Bhramari (humming breath)
Bhramari is a hatha yoga breathing practice in which the out-breath is made with a humming sound like a bee; the Hatha Yoga Pradipika describes it and the tradition holds that the mind becomes absorbed in the sound. Small trials suggest a single session shifts heart rate variability towards parasympathetic (calming) activity, but a randomised trial in adults with essential hypertension found no greater drop in blood pressure than slow breathing, and studies on stress, anxiety and reaction time are small and mostly uncontrolled. Humming raises nasal nitric oxide many-fold in laboratory studies, but whether this matters for health is not established, and one set of experiments found no effect of humming on cognition or emotional processing. No claim reaches moderate or high certainty because the evidence comes from a few small trials, many without proper control groups, and a 2018 systematic review rated the earlier studies' quality very low.