BRONCHITIS - A COMPLETE REVIEW WITH HOMOEOPATHIC APPROACH.

Abstract

Do you have a cold, chest discomfort and an irritating cough that may be lasting for weeks? If these symptoms sound familiar then you possibly have Bronchitis. This article review about causes, risk factors, different type, clinical presentation general management including some home remedies management and homoeopathic way of treatment of bronchitis. Homoeopathy treats the person as a whole. It means that homoeopathic treatment focuses on the patient as a person, as well as his pathological condition.

Introduction

Bronchitis is inflammation of the mucous membranes of the bronchi, the airways that carry airflow from the trachea into the lungs. Bronchitis can be divided into two categories, acute and chronic, Acute Bronchitis is caused by a virus that gives you common cold whereas in Chronic Bronchitis the air passages are continuously red, swollen, become narrow and clogged with mucus which makes it easier for bacteria to settle in the airways and become infected.

Acute bronchitis is characterized by the development of a cough, with or without the production of sputum, mucus that is expectorated(coughed up) from the respiratory tract. Acute bronchitis often occurs during the course of an acute viral illness such as the common cold or influenza. Viruses cause about 90% of cases of acute bronchitis, whereas bacteria account for fewer than 10%.

Chronic bronchitis, a type of chronic obstructive pulmonary disease, is characterized by the presence of a productive cough that lasts for three months or more per year for at least two years. Chronic bronchitis most often develops due to recurrent injury to the airways caused by inhaled irritants. Cigarette smoking is the most common cause, followed by air pollution and occupational exposure to irritants.

Protracted bacterial bronchitis is defined as a chronic wet cough, with a positive bronchoalveolar lavage (BAL). It is usually caused by streptococcus  pneumoniae, haemophilus influenzae, or moraxella catarrhalis.

Causes of bronchitis:

- Allergy (environmental and industrial pollutants, pollen, etc.)

- Tobacco

- Infections (viral, bacterial, fungus

- Immunological

- Exposure to temperature changes (extreme cold, change from cold to heat and vise versa, etc.)

Clinical Manifestations

Cough is the most common symptom. The cough may be either dry (without mucus) or wet (with mucus), depending on the cause and severity. Allergic cough is often dry while infective cough has a tendency to have mucus production. The symptoms of Bronchitis may be listed as under:

• Cough (with or without mucus)
• Fever
• Chest pain,
• Difficulty in breathing. (dyspnea)
• Throat pain
• Nose congestion,
• Body ache, joint pain, tiredness (usually due to infection.)
• Abnormal sounds in the lungs called rales or other abnormal breathing sounds may be heard.

Investigation may include:

·         Chest x-ray

·         Lung function tests provide information that is useful for diagnosis and outlook.

·         Pulse oximetry helps determine the amount of oxygen in blood. This quick and painless test uses a device that is placed onto the end of our finger. Arterial blood gas is a more exact measurement of oxygen and carbon dioxide levels, but it requires a needle stick and is more painful.

·         Sputum samples may be taken to check for signs of inflammation or bacterial infection.

Recurrent or long lasting Bronchitis make vulnerable to recurrent respiratory infections and also promote lung complications. A few of the most common complications are:

·        Pneumonia is a viral, bacterial or fungal infection of the lungs where the air sacs get filled with pus and mucus preventing oxygen from reaching blood stream appropriately.

·        Emphysema is a condition when the lungs lose its elasticity due to troublesome breathing causing air to be trapped in the air sacs and impairing the exchange of oxygen and carbon dioxide.

·        Respiratory failure occurs when the body fluids become acidic and the lungs are unable to expel all the carbon dioxide that the body produces.

General Management

·        Stop smoking and also avoid second hand smoke.

·        Avoid triggers of attack such as dust, allergens, etc.

·        Avoid contact with persons who have Bronchitis.

·        Wash your hands more often.

·        Get lots of rest so your body has enough energy to fight the infection.

·        Drink plenty of water.

·        Try coughing up the mucus.

·        Eat a healthy diet.

Home remedies

·        ½ tsp. of Turmeric powder in ½ cup of warm milk is an effective home remedy for Bronchitis.

·        1 tsp. of raw onion juice in the morning has beneficial expectorant properties, it liquefies the mucus and prevents its further formation.

·        Include garlic in your diet, it is a natural antibiotic.

·        Hot towel application over the chest in 3 consecutive turns for 3 minutes each followed by one cold towel turn is very helpful in Acute as well as Chronic Bronchitis.

·        Honey has been used as medicine since ancient times. It’s prized for its antibacterial properties. But the main reason honey is a bronchitis sufferer’s friend is that it soothes irritated mucus membranes, and it’s a sweet addition to tea or warm lemon water.

·        Hot chili peppers, which contain capsaicin, may also ease congestion by thinning out mucus. 

