To see the effect of Shirobasti(Pooling of oil on head),Shirodhara(Pouring warm oil over the head for a period of time), Shiropichu(cotton dipped with warm medicated oil kept over head) and Shiroabhyanga(Head Massage with medicated oil) with Lakshadi Taila(Medicated oil) in Nidranash(Insomnia).

Phase 2

Completed

• Conditions: Insomnia,

• Registration Number: CTRI/2018/09/015763
• Lead Sponsor: National institute of Ayurveda

Brief Summary

*Shirobasti, Shirodhara, Shiropichu and Shiroabhyanga* is included in variety of *Murdha Taila.* In thepresent study *Murdha Taila* hasbeen explained in *Sushruta Sharir Sthana*in reference to *Nidranash* along with other diseases. So, *Murdha Taila*is selected particularly for *Nidranash*. Etymology, definition,indication, contraindication, importance, mode of action etc. and the *PoorvaKarma, Pradhana Karma, Pashchata Karma* and precautions explained in detail.

In this clinicaltrial total 42 patients were registered from OPD/IPD of department ofPanchkarma, National Institute of Ayurveda, Jaipur, Rajasthan. Selectedpatients were divided randomly with the help of lottery method, into 4 Groups. Outof 42 patients, 1 patient was drop-out case in Group B due to chronic rhinitisand 1 patient was drop-out case in Group D due to some family problems beforestarting the treatment. Total 40 patients completed the treatment.

Following conclusion can be drawn from currentresearch study-

·       *Nidranash* being a *Vata Nanatmaja Vyadhi*, *Brinhana*is best therapy and all the types of *Murdha* *Taila* are bestrecommended in the patient of *Nidranash,* with the help of  *Lakshadi**Taila* which having *Balya*, *Indriya* *Prasadana* and *Nidrajanana*Properties, as all theprocedures are non-invasive, outpatient procedures with minimal discomfort.

- Insomnia is more commonly seen in middle age group and females are more affected in this study.

- It is observed that insomnia manifests mostly in patients who are suffering from *Chinta* followed by *Shoka*.

·       Observationsand results of the present study hold the explanation of the modern and *Ayurveda*literatures and also support the result of the previous work done.

- *Tandra* (drowsiness), *Shirashoola* (headache), *Angamarda* (body ache) and total PSQI (Pittsburg sleep quality index) parameter found significant result in all four Groups.

- *Jrimbha* (yawning) parameter is found significant result in only Group B and *Arati* - *Klama* (inertness and fatigue) is found significant result in only Group A.

- *Jadya* (stiffness) parameter found significant result in Group A and Group B.

- *Apkti* (indigestion) parameter found Non- significant result in all four Groups.

- According to mean rank percentage, Group B (*Shirodhara*) is more effective than all Groups.

- In chronic condition may need long term therapy for better results and to remove occurrence and repeated *Murdha Taila* after the assessing the patient may be the best choice for the management of *Nidranash* (insomnia)

·       Thus, it is concluded that the“**Typesof *Murdha Taila* are effective in the management of *Nidranash*(insomnia)â€.**

Detailed Description

Not available

Study Timeline

• Study Start: 2019-01-09
• Study Completion: 2020-02-17
• Last Update Posted: 2020-06-30

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Patients between 16-60 years of age.
• Patients with clinical signs and symptoms of Nidranash.(Insomnia) C.
• Patients of Insomnia with mild hypertension,mild depression and anxiety disorders without any complications of any other diseases were included for the present study.
• D.Patients of either sex irrespective of their occupation, religion and socio-economic status.
• E.Patients willing to sign consent form for trial.

Exclusion Criteria

1.Patients suffering from severe systemic disorders as Uncontrolled Diabetes Mellitus, Uncontrolled Hypertension,Cardiac Problem, Tuberculosis, Leprosy, Paralysis, Malignantdiseases.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Shirobasti, Shirodhara, Shiropichu and Shiroabhyanga.	22 days
are effective in management of Nidranash (Insomnia) and Improvement in the symptoms of the Patient.	22 days

Secondary Outcome Measures

Name	Time	Method
Any adverse effect in clinical signs and symptoms	7days

Trial Locations

Locations (1)

National Institute of Ayurveda; 🇮🇳 Jaipur, RAJASTHAN, India

National Institute of Ayurveda

🇮🇳Jaipur, RAJASTHAN, India

Dr Nidhi Gupta

Principal investigator

9691226829

drnidhigupta.20@gmail.com