Introduction- The consumption of honey mixed with hot water or heated honey has been a practice. However, concerns have arisen regarding the potential harmful effects of this practice, both according to Ayurvedic principles and scientific evidence. Ayurveda, the ancient Indian system of medicine, emphasizes the importance of consuming honey (Madhu) in its raw, unheated form. Acharyas have mentioned that heating honey alters its chemical properties, transforming it into a substance that is visha (poison) to the body. A dooshi visha, or unnatural substance, is any substance that can disrupt the balance of the doshas and contribute to disease. When honey is heated, it undergoes a chemical transformation, leading to the formation of a compound called 5-hydroxymethylfurfural (HMF). HMF can be considered a dooshi visha in Ayurveda due to its potential to disrupt the delicate balance of the doshas. According to Ayurvedic principles, the doshas are in a constant state of flux, and their balance is essential for maintaining health. HMF, with its propensity to alter the doshas, can throw this equilibrium off, leading to various health problems. Aims and Objectives: To understand the effect of consuming heated honey (Madhu) on humans. Materials and Methods: Modern textbooks and Authenticated sources were scrutinized for the understanding of properties, chemical composition of honey and ayurvedic textbooks were scrutinized for further understanding. Conclusion and Discussion: Based on both Ayurvedic principles and scientific evidence, it is advisable to consume honey in its raw, unheated form to reap its full health benefits and minimize potential risks. While honey mixed with hot water or heated honey may be part of practices, these methods may compromise the beneficial properties of honey and pose potential health concerns.