·        Vitamin C intake like fresh orange juice or fresh lemonade is very helpful in preventing and hastening cure of respiratory infections.

·        Fresh air and outdoor exercises are essential for Bronchitis patients.

·        Inhaled steam is widely recommended for loosening mucus and relieving wheezing. You can use a warm-air humidifier or vaporizer, Adding a drop or two of an essential oil, like eucalyptus, to the mix can also help open up a clogged airway.

·        Swishing warm saline water in mouth and throat several times a day may help wash away excess mucus. Gargling may also help stave off future upper respiratory infections, like colds, which can progress to bronchitis.

HOMOEOPATHIC MANAGEMENT

Homoeopathy, the most efficient solution to conquering Bronchitis, is very successful in managing all the symptoms of Bronchitis, and as well plays a significant role in preventing further complications and improving the general health of the person. Homoeopathic approach concentrates on the body’s natural healing ability for a genuine cure of the condition. Homoeopathic treatment does not treat the disease itself, but is prescribed on the basis of physical, emotional and genetic make up that individualizes a person. The healing response is the most arduous but harmonized activity within the human physiology and often cannot be enhanced appreciably without a comprehensive natural Homeopathic approach.

Indicated Remedies	Indications
Antimonium tartaricum:	This remedy is indicated when the person has a feeling of wet mucus in the chest, and breathing makes a bubbly, rattling sound. The cough takes effort and is often not quite strong enough to bring the mucus up, although burping and spitting may be of help. The person may feel drowsy or dizzy, and feel better when lying on the right side or sitting up.
Bryonia:	This remedy is often indicated when a cough is dry and very painful. The person feels worse from any movement, and may even need to hold his or her sides or press against the chest to keep it still. The cough can make the stomach hurt, and digestion may be upset. A very dry mouth is common, and the person may be thirsty. A person who wants to be left alone when ill, and not talked to or disturbed, is likely to need Bryonia.
Belladonna:	Sudden, violent attack of dry cough, which comes in short bouts and causes redness of the face, a sensation of constriction in the throat, the cough is worse when lying down at night. These symptoms require urgent need of the said medicine. The dry cough usually disturbs sleep, it lessens with warm drinks and in a warm room, and there is a dislike for open air also.
Calcarea carbonica:	This remedy is often indicated forbronchitis after a cold. The cough can be troublesome and tickling, worse from lying down or stooping forward, worse from getting cold, and worse at night. Children may have fever, sweaty heads while sleeping, and be very tired. Adults may feel more chilly and have clammy hands and feet, breathing problems when walking up slopes or climbing stairs, and generally poor stamina
Causticum:	Bronchitis with a deep, hard, racking cough can indicate a need for this remedy. The person fees that mucus is stuck in the throat and upper chest, and may cough continually to try to loosen it. A feeling of rawness and soreness can develop, or a sensation as if a rock is stuck inside. Chills can occur along with fever. Exposure to cool air aggravates the cough, but drinking something cold can help. The person may feel worse when days are cold and clear, and better in wet weather.
Drosera :	The symptoms that confirm the use of medicine Drosera 30 can be mentioned as violent, dry, whooping cough in young persons, bouts of cough follow each other so rapidly that the child gets breathless, turns blue and sweats profusely.Sensation of a feather in the throat that excites cough, the cough is worse from talking, singing, when lying down. These can be said as the other symptoms. At night; the person desires to be in open air.
Dulcamara:	When a person easily gets ill after being wet and chilled (or when the weather changes from warm and dry to wet and cool) this remedy may be indicated. The cough can be tickly, hoarse, and loose, and worse from physical exertion. Tendencies toward allergies (cats, pollen, etc.) may increase the person’s susceptibility to bronchitis.
Hepar sulphuris:	The cough that fits this remedy is usually hoarse and rattling, with yellow mucus coming up. The person can be extremely sensitive to cold—even a minor draft or sticking an arm out from under the covers may set off jags of coughing. Cold food or drink can make things worse. A person who needs this remedy feels vulnerable both physically and emotionally, and may act extremely irritable and out of sorts.
Ipecacuanha :	when the person is suffering from various problems such as dry cough with wheezing and rattling in the chest and accompanied by nausea and vomiting, a bout of vomiting does not relieve nausea, long bouts of cough render the person breathless and blue in face, cough is worse in cold, dry weather i.e. winter but improves by warmth, and thirstlessness.
Kali bichromicum:	A metallic, brassy, hacking cough that starts with a troublesome tickling in the upper air-tubes and brings up strings of sticky yellow mucus can indicate this remedy. A sensation of coldness may be felt inside the chest, and coughing can lead to pain behind the breastbone or extending to the shoulders. Breathing may make a rattling sound when the person sleeps. Problems are typically worse in the early morning, after eating and drinking, and from exposure to open air. The person feels best just lying in bed and keeping warm.
Pulsatilla:	Bronchitis with a feeling of weight in the chest, and a cough with choking and gagging that brings up thick yellow mucus, may respond to this remedy. The cough tends to be dry and tight at night, and loose in the morning. The fever may be worse in the evening and at night. Feeling too warm or being in a stuffy room tends to make the person worse, and open air brings improvement. Thirst is usually low. A person who needs this remedy often is moody and emotional and wants attention and sympathy. (This remedy is often helpful to children who are tearful when not feeling well and want to be held and comforted.)
Silicea:	A person who needs this remedy can have bronchitis for weeks at a stretch, or even all winter long. The cough takes effort and may bring up yellow or greenish mucus, or little granules that have an offensive smell. Stitching pains may be felt in the back when the person is coughing. Chills are felt more than heat during fever, and the person is likely to sweat at night. A person who needs this remedy is usually sensitive and nervous, with low stamina, swollen lymph nodes, and poor resistance to infection.
Sulphur:	This remedy can be indicated when a person has had many bouts of bronchitis (sometimes the resistance has been weakened by taking antibiotics too often for minor complaints). The cough feels irritating, burning, and painful; yellow or greenish mucus may be produced. Problems can be worse if the person gets too warm in bed, and breathing problems at night may wake the person up. Redness of the eyes and mucous membranes, and foul-smelling breath and perspiration are often seen when a person needs this remedy.

