Ayurvedic Treatment for Insomnia

In Ayurveda, sleeplessness is called anidra or nidranasha. Sleep (nidra) is regarded as one of the three pillars of life, along with food and balanced living. Insomnia is usually linked with aggravated vata, sometimes with pitta. This is an interpretive framework and not a proven explanation.

How Ayurveda looks at it

• A regular daily routine, with fixed sleep and wake times
• Early, light dinner
• Calming practices before bed, such as a warm bath, oil massage of the feet (padabhyanga) or scalp, and quiet time
• Stress reduction and avoiding late-night stimulation

What practitioners may discuss

Herbs such as ashwagandha, brahmi, jatamansi and shankhpushpi are traditionally used for calm and sleep. Warm milk with spices is a common household practice.

What the evidence says

Some small studies suggest that ashwagandha may modestly improve sleep, but studies are limited and vary in quality. Evidence for other herbs is weak. CBT-I has stronger evidence.

Important cautions

• Ayurveda is an adjunct. See a doctor if insomnia lasts more than a few weeks or comes with low mood, sleep apnoea signs or daytime sleepiness while driving.
• Herbs can cause drowsiness and interact with sleeping pills, antidepressants, thyroid and blood sugar medicines. Ashwagandha may affect thyroid levels and is not advised in pregnancy.
• Do not combine herbal sedatives with alcohol.
• Avoid metal or mineral (rasa) preparations without qualified supervision.
• Do not give herbal sleep remedies to children or infants unless a paediatrician advises it.

Key point

Ayurvedic routines can support better sleep, alongside proper evaluation of any cause and CBT-I.

Before your appointment

Keep a sleep diary for 1 to 2 weeks, noting bedtime, wake time, night awakenings, naps, caffeine and alcohol. List all medicines, herbs and sleeping aids you take. Mention snoring, breathing pauses, leg discomfort, pain, low mood, anxiety and daytime sleepiness while driving. Ask about CBT-I, tests, medicine options and the warning signs that mean you should call 112 or Tele-MANAS at 14416.