pranayama / Hissing Breath
Sitkari
In one breath
Sitkari, the hissing 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 evening in hot weather, and before bed in the summer months. not 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.
On this page
- What Sitkari is, and the numbers first
- How many rounds of Sitkari, and how often
- Rounds and ratio, week by week
- Sitkari vs Sitali, and vs Ujjayi
- The cooling claim, and the appetite claim
- Where Sitkari fits in a practice
- Which pages here send you to Sitkari
- 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
What Sitkari is, and the numbers first
Sitkari is nine rounds, about three minutes, at four counts in through the teeth and six counts out through the nose, with no breath retention, in the late morning or early evening of a hot day. Build to eighteen rounds over six weeks. That is the dose.
The teeth are parted by about a millimetre, the lips are drawn back, the tongue lies flat with its tip behind the upper teeth, and the air is drawn in through that thin gap with a soft hiss. Sitkari is the Sanskrit for the hissing sound. The mouth closes, and the breath goes out long and slow through both nostrils.
It is the twin of Sitali, and the reason to know both is practical: rolling the tongue into a tube is inherited, about a quarter of adults cannot do it, and those people need a cooling breath too. Everything that has been measured about the cooling breaths has been measured on the pair, so the evidence on the Sitali page applies here word for word.
How many rounds of Sitkari, and how often
Nine rounds. A round at 4:6 takes around sixteen seconds with the mouth opening and closing, so nine rounds is a little under three minutes.
- Week 1 to 2: 6 rounds at 4:6. Two minutes.
- Week 3 to 6: 9 rounds at 4:6. Three minutes. A complete daily practice.
- Week 7 onwards: 12 to 18 rounds, moving to 4:8 if the long exhale is easy. Six minutes at the most.
- Twice a day in hot weather, morning and evening. Once a day otherwise.
- No retention for three months, and none at all with high blood pressure, heart disease or glaucoma.
If the teeth are comfortable and you want more sitting, add Nadi Shodhana after it rather than more rounds of this. The gain from rounds nineteen to forty is nothing I have ever been able to see, and the dry mouth is immediate.
Rounds and ratio, week by week
The published numbers for Sitkari are copied from Sitali and neither set is sourced. This ladder is the one I use, and the last column is the part I care about.
| Week | Rounds | Ratio (in through the teeth : out through the nose) | Total time | Stop if |
|---|---|---|---|---|
| Week 1 | 6 rounds | 4:6 | 2 minutes | Any tooth twinges at all |
| Week 2 | 6 rounds | 4:6 | 2 minutes | The jaw aches, which means you are clenching |
| Week 3 to 4 | 9 rounds | 4:6 | 3 minutes | The throat feels scratchy |
| Week 5 to 6 | 12 rounds | 4:6 | 4 minutes | Light headed on standing |
| Week 7 onwards | 15 to 18 rounds | 4:8 | 5 to 6 minutes | Any wheeze, or a headache |
Note that the exhale is longer at every stage. Four in, six out. When students plateau it is almost always because the exhale has quietly shortened to four and the practice has become a fast one. Count the exhale slowly and let the last two counts empty the chest.
Sitkari vs Sitali, and vs Ujjayi
Three practices get muddled here, and two of them are not even cooling breaths.
| Sitkari | Sitali | Ujjayi | |
|---|---|---|---|
| Air enters | Through parted teeth | Through a rolled tongue | Through the nose |
| Tongue | Flat, tip behind upper teeth | Rolled into a tube, past the lips | Relaxed, mouth closed |
| Sound | A soft hiss at the teeth | A soft sip over the tongue | A soft rasp in the throat |
| Sensation | Cool across the teeth | Cool at the back of the throat | Warm, and audible in the head |
| Used during asana | No | No | Yes, this is its main use |
If your teeth are sensitive, Sitali. If your tongue will not roll, Sitkari. If neither is comfortable, Chandra Bhedana, which is nasal and produces the same settling without touching the mouth at all. And if what you want is a breath to use while moving, that is Ujjayi and it is not a cooling practice in any sense.
The cooling claim, and the appetite claim
Two traditional claims are attached to Sitkari and I will take them in order.