Conclusion

Homoeopathic treatment will clear up the infection, alleviate inflammation in the air passages and relieve discomfort, pain and pressure caused by coughing by opening the airways in lungs and aid in loosening the bronchial secretions making elimination of mucus easier helping to breathe better and naturally. Its constitutional approach furthermore boosts up the immune system of the patient hence preventing recurring infections. Since Homoeopathic remedies treats in totality, it leads to a long-lasting cure, rather than a temporary suppression of symptoms. Since it is safe and gentle, devoid of all chemical toxicity, it is the ideal medicine for people of all ages, even the most sensitive like a newborn baby. Along with Homoeopathic medicines, the lifestyle, personal habits & food habits modification may be useful for treatment of patients with bronchitis. 

WAY TO CONQUER SLEEP DISORDERS WITH GENERAL AND HOMOEOPATHIC MEASURES

Abstract

A sleep disorder, or somnipathy, is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental and emotional functioning. Polysomnography is a test commonly ordered for some sleep disorders. This article review about causes, risk factors, different type, clinical presentation general management including some home remedies management and homoeopathic way of treatment of sleep disorder. Homoeopathy treats the person as a whole. It means that homoeopathic treatment focuses on the patient as a person, as well as his pathological condition.

Introduction

Sleep is an opportunity for the brain and body to rest and be restored. In addition, many functions important to good health take place during sleep at night. The amount of sleep that people need can vary widely. Infants may need up to twenty hours; many children need from ten to fourteen per night. The average requirement for adults is estimated at six to eight hours, but many people need much more than that feeling chronically stressed and compromised, both physically and mentally, because of insufficient sleep.

Disruptions in sleep can be caused by a variety of issues, from teeth grinding (bruxism) to night terrors. When a person suffers from difficulty in sleeping with no obvious cause, it is referred to as insomnia. In addition, sleep disorders may also cause sufferers to sleep excessively, a condition known as hypersomnia. Management of sleep disturbances that are secondary to mental, medical, or substance abuse disorders should focus on the underlying conditions.

'SLEEP HYGIENE' SOLUTIONS FOR BETTER SLEEP

From having occasional difficulty sleeping to insomnia, there is a lot can do to get a better night's sleep, feel refreshed when awake, and remain alert throughout the day. It's called "sleep hygiene".

There are four general areas important to sleep hygiene:

Our circadian rhythm, or 24-hour cycle

v  Aging

v  Psychological stressors -- those factors can cause difficulty falling asleep and disturb the quality of our sleep

v  Common social or recreational drugs like nicotine, caffeine, and alcohol

Circadian Rhythm

We all have a day-night cycle of about 24 hours called the circadian rhythm. It greatly influences when we sleep and the quantity and the quality of our sleep. The more stable and consistent our circadian rhythm is, the better our sleep. This cycle may be altered by the timing of various factors, including naps, bedtime, exercise, and especially exposure to light (from traveling across time zones to staring at that laptop in bed at night).

Aging

Aging also plays a role in sleep and sleep hygiene. After the age of 40 our sleep patterns change, and we have many more nocturnal awakenings than in our younger years. These awakenings not only directly affect the quality of our sleep, but they also interact with any other condition that may cause arousals or awakenings, like the withdrawal syndrome that occurs after drinking alcohol close to bedtime. The more awakenings we have at night, the more likely we will awaken feeling unrefreshed and unrestored.

