Sedative herbs
Stimulant herbs
Acorus calamus Linn
Erythrina indica Lam
Aconitum ferox Wallb
Actaea racemosa (Linn) Nutt
Euphorbia hirta Linn
Alstonia venenata
Alangium begoniaefolium (Roxb)
Ferula sumbul
Anamirta cocculus (Linn)
Alstonia scholaris (Linn)
Fumaria officinalis Linn
Bassia longifolia Koen
Anacardium occidentale Linn
Garcinia mangostana Linn
Camellia sinensis (Linn)
Anemone obtusiloba
Humulus lupulus Linn
Cinnamomum zeylanicum c
Anthemis nobilis Linn
Hyoscyamus niger Linn
Coffea arabica Linn
Apium graveolens
Jasminum officinale Linn
Cyperus scariosus
Areca catechu Linn
Lactuca virosa Linn
Eryngium caeruleum Bieb
Artemisia capillaris
Lavandula angustifolia Mill
Heracleum candicans Wall
Avena sativa Linn
Leonurus cardiaca Linn
Ilex paraguariensis
Atropa acuminata Royle ex Lindl
Leucas lavandulaefolia Rees
Panax pseudoginseng WalIa
Azadirachta indica
Marsilea minuta Linn
Piper longum Linnd
Bacopa monnieri (Linn) Wettst
Melia azedarach Linn
Rivea corymbosa
Berberis vulgaris Linn
Melilotus officinalis Linn
Rosmarinus officinalis Linn
Blumea balsamifera DC
Melissa officinalis Linn
Selenicereus grandiflorus
Boswellia serrata Roxb
Myristica fragrans Houtt
Strychnos ignatii Bergius
Butea superba Roxb
Nardostachys jatamansi DC
Strychnos nux–vomica Linn
Calendula officinalis Linn
Nelumbo nucifera Gaertn
Taraxacum officinale
Calophyllum inophyllum Linn
Nepeta hindostana (Roth)
Theobroma cacao Linn
Cannabis sativa Linn
Nyctanthes arbor–tristis Linn
Canscora decussata Schult
Origanum majorana Linn
Capparis zeylanica Linn
Panax pseudoginseng WalIa
Cardiospermum halicacabum Linn
Papaver somniferum Linn
Carthamus tinctorius Linn
Passiflora incarnata Linn
Cassia fistula Linn
Perilla frutescens (Linn)
Catharanthus roseus (Linn)
Phaseolus trilobus
Cedrus deodara (Roxb)
Piper longum Linn
Celastrus paniculatus Willd
Piper nigrum Linn
Centella asiatica (Linn)
Pongamia pinnata (Linn)
Cichorium intybus Linn
Prunus amygdalus
Cinnamomum camphora (Linn)
Rauvolfia serpentine
Cissus quadrangula Linn
Scutellaria galericulata Linn
Citrus maxima (Burm)
Selinum vaginatum
Clerodendrum phlomidis Linn
Sida rhombifolia Linn
Clitoria ternatea Linn
Sonchus arvensis Linn
Cochlospermum gossypium
Stephania glabra Miers
Convolvulus pluricaulis Choisy
Strobilanthes callosus Nees
Cymbopogon citratus (DC) Stapf
Valeriana officinalis Linn
Cyperus rotundus Linn
Waltheria indica Linn
Datura stramonium Linn
Withania somnifera (Linn)
Delphinium denudatum Wall
Xylosma longifolium Clos
Eclipta alba (Linn) Hassk
Ziziphus jujuba Mill
Elaeocarpus ganitrus Roxb
Though Box 57.5 gives a long list, some of the herbs that are commonly suggested for treatment of insomnia by Ayurvedic physicians in India are Bijapoora (Citrus medica Linn), Kakajangha (Peristrophe Paniculata), Apamarga (Achyranthes aspera), Kokilaksha (Asteracantha Longifolia), Kantakaridwaya (Solanum xanthocarpum), Vasa (Adhatoda vasica), Kakamachi (Solanum nigrum linn), Punarnava (Boerhavia diffusa), and Vrntaka (Solanum melongeva).
Jeevaneeya Mahakashaya is a group of drugs that is given great importance in the original classics of Ayurveda. Jeevaneeya Mahakashaya means a group of substances that are extremely beneficial for life. The ten herbal drugs mentioned in Jeevaneeya Mahakashaya are Jeevaka, Rhshabhaka, Meda Madhura, Mahameda, Kakoli, Ksheerakakoli, Mudgaparni, Mashaparni, Jeevanti, and Madhuka. The drugs of this Mahakashaya have not been evaluated scientifically till date, though they are believed to be beneficial to sleep [59]. Decoction of Jeevaneeya group of drugs is administered with milk and ghee (melted butter), as per tradition. Herbs such as Acorus calamus (Vacha), Papaver somniferum (Ahiphena), and Rauwolfia serpentina (Sarpagandha) are used infrequently as it is believed that they have other effects. Ayurvedic drugs are given either orally or applied onto the skin. External application is given as much importance as oral medication. External application can vary from anointing to using it with body massage and bath. External application can be on the head or throughout the body. Application of herbal drugs on the head is one of the preferred treatments in sleep medicine. Valerian (Tagara), Piper longum (Pippalimoola), Citrus medica linn (Bijapooraka), Withania somnifera (Ashwagandha), Acorus calamus (Vacha), and Acorus gramineus (Bhutanashini) are some of the herbs where some kind of scientific evaluation for their use in sleep medicine is ongoing.
