Patient called Jiva Doctor to seek help in chronic sleep loss problem.During consultation with doctor, patient told that he slept only for two-threehours during summer and rainy season but in winter he was absolutely deprivedof even this short time sleep. To name any underlying cause to this problem, hedenied the presence of any sort of personal/family/career related stress orpressure in life. He had been taking sleeping pills regularly to fall asleep.He suffered from mild hypertension for 3-4 months hence he gave up salt intaketotally to control blood pressure.Eight years ago, during cold season, the problem gradually startedas a consequence of chain of irrelevant thoughts. After staying awake pastmidnight, he felt asleep for a couple of hours in early morning. This routinewas escalating his worries and heaviness in mind because even in day time therewas no signs of sleep to compensate it. Patient was following an ideal routineat night to get sleep but all efforts were in vain.He explained a strange connection that he had no cold andindigestion problems if there was no sleep but these symptoms used to appearthe day when he was getting good sleep. These days, noise was irritating him sohe preferred living in a calm place.Specific History (H/0 Present Illness)Patient was suffering with sleep issue almost for eight years. Hetried all possible ways to get rid of this problem but nothing workedsatisfactorily.Physical/ Systemic FindingsBM – One time, regular but unclear, Appetite – Low, Urine -Normal, Gas – No, Acidity – Occasionally mild throat burning, Sleep -Disturbed, Mind – Stressed and over thinking H/0 Past illness / Family HistoryHe had no specific personal or family history of any disease sofar. For few months, he found mild hypertension that successfully was managedby diet modification alone, instead of medicines.Medical HistoryPatient, for a long time, had been taking allopathic treatment toget sleep even then he was deprived of it. He decided to try Ayurveda treatmentfor Insomnia problem.
Samprapti Ghataka
Dosha:
Vata-Pitta
Dushya: Rasa
Srotas: Manovaha, Pranavaha, Rasavaha srotas Adhishthan: Manas
Nidana: Over thinking, negative and irrelevant thinking, stress,
anxiety, improper food habits and lifestyle etc.
Chikitsa Sutra
· Nidan parivarjan – Avoidance of etiological factors in diet and
routine that caused disease
· Shaman Chikitsa – Vata-pitta shaman, anuloman, deepan, pachan,
balya, rasayan,
· Shodhan Chikitsa – Gentle head-body massage, nasya
and some natural detoxifying procedure was shared
· Sattvavjay Chikitsa –
Patient education, expectation management and approach of treatment was shared
Specific Advice for Insomnia Treatment in Ayurveda:
Pathya: Fresh fruits,
some natural sweet after dinner, soaked almonds, green vegetables, cow ghee
with meals, head and body massage with recommended oil, nasal oil application,
shower with lukewarm water before sleep, consuming amla, positive approach,
gentle walk after meals, mental relaxation techniques yoga-pranayam etc were
advised to be practiced on regular basis.
Apathya: Gas formation
and indigestion caused stress-inducing activities. Fried, oily, spicy and heavy
foods, tea-coffee, white flour products, non veg, alcohol, smoking, etc were
advised to avoid.
Ayurvedic Remedies for Insomnia:
Churna: Jatamansi churna
Tablets: Sleepwell
Tablets
Products: Ksheerbala
oil/ Shankhpushpyadi churna Saaf-saaf Tablets/Ama pachak churna/ Mukta shukti
pishti/ Bhudhatri rasayan
Modifications/Changes made in Ayurvedic Remedies for Insomnia
prescription during course. Below changed medicines were given as per patient’s
feedback:
In April, 2017
Powder combination was kept same while Maha laxmi vilas rasa,
Allergy tab, Chandramrit ras, Memorica syrup and Medicated oil were added.
In June, 2017
Couple of changes were done i.e. Jatamansi and Bhudhatri rasayan
were replaced with Sitopaladi and Vasa churna while in tablets, Mahalaxmi vilas
rasa was changed to Tikta ras guggulu. Jatamansi supplement pack and Anu oil
was given separately.
Outcome for Insomnia Treatment in Ayurveda:
Patient responded well within a few weeks of beginning treatment.
He gave up sleeping tablet and his digestive system also got better with
enhanced sense of wellbeing. A few months later, his sleep pattern was much
attuned naturally in quality and quantity compared to previous phase but it was
still less than ideal. In the meantime, he got cold and congestion problem that
was gradually getting better.
While
trying to fall asleep, he could not get rid of irrational thinking completely,
but that gradually became less as treatment proceeded. Patient was very happy
to report that the recent winter season did not affect his natural sleep, which
usually gave him nightmare every year. In February 2018, based on significant
recovery, he was advised to lower the medicine intake. Even with reduced dose
of medicine his problems did not recur. Having maintained a normal state of
health, he was advised to stop the treatment completely and during follow-up,
patient shared significant recovery even without any medicine.
Parameters before,
during & after treatment for Insomnia Treatment in Ayurveda
|
Symptoms |
Dec, 2016 |
Jan, 2017 |
Apri1,2017 |
June, 2017 |
Oct, 2017 |
Feb, 2018 |
March, 2018 |
Apri1,2018 |
June, 2018 |
|
Loss of sleep |
+-F++ |
++++ |
+++ |
++ |
+ |
Normal |
|||
|
+++ |
+++ |
+++ |
++ |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
Cold |
|
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