Cooling. Seventeen healthy men, four sessions each in random order, axillary temperature and metabolic measurement before, during and after. Body temperature rose significantly during Sitkari and fell during quiet lying. Oxygen consumption rose 7.6 per cent. The authors' own conclusion is that the results do not support the description of these practices as cooling. The cool feeling is local: fast air over a wet tongue and wet teeth evaporates moisture and cools the mouth, which is exactly where you feel it.
Hunger and thirst. The classical texts say Sitkari reduces both. I have taught for about forty years and I have never seen it, and I could not find a trial that has tested it. So the honest position is that this claim is unsupported rather than disproved, and you should not take up a breathing practice as an appetite suppressant. If weight is what you are after, the weight loss page here says plainly what does and does not move the number.
None of this makes the practice worthless. It slows your breath to about seven a minute, it makes you feel less hot, and it gives you three minutes of attention. I would rather sell you that honestly than the thermostat.
Where Sitkari fits in a practice
Sitkari goes last among the breathing practices, because it opens the mouth and everything before it wants a settled nose.
- Anulom Vilom: 12 rounds, six minutes.
- Sitkari: 9 rounds, three minutes.
- One minute sitting still, mouth closed.
- Savasana, five minutes, if the day allows.
On a hot night, use it alone: sit on the edge of the bed or in Padmasana, nine rounds, then lie down. It pairs well with the bedtime sequence and it is short enough that people actually do it.
If you are assembling a first home routine, the order in the home practice guide is the one I teach, and a cooling breath is a sensible third practice to learn, after alternate nostril breathing and Bhramari. In the online classes the one thing I look for on this practice is the jaw, because a clenched jaw is invisible to the person doing it.
Which pages here send you to Sitkari
Sitkari appears in the slow half of this site and nowhere in the forceful half.
- Yoga for high blood pressure lists it, without retention, among the practices that are safe when Kapalbhati and Bhastrika are not.
- Yoga for anxiety includes it for the same reason it includes Sitali: an agitated person will do something with the mouth when they will not simply sit and watch the breath.
- Hatha yoga is the tradition these two practices come out of, and both are named in the classical hatha texts rather than being modern additions.
Sit for it in Vajrasana or on a chair. If you want somebody to look at your jaw and your teeth position once, 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.
Step 1. Sit upright in sukhasana, ardha padmasana, padmasana or vajrasana, or on a firm chair with the feet flat. The spine vertical, the chin level, the shoulders loose.
Step 2. Hands on the knees, eyes closed, five ordinary nasal breaths. Let the breath settle before the first round.
Step 3. Bring the upper and lower teeth lightly together, then part them by about a millimetre, so there is a thin gap all the way along. Do not clench. A clenched jaw is the commonest fault in this practice and it will give you a headache.
Step 4. Rest the tip of the tongue behind the upper front teeth, tongue flat. Some teachers ask for the tongue folded back against the palate. Either works. What matters is that the tongue is not blocking the gap.
Step 5. Draw the lips back, the way you do involuntarily when you taste something sour, so the teeth are exposed and the air has a clear path.
Step 6. Inhale slowly through the teeth for a count of four. It makes a soft hiss, which is what sitkari means, and the air feels cool across the teeth and the tongue. Keep it quiet. If it is loud you are pulling too hard.
Step 7. Close the mouth, let the lips relax, and exhale slowly and completely through both nostrils for a count of six.
Step 8. That is one round. Do nine rounds, about three minutes, then sit with the mouth closed breathing through the nose for a minute.
Step 9. Build to eighteen rounds across six weeks. Do not add breath retention in the first three months, and do not add it at all if you have high blood pressure, heart disease or glaucoma.
Step 10. If a cold sip of water makes your teeth ache, stop here and use Chandra Bhedana instead. Cold air over exposed dentine hurts for the same reason and there is nothing to be gained by proving it.
What it is good for
- It works for the people Sitali does not. Rolling the tongue into a tube is an inherited ability and roughly one adult in four cannot do it, so Sitkari is not a lesser version of the cooling breath, it is the version most of that quarter can actually practise.
