ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
NIDRA (SLEEP) BY DR SUJIT KUMAR MD
1. A COMPARATIVE STUDY OF GOKSHEERA AND
MAHISHAKSHEERA W.S.R. TO QUALITY OF SLEEP
AN OBSERVATIONAL STUDY
GUIDE:-
DR.VAIDEHI V. RAOLE
H.O.D. & PROF.
DEPARTMENT OF
KRIYA SHARIRA
PRESENTED BY:-
DR. SUJIT KUMAR
1st YEAR PG SCHOLAR
DEPARTMENT OF
KRIYA SHARIRA
DEPARTMENT OF KRIYA SHARIRA
PARUL INSTITUTE OF AYURVED,
PARUL UNIVERSITY,
VADODARA
2017-2018
2. INTRODUCTION
Sleep is important for normal physiology to provide
rest and relaxation to the body, mind and senses
which get tired and exhausted due to the wear and
tear process occurring in due course of daily
schedules.
Hence the Nidra is considered as one of the essential
component of life.
In all Samhitas Ahara, Nidra and Brahmacharya are
given prime importance under the name of
“Trayopastambha” the sub pillars of life15.
3. CONTI....
The strength complexion and compactness of the
individual body depends on these three factors.
Acharya Sushruta says that “Nidra is a state of a
human body when the sense organs (Indriyas)
disconnect themselves from their objects of
grasping (Vishaya), and enters into a state of
trans”.16
Acharya Vagbhata says that Nidra is caused by
Tama Guna due to Avarana of Kapha and is
composed of Tama Guna as well and generally
occurs in night.17.
4. ¤É™üɤəü¨ÉÂ*
´ÉÞ¹ÉiÉÉKúÒ¤ÉiÉÉYÉÉxɨÉYÉÉxÉÆVÉÒÊ´ÉiÉÆxÉSÉ
**36** (A.SU.S.21/36)
Acharya Vagbhata quoted that When Nidra taken
properly in terms of quality bestows Sukha(Pleasure),
Dukha(Sadness), Pushti(Nourishment and growth),
Karsya(Thinness) Bala(Strength and immunity),
Vrushhata(Potency and SexualVigor), Kleebta(infertility
or impotency), Gyanam (Knowledge and intellect),
Agyanam(illiteracy) and Jeevitam(Good life span or
longevity of life) .
5. CONTI....
In Modern Sciences, Adequate amount i.e.7 to 8
hrs of Good quality of sleep are basic Human needs.
Sleep wake Circadian Rhythms are regulated by a
pacemaker in brain and controlled by some external
factors including light, temperature, and social
interactions.12,13
In addition, Pattern of Sleep and Wakefulness have
many variations in different subjects in terms of
Age, Physiologic and Psychological characteristics.
14
6. KSHEERA (MILK)
Milk is beneficial for all the living beings because
of Jatisatmyata.
Milk is having many qualities like Balya, Vrushya,
Medhya, Rasayana, Ojovardhana etc.
Mahishaksheera is beneficial for those who are
having trouble sleeping. It is also Gurutara than
cow’s milk30.
7. CONTI….
Ashtanga Sangraha also shares the same opinion31.
Thus, Mahishaksheera is Gurutara, Mahasnigdha
and beneficial for those having difficulty in getting
sleep.32
8. NEED OF THE STUDY:-
Ahara, Nidra and Brahmacharya is the three main
pillars of our ayurvedic literature and Nidra is one
of them, the quality of sleep gets very effective
results with the help of Ksheerapana as explained
by Acharyas.
Now a days People are busy in there daily stressful
Schedule. So because of that they do not get a
proper Quality of Sleep.
This concept pay my attention to do a comparative
study on the Goksheera and Mahishaksheera for the
quality of sleep in Healthy Volunteers at present Era
9. REVIEW OF LITERATURE:-
ETYMOLOGICAL DERIVATION OF NIDRA:-
The word Nidra is feminine, formed by the prefix
ni+dra+rak+ta.
This is a state of nature which causes encapsulation
to the consciousness of a person 35.
10. DEFINITION OF NIDRA:-
Sleep is the mental operation having the absence of
cognition for its grasp. Acharyas Vyas while
commenting Patanjali Yoga Darshana made a
statement as - “sleep is a state of unconsciousness,
but the consciousness remains about his own
unconsciousness 36.
11. CLASSIFICATION OF NIDRA 37
Charak, classifies the sleep condition into seven
folds.
Sushruta, described only three types of Nidra.
Ashtanga Sangraha, Vagbhata, followed the
Charak's view with a slight change in the names.
He also mentioned seven types.
Ashtanga Hridaya,40 Vagbhata, considered only
four types of Nidra and included the all seven types
in this.
12. QUALITIES OF GOKSHEERA:-
+jÉMÉ´ªÉÆ iÉÖVÉÒ´ÉxÉÒªÉÆ®ºÉɪÉxɨÉÂ**21**
IÉiÉIÉÒhÉʽýiÉƨÉävªÉÆ ¤É±ªÉÆ ºiÉxªÉEú®Æ
ºÉ®¨ÉÂ*
¸É¨É§É¨É¨ÉnüÉ™üI¨ÉÒ·ÉɺÉEúɺÉÉÊiÉiÉÞ]ÂüIÉÖvÉ&*
*22**
VÉÒhÉÇV´É®Æ¨ÉÚjÉEÞúSUÅÆü®HúÊ{ÉkÉÆ SÉ
xÉɶɪÉäiÉÂ*(Ash.su.5/21,22)
13. CONTI….
Milk of cow is enlivening, is wholesome for
persons suffering from consumption, debility( or
weakened by injury to chest), improves intellect,
strength and breast milk, helps in excretion of
faeces. It also cures fatigue, giddiness,
intoxication, inauspiciousness, dyspnoea, cough,
excessive thirst, appetite, chronic fever, dysuria
and haemorrhagic disorders.
