A CASE REPORT ON THE AYURVEDA TREATMENT OF VAIKARIKA NIDRA W.S.R SOMNAMBULISM IN A 10-YEAR-OLD GIRL
Ayurveda treatment in a case of Nightwalking in a 10 year old girl.
Abstract
Introduction: Somnambulism is a behavioral disorder of sleep in which involuntary activities happen without the concern of that person. Abnormal sleep arising due to intake of vitiated Ahara vihara enforces disturbance of Tridosha and Triguna causing an imbalance in Mana. Main Clinical Findings: The present case reports a ten years old female child with sleep disturbance, sleep talking, sleep walking and other bizarre activities during sleep. Diagnosis: The condition was diagnosed as a type of Parasomnia called Somnambulism (Ayurvedic diagnosis- Vaikarika Nidra). Interventions: The case was managed with Medhya, Krimighna, and Agnideepan drugs, thorough counselling in various sittings was also carried out and fumigation with Rakshoghana drugs was advised throughout the treatment. Outcome: Significant result is observed with this treatment protocol in the management of Vaikarika Nidra. Conclusion: Medhya medications, along with Agnideepana, Krimighna, Shrotoshodhana, suitable counseling, and Dhoopan Karma, had resulted in reversing the inappropriate behavioral and thought process of the child. Encouraging results was observed in terms of enhanced sleep, and relief from the symptoms of sleep walking.
Keywords:
Parasomnia, Somnambulism, Behavioural disorder, Vaikarika Nidra
References
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14. Binu Alappat A, Kamdev Das, Arun Kumar Das, Roshy Joseph C. Ayurvedic review of Haratala (Arsenic trisulphide – As2 S3) and its therapeutic importance. Int J Res Altern Med. 2015;2(1):1-10. Available from: https://www.researchgate.net/publication/293518722[Last accessed on May 22 2024].
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18. Mahadev B, Ram GS, Chalapathi RS, Subhose V. Experimental evaluation of Yashtimadhu (liquorice) nootropic action. International Journal of AppliedResearch. 2016;2(6):674-678.Available from:https://www.allresearchjournal.com/archives/2016/vol2issue6/PartK/2-6-130-222.pdf.[Last accessed on Jan 08 2024].
19. Dhingra D, Goyal PK. Evidences for the Involvement of Monoaminergic and GABAergic Systems in Antidepressant-like Activity of Tinospora cordifolia in Mice. Indian J Pharm Sci. 2008;70(6):761-767. doi: https://10.4103/0250-474X.49118
20. Rawal, A.K., Muddeshwar, M.G. & Biswas, S.K. Rubia cordifolia, Fagoniacretica linn and Tinospora cordifolia exert neuroprotection by modulating the antioxidant system in rat hippocampal slices subjected to oxygen glucose deprivation. BMC Complement Altern Med. 2004; 11(4):1-9.doi:https://doi.org/10.1186/1472-6882-4-11
21. Bruni L, Ottaviano S, Guidetti V, Romoli M, Innocenzi M, Cortesi F, Giannotti F. The Sleep Disturbance Scale for Children (SDSC) Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. European Sleep Research Society J. Sleep Res. 1996; 5: 251-261. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2869. [Last accessed on May 28 2024].
2. Sauter TC, Veerakatty S, Haider DG, Geiser T, Ricklin ME, Exadaktylos AK. Somnambulism: Emergency Department Admissions Due to Sleepwalking-Related Trauma. West J Emerg Med. 2016;17(6):709-712. doi: https://10.5811/westjem.2016.8.31123
3. Gerard A. Kennedy. Sleep disorders: diagnosis, management and treatment. a handbook for clinicians. Australian and New Zealand Journal of Psychiatry. 2003; 37(5):635 doi: https://doi.org/10.1046/j.1440-1614.2003.01251.x
4. Hodoba D, Schmidt D. Biperiden for treatment of somnambulism in adolescents and adults with or without epilepsy: clinical observations,J.Epilepsy Behav. 2012;25(4): 517-528.doi:https://doi.org/10.1016/j.yebeh.2012.09.009
5. Charaka Samhita, Sutra Sthana, Ashtauninditadhyay,21/36. Available from:https://niimh.nic.in/ebooks/ecaraka/?mod=read[Last assessed on 2024 Jan 18].
6. Sushruta Samhita, Sharirasthana, Garbhavyakaranshariram, 04/33.Available from: https://niimh.nic.in/ebooks/esushruta/?mod=read[Last assessed on 2024 Jan 18].
