A A M J Anveshana Ayurveda Medical Journal

Transcription

1 A A M J Anveshana Ayurveda Medical Journal ISSN: Review Article AYURVEDIC MANAGEMENT OF NIDRANASH Dhimdhime R.S 1 Dhimdhime S.R 2 Pawar K.B 3 Ingale S.K 4 Zile K.C 5 A b s t r a c t Ayurveda is science of life. For physical and mental well-being Ayurveda said Aahar, Nidra and Brahamcharya as three Upasthamba of life or three supportive pillar of life.(1) For the healthy life Nidra is very important because many physical and mental activity depends upon the proper sleep, so Ayurveda give second importance to Nidra in Upasthamba. If there is disturbance in sleep by any cause it affect physical and and mental health of the person which causes many problem. The problem of Anidra or Nidranash increases in growing population it affect the health of person. Now a day the changing life style of human begins as well as the mental stress, drug addiction, and tobacco addiction lead insufficient sleep. Which affect the individual s daily life. If adequate sleep is not taken then yawning, body ache, drowsiness, head disorders and heaviness in eye causes and person dose not feel fresh.(2) In modern medical science treatment given for Anidra (insomnia) is hypnotics, sedative, anxiolytic, tranquilizer which has hazardous adverse effect on physical and mental health and they are habit forming. Hence it is very important to search out safe and effective treatment for Anidra. In Ayurvedic Granthas treatment for Anidra said in various form which is safe and effective it is give in the form diet (Aahar), Panchakarma, various single and compound drug,yoga and meditation and Adavya chikitsa (psychic) which relaxes the body and nervous system and causes sleep. Key words Ayurveda, Nidra, Nidranasha 1 Prof & HOD, 3,4 Asst. Prof, 5 PG Scholar, Dept of Kriya Sharira, GAC, Osmanabad, 2 Prof & HOD, Dept of RSBK, Sai Ayurved Medical College and Research Center, Vairag, India. CORRESPONDING AUTHOR Dr. Zile Kalpana Chimnaji PG Scholar, Department of Kriya Sharira, GAC, Osmanabad, Maharashtra (India). drkalpanamustare@gmail.com sue3/aamj_1776_1780.pdf AAMJ / Vol. 4 / Issue 3 / May June 2018

2 INTRODUCTION A life. ncient Acharya s explained the importance of Nidra in Samhita Grnthas. Nidra is important for healthy Charakachary said that happiness and unhappiness, proper and improper development, strength and weakness, potency and impotency, intellect and nonintellect, life and death of a person depends upon proper and improper sleep (3) Nidra is mentioned in Adharniya vega so it can prove that importance of Nidra.(4) Now a day changing lifestyle causes Nidranash which is invitation to diseases. Ayurvedic Granthas Nidrnash is mentioned as Vatajnanatmaj Vyadhi. Nidranash causes yawning, body ache, feeling of nervousness, heaviness in eye so the treatment of Nidranash is important. The good physician is who which know the sleeping pattern of the patient because many diseases Somatic as well as psycatric are caused by the improper sleep. In modern medical science the drug affect the health of the people as well as they are habit forming. Ayurveda said different aspect for management of the Nidranash they are not harmful to the people health this is the main aspect of this topic. Aahar Chikitsa (5,6) Aahar is the basic need of every animal. The proper diet causes healthy life, but when it is taken in improper way it causes many diseases. In nidranash many Acharyas told importance of Aahar. It contain mainly Madhur, Sheet, Guru Gunatmak which is Kapha vardhak. Table1: Properties of different Ahara Dravya Aahar Ch Su A.S. B.P. Guna Shali Rice Sweet, cold, Pittshamak, Kapha vardhak Curd Kaphamedho vardhanam Milk (Mahisha milk) Sweet, Heavy, Cold Wheat Sweet, Heavy, Cold, Vatapittashamak Ikshu Sweet,Shit, cold Sweet Rasa Sweet, Snigdh,Guru Draksha Sweet, Cold, Pittshamak Ghrita Sweet,cold,Kaphavardhak Masha Guru Sweet, Vatashamak Wine Vatashamak,Tamagunatmak Fish Sweet, Heavy, Vatshamak Meat of Bil and Vikshikar Sweet and cold Meat soup of domestic & aquatic animals Sweet, Cold, Vatshamak Aahar used in nidranash mainly contain the primary Guna are Madhur, Shita, Guru, Snigdha. It is mainly Kapha vardhak aahar. Panchakarma Chikitsa (7) Bahir-parimarjana chikitsa play important role in sleeplessness. 1) Abhyanga full body massage with medicated oil. Benefits - It Stimulate internal organ of body, increases blood circulation. - Calming down the nerves ending which causes relaxation of body and mind. 2) Padabhyang the sole of the leg massage with medicated oil. Benefit the sole of the feet are extremely sensitive to touch due to high concentration of nerve ending with many as 20,000 per sole. It relaxes the nerves and induces sleep. 3) Shiridhara- the steady pouring of the oil or other liquid on the forehead. Benefit Causes deep relaxation - enhances conduction of nervous system - Focusing on Adnyachakra causes calmness - Its effect mediated by a) Brain waves coherence b) Alpha wave appearance c) Down regulation of sympathetic output 4) Shirobasti Bathing of the head for 45 minute in medicated oil using a special apparatus. Benefits Shirobasti nourishes the brain hence promotes intellects - It helps in mental calmness - It stimulates Marma points in head acting acupressure point by its pressure effect - It balances the Vata and Kapha in between the brain and skull 5) Murdhini tail Application Application of medicated oil on the head. AAMJ / Vol. 4 / Issue 3 / May June

