Nidra (Sleep) #Ayurveda

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Next topic for discussion: Nidra (Sleep) #Ayurveda

Vd. Pankaj Chhayani: There are different theories of Physiology of sleep.

In brain stem, ascending and descending fibres cross to each other and makes Reticular formation (RAS- Reticular activating system). RAS acts like switch for Cerebral cortex(and ultimately consciousness).  When RAS is activated, person switch on  from sleep to awakening state.  According to modern science, RAS gets exhausted  at the end of day and Person feels sleepy. Ayurveda describes Nidra almost same way-" When the mind including sensory and motor organs is exhausted and they dissociate themselves from their objects, then the individual sleeps".

Charaka and Susruta have given five etiological factors of Anidra. 1)CHARAKA:-  Karya, Kala, Vikara, Prakruti and Vayu.   2) SUSRUTA:- Vayu, pita, Kshaya, Manastapa, Abhighata.

Nidra is essential parameter to assess Dhatusamya/Dhatuvaishamya.

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Vd. Dhruti Kagrana:  Nindra is one of the life maintaining factors and if not used properly several fatal diseases may produce. But if it is practiced according to prescribed regiment it provides ‘sukh’ which is considered as arogya (disease free state) in ayurvedic classics. Nidra has been considered as brihana factors (nourishing factors) in routine life means it promotes health by nourishing dhatus and increasing kapha which is responsible for the strength and immunity of thebody as well as mind. Increased kapha promotes physical health and immunity are promoted by sthirita(stability), snigdhata(unuctousness) and guruta(heaviness) while mental health and immunity are promoted by kshama(forgiveness), dhrit(steadiness) and Alobha (contentment), which are the functions of kapha in normal state on the other hand, nidra also promotes health by increasing shukra dhatu, essence of the body and the same affects as like kapha.

PHYSIOLOGY OF NIDRA:

According to acharya Caraka, when the mana including indriyas is exhausted and thus they dissociate

themselves from their objects, the individual sleeps.When the mana (as well as the soul) gets exhaused or

becomes inactive and the gyanendriyas and karmendriyas become inactive then the individual gets sleep.

Acharya Susruta said qbout the physiology of nidra that hridaya is the seat of chetna in living being. When

this is invaded by tamo guna, persons are subjected to nidra. Tamoguna is the cause of sleep and satva guna

is the cause of awakening but overall, nature itself is more dominant cause.

TYPES OF NIDRA:

*Aacharya Charaka*

Tamobhava, Slesmasamudbhava, Manah-sarir srama saambha, Agantuki, Vyadhi-anuvartini, Ratri-swabhava prabhava

SwabhavikI & Vaikariki

*Aacharya Vagbhat*

Kalaswabhawaj, Amayaja, Manah-sarir srama saambha, Shleshmaprabhavaj, Agantuka, Tamobhava

According to Caraka, sukha, dukha, pusti, karshya, bala, abala, vrushata, klibata, gnyanam, agnyana (ignorance), jivana and death all these occure depending on the proper or improper nidra.

According to acharya Bhavamishra nidra is best for alleviating pitta dosha.

Acharya Kashyapa has accepted that comfortable nidra is essential for milk production in mother

Aacharya also mentioned nidra in Adharniya vega

*NIDRA AS A THERAPY*

Charakacharya has described nidra in Astauninditiyadhya where eight types of undesirable constitutions from the treatment point of view are mentioned. Among them Atisthaulya And Atikrisha are especially undesirable constitutions because they are always suffer with any disease.He has said that atisthula and atikrisha purusa are to be treated by karshana and bringhana therapies respectively. Nidra is included under brihana factors. That is why nidra is described here as a therapy in the *management of karshya.*

Ayulink Ayurveda: Usually we discuss about anidra, but atinidra is also a condition to focus. Atinidra can be a symptom of aama condition.

50010: Atinidra as a clinical feature seen in some diseases according to Charaka and Susruta

Atinidra as a clinical features seen in some diseases :

Unmad

Ch/Chi/9/19

Kaphaja shoth

Ch/Chi/12/14

Kaphaja Atisar

Ch/Chi/19/7

Kaphaja Visarpa

Ch/Chi/21/34

Kaphaja Pittaja Visarpa

Ch/Chi/21/38

Kaphaja Vataja Visarpa

Ch/Chi/21/39

Prabhav of jangam Visa

Ch/Chi/23/15

Dhwansak Roga Lakshana

Ch/Chi/24/201

Kaphaja Ksheer Dosa

Ch/Chi/30/247

Purvarupa of Arsha

Su/Ni/2/9

Upadrava of Prameha

Su/Ni/6/15

Madhumeha

Su/Ni/6/28

Urusthambha

(Su/Chi/5/31,32)

