Dr. K.C. Thriveni,BAMS
AYURVEDA AND INSOMIA
As an irish provobe says:”A good laugh and sleep are best cures in the doctor’ book.”A restless mind is never a happy place.They will hardly ever adorn a smile on their faces and become rather grim and glum personalities.Lack of sleep causes mental fatigue which does not let them concerntrate on what they practically become unwilling persons.
Sleeo is a natural periodic state of rest for the mind and body’in which the eyes usually close and consciousness is completely or partially lost,so that there is a decrease in bodily movement and responsiveness to external stimuli.During sleep the brain in humans and other mammals undergoes a characteristic cycle of brainwave activity that includes intervals of dreaming.
Almost everyone has occasional sleepless nights.Most individuals just experience a night or two of poor sleep,but sometimes the sleep disturbance can last for weeks,months, oreven yerars.Insomniacs typically complain pf being unable to close their eyes or”rest their mind” for morethan a few minutes at a time.Insomnia can occur in people of all ages.Insomnia is most common among women and older adults.
An estimated 30%-50% of the general populations are affected by insomnia,and 10% hane chronic insomnia.
Stages of Sleep:
Usually sleepers pass through five stages:1,2,3,4 and REM (rapid eye movement)sleep.These stages progess cyclically from 1 through REM then begin again with stage1.A complete sleep cycle takes an average of 90 to 110 minutes.The first sleep cycles each night have relatively short REm sleeps and long periods of deep sleep but later in the night,REM periods lengthen and deep sleep time decreases.
Stage 1- is light sleep where you dift in and out of sleep and can be awakened easily.In this stage the eyes moves slowely and muscle activity slows.During this stage, many people experience sudden muscle contractions preceded by a sensation of falling.
Stage 2 -eye movement stops and brain waves become slower with only an occasional burst of rapid brain waves.
Stage 3 –When a person enters stage 3, extremely slow brain waves called delta waves are smaller, faster waves.
In Stage 4, the brain produces delta waves almost exclusively.Stages 3 and 4 are referred to as Deep sleep, and it is very difficult to wake someone from them.In deep sleep,there is no eye movement pr muscle activity.
In the REM period ,breathing becomes more rapid.irregular and shallow,eyes jerk rapidly and limb muscles are temporarily paralyzed.Brain waves during this stage increase to levels expience when a person is awake.Also,heart rate increases,blood pressure rises,males develop erections and body loses some of the aility to regulate its temperature.This is the time when most dreams occur, and if awoken during REm sleep, a person can remember the dreams.Most people experience three to five intervals of REM sleep eachnight.
Causes: About half of all insomnia cases are caused by psychological or emotional problems such as Stress,Anxiety,Depression,Pain,Again and changes in sleep patterns(insomnia occurs more frequently in those over age 60),Caffeine,Irregular Schedule of sleep such as sleeping during day time & working during nights.
Prescription drugs include some antidepressant,high blood pressure and corticosteroid mrdications, can interfere with sleep.Many over-the-counter(OTC)medications, including some pain medication combinations,decongestants and weight-loss products,contain caffeine and other stimulants.
Doctors generally recommend using sleepjng pills for no more than four weeks, or until you notice benefits from self-help measures.If you need sleep medications for longer,take them no more than two to four tomes a week,so they don’t become habit-forming.Sleeping pills often become less effective over times.
Short term insomnia can be linked to events and factors that are often temporary, such as adjustment sleep disorder,jet lag,working the night shift or long shifts medications, overuse of caffeine and alcohol,environmental noise, extreme temperatures or a change in a person’s surrounding environmemt.
Apart from that, lack of a good night’s sleep can create psychological problems.Another factor which can cause insomnia is decrease as the person grows older.This is a hormone that helps control sleep.By the time a person reaches the age of 60, the body produces very little melatonin.
Complications:
*Increased risks for depression.
*Impaired concentration,slowed reaction time andpoorer work performance
*Impatience $ irritable
*Higher incidence of accidents
*Insomnia can lead to severe fatigue, anxiety, depression and lack of concentration.
*Chronic insomnia more likely can develop psychiatric problems such as depression and anxiety disorders.
