If you are going to learn anything from this blog then, it just says using your nose to breath with, has benefits mouth breathing does not offer.
While treating: I find using ipsilateral (same side) nasal breathing with the side of the body I am delivering a tension stitch to, significantly improves the responsiveness of the “stretch ” technique. What can you do? Basically if you mouth breath then ‘tape’ your mouth up for some periods of the day. Alternatively you can tape up the mouth at night. If you do this, you may find having a straw in the bathroom of near a mug you may want to drink at night, this will save you from taking the plasters off. I use “Elastoplast” strips, I cut the stickie fabric off the dressing and then cut the stickie bit into three pieces for that night “mouth” shut, it massively helps to stop snoring too.Introduction
Breathing is a fundamental physiological process that extends far beyond gas exchange. Increasingly, it is recognised as a dynamic regulator of neural activity, cerebrovascular function, and autonomic balance (Jerath et al., 2006; Russo et al., 2017). Within this framework, nasal breathing occupies a privileged role. Not only does it optimise oxygenation and nitric oxide production, but it also engages neural pathways and mechanical forces that influence cranial pressure and cerebrospinal fluid (CSF) dynamics.
A novel perspective proposes that nasal exhalation represents a form of biophysical “charge release”, in which accumulated neural excitation and metabolic load are dissipated through coordinated autonomic and fluidic mechanisms. This model integrates evidence on parasympathetic activation, brain oscillations, and CSF clearance via the cribriform plate, providing a fresh view of how controlled nasal breathing promotes calmness and resilience.
Physiological Effects of Nasal Breathing
Nitric Oxide and Gas Exchange
Nasal passages produce nitric oxide (NO), which enters inspired air and contributes to pulmonary vasodilation, antimicrobial defence, and enhanced oxygen uptake (Lundberg et al., 1994). This unique property of nasal breathing improves the efficiency of systemic oxygen delivery compared with oral breathing.
Parasympathetic Activation
Slow nasal breathing, especially when exhalation is prolonged, enhances vagal tone, slows heart rate, and reduces cortisol release (Brown & Gerbarg, 2005; Zaccaro et al., 2018). These autonomic shifts reduce the excitatory “charge” of the nervous system, replacing sympathetic arousal with parasympathetic restoration.
Brain Oscillations and Emotional Regulation
Nasal airflow entrains oscillations in limbic structures such as the hippocampus and amygdala, modulating memory and emotional responses (Zelano et al., 2016). Exhalation, in particular, is associated with downregulation of cortical excitability, promoting lower-frequency brain rhythms that correlate with states of relaxation and reduced anxiety (Critchley & Garfinkel, 2017).
Nasal Exhalation and CSF Flow through the Cribriform Plate
Respiratory Pressure Gradients
Every breath induces cyclical changes in intrathoracic and intracranial pressure. During nasal exhalation, subtle increases in intracranial pressure promote the outward movement of CSF, particularly along pathways that drain through the olfactory bulbs and cribriform plate into the nasal mucosa (Ethell & Woltjer, 2017). This rhythmic pressure-driven flux facilitates the clearance of metabolites from the medial temporal lobe and basal forebrain—regions highly susceptible to Alzheimer’s disease (Zaragoza et al., 2021).
The Cribriform Plate as a Fluidic Outlet
The cribriform plate, a perforated bony structure in the ethmoid, is increasingly recognised as a dynamic regulator of CSF egress rather than a passive sieve. Subarachnoid evaginations extend into its apertures, wrapping around olfactory nerves and connecting to lymphatic vessels in the nasal cavity. These channels act as one of the brain’s primary clearance routes, enabling the removal of amyloid-β and other neurotoxic metabolites (Ethell, 2014; Zaragoza et al., 2021).
Exhalation as ‘Charge’ Dissipation
From a biophysical perspective, nasal exhalation can be viewed as a coordinated release of “charge”:
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Electrical charge: Reduced sympathetic firing and enhanced vagal tone lower excitatory neural load.
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Pressure charge: Outward CSF flux during exhalation alleviates intracranial pressure peaks.
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Metabolic charge: Metabolite-laden CSF is propelled through the cribriform plate, supporting brain detoxification.
Together, these processes provide a physiological explanation for the subjective sensation of relief and decompression often reported during slow nasal exhalation.
Clinical and Psychological Implications
Nasal breathing techniques such as alternate nostril breathing (ANB) and diaphragmatic breathing have been shown to reduce anxiety, improve mood, and support emotional resilience (Saoji et al., 2019; Sharma et al., 2020). The inclusion of CSF clearance and cranial pressure regulation in this explanatory framework strengthens the case for nasal breathing as a therapeutic practice in both mental health and neurodegenerative disease prevention.
Further, since age-related occlusion of the cribriform plate is associated with impaired CSF clearance and early Alzheimer’s pathology (Zaragoza et al., 2021), interventions that optimise nasal airflow and rhythmic exhalation may contribute to maintaining cranial homeostasis across the lifespan.
Conclusion
Nasal breathing is more than an efficient route for oxygen uptake—it is a multi-layered regulator of autonomic balance, cranial pressure, and fluid homeostasis. Slow, deliberate nasal exhalation may serve as a mechanism of biophysical charge release, combining nervous system downregulation with enhanced CSF clearance through the cribriform plate. This integrative model bridges respiratory physiology with neurobiology, offering a compelling scientific explanation for the restorative effects of nasal breathing.
References
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Brown, R. P., & Gerbarg, P. L. (2005). Sudarshan Kriya Yogic breathing in the treatment of stress, anxiety, and depression. Journal of Alternative and Complementary Medicine, 11(4), 711–717.
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Critchley, H. D., & Garfinkel, S. N. (2017). Interoception and emotion. Current Opinion in Psychology, 17, 7–14.
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Ethell, D. W. (2014). Disruption of cerebrospinal fluid flow through the olfactory system may contribute to Alzheimer’s disease pathogenesis. Journal of Alzheimer’s Disease, 41(4), 1021–1030.
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Ethell, D. W., & Woltjer, R. (2017). Changes in cribriform plate morphology are associated with Alzheimer’s disease. Alzheimer’s & Dementia, 13(7 Suppl), P1466–P1467.
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Jerath, R., Edry, J. W., Barnes, V. A., & Jerath, V. (2006). Physiology of long pranayamic breathing. Medical Hypotheses, 67(3), 566–571.
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Lundberg, J. O., Weitzberg, E., & Alving, K. (1994). Nitric oxide in exhaled air. European Respiratory Journal, 7(8), 1501–1504.
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Russo, M. A., Santarelli, D. M., & O’Rourke, D. (2017). The physiological effects of slow breathing in the healthy human. Breathe, 13(4), 298–309.
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Saoji, A. A., Raghavendra, B. R., & Manjunath, N. K. (2019). Effects of yogic breath regulation: A narrative review. Journal of Ayurveda and Integrative Medicine, 10(1), 50–58.
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Sharma, V. K., et al. (2020). Effect of pranayama on stress and cardiovascular parameters in healthcare students. International Journal of Yoga, 6(2), 104–110.
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Zaccaro, A., et al. (2018). How breath-control can change your life: A systematic review on psychophysiological correlates of slow breathing. Frontiers in Human Neuroscience, 12, 353.
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Zelano, C., et al. (2016). Nasal respiration entrains human limbic oscillations. Journal of Neuroscience, 36(49), 12448–12467.
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Zaragoza, R., Miulli, D., Kashyap, S., et al. (2021). Impairment of CSF egress through the cribriform plate plays an apical role in Alzheimer’s disease. medRxiv. doi:10.1101/2021.10.04.21264049.
