Case Study of Ardha Matsyendrasana in Diabetes Management

By Tanmay Bhati -

Scientific Background and Relevance to Diabetes


        Ardha Matsyendrasana is a seated spinal twist that compresses and massages abdominal organs, particularly the pancreas, liver, and kidneys, improving their functionality. It plays a part in glucose metabolism and activates the pancreatic beta cells, which promotes insulin secretion.

Posing Ardha Matsyendrasana


Fact-Checked Evidence -

  • Study (2014, Journal of Yoga & Physical Therapy)—Reported significant improvement in blood glucose levels in type 2 diabetic patients practising Ardha Matsyendrasana as part of a yoga module.
  • AIIMS (All India Institute of Medical Sciences) Delhi & CCRYN conducted yoga trials, which demonstrated improved glycemic control and reduced dependency on medication in type 2 diabetics practicing specific asanas, including Ardha Matsyendrasana.


Note: Twisting asanas improve blood flow to the pancreas and stimulate endocrine activity.


Anatomical & Physiological Impact


1. Pancreas - Massages and stimulates beta cells, enhances insulin secretion.

2. Liver - Improves detoxification, glucose storage, and metabolic activity.

3. Kidneys - Enhance filtration, help in removing toxins, and regulate BP. 

4. Heart - Indirect benefit via reduced blood sugar, stress, and cholesterol.

5. Digestive Tract - Improves digestion, reduces inflammation, and boosts gut health.

6. Blood - Enhances purification via organ stimulation, improves circulation.

7. Nervous System - Activates parasympathetic tone, reduces stress-induced glucose surges.


Pranic Flow and Energy Activation - According to yogic science -

  • Samana Vayu, which is in charge of digestion and metabolic control, is activated by Ardha Matsyendrasana.
  • It balances Ida and Pingala Nadis, harmonising energy flow.
  • It stimulates Manipura Chakra (solar plexus), which governs willpower, digestion, and metabolic fire (Agni).

    This alignment facilitates pranic detoxification, aids in assimilation of nutrients, and reduces metabolic toxins (Ama), thus supporting diabetes reversal.


How to Perform Ardha Matsyendrasana-

1. Sit on the ground with legs extended.

2. Position the right foot outside the left thigh while bending the right leg.

3. Bend the left leg, placing the left heel near the right buttock.

4. Inhale, raise the left arm; exhale, twist to the right.

5. Position the right hand behind the back and hook the left elbow outside the right knee.

6. Hold the pose with normal breathing for 30 seconds to 1 minute.

7. Repeat on the other side.


Best Timing - Morning on an empty stomach or 4-5 hours after a meal (to ensure digestion is complete)


Duration and Frequency -

* Beginner - 30 sec each side - 5 days/week.

* Advanced - 3 min each side - Daily with breath awareness.


Precautions -

  • Avoid during pregnancy, severe spinal injuries, or post-abdominal surgery.
  • Perform under guidance if you have a hernia or peptic ulcers.


    Ardha Matsyendrasana is not just a spinal twist—it’s a therapeutic powerhouse -

  • It helps regulate insulin and glucose metabolism.
  • It stimulates the pancreas, liver, and kidneys.
  • It enhances pranic balance and detoxification.
  • It encourages parasympathetic dominance, which reduces stress-related insulin resistance


   It may help reverse or manage type 2 diabetes naturally when paired with meditation, breathwork (such as Nadi Shodhana), and a healthy diet.


- Tanmay Bhati

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