- It slows the breath down, and slowing the breath is where the measurable effect lives. A randomised crossover trial of 25 healthy adults included self paced and externally paced Sitali or Sitkari alongside deep breathing and sitting quietly. Heart rate variability rose in all five conditions, and the externally paced conditions, where a cue set the rhythm, produced the bigger rise and dropped breathing from about eleven to about seven breaths a minute. The pacing did more than the technique. Source
- It does not cool the body, and the one study that measured it directly said so. Seventeen healthy men were assessed across Sitali, Sitkari, breath awareness and quiet lying on separate days. Body temperature rose significantly during Sitkari while it fell during quiet lying, and oxygen consumption rose 7.6 per cent. The authors concluded the results do not support calling these practices cooling and suggested they produce a mild hypermetabolic state instead. Source
- Slow breathing practices as a family have a modest, uncertain effect on blood pressure and a clearer one on heart rate. A 2026 meta analysis of seven randomised trials in 683 people with hypertension found a significant reduction in heart rate, with systolic and diastolic results that reached significance on one statistical model and not on another because the trials disagreed so much with each other. Three of the seven were at high risk of bias. Source
- In the hall it is the practice that quietens a room fastest, because everybody can hear everybody else's hiss and the class settles into one rhythm without me counting. That is a teaching benefit rather than a physiological one, and it is real.
- Traditional texts credit Sitkari with reducing hunger and thirst. I have never seen it and there is no trial evidence for it. If somebody tells you a breathing practice suppresses appetite, ask them what they measured.
Who should not do this
- Sensitive teeth, exposed dentine, a cracked tooth, recent dental work or an untreated cavity. This is the specific contraindication for Sitkari and it is the one that matters: cold air drawn over exposed dentine is genuinely painful and can set off a nerve that then aches for hours. If cold water hurts, do not do this practice.
- Gum disease, a mouth ulcer, an abscess or any dental infection in progress. Wait until it is treated and settled.
- Asthma, chronic bronchitis, emphysema or a chest infection right now. The practice draws unwarmed, unfiltered air past the teeth into the airway, which is what a reactive airway objects to.
- A cold, sinusitis, a blocked nose or a sore throat today. The exhale has to go out through the nose, and if it cannot, the practice does not work.
- Cold weather, or a cold air conditioned room. Classical teaching excludes cooling breaths in winter, and the practical reason is a scratchy throat the next morning.
- Low blood pressure or a tendency to faint. Keep to four or five rounds and stand up slowly.
- Poor air quality. Mouth breathing skips the filtering the nose does. On a bad air day use a nasal practice instead.
- Any added breath retention, if you have high blood pressure, heart disease, glaucoma, epilepsy, or if you are pregnant. Without retention this practice is gentle. With a long hold it is a different practice with a different list.
- Within an hour of a meal.
- Braces or a dental plate that makes the thin gap between the teeth impossible. Use Chandra Bhedana. There is no prize for forcing this one.
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.
Clenching the teeth instead of parting them by a millimetre.
The fix. Bring the teeth together, then let them separate just enough to feel air pass. The jaw muscles should be doing nothing. A clenched jaw for three minutes is where the post practice headache comes from.
Making the hiss loud, as though volume were the point.
The fix. Quiet enough that somebody two metres away can only just hear it. A loud hiss means you are pulling hard, and pulling hard dries the mouth and irritates the throat.
Exhaling back out through the teeth.
The fix. In through the teeth, out through the nose, every round. The nasal exhale is what lengthens the breath and it is half the reason the practice settles anybody.
Carrying on when the teeth are aching.
The fix. Stop. Tooth sensitivity is a real contraindication here rather than a discomfort to breathe through, and a nerve you have annoyed with cold air can ache for the rest of the day. Use Chandra Bhedana instead, which is nasal and just as calming.
The tongue lying across the gap so almost no air comes through.
The fix. Put the tip of the tongue behind the upper teeth and leave the body of the tongue flat and low. If you cannot hear a hiss at all, the tongue is in the way.
Doing thirty or forty rounds in the hot months because more must be better.
The fix. Eighteen rounds is the ceiling and nine is a complete practice. Beyond eighteen students report a dry mouth, a dull head and nothing else new.
Treating it as second best because the tongue will not roll.
The fix. It is not second best. It is one of the two forms the classical texts give, side by side, and the measurable effects studied so far have been studied on the pair together rather than on Sitali alone.
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.