3 nerves Benefits Beneficial for brain, sense organs and - It control vitiated Vayu and Pitta in the head - It control pituitary function - Murdhini tail soothes the stress and relaxes mind to keep calm - Help in discharge of happy chemical impulses (Dopamine, Serotonin) 6) Nasya Benefits Act on specific area of brain to improve mood and emotions - Stimulate vital center of brain which causes stress reduction 7) Udwartana Massage with medicated powders in opposite directions of hair follicles. 8) Shirolepa Application of medicated paste on head. 9) Karnapurna Ear drops using medicated oil. Medication form Many stress relieving and mind relaxing anti anxiolytic drug used in Ayurveda. They are in two form a) Single drug SINLE DRUG (8) b) Compound drug 1) Sarpgandha Reserpine (an indole alkaloid) having the tranquilizing property. It effects over mind and brain causes calmness and induces sleep. Dose 3-6 gm with Ghrita (Root part is used) Contraindication Ulcerative colitis - Depression 2) Ashvagandha Churna It has cooling effect on the nervous system and it relaxes the mind and prevent stress or depression. Dose 3 gm with sugar or Ghrita before meal. 3) Jatamansi churna It work as a sedative. It increases the neurotransmitters like serotonin. Dose 500 mg to 2 gm with milk BD 4) Vacha Churna Mind calming herb cures tension, stress. Dose 500 mg 1 gn BD 5) Brahmi svarasa Dose 10 ml with milk and sugar BD 6) Shakhapushi svarasa Compound Formulation (9) 1) Sarpagandhadi vati Main contain Sarpagandha churn - Insomnia - Hypertension Action in Insomnia it calms the mind and reduces hyperexcitability. Dose Children 250 mg (1 tablet) - Adults 500 mg to 750 mg (2-3 tablet) 2 hr before bed time with milk. - During lactation - Ulcerative colitis - Depression 2) Nidrodaya Ras - Pregnency Main Contain Draksha, Ahiphena - Insomnia Mode of action By hypnotic action, Ahiphena is sedative. Dose mg OD with honey at bedtime - Lactation - pregnancy - Use in limit because it contains heavy metal 3) Saraswatarista Main Contain Brahmi - Improve intelligence - useful in mental disorders Mode of action Brahmi acts as nerve tonic and pacifies the central nervous system. Dose 4) Ashvagandharista Main Contain Ashwagandha - Adults ml BD after meal - No specific contraindication - Vataroga Mode of action It has cooling effect on the nervous system and it relaxes the mind and prevent stress or depression AAMJ / Vol. 4 / Issue 3 / May June

