Cooling the Fire: Ayurveda for Hot Flashes & Mood Swings in Menopause

Why Menopause Feels “Hot” in Ayurveda

If menopause has felt like someone turned up your internal thermostat and your emotions at the same time, you’re not imagining it. Hot flashes, night sweats, and sudden mood swings are hallmark experiences of this transition. From an Ayurvedic lens, these symptoms often reflect excess pitta—the fire element—sometimes stirred up by vata (air/wind). The good news: simple, cooling routines can bring real relief.

This guide focuses on symptom-focused Ayurvedic approaches you can start today, with gentle science-savvy notes so you know what’s traditional, what’s evidence-supported, and where to be cautious.

Quick note on the science: In biomedicine, hot flashes are thought to arise from a narrowed “thermoneutral zone” in the brain’s thermostat during the menopause transition, making small temperature shifts feel like heat waves. Estrogen shifts, kisspeptin–neurokinin B pathways, and hypothalamic changes are part of the picture. Ayurveda frames these same sensations as excess heat (pitta) and sometimes wind (vata) disrupting your internal balance. Both views can guide supportive care.

What You’ll Find Here

• Simple ayurveda hot flashes strategies—pitta-pacifying foods, drinks, and Sheetali breathwork you can try today.

• Ayurveda for mood swings in menopause (meditation, Brahmi tea, grounding meals)

• The Ayurvedic view on liver health and why soothing pitta matters

• What current evidence says about mind–body therapies for vasomotor symptoms (VMS) and mood

A Gentle Cooling Routine (Daily, Any Season)

Morning

• Drink a glass of room-temperature water, then a small cup of coconut water if you wake hot or dehydrated. (It’s potassium-rich and refreshing; add a tiny pinch of sea salt if you sweat heavily.)

  
  

• Keep breakfast grounding and pitta-pacifying: warm oats with cardamom and pear; or quinoa with steamed apples and a drizzle of ghee.

  
  

• Take a 10-minute meditation to set your nervous system’s tone before the day begins.

Midday

• Lunch is your main meal: leafy greens, cucumber, mint, cilantro, and simply cooked proteins over warm grains. Go easy on chilies.

  
  

• Sip aloe vera inner-fillet juice diluted 1:3 with water occasionally if you feel flushed (safety notes below).

  
  

Evening

• Supper is early and light: ginger-mint soup, kitchari, or lemony lentils with zucchini.

  
  

• Cooling breath (Sheetali) for 2–3 minutes if you feel revved up (how-to below), followed by 5–10 minutes of breath-led relaxation or a guided body scan.

  
  

• Bed wind-down: screen-off, warm shower, cotton pajamas, fan at the ready. Triggers like alcohol, hot/spicy foods, and caffeine can stoke night sweats—experiment with easing them down.

  
  

Pitta-Pacifying Practices for Menopause Hot Flashes

1) Cooling sips: coconut water & aloe vera (with smart safety)

Coconut water can be a gentle, pitta-friendly choice on warm days or after a flush. It’s naturally hydrating and delivers potassium (~400 mg per cup), which many of us fall short on. If you’re sweating heavily or exercising in heat, add a pinch of salt to better match the sodium you lose in sweat.

Aloe vera (inner fillet/“decolorized” juice) is traditionally used to cool pitta. If you try it, choose purified, decolorized, inner-fillet aloe (low in anthraquinones) and use modest amounts for short periods. Avoid products labeled “whole leaf” or “aloe latex”—oral latex can cause cramps, diarrhea, electrolyte issues and, in animal studies, has raised safety concerns. Skip aloe entirely if you’re pregnant, breastfeeding, have kidney disease, or take digoxin; stop if you notice GI upset.

How to try it: 2–4 oz aloe inner-fillet juice diluted in water, a few times per week (not daily for months). If you’re on medications or have conditions, check with your clinician first.

2) Cooling Breath for Menopause (Sheetali): how to do it—and a reality check

How-to (2–3 minutes):

1. Sit tall. Relax your jaw.

2. Curl the tongue into a tube (or rest tongue tip behind front teeth if you can’t curl—Sitkari variation).

3. Inhale gently “through” the tongue or teeth, noticing the cool sensation in the mouth.

4. Exhale softly through the nose.

5. Repeat for 6–10 rounds, then rest with normal breathing.

What to expect: In Ayurveda, Sheetali/Sitkari is considered “cooling” for pitta—many people feel calmer and less irritable after a few rounds. Lab data are mixed: one small study found body temperature rose during Sheetali/Sitkari, with cooling occurring during quiet breath awareness afterward. That suggests the practice may feel cooling in the mouth and soothe the nervous system more than it lowers core temperature. Use it as a calming cue—then rest quietly or do breath awareness to let the system down-shift.