Galasundika

(Su/Chi/22/51)

Kaphaja Jwara

Su/Ut/39/33

Sanyas Sannipat Jwara

Su/Ut/39/42

Vata Sleshma Jwara

Su/Ut/39/48

Adhik Langhan Upadrava

Su/Ut/39/106

Sleshma Atisara

Su/Ut/40/12

Purvarupa of Rajayakshma

Su/Ut/41/11

Kaphaja Trishna Lakshana

Su/Ut/48/10

Sleshma Apasmar Lakshana

Su/Ut/61/14

Unmad

Su/Ut/62/6

Kaphaja Unmad Lakshana

Su/Ut/62/10

Ayulink Ayurveda: Here in Europe due to addiction, people sleep for long time

Do we have any specific herb or formula which produces sleep? I mean dependable medicine to prescribe in patient?

Dr. Savad Kerala: Aswagandarishta

Dr. Vikas Sharma: Dhatura Parsik yvani

Zarana Doshi: Is it usefull ? Brahmi ?

Ayulink Ayurveda: practically I have not seen extra ordinary results from any asav arishta. On the contrary some times in makes mind more active

sarpagandha is more common, but it has side effects and educated patients refer google for it and denies

plus sarpagandha can affect BP too.

Dr. Savad Kerala: Aswaganda arishta form is the problem since it is little ushna aswa ganda gritha form or leha form will be good

 Dr.Pratibha Knere: Saraswatarista....gives good results

Tab arjin.... Tab mentat Also gives good results. Sarpagabdha gives hypotension.n patients complaints  gidiness n headache sometimes without  hypotension

72927: Pada abhyanga With til tail

Dr. Dayanand Bothre: I used Saraswatarishta for Anidra

One of my patient taking tab escitalopram 5 mg 2 tablet and tab lorazeram MD 2 mg at night for sleep since 6 months after she came to me I advice her saraswatrishta and tapyadi loha and lakshmi vilas ras with proper guidance and 10 days after she got better sleep without allopathy medicine.

She stopped allopathy medicine by herself only after getting good sleep

I think overthinking of anything disturb the sleep if we can stop this overthinking by proper guidance and bruhan karma of हिन मनोबल and हृदय दौर्बल्य by medicine

Dr. Uday H. Hanagal: Abhyangam Aacharet nityam      sajaraashrama  vaataha swapna  sutvak       dhaardyakrut       drustiprasaada      pustyaauhu         Astanga     Hrudaya    Sutrasthaana      2nd    chapter       dinacharya      adhyaaya In       this       sloka     we      see       somany       health  benefits        of      Abhyanga    ,      Good      sleep     (  swapna  )     is    also     one    of      these

Dr. Misbah suhana: Saraswata arishta with bhrami vati frm Himalaya also gives good results in anudra

Dr. Uday H. Hanagal: Astaanga      Hrudaya      Sutrasthaana     Doshaadi      Vijnyaaneya      Adhyaaya    ,    Vaata    Vruddhi     Sloka    --      Nidraabhramsha      lakshana   ,     Pitta       Vruddhi     sloka    --      Alpanidrataa      lakshana    ,       Kapha       Vruddhi     --      Atinidrataa      lakshana

Vd. Pritam Bharat Veer: JataMansi fant, Brahmi vati, Khaskhas , Buffalo milk Nidrakar

Liq. Prasham Manas mitra vatkam also good. Nidra is mannas bhav.

2168: Caraka su.21.52-54 describes methods to induce sleep.

Branko Markovic: From western herb combination which are working very good: lavender, rosemary, valeriana, vacha, melissa officinalis. Mixed all together and drank as a tea 1 h before sleep. Also, Ashwagandha is working in most cases but dose should be high like 5-9 capsules before bed. Pranayam and meditation before sleep should be established, also walking in nature or doing sport.

Dr. Jyoti Ashok: Drakshadi quata induces  sleep

Ayulink Ayurveda: That's not known..Drakshadi kwath, is it available? Mostly we found drakshasav

Slovenia Anoop S.: drakshadi kashayam available with kerala based pharmacies...like santhigiri on anand nagar road Ahmedabad. Manasamitra vadakam from kerala based pharmacies also very effective..

Dr. Rajnikant Patel: Mahish kshera (Buffalo milk) is Nidrajanan as explained in Agreya dravya in charaka sutra sthana...

All medicine with anupana as buffalo milk works good..

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Compiled by - Dr. Dhruti Kagrana