A Comparative Clinical Study To Evaluate The Efficacy Of Pada Abhyanga Followed By Nidrakara Churna And Pada Abhaynga Followed By Mamsyadi Kwatha In The Management Of Nidranasha Visavis Insomnia

. NEED FOR THE STUDY:

In Present scenario, Life style has changed invariable in the society, busy life style,

improper ahara and vihara, poor sleep hygiene, work overload, stress and anxiety from day-to-

day activities have all contributed to significant changes in sleep quantity and quality.

Insufficient sleep increases the risk of developing obesity, diabetes, high blood pressure and

many other systemic diseases.1

Nidra is one of the Trayopastambha mentioned in Ayurveda along with Ahara and

Bramhacharya.2 Nidra is one of the thirteen Adharneeya vegas.3 One of the factors that is said

to have contributed to sthoulya and karshya is Nidra.4 It demonstrates the significance of sleep

for maintenance of health. The body’s restoration and rejuvenation are attributed to it.

Sleep is a state of consciousness that differs from alert wakefulness by a loss of critical

reactivity to events in the environment with a profound alteration in the respiration etc. when

the sense organs are exhausted due to exertion and at the same time manovahasrotas are

obstructed by shleshma the person goes to sleep.5

Aswapna, Alpanidra, Anidra, Nidra bhramsha are the synonyms of Nidranasha.

Aswapna is included in vatajananatmaja vikaras.6 Nidranasha is characterized by Angamarda,

Shirogourava, Jrumba, Jadya, Glani, Bhrama, Tandra, Apakti and Vatarogas.7 Nidranasha

can be correlated to Loss of sleep that is Insomnia in modern science. One of the most prevalent

sleep disorders that is frequently disregarded is Insomnia. Physical, emotional, and social

breakdowns are the outcome of insomnia’s effect on cognitive and neurological functioning.8

One year prevalence rate of 30-45% in adults is reported by a population survey.9

Approximately 10% of the adult population suffers from an insomnia disorder and another 20%

experiences occasional insomnia symptoms.10

In contemporary science the treatment of insomnia comprises of tranquilizers,

hypnotics, sedative drugs. These medications on long term use may induce various toxic effects

including drug dependency so, there is an immediate need for the management of insomnia.

Pada abhyanga a component of dincharya is said to induce sleep. According to

Sushruta Pada Abhyanga is Nidrajanaka,11 Tungadrumadi taila mentioned in Sahasrayoga has

ShitaVirya, Snigdhaguna, Vatapittahara property and has karmukata as Akshitarpana,

Snehana and Nidrajanaka is used for Pada Abhyanga in this study.12 Nidrakarachoorna

mentioned by both Bhaishajyaratnavali and Bhavaprakash as nidrajanaka contains

pippalimoola and guda, Pippalimoola due to its snigdha guna is Vatahara and due to its

Anushnasheeta virya along with guna of guda helps in increasing kapha thus promoting

sleep.13,14 Mamsyadi kwatha mentioned in Ayurveda sarasangraha contains Jatamamsi,

Ashwagandha, Parasikayavani which have sedative action thereby a treatment modality for

Nidranasha.15

Hence the present study is designed to compare the efficacy of Pada Abhyanga,

Nidrakara choorna and Mamsyadi kwatha in Nidranasha vis-à- vis Insomnia