Correlation of Sutra Neti with Ayurvedic Concepts of Urdhvajatrugata Roga: A Review

ABSTACT Sutra Neti is a classical Yogic purification technique described under Shatkarma, involving the gentle passage of a lubricated cotton thread or soft rubber catheter through the nasal cavity and nasopharynx. Unlike Jala Neti, which primarily cleanses the nasal passages using saline water, Sutra Neti provides deeper mechanical stimulation and cleansing of the upper respiratory tract. This practice plays a significant therapeutic role in maintaining nasal, sinus, and respiratory health. Physiologically, Sutra Neti facilitates the removal of adhered mucus, crusts, and pathological secretions from the nasal passages, thereby reducing nasal obstruction, inflammation, and microbial load. It is particularly beneficial in chronic sinusitis, allergic rhinitis, deviated nasal septum–associated congestion, and recurrent upper respiratory tract infections. Regular practice of Sutra Neti enhances nasal patency, improves airflow, and strengthens the functional integrity of the nasal mucosa. By stimulating the sensory nerve endings of the nasal cavity, especially branches of the trigeminal and olfactory nerves, Sutra Neti exerts a regulatory influence on the autonomic nervous system. This neurophysiological stimulation is believed to affect the limbic system, contributing to improved mental clarity, reduced stress, and emotional balance. From a Yogic perspective, Sutra Neti is associated with purification of Praṇavaha Srotas and facilitation of balanced Praṇa flow, thereby supporting both physical and psychological well-being. Sutra Neti is commonly incorporated into Yogic and meditative practices to prepare the practitioner for higher breathing techniques (Praṇayama) and concentration. Thus, Sutra Neti serves as an effective holistic intervention bridging yogic wisdom with contemporary understanding of nasal physiology.