NerveParasympathetic

Vagus Nerve

The wanderer. The vagus nerve ("vagus" = wandering) is the longest cranial nerve, running from brainstem to colon. It's the main conduit of the parasympathetic nervous system—controlling rest, digestion, and recovery. High vagal tone means resilience; low vagal tone underlies anxiety, inflammation, and poor digestion.

Vagus nerve pathway and functions
CN X
Cranial Nerve 10
80%
Afferent (Sensory)
HRV
Measures Vagal Tone
ACh
Neurotransmitter

What the Vagus Nerve Controls

Heart Rate

Slows heart rate. "Vagal brake" on the heart. High vagal tone = lower resting HR.

Digestion

Stimulates stomach acid, bile, pancreatic enzymes, gut motility. "Rest and digest."

Inflammation

Cholinergic anti-inflammatory pathway. Vagus dampens cytokine production.

Voice & Swallowing

Controls larynx and pharynx. Hoarseness can indicate vagus issues.

Mood & Calm

Signals safety to brain. Low vagal tone linked to anxiety, depression, PTSD.

Gut-Brain Communication

80% of vagus fibers go FROM gut TO brain. Gut feelings are real.

Vagal Tone

High Vagal Tone

  • High heart rate variability (HRV)
  • Quick recovery from stress
  • Good digestion
  • Emotional regulation
  • Lower inflammation
  • Better sleep

Low Vagal Tone

  • Low HRV
  • Stuck in fight-or-flight
  • Digestive problems (low acid, slow motility)
  • Anxiety, depression
  • Chronic inflammation
  • Poor stress resilience

How to Stimulate the Vagus Nerve

Cold Exposure

Cold water on face, cold showers. Activates dive reflex → vagus activation.

Deep Breathing

Long exhales activate vagus. 4-7-8 breathing. Box breathing. Exhale longer than inhale.

Humming/Singing

Vagus innervates vocal cords. Humming, chanting "Om," gargling stimulate it.

Meditation

Regular practice increases vagal tone over time. Loving-kindness especially effective.

Social Connection

Positive social interactions activate vagus. Isolation reduces tone.

Exercise

Moderate exercise improves HRV. Don't overdo it—overtraining harms vagal tone.

Vagus Nerve Discussion