*Long-term sleep deprivation may increase the severity of the chronic diseases, such as high blood pressure and diabetes.
*Insufficient sleep can also lead to serious or even fatal accidents.Accordingly to the National Highway Traffic Safety Administration, more than 100,000 crashes each year are due to drivers falling asleep at the wheel.
Treatment
Commonly doctors recommend sleeping pills to promote relaxation or sleep but,avoid prescribing it for the long term because they may cause side effects.In addition,sleeping pills can become less effective after a while.
In Ayurveda Charakha explains that happiness, sadness,nourishment, emaciation, strength, strength-lessness, libido or infertility, concioussness or insanity, all depends on sleep itself.
Therefore sleep is a very important component for existence.
*Frequent oil massage(full body)using medicated oils as Mahabhringaraj taila etc followedby warm water bath may relax the mental state.
*Medication such as ashwagandha ksherapaka, brahmi ghruta etc help to combat the stress.
*Avoid sleep during day time as it makes harder to fall asleep at night.
*Avoid or limit your use of caffeine(coffee, tea, sodas chocolate),decongestants, alcohol and tobacco, instead drink milk.
*Avoid drinking alcohol and smoking as these are also stimulants.
*In chronic insomnia patients panchakarma treatment such as-virechana followed by application of oil on head are found very effective.
Daily application of oil on head relieves headache, balding or graying of hair, makes the roots strong thick & dark,Oiling head strengthens the nerves in head, sharpens the sense organs, improves the scalp & enchaces good sleep.
Shiro abhyanga:
Soothing or relaxing Massage of the head, neck & shoulder for 15 minutes using warm herbal oils is called shiro abhyanga.
Massage is very helpful for the whole body as it relieves stress and improves blood circulation.Body massage is a great way to heal the body.There are different tyoes of massages and the most preferred one is oil massage.
Oil massage is the best way of relaxation for the whole body.There are different types of oils used for massaging the body.each oil has its own properties to heal, relax. And strengthen the body and immune system.
Massage techniques have been practiced for thousands of years in many cultures.There are references to massage in ancient records of Chinese, Japanese,Arabic Egyptian,Indian,Greek and Roman nations.
People were also using abhyanga as a way to iprove well-being, help with relaxation, relieve stress relief, and enhance sleep and quality-of-life.
Practitioners may use their hands, forearms, elbows, or feet with oils to improve the smoothness of massage strokes. Touch is central to Massage. It allows therapists to locate painful or tense areas, to determine how much pressure to apply, and to establish a therapeutic relationship with clients.
In a proactive role, Massage treatments are performed on regular basis to help the body and mind maintain an optimal leval of relaxation and stress-relief.Massage therapy also reduces the chancesof migraine attacks and tension headaches significantly by relaxing muscle spasms and trigger points.Massage also switches the nervous system from the sympathetic (fight or flight) mode to the parasympathetic (rest and digest).This change enables the recipient to sleep uninterrupted and wake uo refreshed and rested.Massage is performed to ease the pressure brought on during a migraine or tension related headache.By focusing on the neck,shoulders, and head, massage can decrease the pain and discomfort brought on by migraine or stress.
A recent study showed that massage therapy recipients exhibited fewer migraines and better sleep quality during the weeks they received massage, and the three weeks following, that did participants that did not receive massage therapy.Another study found that in adults with migraine headaches massage theraphy decreased the occurrences of headaches, sleep disturbances and distress symptoms. It also increased serotonin levels, believed to play an important role in the regulation of mood, sleep and appetite.
Shirovasti:
This is the most important of all external use of Snehana(oil application).Certain lukewarm Ayurvedic/herbal oils are poured into a cap fit on the head for 15 to 60 minutes per day according to the patient’s conditions for a period of 7 days.
Shirovasti is considered more of a palliative (Shamana)treatment of of ayurveda than an eliminative (Shodhana) one.As usual the treatment is preceded by oleation and sudation.
