Published Paper Details:

Objective: Insomnia (Anidra) significantly impairs quality of life, and conventional treatments with sedatives and hypnotics often lead to adverse effects. This review examines the efficacy of holistic alternatives--specifically, Ayurveda and Yoga therapies--utilizing Dincharya procedures (Shiroabhyanga, Padabhyanga, Karnabhyanga, Nasya) and yoga practices for managing insomnia. Data Source: The review analyzed clinical trials, case studies, and review articles obtained from reputable databases including Google Scholar, PubMed, Shodhganga, and Dhara Portal. Studies published between 2014 and 2024 were considered, with eligible reports limited to English-language publications. Review Methods: Fourteen studies were critically appraised, including 9 randomized controlled trials, 3 review articles, and 2 case reports. Inclusion criteria targeted studies involving participants aged 18 to 95 years, with some focusing on elderly populations. The appraisal employed criteria such as study design, sample size, outcome measures (including the Pittsburgh Sleep Quality Index, Insomnia Severity Index, and serum cortisol levels), and risk of bias, with the majority adhering to PRISMA guidelines. Conclusion: Findings indicate that interventions such as Nasya, Shiroabhyanga, Padabhyanga, Karnabhyanga, and Pranayama significantly enhance sleep quality, reduce stress, and improve overall well-being--with combined interventions showing superior outcomes compared to single therapies (e.g., Bhramari Pranayama achieved a 17.9% reduction in serum cortisol). However, heterogeneity among interventions, small sample sizes, and methodological limitations restrict the generalizability of these results, underscoring the need for further large-scale trials.