Randomized Clinical trial to evaluate the efficacy of Shiroabhyanga with Ksheerabala taila in the management of Nidranash w.s.r to Insomnia

Ayurveda is a science of life, aim of ayurveda is not only to cure the diseased person but also maintain the health of healthy person’s.

According to Sushruta definition of health is very comprehensive, Health is all the three Doshas in the same level, with that Sama Agni, Sama Dhatu, Mala Kriya also important, along with that Atma, Indriya and mind becomes happy. In the treatment of Ayurveda Sharira and Manas Bhavas are also considered,

Acharya Vagbhata has mentioned Ahara, Nidra and Brahmacharya a Trayoupastambha.These three factors play an important role in the maintenance of health of a human being.

Sukha, Dukkha, Pushti, Karshyam, Vrushta, Klibata, Gyana and Agyana, Jivitva and Ajivitva all these factors depends on Nidra, Asamyak Nidra causes opposite to all of these.

Nidranash can be correlated with insomnia described in Modern medical science by the similarity of the sign and symptoms.

The cumulative long-term effects of sleep disorders and sleep loss have been associated with the wide range of health problems including an increased risk of hypertension, diabetes, obesity, depression, heart attack and stroke.

Occasionally episodes of insomnia may come and go without causing any serious problems, but for some people it can last for months or even years at a time.

Persistent insomnia can have a significant impact on your quality of life, It can limit what you are able to do during the day affect your mood,and lead to relationship problems with friends, family and colleagues.

Panchakarma presents a unique approach of ayurveda in promotive, preventive and curative aspects, it is a comprehensive and an integral part of ayurvedic treatment and has it’s role in every therapeutic condition.

Acharya Charaka has mentioned Murdha Taila treatment for Nidranash, In Murdha Taila there are four types of therapy Shiroabhyang, Shiropichu, Shirodhara, and Shirobasti. In Panchakarma Shiroabhyanga is considered as one of the snehana karma widely practiced for treating vatavyadhis like nidranash, In this disease vata is vitiated either due to Pitta, Kaph Prakop or by it’s own Hetu.

In Nidra Tama Guna and Kaph are increases in the body but due to Vata Prakop Kaph Kshay occurs and Raj Gunatmak Vata is increases so Toma Guna get reduces and Nidranash occurs.

The conventional anxiotic and sedative drugs have limited application due to hangover effects, addiction and producing variety of neuroscience hepatic side effects, such drugs also badly influences the cognitive performance particularly memory and attention of the individual therefore such drugs can’t be given for a longer period.

But in ayurveda along with internal medicines there are many external therapeutic measures which can be used, Bahya Snehana like Shiroabhyanga can be used in Nidranash for external application, Hence I have selected Ksheerabala Taila which is having properties of Vata and Pitta Shamana, Nidranash is one of the Vataj Nanatmaj Vyadhi in the eighty vataj Nanatmaj Vyadhi considered by Charak Acharya and according to Chakrapani also it causes due to Vatapradhan Dosh.