Daily Rhythms for Menopause: Ayurvedic Dinacharya to Restore Balance
- Deepa Yerram MD

- Oct 2
- 5 min read
Menopause as a Rhythmic Transition
Menopause is often framed in modern medicine as a collection of symptoms to be treated. But in Ayurveda, it is seen as a natural stage of life—a doorway into wisdom, not a disease. Just as menarche marked the rhythm of your reproductive years, menopause ushers you into a new rhythm, one that asks for deeper self-care, nourishment, and grounding.
This transition is also understood as a shift in doshas. The midlife years are considered a time when Pitta energy (linked to drive and productivity) begins to give way to Vata energy (linked to movement, lightness, and change). When Vata becomes excessive, symptoms like anxiety, dryness, insomnia, or irregular digestion can appear. The antidote? Dinacharya—Ayurveda’s daily routine.
Dinacharya offers a blueprint for steadying the nervous system, nurturing digestion, and supporting hormonal balance. When you align your day with nature’s rhythms, your body receives a message of safety and predictability. Let’s explore how daily routines—from sunrise rituals to bedtime practices—can bring calm and strength during menopause.

Morning Rituals: Cleansing and Awakening
The early morning hours (before sunrise, or Brahma Muhurta) are considered the most sacred for self-care. This quiet window sets the tone for the rest of your day.
1. Tongue Scraping (Jihwa Prakshalana)
Overnight, toxins (ama) accumulate on the tongue. Scraping gently with a copper or stainless steel scraper removes buildup, stimulates digestion, and freshens the breath. For women in menopause, whose digestion often weakens, this simple act is a reset button for agni (digestive fire).
2. Oil Pulling (Gandusha)
Swishing warm sesame or coconut oil in the mouth for 5–10 minutes nourishes oral tissues and supports gum health—especially important since hormonal changes can affect gums and teeth. Ayurveda also teaches that oil pulling strengthens the jaw, lubricates tissues, and reduces ama.
3. Warm Lemon Water or Herbal Infusion
A glass of warm water with lemon awakens digestion and supports regular elimination, often disrupted by Vata imbalance. For women prone to hot flashes, try cooling infusions like fennel or coriander tea instead.
4. Quiet Centering Practice
Instead of rushing into the day, pause for breathwork, prayer, or meditation. Even five minutes of Nadi Shodhana (alternate nostril breathing) calms the nervous system and steadies mood swings.
Movement: Aligning Energy and Strength
Ayurveda emphasizes balanced, moderate movement that enhances vitality without draining reserves.
Yoga Asana
Gentle yoga stretches lubricate joints, improve circulation, and calm the mind. Forward bends and supported inversions soothe Vata-driven restlessness. Cooling backbends help relieve Pitta irritability and hot flashes. Kapha-dominant women benefit from invigorating flows to energize metabolism.
Pranayama (Breathwork)
Nadi Shodhana: Balances hemispheres of the brain, eases anxiety.
Sheetali (Cooling Breath): Soothes hot flashes and night sweats.
Bhramari (Humming Bee Breath): Calms emotional turbulence, prepares the body for sleep.
Walking in Nature
A 20–30 minute morning walk grounds the body, supports bone strength, and lifts mood. Exposure to sunlight regulates circadian rhythms—helpful for women struggling with insomnia.
Meals: Eating with Rhythm and Ease
Menopause can bring unpredictable digestion. Following regular mealtimes and choosing warm, cooked foods reduces Vata disturbance and steadies energy.
Breakfast: A light but grounding start—warm porridge spiced with cardamom, or stewed apples with cinnamon.
Lunch: The largest meal, eaten when digestive fire is strongest. Favor whole grains, lentils, and seasonal vegetables with spices like cumin, coriander, and fennel.
Dinner: Light and early, ideally before sunset. Soups, kichari, or steamed vegetables are ideal.
Ayurveda cautions against skipping meals, late-night eating, excess caffeine, or cold/raw foods—all of which can aggravate Vata and disrupt sleep.
Abhyanga: Self-Massage as Medicine
If there is one ritual Ayurveda urges during menopause, it is Abhyanga, the daily practice of self-massage with warm oil.
Why it matters: Vata imbalance often manifests as dryness, stiff joints, and nervousness. Oil massage nourishes tissues, strengthens circulation, and creates a sense of calm grounding.
How to practice: Warm sesame oil (best for Vata), coconut oil (soothing for Pitta), or mustard oil (stimulating for Kapha). Massage from head to toe with gentle strokes before bathing.
Even if done 2–3 times per week, Abhyanga can ease hot flashes, nourish the skin, and deepen sleep.
Evening Rituals: Closing the Day with Calm
The way you end your day is just as important as how you begin. Evening rituals prepare body and mind for deep rest—something that often feels elusive in menopause.
1. Digital Sunset
Turn off screens at least an hour before bed. This protects melatonin production and reduces overstimulation.
2. Herbal Teas or Warm Milk
Sip chamomile, brahmi, or nutmeg-infused milk. These herbs calm the nervous system and quiet restlessness.
3. Gentle Abhyanga or Foot Massage
Even massaging warm oil into the soles of your feet signals the nervous system to relax. This small act helps reduce insomnia and nighttime anxiety.

4. Gratitude Practice
Write down three things you are grateful for. Studies show gratitude reduces stress and promotes better sleep—aligning with Ayurveda’s teaching that emotional digestion is as vital as physical digestion.
5. Consistent Bedtime
Ayurveda recommends sleeping by 10 p.m., before the body shifts into its Pitta-driven “second wind.” Consistency trains the circadian clock, improving both sleep quality and hormone balance.

Dinacharya for Menopause as Hormonal Support
Dinacharya for menopause is more than self-care; it is hormonal regulation in practice. By providing predictability, these routines:
Calm the nervous system and lower cortisol (reducing hot flashes and anxiety).
Support digestion and nutrient absorption (protecting bones and tissues).
Nourish ojas (vital energy), the Ayurvedic essence of immunity, stability, and vitality.
As Lisa Berkman Sommer notes, menopause is not the end of vitality but the start of a stage that, with care, can bring wisdom and strength. Dinacharya provides the foundation for that strength.
Finding Your Flow
Ayurveda reminds us that menopause is not a problem to be fixed—it is a rhythm to be honored. By anchoring your days in ritual—cleansing mornings, nourishing meals, grounding movement, oil massage, and restful evenings—you create stability where Vata may bring chaos.
Dinacharya is not about perfection. It is about listening to your body and offering it consistency, compassion, and care. With rhythm, menopause becomes less about loss and more about flow—an opening into the wisdom years, carried with grace.
References
Sommer LB. Managing menopause: An Ayurvedic perspective. California College of Ayurveda. Published 2017. Accessed September 2023. https://www.ayurvedacollege.com/wp-content/uploads/2017/06/Managing-Menopause-Lisa-Berkman-Sommer.pdf
Ayurveda.com. Ayurvedic daily practices to transform your health. Accessed September 2023. https://ayurveda.com/ayurvedic-daily-practices-to-transform-your-health/
Paavani Ayurveda. Dinacharya: Your guide to creating an Ayurvedic daily routine. Accessed September 2023. https://paavaniayurveda.com/pages/dinacharya-your-guide-to-creating-an-ayurvedic-daily-routine
Halpern M. Clinical Ayurvedic Medicine. 6th ed. Grass Valley, CA: California College of Ayurveda; 2012.
North American Menopause Society. Menopause and lifestyle management. Menopause. 2021;28(12):1371-1385.




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