Introduction:  In the modern educational era, students experience significant pressure due to parental and societal expectations. The fear of falling behind in an increasingly competitive examination environment makes them more susceptible to anxiety and stress. In Ayurveda, anxiety and stress are referred to as Chittodvega and are classified under Manasika Vikaras. Stress has become a widespread concern among students, often beginning as soon as examination dates are announced, which hampers their ability to study and prepare effectively. Therefore, it is essential to support students in maintaining a calm and focused mindset during this period. Although various psychotherapies and strategies are available for managing test anxiety, Bhramari Pranayama has also shown effectiveness in individuals experiencing such conditions. Methods:  A structured literature review was conducted using classical Ayurvedic texts, including Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, and Hatha Yoga, along with electronic databases such as PubMed, Scopus, and Web of Science. Studies published between 2000 and 2025 were included if they investigated Ayurvedic interventions, particularly Bhramari Pranayama. Both clinical and preclinical studies were analysed. Results:  Ayurvedic literature describes Chittodvega as a Manas Roga caused by the vitiation of Rajo and Tamo gunas, disturbances in Manovaha Strotas, and imbalance of Prana Vata. Evidence suggests that Ayurvedic interventions may influence the hypothalamic–pituitary–adrenal (HPA) axis, regulate neurotransmitters, and reduce oxidative stress. Discussion:  Ayurveda emphasizes addressing the root cause of disorders through Satvavajaya Chikitsa (psychotherapy), Daivavyapashraya Chikitsa (spiritual therapies), and Yuktivyapashraya Chikitsa (rational therapies). These approaches show parallels with modern psychotherapeutic, pharmacological, and mindfulness-based interventions. Conclusion:  Ayurveda offers a promising integrative approach for managing anxiety disorders through Bhramari Pranayama. Future research should focus on standardization, exploration of underlying mechanisms, and the development of integrative clinical protocols.