Therapeutic Potential of Neti Kriya: A Review with Special Emphasis on Jala Neti

Abstract

Neti Kriya, one of the Shatkarma (six purification techniques), constitutes a fundamental component of Hatha Yoga and plays a significant role in maintaining respiratory and psychosomatic health. This review aims to compile and critically analyse the available scientific and traditional literature, highlighting the therapeutic effects of Neti Kriya, particularly Jala Neti. Jala-neti is an integral part of the six cleansing techniques of Yogic kriyas practised in India for thousands of years. Jala-neti can clean the upper airways, prevent colonisation by infectious agents, remove foreign bodies, prevent mucus stasis, and, by enhancing drainage of the paranasal sinuses, thereby maintain health. Regular practice of Jala neti improves nasal symptoms and the overall health status of patients with sinusitis. A systematic search was conducted using databases such as PubMed, Scopus, and the AYUSH Portal. Due to the limited number of direct studies on Neti Kriya, relevant research on saline nasal irrigation was also reviewed to supplement the evidence base. Findings from this review indicate that Neti Kriya offers multiple therapeutic benefits and may reduce dependency on antibiotics in certain upper respiratory conditions. The majority of studies support its effectiveness in managing sinusitis, rhinosinusitis, allergic rhinitis, and nasal congestion, as well as in improving visual clarity and ocular comfort. Additionally, Jala Neti has been associated with enhanced mental alertness, presence of mind, and cognitive function. Jala neti has a significant role in improving the presence of mind and intelligence. Preliminary evidence also suggests its potential role in alleviating post-irradiation rhinosinusitis in patients with nasopharyngeal carcinoma. Jala Neti holds considerable potential as an integrative approach in preventive and therapeutic healthcare.