Paced or slow breathing? Devices and strict “paced respiration” haven’t consistently reduced hot flashes in trials, and major guidelines don’t recommend them for VMS relief. Still, slow diaphragmatic breathing can reduce anxiety and improve coping—use it for mood and stress, not as a stand-alone VMS “fix.”

3) Cooling plates: what helps, what hinders

• Lean into: mint, cilantro, cucumber, leafy greens, lightly cooked veggies, basmati rice, lentils, pears, melons, coconut, coriander, fennel, cardamom, turmeric.

  
  

• Ease up on: alcohol, chili peppers, vinegar-heavy dressings, hot beverages, and caffeine—common hot-flash triggers for many people. Keep a simple symptom journal for two weeks to see your patterns.

Evidence snapshot: Lifestyle “trigger avoidance” (alcohol, caffeine, spicy/hot foods) is a common first step endorsed by menopause experts, though responses vary. Weight management and plant-forward eating—especially soy foods—can also help some individuals.

Emotional Balance: Mood Swings Meet Mind–Body Medicine

Mood shifts during menopause are real. Sleep loss from night sweats, life stress, and hormonal changes all add up. Ayurveda invites you to cool the mind (not just the body) with meditation, grounding foods, and Brahmi tea.

Meditation & CBT-style skills

• Mindfulness training has reduced the bother of hot flashes and improved stress in randomized trials. It’s a powerful ally for mood regulation.

  
  

• Cognitive behavioral therapy (CBT)—delivered in groups or self-help—has repeatedly reduced hot-flash/night-sweat problem ratings and improved mood and sleep. If mood swings are front and center, a CBT-informed program is worth your time.

  
  

• Clinical hypnosis also shows meaningful reductions in hot-flash severity and frequency and may improve anxiety and sleep—another great option if you prefer guided practices.

Translation: For Ayurveda mood swings menopause, pair your cooling routine with meditation or CBT/hypnosis to calm the stress circuitry that amplifies both heat and irritability.

Grounding meals that steady mood

Favor regular mealtimes and warm, simply spiced, fiber-rich meals to avoid the blood-sugar dips that can fuel irritability and heat. Some women notice fewer flashes when they avoid long gaps between meals; experiment with a protein-rich snack midday if you run on empty in the afternoon.

Brahmi tea (Bacopa monnieri): calm and clarity—with precautions

In Ayurveda, Brahmi (often Bacopa monnieri) is used for calm focus. Modern trials in adults suggest benefits for memory and anxiety, though menopause-specific data are limited. If you enjoy herbal teas, a mild Brahmi infusion in the evening can round out your wind-down. Safety first: Bacopa may interact with cholinergic/anticholinergic drugs and thyroid medications; GI upset is possible. If you have thyroid disease or take related meds, avoid Bacopa unless your clinician okays it.

The Liver Link: Ayurveda's stance on Hot Flashes

In Ayurveda, the liver (yakrit) is a primary home for pitta, especially ranjaka pitta, associated with transformation and the “heat” in blood and bile. When pitta runs hot—think alcohol, very spicy foods, late nights, intense heat, chronic stress—women may feel more flushed, irritable, and overheated. Supporting the liver is therefore a classic way to cool systemic pitta.

Science note: Conventional medicine doesn’t view liver disease as the driver of hot flashes; VMS are considered neuroendocrine/thermoregulatory. Still, liver-friendly habits (moderating alcohol, favoring whole foods, normal sleep) dovetail with hot-flash trigger reduction and overall metabolic health.

Practical, liver-soothing moves (Ayurveda-aligned):

• Cut back on alcohol during weeks when flashes are intense.

• Choose bitter greens (dandelion, arugula), cilantro, and lightly cooked crucifers.

• Keep bowels regular (fiber, hydration, gentle movement).

• Prioritize sleep—rest is potent pitta medicine.

Put It Together: A 7-Day “Cooling the Fire” Plan

Day 1–2: Calm the inputs

• Identify your top two triggers (spicy dinners? wine? late-night screens?). Pull them back by 50% this week.