Valerian (Tagara)
The herb Tagara (known as Indian Valerian or Valeriana wallichi) is a perennial herb, found in plenty all over India, Pakistan, and Afghanistan. It is considered an important medicinal herb and is mentioned in all scriptures of Ayurveda. Valerian is one Asian herb which has been studied rather extensively using randomized placebo-controlled trials, mostly outside India [60]. There is a mild subjective improvement in sleep, especially when used for two weeks or more, though objective testing had shown less consistent results. One study has reported an increase in slow-wave sleep after consumption of this herb [61].
Root of Piper longum (Pippalimoola)
Root of Pippalimoola is usually administered with jaggery (Guda Pippalimoola). According to traditional belief, the powder of Pippalimoola boiled with Guda can be used as linctus to cure even chronic sleeplessness. Beneficial effects of this preparation on patients of insomnia are mentioned in a thesis submitted to a health university in Mysore (India) in 2010. The study showed that the administration of Guda Pippalimoola along with practice of yoga and diet regimentation gave the most beneficial effect. Though administration of Guda Pippalimoola with yoga was also beneficial to some extent, diet regimen alone did not show any positive effect. Sleep was not assessed on the basis of polysomnography in this study [62].
Citrus medica Linn (Bijapooraka)
Bijapooraka is an important plant of mentioned in Materia Medica of Ayurveda. Though its various parts are widely used to treat many ailments in traditional system of medicine, the powder of Bijapooraka leaves is used with honey to treat insomnia [63]. The leaf of Bijapooraka contains lysigenous cavities with the presence of oil globules, calcium oxalate crystals, paracytic stomata, and incomplete ring of sclerenchyma [64].
Withania somnifera (Ashwagandha)
Ashwagandha is a shrub cultivated in India and North America whose roots have been used for thousands of years by Ayurvedic practitioners as a folk remedy. Ashwagandha is consumed in various forms. In traditional medicine, its powder is mixed with sugar and ghee for consumption. In experimental animals, systemic application of the defined extract from Ashwagandha led to slightly enhanced acetylcholine esterase activity in the lateral septum and globus pallidus, whereas in the vertical diagonal band acetylcholine esterase activity was reduced [65]. Oral administration of Ashwagandha (100 mg/kg) prevented the rise in lipid peroxidation in stress-induced rabbits and mice [66]. In a clinical study, 18 apparently healthy volunteers received Ashwagandha capsules (aqueous extract, 8:1) daily in two divided doses with increase in daily dosage every 10 days for 30 days (750 mg/day × 10 days, 1000 mg/day × 10 days, 1250 mg/day × 10 days). Six subjects reported improvement in quality of sleep [67]. The most useful action of Ashwagandha is to reduce stress and perhaps indirectly aid in sleep.
Acorus calamus Linn. (Araceae)
Araceae, commonly known as “sweet flag” or “calamus,” is a semiaquatic, perennial, aromatic herb with creeping rhizomes. The plant is found in the northern temperate and subtropical regions of Asia, North America, and Europe [68]. Araceae rhizome and its constituents, particularly alpha- and beta-asarone, possess a wide range of pharmacological activities such as sedative, CNS depressant, behavior-modifying, anticonvulsant, acetylcholinesterase-inhibitory, memory-enhancing, anti-inflammatory, antioxidant, antispasmodic, cardiovascular, hypolipidemic, immunosuppressive, cytoprotective, antidiarrheal, antimicrobial, anthelmintic, insecticidal, adulticidal, diuretic, genotoxic, and mutagenic activities [58, 68]. Roots and rhizomes of Araceae prolong the behaviorally assessed “sleeping time” of mice and rats when used with pentobarbital, hexobarbital, and ethanol [69, 70]. The essential oil and alcoholic and aqueous extracts showed depressant action on normotensive mongrel dogs [71]. The hypnotic potentiating action has been claimed to be mediated through serotonin and catecholamines [72]. Alpha-asarone, one of the active principles of Araceae, potentiated the pentobarbital-induced-sleeping time periods by two- to threefold [73]. Assessment of sleep using electrophysiological signal has shown that alpha-asarone could induce sleep and decrease in body temperature in rats [74].