Background: Anidra (Insomnia) is a common psychosomatic disorder characterized by difficulty in sleep initiation, maintenance, and impaired daytime functioning. Non-pharmacological interventions focusing on autonomic regulation and mental relaxation are increasingly being explored for its management. Objectives: To evaluate and compare the therapeutic efficacy of Bhramari Pranayama, Shiroabhyanga, and their combined application in the management of Anidra. Materials and Methods: Ninety patients diagnosed with Anidra were randomly divided into three equal groups. Group A received Bhramari Pranayama, Group B underwent Shiroabhyanga, and Group C received combined therapy. Subjective sleep parameters were assessed before and after intervention using the Athens Insomnia Scale. Statistical analysis was performed to evaluate intra-group and inter-group outcomes. Results: All three groups showed statistically significant improvement in sleep-related parameters. Group A demonstrated marked improvement in sleep induction and reduction in nocturnal awakenings, while Group B showed better improvement in sleep maintenance and early morning awakening. Group C exhibited consistently superior outcomes across all parameters, with percentage relief ranging from 62.19% to 70.55% and uniformly high statistical significance. Conclusion: Bhramari Pranayama and Shiroabhyanga are effective individual therapies for the management of Anidra; however, their combined use provides a synergistic and more comprehensive therapeutic benefit, improving both nocturnal sleep quality and daytime functioning.
Dr. Ravindra Kumar Bhargawa*1, Dr. Purushottam Das Sharma2, Dr. Deepa3 (Sun,) studied this question.
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