Changes

== Management of sleep disorders ==

== Management of sleep disorders ==

Insomnia and hypersomnolence are managed by different therapeutic modalities.

Insomnia and hypersomnolence are managed by different therapeutic modalities.

=== Measures to improve sleep in insomnia ===

=== Measures to improve sleep in insomnia ===

Diet promoting sleep:  

'''Diet promoting sleep:'''

• Meat soup of domestic, marshy and aquatic animals, burrow dwelling animals and gallinaceous birds

 

• Rice with curd, milk, and fatty substances

*Meat soup of domestic, marshy and aquatic animals, burrow dwelling animals and gallinaceous birds

• “Shali” type of rice, wheat, food made of grain flour processed with sugarcane products  

 

• Alcoholic beverages (madya)

*Rice with curd, milk, and fatty substances

• Sweet and unctuous substances with milk and meat soup

 

• Consumption of grapes, sugar and sugarcane during night

*“Shali” type of rice, wheat, food made of grain flour processed with sugarcane products  

Activities/procedures

 

• Massage (body kneading and rubbing)

*Alcoholic beverages (madya)

• Unction

 

• Bath

*Sweet and unctuous substances with milk and meat soup

• Oil application over head

 

• Instilling nourishing substances in eyes  

*Consumption of grapes, sugar and sugarcane during night

• Application of soothing paste overhead and face

 

Psychological measure

'''Activities/procedures'''

• Measures promoting pleasant state of mind

 

• pleasing smell or aroma  

*Massage (body kneading and rubbing)

• pleasing sound or soothing music  

 

• soft and well-spread bed  

*Unction

• cosy dwelling  

 

• proper sleeping time  

*Bath

 

*Oil application over head

 

*Instilling nourishing substances in eyes  

 

*Application of soothing paste overhead and face

 

'''Psychological measures'''

 

*Measures promoting pleasant state of mind

 

*pleasing smell or aroma  

 

*pleasing sound or soothing music  

 

*soft and well-spread bed  

 

*cosy dwelling  

 

*proper sleeping time  

[Cha. Sa. [[Sutra Sthana]] 21/52-54][Su.Sa.Sharira Sthana 4/43-46]

[Cha. Sa. [[Sutra Sthana]] 21/52-54][Su.Sa.Sharira Sthana 4/43-46]

===Measures to control excess sleep or hypersomnolence ===

===Measures to control excess sleep or hypersomnolence ===

• Therapeutic emesis ([[vamana]]) and other purification therapies ([[panchakarma]])

*Therapeutic emesis ([[vamana]]) and other purification therapies ([[panchakarma]])

• Fasting ([[langhana]])

 

• Blood-letting ([[rakta mokshana]])  

*Fasting ([[langhana]])

• Involvement in mental activities [Su. Sa. Sharira Sthana 4/47]  

 

*Blood-letting ([[rakta mokshana]])  

 

*Involvement in mental activities [Su. Sa. Sharira Sthana 4/47]  

===Night vigil as a therapeutic measure===

===Night vigil as a therapeutic measure===

Night vigil has therapeutic efficacy in treatment. It is indicated in conditions of aggravated [[kapha dosha]], fat ([[meda dhatu]]), poisoning (visha) [Su. Sa. Sharira Sthana 4/48] and throat ailments. [A. S. Sutra Sthana 9/29]

Night vigil has therapeutic efficacy in treatment. It is indicated in conditions of aggravated [[kapha dosha]], fat ([[meda dhatu]]), poisoning (visha) [Su. Sa. Sharira Sthana 4/48] and throat ailments. [A. S. Sutra Sthana 9/29]

== Current researches==

== Current researches==

In the conventional management of insomnia, non-benzodiazepine hypnotics are the first line pharmacotherapeutic agents, followed by benzodiazepines, amitriptyline and antihistamines.   

In the conventional management of insomnia, non-benzodiazepine hypnotics are the first line pharmacotherapeutic agents, followed by benzodiazepines, amitriptyline and antihistamines.