4 Dose ml with equal quantity of worm water OD or BD after meal - Stomach irritation \ - Heartburn - Pregnancy Yoga and Pranayam (10) Yogasanas are typical physical postures of the body where different muscle get simultaneous stretched and relaxed. It has proved that yoga achieves voluntary control over the autonomous nervous system by establishing an equilibrium between sympathetic and parasympathetic nervous systems. It lowers the level of catecholamine and acetylcholine which reduces stressful condition and relaxes mind. Pranayam Anulom - vilom - Bhujangasan - Sarvangasan - Padmasana Other chikitsa (Adravya chikitsa) (11) Different Acharyas said different things to induce good sleep. 1) Pleasant smell and sound 2) Listen good music and news 3) Snan 4) Comfortable bed 5) To wear clean cloth 6) Proper time for sleep 7) Keep mind calm and happy - Bhramari pranayam Yoga - Suryanamaskar DISCUSSION Nidranash is explaind in Vata-Pitta Vrudhi Lakshanans as well as Vataj Nanatmajvikar and other diseases.acharyas have explained different varieties of treatment for Nidranash.The treatment by the Acharyas in on the same principle that is which increases Kapha in the body and decreses Vata Dosha.In the management of Nidransha importance is given to diet and external therapies. Diet contain mainly the Snigdh and Madhur Gunatmak which increases the Kapha Dosha.The external therapies mainly act on the nervous system and they decreases the Vata Dosha in the body. Yoga and Pranyam also important to decreases stress. All slected drugs have properties of Nadibalya, Mastishka shamaka, Nidrajanaka and Vatahara by virtue of which these drugs showed significant therapeutics results. Treatment of Nidranash should depend upon the measures having specifying effect on Vata as well as claming the disturbed psyche of the person. CONCLUSION Summing up the above explanation it can be concluded that modern medications and sleeping pills are habit forming and they have many side effects such as day time drowsiness, mental slowing or problem with attention or memory, uncontrolled body movement, dryness in mounth. Sleeping pills are expensive so they are not affordable to all people. Ayurveda and Yoga is very helpful in dealing with Nidranash. Ayurveda gives importance to Aahar like Snigdh and Madhur Gunatmak diet is important as well as Panchakarma chikitsa like Shirodhara, Abhyanga act on nervous system and help to relax mind by secreting serotonin dopamine as well as Adravya chikitsa said in Ayurvedic Granthas like use of fresh cloths, residing in beautiful place listening silent music play important role in Nidranash.Yoga Pranayama is one of the most important and effective management for Nidranasha it causes both mental and emotional relaxation it remove stress, pain, emotional blockage and even bad habits. So Ayurvedic management is more better than modern medicine. REFERENCES ΛΛΛΛ 1)Acharya Agnivesh Charak Samhita vol 1 Sutrastan 11/35 page 234 Edited with Charak Chandrika Hindi commentary by Kaviraj 2).Acharya Agnivesh Charak Samhita vol 1 Sutrastan 7/23 page 171 Edited with Charak Chandrika Hindi commentary by Kaviraj 3).Acharya Agnivesh Charak Samhita vol 1 Sutrastan 21/36 page 406 Edited with Charak Chandrika Hindi commentary by Kaviraj 4).Acharya Agnivesh Charak Samhita vol 1 Sutrastan 7/4 page 163 Edited with Charak Chandrika Hindi commentary by Kaviraj 5).Acharya Agnivesh Charak Samhita vol 1 Sutrastan 21/52 page 409 Edited with Charak Chandrika Hindi commentary by Kaviraj 6).Acharya Y.T Sushruta Samhita 4/45 page 359 with Nibhandsangraha Commentary of Dalhanacharya Varanasi.Chaukhambha Sanskrit Sansthan AAMJ / Vol. 4 / Issue 3 / May June

5 7).Insomnia (Anidra) causes symptoms and management in Ayurveda by Dr premray chaudhary and Dr pallavi Singh 8).Nidranash(Insomnia) causes consequence and management an Ayurvedic perspective by Nirgadra 9).Insomnia (Anidra) causes symptoms and management in Ayurveda by Dr premray chaudhary and Dr pallavi Singh 10).A case study Insomnia by Kalpana v.satpute 11).Acharya Agnivesh Charak Samhita vol 1 Sutrastan 21/53,54 page 409 Edited with Charak Chandrika Hindi commentary by Kaviraj Ambikadata Shastri, Chaukhamba Surbharti prakashan Varansi Source of Support: Nil. Conflict of Interest: None declared How to cite this article: Zile KC et.al: Ayurvedic Management of Nidranasha. AAMJ 2018; 3: ΛΛΛΛ AAMJ / Vol. 4 / Issue 3 / May June