7. Hublin C, Kaprio J, Partinen M, Heikkilä K, Koskenvuo M. Prevalence and genetics of sleepwalking: a population-based twin study. Neurology. 1997;48(1):177-181. doi: https://10.1212/wnl.48.1.177
8. Charaka Samhita,SutrasthanaTrishraesaniyadhyay, 11/54. Available from: https://niimh.nic.in/ebooks/ecaraka/?mod=read. [Last assessed on 2024 Jan 18].
9. Sushruta Samhita, Sharirasthana, Garbhavyakaranshariram, 04/28. Available from: https://niimh.nic.in/ebooks/esushruta/?mod=read [Last assessed on 2024 Jan 18].
10. Sushruta Samhita, Sharirasthana, Garbhavyakaranshariram, 04/32. Available from: https://niimh.nic.in/ebooks/esushruta/?mod=read [Last assessed on 2024 Jan 18].
11. Khobragade G, Meena MP, Sakhitha KS, Upadhyaya D, Saini V. Concept of medhyarasayana and critical analysis of smritisagar rasa. International Ayurvedic Medical Journal.2023;2832-2838.doi: https://doi.org/10.46607/iamj2811112023
12. Sawant R, Manish B. Pharmaceutics and therapeutics of Kajjali(Black Sulphide of Mercury) - A Review. Asian journal of pharmaceutical research & development.2013;1(3):92-97.Available from: https://www.ajprd.com/index.php/journal/article/view/22[Last accessedon Jan 08 2024].
13. Sharma SN, Rasatarangini.Shashtha Taranga, Ch. 11, Ver. 53-55. Delhi: Motilal Banarsidas; 1979. pp. 252.
14. Binu Alappat A, Kamdev Das, Arun Kumar Das, Roshy Joseph C. Ayurvedic review of Haratala (Arsenic trisulphide – As2 S3) and its therapeutic importance. Int J Res Altern Med. 2015;2(1):1-10. Available from: https://www.researchgate.net/publication/293518722[Last accessed on May 22 2024].
15. Kodlady N, Doddamani MS, Vishwanath Y, Patgiri BJ. Sedative hypnotic activity of manahshila (realgar) -an experimental evaluation. Ancient Science of Life. 2011;30(3):78-83.Available from:https://www.researchgate.net/publication/224898669 [Last accessed on Jan 08 2024].
16. Deshpande AP, Ranade S. DravyagunaVijnana, Ch. 118. Anmol Prakashan; 2004. pp.635.
17. Chaudhary B, BhattamisraSK, Das MC. Anti-convulsant action and amelioration of oxidative stress by Glycyrrhiza glabra root extract in pentylenetetrazole- induced seizure in albino rats. Indian Journal of pharmacology. 2013; 45(1):40-43. doi: 10.4103/0253-7613.106433
18. Mahadev B, Ram GS, Chalapathi RS, Subhose V. Experimental evaluation of Yashtimadhu (liquorice) nootropic action. International Journal of AppliedResearch. 2016;2(6):674-678.Available from:https://www.allresearchjournal.com/archives/2016/vol2issue6/PartK/2-6-130-222.pdf.[Last accessed on Jan 08 2024].
19. Dhingra D, Goyal PK. Evidences for the Involvement of Monoaminergic and GABAergic Systems in Antidepressant-like Activity of Tinospora cordifolia in Mice. Indian J Pharm Sci. 2008;70(6):761-767. doi: https://10.4103/0250-474X.49118
20. Rawal, A.K., Muddeshwar, M.G. & Biswas, S.K. Rubia cordifolia, Fagoniacretica linn and Tinospora cordifolia exert neuroprotection by modulating the antioxidant system in rat hippocampal slices subjected to oxygen glucose deprivation. BMC Complement Altern Med. 2004; 11(4):1-9.doi:https://doi.org/10.1186/1472-6882-4-11
21. Bruni L, Ottaviano S, Guidetti V, Romoli M, Innocenzi M, Cortesi F, Giannotti F. The Sleep Disturbance Scale for Children (SDSC) Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. European Sleep Research Society J. Sleep Res. 1996; 5: 251-261. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2869. [Last accessed on May 28 2024].
Published
31/05/2025
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Dash, D., Kumar, A., Kushwaha, P. K., Gupta, S., & Kumar, V. (2025). A CASE REPORT ON THE AYURVEDA TREATMENT OF VAIKARIKA NIDRA W.S.R SOMNAMBULISM IN A 10-YEAR-OLD GIRL: Ayurveda treatment in a case of Nightwalking in a 10 year old girl. Journal of Case Studies and Case Reports, 4(1), 10-15. https://doi.org/10.37022/jcscr.v4i1.659
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