A leather sleeve about six to eight inches high is placed on shaven head of the patient and band (Vasti) tied around the forehead to secure it in place.The inside bottom edge of this sleeve is lined tight with kneaded dough to prevent leakage.Mediacated oil is then poured into the sleeve and allowed to remain for a while.The oils commonly used are Ksheerabala or Dhanwantaram.The length of the time for the oil to be kept on the head is determined by the severity of the illness.Usually it is upto fifty minutes for diseases caused by severs Vata disorders.
Shirovasti is found very effective in diseases like facial paralysis,insomnia and disorders of the cranial nerves.
It is believed that the warm oil when retained in this manner actually clears the blockage of blood vessels (if any) & also relaxes the muscles.
Shiro dhara:
Dhara is a method of pouring warm herbal oil/herbal decoctions/medicated milk/ buttermilk in a thin & slow continuous stream into the forehead for about 45 to 50 minutes.This procedure pften induces a mental state similar to a trance, which creates profound relaxation of the mind and body.It deeply relaxes and revitalizes the central nervous system.Shirodhara gives the best results when taken after an Abhyangam.Dhara is good for all ailments.Selection of the liquid used is done on the base of the status of the Dosha,Body constitution(prakruti) & the disease condition wirh necessary alterations in the procedure.
Shirodhara has been used to treat variety of conditions including eye diseases, sinusitis,allergic rhinitis,graying of hair, neurological disorders, memory loss, insomnia, hearing impairment, tinnitus , vertigo, and certain types of skin diseses like psoeiasis.It is also used non-medicinally for its relaxing properties.
Recent research studies have shown that Shiro dhara results in Vaso Dilation(dilation of blood vessels) in the brain enabling increased supply of oxygen to the blood cells.
Researchers have conducted two human clinical trials on the psycgoneuroimmunologic effects of shiro dhara.In the first study a group of healthy females were randomly assigned to receive a shiro dhara treatment (with plain sesame oil) or remain in a supine position(control group), while being monitored for numerous physiologic, biochemical,parameters.The second study had a similar design, with the addition of the third group that received shiro dhara with a medicated sesame oil containing essential oil of lavender.Both shiro dhara treatments resulted in decreased anxiety and promoted ASC(altered state of consciousness).After the plain sesame oil treatment there was a significant decrease in plasma noradrenaline and urinary serotonin excretion vs. the control group.Significant Anxiolytic effect within the shiro dhara group was also obsereved.
Takra dhara:
Takra means buttermilk and Dhara milk means pouring.This therapy calms the individual down by using medicated buttermilk, which is poured onto the forehead to relieve insomnia, depression and stress related problems.
Paada abhyanga
(foot massage):
Massage theraphy is known method to reduce stress and tension, but can it really help you sleep better?The research shows that Massage theraphy can help you sleep.
All of us have autonomic nervous system comprised of two parts:the parasympathetic and sympathetic.The parasympathetic balances the sympathetic.When you have a massage, the parasympathetic is activated and thus allows your body to relax.When you are stressed, the sympathetic is activated and you will feel the urge to fight or flight.So if stress and tension are the reasons why you are not sleeping very well, you might be relieved to know that benefits of Massage theraphy is improved sleep patterns.Some people even fall asleep whle having a professional Massage.
In one of the study aimed to investigate the effect of foot Massage on sleep, vital signs and fatigue in the elderly who live in their Home.Tried foot massage theraphy on 20 elderly who live in the Seoul-Kyunggi province area.
Change of sleep and sleep satisfaction, vital signs(pulse, respiration, systolic and diasystolic blood pressure) and general fatigue between pre and post foot massage were analyzed using Paired t-test at 0.05 of the significance level.There were very significant difference in the sleep and fatigue between pre and post foot Massage.
Authentic Thai Foot Massage originated in the Thailand about 2000 years ago & is a Massage of the lower legs,feet and hands.It is practiced as a routine & a common procedure there.
The theraphy involves gentle the manipulation and Massage of the hands, legs and feet.This is believed to open energy lines stimulating reflex points on the feet which correspond to the internal organs of the body.
A truly relaxing experience as the toes, feet ankles & lower legs are manipulated, stretched & loosened.
Thai Foot Massage benefiys:
Improve circulation
Improve flexibility
Improve sleep patterns
Reduce stiffness in joints
Reduces stress
Stimulate the mind.