Evaluating efficacy of lifestyle modification as per Dincharya and Ritucharya with Rasayana therapy in Improvement of Psychosomatic Disorder: Anidra w.s.r. to Insomnia

Abstract

Anidra (insomnia) arises due to derangement of Vata Dosha, often precipitated by improper diet and irregular lifestyle, affecting the Manovaha Srotas and disturbing mental equilibrium. Contemporary management of insomnia primarily offers symptomatic relief, whereas Ayurveda emphasizes correction of the underlying Dosha imbalance and restoration of psychosomatic harmony. A 32-year-old male presented with difficulty initiating sleep, frequent nocturnal awakenings, early morning awakening, daytime fatigue, irritability, and impaired concentration for six months. Baseline assessment showed a Pittsburgh Sleep Quality Index (PSQI) score of 17 and Sleep Quality Scale (SQS-28) score of 81, indicating severe insomnia. Ayurvedic evaluation revealed Vata Prakopa with Pitta Anubandha, Vishamagni, predominance of Rajasika Manasika Bhava, and Alpa Nidra. Management included regulated sleep–wake timing, Abhyanga, exercise, Pranayama, seasonal dietary regimen suitable for Varsha Ritu, and administration of Ashwagandha Churna (3 g with warm milk) and Brahmi Vati (250 mg twice daily) for eight weeks. By Day 56, PSQI reduced from 17 to 5 and SQS from 81 to 28, with improvement in sleep latency, duration, and efficiency. At Day 90 follow-up, PSQI further reduced to 3 and SQS to 7, demonstrating sustained benefit. The findings suggest that integrative application of Dincharya, Ritucharya, and Rasayana therapy effectively restores sleep architecture and psychosomatic balance in Anidra, supporting Ayurveda’s root-cause-oriented therapeutic approach.