  
  

• Add 2–3 minutes of Sheetali/Sitkari before bed, followed by 5 minutes of quiet breath awareness.

Day 3–4: Cook to cool

• Lunch bowls: basmati + steamed greens + cucumber–mint raita; or quinoa + lentils + cilantro.

  
  

• Try coconut water with a pinch of salt after a flush or walk (skip if you’re on potassium-restricted diets).

Day 5–6: Mind steadies mood

• 10-minute meditation morning and evening.

  
  

• Sample a CBT-style script: notice an early body cue (“warm wave rising”), name it (“my nervous system is hot”), and choose a response (“cool sip + loose cotton layers + slow breath”). This reduces the bother even when frequency is the same.

Day 7: Review & refine

• What helped your Ayurvedic remedies for hot flashes most—food, breath, or bedtime tweaks? Keep those.

  
  

• If mood swings dominate, consider adding Brahmi tea (with medical ok if you take thyroid or cholinergic-pathway meds).

When You Want More Help

• If hot flashes remain disruptive despite lifestyle measures, know that hormone therapy is the most effective treatment for VMS for many women within 10 years of their final period (not for everyone; it’s individualized). Nonhormone options also exist (SSRIs/SNRIs, gabapentin, oxybutynin, and the neurokinin-3 receptor antagonist fezolinetant). Discuss benefits/risks with a menopause-trained clinician.

  
  

• Evidence-based non-drug helps include CBT and clinical hypnosis; major guidelines highlight these for reducing VMS bother. Yoga’s great for sleep and well-being, though large trials haven’t shown it reduces hot-flash frequency.

  
  

Safety Corner (Worth the Two Minutes)

• Aloe vera (oral): Use inner-fillet, decolorized products only; avoid aloe latex/whole-leaf extracts. Stop if you get GI cramping/diarrhea; avoid with kidney disease, pregnancy, lactation, or if you take digoxin.

  
  

• Brahmi (Bacopa): May interact with thyroid meds and cholinergic/anticholinergic medications; can cause GI upset. Avoid with hyperthyroidism unless cleared by your clinician.

  
  

• Coconut water: Generally safe; it’s potassium-rich. If you have kidney disease or are on potassium-raising meds, ask your clinician first. For heavy sweating, add a pinch of salt.

  
  

• Breathwork: If Sheetali makes you dizzy or uncomfortable, stop and rest. Try simple breath awareness or box breathing instead.

FAQs

Does “cooling breath menopause” really cool me down?

It can feel cooling and often calms the nervous system. Lab findings are mixed and don’t show a clear drop in core temperature during the technique—consider it a soothing practice rather than a medical treatment for VMS frequency.

Are there proven Ayurvedic herbs for hot flashes?

Some women report benefits from Ayurvedic and plant-based supports (e.g., soy foods; selected herbs). Evidence varies by product and study design. If you explore herbs, do so with a qualified practitioner and ensure quality/safety.

What about yoga?

Yoga can improve sleep and well-being, which indirectly helps mood and coping. It hasn’t consistently reduced hot-flash frequency in randomized trials; pair it with the other supports here.

Cool the Fire, Soothe the Mood

You don’t need an all-or-nothing overhaul to feel better. A few pitta-pacifying shifts—cooling foods and sips, Sheetali (as a calming ritual), meditation/CBT for mood and hot-flash bother, and liver-kind choices—can create steady relief. Use this guide to experiment, observe, and iterate. If symptoms still roar, blend these Ayurvedic practices with evidence-based medical options from a menopause-trained clinician. That integrative path is often where comfort—and confidence—returns.

References:

• The North American Menopause Society (NAMS). The 2023 Nonhormone Therapy Position Statement of The North American Menopause Society. Menopause. 2023;30(6):573-590. doi:10.1097/GME.0000000000002200.

• Huang AJ, Phillips S, Schembri M, Vittinghoff E, Grady D. Device-guided slow-paced respiration for menopausal hot flushes: a randomized controlled trial. Obstet Gynecol. 2015;125(5):1130-1138. doi:10.1097/AOG.0000000000000821.

• Elkins GR, Fisher WI, Johnson AK, Carpenter JS, Keith TZ. Clinical hypnosis in the treatment of postmenopausal hot flashes: a randomized controlled trial. Menopause. 2013;20(3):291-298. doi:10.1097/gme.0b013e31826ce3ed.

