Efficacy of Mansyadi Ghanvati and Ratricharya with or without Bhramari Kumbhaka in the Management of Mild and Short-term Insomnia in Geriatric Population - An Open Labelled Randomized Comparative Clinical Trial

**Introduction:**Nidra is considered one of the most important aspects of a relaxed state of mind and overall health. Acharya Charaka highlights the role of Kala and Vata in regulating Nidra and Anidra. Vata, with its Chala Guna, disrupts Mana’s rest, contributing to Anidra, especially in Vata-dominant period of aging and causes insomnia in geriatric population. In Ayurvedic classics, various treatment modalities for Anidra like Lifestyle modifications, Dietary changes, Medications, Panchakarma therapies, etc. Medications like Mansyadi Ghanvati have Nidrajanaka, Balya, and Vatahara properties. Lifestyle modifications such as Ratricharya, Dinacharya are emphasized in the classics, with Ratricharya being particularly important for promoting health. Pranayama has recently gained more popularity because of its multifold health benefits. It is believed that one can control the power of mind through regulating the breath. Among the different types of Kumbhaka, Bhramari Kumbhaka is stated the best to give a blissful condition of mind. **Rationale For Selection of Topic:**Insomnia complaints are more prevalent among older adults. The type of insomnia symptom changes as a function of age, with difficulties initiating sleep being more common among young adults and problems maintaining sleep occurring more frequently among middle-age and older individuals. Overall, the prevalence of insomnia symptoms ranges from 30% to 48% in the elderly, whereas the prevalence of insomnia symptom disorder ranges from 12% to 20%. Sleep maintenance symptoms are more prevalent among individuals with insomnia (50%-70%), followed by difficulty in initiating sleep (35%-60%) and non-restorative sleep (20%-25%). **Aim and Objectives:**To evaluate the efficacy of Mansyadi Ghanvati and Ratricharya with Bhramari Kumbhaka in the management of mild and short-term insomnia in geriatric population.**Materials and Methods:**30 patients of mild and short-term insomnia in geriatric population will be enrolled in two groups. In Group A(Trial Group ) will be taken Mansyadi Ghanvati and Ratrichrya with Bhramari Kumbhaka 5 cycles in the first 15 days, 7 cycles for 2nd 15 days, 11 cycles for 3rd 15 days and 15 cycles for last 15 days, while in Group B( Comparative Group ) will be taken Mansyadi Ghanvati and Ratricharya. **Results and Discussion:**Data generated during the above study will be present in a Systemic manner as shall be analyzed statically. Where the important points of the review of literature, Conceptual study, Analytical study will be discussed. **Follow up:**Patients will be advised to visit the hospital every 15 days during the treatment for 8 weeks and after the completion of therapy for the duration of after 15 days for one month as a follow up.