- Body Temperature and Energy Expenditure During and After Yoga Breathing Practices Traditionally Described as Cooling, Medical Science Monitor Basic Research 2020;26:e920107
- Investigating Components of Pranayama for Effects on Heart Rate Variability, Journal of Psychosomatic Research 2021;148:110569
- 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
Sitkari exists in my class because of a woman who came for three months and could not roll her tongue, and every time we did the cooling breath she sat there looking annoyed while the rest of us sipped away. I had been treating Sitkari as a footnote. After that I stopped. Now I teach the two together, in the same ten minutes, and I ask everybody to try both and keep whichever one their mouth agrees to. The thing I watch for in this practice is not the teeth, it is the jaw. People hear teeth and they clamp, and three minutes of a clamped jaw gives them a headache and they decide the practice does not suit them. So I say it twice: bring the teeth together, then let them come apart by the thickness of a fingernail, and let the jaw be soft. The second thing I ask is whether cold water hurts their teeth, because if it does, this practice will hurt too and I would rather know before than after.
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 Sitkari pranayama?
A cool sensation across the teeth and the tongue, a breath slowed to about seven a minute, a measurable rise in heart rate variability during the practice, and a settling of irritability that most students feel inside a week. It also gives a cooling breath to the roughly one adult in four who cannot roll the tongue for Sitali. It does not lower body temperature and there is no evidence it reduces hunger.
How many rounds of Sitkari should a beginner do?
Six rounds at four counts in and six counts out for the first fortnight, which is about two minutes. Then nine rounds, about three minutes, which is a complete daily practice. Build to fifteen or eighteen rounds over six weeks and stop there. Eighteen is the ceiling I teach.
Who should not do Sitkari pranayama?
Anyone with sensitive teeth, exposed dentine, a cracked tooth, recent dental work or an untreated cavity, because cold air over an exposed nerve genuinely hurts. Anyone with gum disease or a mouth infection now. Anyone with asthma, chronic bronchitis or a chest infection. Anyone with a cold, a blocked nose or a sore throat today. Keep to four or five rounds if you have low blood pressure, and do not add breath retention if you have high blood pressure, heart disease, glaucoma or epilepsy, or if you are pregnant.
What is the difference between Sitkari and Sitali?
Only the mouth. In Sitali the tongue is rolled into a tube and the air comes in over it. In Sitkari the tongue is flat, the teeth are parted by about a millimetre, the lips are drawn back, and the air hisses in between the teeth. Both exhale through the nose, both use the same counts, and both produce the same cool feeling. Choose Sitali unless your tongue will not roll, and Sitkari unless your teeth are sensitive.
Does Sitkari cool the body?
Not the core. A study of seventeen healthy men measuring body temperature and metabolism during Sitali, Sitkari, breath awareness and quiet lying found temperature rose during Sitkari and fell during quiet lying, with oxygen consumption up 7.6 per cent. The authors concluded the findings do not support calling these practices cooling. What cools is the mouth, by evaporation, which is exactly where you feel it.
Does Sitkari reduce hunger and thirst?
The classical texts say so. I have taught for about forty years and I have never seen it happen, and I could not find any trial that has tested it. So the claim is unsupported rather than disproved, and it is not a reason to take up the practice. If losing weight is the goal, the weight loss page here is blunt about what actually moves the number.
Why do my teeth hurt during Sitkari?
Because cold air is passing over dentine that is exposed, usually from a receded gum, a worn enamel surface or recent dental work. It is the same nerve that reacts to a cold drink. This is a genuine reason not to do this practice rather than a discomfort to work through, so stop, and use left nostril breathing instead. Mention it to a dentist if it is new.
What is the best time to practise Sitkari?
Late morning or early evening in the hot months, and before bed in the summer. Leave an hour after a meal. Avoid it on cold mornings and in cold air conditioned rooms, and avoid it when the air outside is bad, because breathing through the mouth skips the filtering the nose does for you.
Is Sitkari safe in pregnancy?
Without breath retention it is a gentle practice and nothing in it involves the abdomen, but I would only teach it in person during a pregnancy and I would leave every breath hold out. Ask whoever is looking after the pregnancy first. Stop at once if it makes you light headed, and sit down before you stand up.
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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