• Ayers B, Smith M, Hellier J, Mann E, Hunter MS. Effectiveness of group and self-help cognitive behaviour therapy in reducing problematic menopausal hot flushes and night sweats (MENOS 2): a randomised controlled trial. BMJ Open. 2011;1(2):e000047. doi:10.1136/bmjopen-2010-000047.

• Newton KM, Reed SD, Guthrie KA, et al. Efficacy of yoga for vasomotor symptoms: a randomized controlled trial. Menopause. 2014;21(4):339-346. doi:10.1097/GME.0b013e31829e4baa.

• Telles S, Gandharva K, Sharma SK, Gupta RK, Balkrishna A. Body temperature and energy expenditure during and after yoga breathing practices traditionally described as cooling. Med Sci Monit Basic Res. 2020;26:e920107. doi:10.12659/MSMBR.920107.

• U.S. Department of Agriculture, Agricultural Research Service. FoodData Central [Internet]. Coconut water (unsweetened) – nutrient data. Updated 2024. Accessed October 3, 2025. https://fdc.nal.usda.gov/

• U.S. Department of Health and Human Services; U.S. Department of Agriculture. Food Sources of Potassium—Standard Portions [PDF]. Dietary Guidelines for Americans website. Published August 2024. Accessed October 3, 2025. https://www.dietaryguidelines.gov/food-sources-potassium

• National Center for Complementary and Integrative Health (NCCIH). Aloe Vera: Usefulness and Safety [Internet]. Updated 2024. Accessed October 3, 2025. https://www.nccih.nih.gov/health/aloe-vera

• Guo X, Mei N. Aloe vera: a review of toxicity and adverse clinical effects. J Environ Sci Health C Environ Carcinog Ecotoxicol Rev. 2016;34(2):77-96. doi:10.1080/10590501.2016.1166826.

• Office of Environmental Health Hazard Assessment (OEHHA). Aloe Vera, Non-Decolorized Whole Leaf Extract (Proposition 65 Fact Sheet) [Internet]. Published November 2020. Accessed October 3, 2025. https://www.p65warnings.ca.gov/fact-sheets/aloe-vera-non-decolorized-whole-leaf-extract

• Walker EA, Nelson C. Bacopa Monnieri. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2023-2025. Accessed October 3, 2025. https://www.ncbi.nlm.nih.gov/books/NBK589635/

• Calabrese C, Gregory WL, Leo M, Kraemer D, Bone K, Oken B. Effects of a standardized Bacopa monnieri extract on cognitive performance, anxiety, and depression in the elderly: a randomized, double-blind, placebo-controlled trial. J Altern Complement Med. 2008;14(6):707-713. doi:10.1089/acm.2008.0018.

• Conklin M, Walchak AC, Li T, Bernard TS. Neurokinin receptor antagonists as potential non-hormonal therapy for vasomotor symptoms. Ther Adv Endocrinol Metab. 2023;14:26334941231177611. doi:10.1177/26334941231177611.

• Comninos AN, Dhillo WS. Neurokinin 3 receptor antagonism for menopausal hot flushes: bench to bedside. Cell. 2023;186(20):4346-4348. doi:10.1016/j.cell.2023.08.046.

• Reed SD, Guthrie KA, Newton KM, et al. Lights on MsFLASH—A review of contributions from the Menopausal Strategies: Finding Lasting Answers for Symptoms and Health network. Menopause. 2020;27(9):1038-1048. doi:10.1097/GME.0000000000001551.

• Sandhu R. A Summer Survival Guide to Menopause (Ayurveda) [Internet]. Ayurda Blog. Published December 31, 2024. Accessed October 3, 2025. https://ayurda.com/blogs/ayurvedic-health/dealing-with-menopause-in-summer-with-ayurveda

• Modi MB, Donga SB, Dei L. Clinical evaluation of Ashokarishta, Ashwagandha Churna and Praval Pishti in the management of menopausal syndrome. Ayu. 2012;33(4):511-516. doi:10.4103/0974-8520.110529

• Kargozar R, Azizi H, Salari R. A review of effective herbal medicines in controlling menopausal symptoms. Electron Physician. 2017;9(11):5826-5833. Published 2017 Nov 25. doi:10.19082/5826

• Mohan I, Mohan AG. Yoga Therapy: A Guide to the Therapeutic Use of Yoga and Ayurveda for Health and Fitness. Boston, MA: Shambhala Publications; 2004.