear it clearly, you are pulling too hard and you will feel it in the throat within five rounds.

  • Exhaling through the mouth as well.

    The fix. In through the tongue, out through the nose. Every time. The nasal exhale is what keeps the practice from drying the mouth out completely, and it is half the reason the breath slows down at all.

  • Giving up because the tongue will not roll.

    The fix. It is genetic. Somewhere around a quarter of adults cannot make the tube and no amount of practice changes that. Do Sitkari, where the air is drawn between the teeth with the tongue flat, and you get the same practice.

  • Adding a breath hold in week one because a video showed one.

    The fix. Leave retention out for three months. Sitali without retention suits almost everybody; Sitali with a long hold has the whole contraindication list of breath retention attached to it.

  • Practising it in December because it is the practice you have learned.

    The fix. Use it in the hot months and put it away in the cold ones. Nine rounds of cold air over the tongue in a Bangalore January morning gives people a scratchy throat, and they blame the yoga rather than the season.

  • Doing forty rounds in the belief that more cooling follows.

    The fix. Eighteen rounds is the ceiling. Past that, students report a dry mouth and a headache, and in my experience nothing else changes at all.

  • The chin lifting so the tongue can reach the air.

    The fix. Bring the tongue to the air rather than the head to the tongue. Sit tall, keep the ears over the shoulders, and put the tongue out only as far as it goes comfortably.

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. Body Temperature and Energy Expenditure During and After Yoga Breathing Practices Traditionally Described as Cooling, Medical Science Monitor Basic Research 2020;26:e920107
  2. Investigating Components of Pranayama for Effects on Heart Rate Variability, Journal of Psychosomatic Research 2021;148:110569
  3. Effects of Bhramari and Sheetali Pranayama on Cardio Respiratory Function in Post-COVID Patients: A Randomised Controlled Study, Annals of Neurosciences 2025
  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

Sitali is the practice students bring me in the hot weeks, and it is the one I have changed my mind about most. For a long time I told people it cooled the body, because that is what I was told and it is what the texts say. Then somebody put a thermometer on seventeen men and found the temperature went up, and I read the paper twice and stopped saying it. What I say now is narrower and I think more useful: it will change how hot you feel, it will slow your breath down to about seven a minute, and it will give you three minutes of something to do with your attention when you are too irritable to sit still. That is worth three minutes. The other thing I have learned is not to fight the tongue. About one student in four in every intake simply cannot roll it, and for years I let them keep trying while the rest of the class moved on. Now I watch the first attempt, and if the tongue stays flat I move them to Sitkari in the same minute and nothing is lost.

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 Sitali pranayama?

A distinct cool sensation in the throat and chest within two or three rounds, a slower breath at about seven a minute, and a settling of irritability that most students notice in the first week. Measured heart rate variability rises during the practice. What it does not do is lower body temperature: the one study that measured that found temperature and oxygen consumption both went up. Treat it as a practice that changes how hot you feel rather than one that cools you down.

How many rounds of Sitali should I do?

Nine rounds, at four counts in and six counts out, which is about three minutes. Start at six rounds for the first fortnight and build to fifteen or eighteen rounds over six weeks. Eighteen is the ceiling. Past that the mouth dries out and students report a dull headache without any further benefit.

Who should not do Sitali pranayama?

Anyone with asthma, chronic bronchitis or a chest infection in progress, because the practice pulls unwarmed air straight into the airway. Anyone with a cold, a sore throat, sinusitis, tonsillitis or a dental infection right now. Anyone with low blood pressure should keep to four rounds. Do not practise it in cold weather or in poor air quality, and do not add breath retention if you have high blood pressure, heart disease, glaucoma or epilepsy, or if you are pregnant.

Does Sitali really cool the body?

No, not the core. A study of seventeen healthy men measured axillary body temperature and metabolism during Sitali, Sitkari, breath awareness and quiet lying, and found body temperature rose during both breathing practices while it fell during quiet lying, with oxygen consumption up nine per cent during Sitali. The cool feeling is evaporation from a wet tongue and throat as air moves over them, which is a real local effect in the mouth and nothing more.

What is the best time of day to do Sitali?

Late morning or early afternoon in hot weather, and again in the evening before bed. Leave at least an hour after a meal. Do not practise it first thing on a cold morning or in a cold air conditioned room: cold air drawn in through an open mouth gives people a scratchy throat, and that is the commonest complaint I hear about this practice.

What if I cannot roll my tongue for Sitali?

Then do Sitkari instead, and do not spend weeks trying. The ability to roll the tongue into a tube is inherited and roughly one adult in four cannot do it at all. Sitkari draws the air between lightly parted teeth with the tongue flat, and gives the same cool sensation, the same slow breath and the same effect on the mood.

Is Sitali good for high blood pressure?

Practised without any breath retention it is one of the slow practices I am comfortable giving somebody with high blood pressure, and a 2026 meta analysis of seven trials in 683 people found slow pranayama reduced heart rate with smaller and less certain effects on blood pressure itself. Add a long breath hold and it is no longer appropriate. Keep taking what your doctor prescribed, and do not treat any breathing practice as a substitute for it.

Can Sitali be done during pregnancy or during a period?

During a period, yes: it is slow, there is no abdominal work and nothing about it aggravates cramping. During pregnancy, the practice itself without retention is gentle, but I would only teach it in person and I would leave breath retention out entirely. Ask whoever is looking after the pregnancy first, and stop if it makes you light headed.

Is Sitali the same as Sheetali?

Yes. Sheetali, Shitali and Sitali are three transliterations of the same Sanskrit word, and the practice is identical. Research papers usually spell it Sheetali. Sitkari, sometimes written Sheetkari, is the related practice done through the teeth rather than a rolled tongue.

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