15. PREVIOUS RESEARCH WORK:-
Parashuram Turbeen- A study own Nidra w.s.r to
MahishaKsheerapana in the management of NidraNasha
,RGUHS,Bangalore (2010).
Dr. Arpana Shetty- Study on the pattern of Nidra in dehaprakruti
, M.D. (ayu) Scholar, department of P.G studies in Samhita,
S.D.M. HASSAN (2010).
Dipaka Cladius- Anidra in AyurvedeeyaYoga
Jatamansyadikvathaka Prayogika Adhyayana. Raipur, 1988.
Butte C – Nidra-Nashavar Shiro-BastichuPrayogika
Adhyayana.Nagpur 1990.
Gadei A K - A clinical study on Nidra-Nashavis-a-visinsommia
and its management with drug Sunishannaka (Marysileaminuta
Linn.).Puri 1995.
16. SahooSrinibash - A comparative study on the effect of
Jala-Dhara and Taila-Dhara on Nidra-Nasha (primary
insomnia). Hassan 2001.
Jyothilakshmi – The effect of Shiro-Basti in the
management of Nidra-Nasha w.s.r. to primary insomnia –
An observational study Mysore 2001.
ParidaPragyana - A clinical study on Nidra-Nasha
(insomnia) and its management with Nidra-Nasha Yoga
and Shiro-Dhara. Puri 2002.
Kshirsagar S G - Use of Rasa-Gandha on Nidra-Nasha.
Ahmednagar Pune 1991.
17. MATERIALAND METHODS:-
Sources of Data:-
Literary Source – All available literature on Nidra
and Ksheera (Goksheera and Mahishaksheera),
physiology of sleep, quality of Sleep and its applied
aspects will be reviewed from Classical and Modern
literature including Classical texts books of
Ayurveda, Published articles in reputed journals and
from various media including internet.
Clinical Source – Healthy Volunteers will be
selected for the study.
18. STATISTICAL ANALYSIS:-
On the basis of Observational data will be
analyzed pre and post-test using appropriate
non parametric statistical tests.
19. ETHICAL CLEARANCE:-
An Informed Written Consent will be obtained by
each subject participating in the study. Ethical
Clearance will be obtained From the Institutional
Ethical Committee prior to the Recruitment of
Participants in to the Study.
21. REFERENCES:-
1. Agnivesha, CharakaSamhita, ChakrapaniTeeka, 4th edition, Varanasi, Chaukhamba
Sanskrit Samsthana, 1994 Sutra sthana 11/35.
2. Vagbhata, AshtangaHridaya with Sarvangasundara and Ayurveda RasayanaTeeka,
Varanasi, Chaukhamba Surabharati Prakashana, 2002, Sutra sthana 8/43.
3. NamboodriVMD, Concise textbook of psychiatry.2 ndedition .New delhi; Elsevier.
4. Kristen LK.Does inadequate sleep play a role in vulnerability to obesity ? The
American Journal of human biology ,Wiley Blackwell 2012 ;24(3);361-371.
5. Agnivesha, CharakaSamhita, ChakrapaniTeeka, 4th edition, Varanasi, Chaukhamba
Sanskrit Samsthana, 1994 Sutra Sthana 7/23.
6. Vagbhata, AshtangaHridaya with Sarvangasundara and Ayurveda RasayanaTeeka,
Varanasi, ChaukhambaSurabharatiPrakashana, 2002, Sutra Sthana 7/65.
7. Agnivesha, CharakaSamhita, ChakrapaniTeeka, 4th edition, Varanasi, Chaukhamba
Sanskrit Samsthana, 1994 Sutra Sthana 21/36-58.
8.Srikantamurthi.ashtangasangraha,5th edition, Varanasi, Chaukhamba Sanskrit
Samsthana,sutrastana 19/38-68.
22. REFERENCES:-
9. Agnivesha, CharakaSamhita, ChakrapaniTeeka, 4th edition, Varanasi, Chaukhamba Sanskrit
Samsthana, 1994 Sutra sthana 7/53-65.
10. Dalhanascommentary,P V Sharma.susruthaSamhita ,nidanastana 4/32-57.
11. Buysse DJ et.al, The Pittsburgh sleep quality index: a new instrument for Psychitric
practice and research, Psychiatry research, 28,113-213.
12.Dewald JF, Meijer AM, Oort FJ, Kerkhof GA, Bogels SM. The influence of sleep quality,
sleep duration and sleepiness on school performance in children and adolescents: A meta-
analytic review. Sleep Medicine Reviews 2010; 14 (3): 179-89. doi :
10.1016/j.smrv.2009.10.004.
13. Vidyashree HM, Patil PP, Moodnur V, Singh D. Evaluation and comparison of sleep
quality among medical and yogic students- A questionnaire based study. National Journal of
Physiology, Pharmacy and Pharmacology 2013; 3 (1): 71-4. doi: 10.5455/njppp.2013.3.71-74.
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psychological correlates among university students in Ethiopia: a crosssectional study. BMC
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15. Acharya Y.T editor. Caraka Samhita.Varanasi: Chowkamba samskrutha samathana; ed 4th
1994. p74.