Psychological Stressors

Psychological stressors like deadlines, exams, marital conflict, and job crises may prevent us from falling asleep or wake us from sleep throughout the night. It takes time to "turn off" all the noise from the day. One must develop some kind of pre-sleep ritual to break the connection between all the stress and bedtime.

Social or Recreational Drugs

Social or recreational drugs like caffeine, nicotine, and alcohol may have a larger impact on our sleep than we realize. Caffeine, which can stay in our system as long as 14 hours, increases the number of times we awaken at night and decreases the total amount of sleep time. This may subsequently affect daytime anxiety and performance. The effects of nicotine are similar to those of caffeine, with a difference being that at low doses, nicotine tends to act as a sedative, while at high doses it causes arousals during sleep.

Alcohol may initially sedate us, making it easier to fall asleep; however, as it is metabolized and cleared from our system during sleep, it causes arousals that can last as long as two to three hours after it has been eliminated. These arousals disturb sleep, often causing intense dreaming, sweating, and headache. Smoking while drinking caffeine and alcohol can interact to affect our sleep dramatically. These sleep disturbances may be most apparent upon awakening, feeling unrefreshed, groggy, or hungover.

GENERAL TIPS TO GET BETTER SLEEP

In India, at least 10% of the people can’t sleep without the sleeping pills. In Mumbai the percentage of people suffering from insomnia is high. We believe that if this condition prevails for the next hundred years, not a single person will be able to sleep without medication.  Our whole being is totally connected to the sleep we have. Depression, heaviness, acidity, hypertension, tension all are related to the sleep problems.

A common concern of those who sleep poorly is that lost sleep will damage their health. Recent research demonstrated that the nightly loss of four hours of sleep over 10 days in healthy young adults reduced a number of measures of immune function. Two research papers described how sleeping less than five hours per night lowered the life span.

We all have trouble sleeping from time to time. But we can make it easier to get a good night's sleep every night with these simple steps.

v Cut caffeine. Simply put, caffeine can keep you awake. It can stay in our body longer than we might think – the effects of caffeine can take as long as eight hours to wear off. So if we drink a cup of coffee in the afternoon and are still tossing at night, caffeine might be the reason. Cutting out caffeine at least four to six hours before bedtime can help you fall asleep easier.

v Avoid alcohol as a sleep aid. Alcohol may initially help fall asleep, but it also causes disturbances in sleep resulting in less restful sleep. An alcohol drink before bedtime may make it more likely that we will wake up during the night.

v Relax before bedtime. Stress not only makes us miserable, it wreaks havoc on our sleep. Develop some kind of pre-sleep ritual to break the connection between all the day's stress and bedtime. These rituals can be as short as 10 minutes or as long as an hour. Some people find relief in making a list of all the stressors of the day, along with a plan to deal with them this can act as "closure" to the day. Combining this with a period of relaxation perhaps by reading something light, meditating, aromatherapy, light stretching, or taking a hot bath can also help us to get better sleep. And don't look at the clock! That "tick-tock" will just tick you off.

v Exercise at the right time. Regular exercise can help us to get a good night's sleep. The timing and intensity of exercise seems to play a key role in its effects on sleep. If we are the type of person who gets energized or becomes more alert after exercise, it may be best not to exercise in the evening. Regular exercise in the morning even can help relieve insomnia, according to a study.

v Keep bedroom quiet, dark, and comfortable. For many people, even the slightest noise or light can disturb sleep like the purring of a cat or the light from laptop or TV. Use earplugs, window blinds or curtains, and an electric blanket or air conditioner everything possible to create an ideal sleep environment. And don't use the overhead light if  need to get up at night; use a small night-light instead. Ideal room temperatures for sleeping are between 68 and 72 degrees Fahrenheit. Temperatures above 75 or below about 54 can disrupt sleep.

v Eat right, sleep tight. Try not to go to bed hungry, but avoid heavy meals before bedtime. An over-full belly can keep us up. Some foods can help, though. Milk contains tryptophan, which is a sleep-promoting substance. Other foods that may help promote sleep include tuna, halibut, pumpkin, artichokes, avocados, almonds, eggs, bok choy, peaches, walnuts, apricots, oats, asparagus, potatoes, buckwheat, and bananas. Also, try not to drink fluids after 8 p.m. This can keep us from having to get up to use the bathroom during the night.

v Restrict nicotine. Having a smoke before bed -- although it feels relaxing actually puts a stimulant into your bloodstream. The effects of nicotine are similar to those of caffeine. Nicotine can keep us up and awaken at night. It should be avoided particularly near bedtime and if wake up in the middle of the night.

v Avoid napping. Napping can only make matters worse if we usually have problems falling asleep. If we do nap, keep it short. A brief 15-20-minute snooze about eight hours after we get up in the morning can actually be rejuvenating.

v Keep pets off the bed. Pet sleep with us may cause us to awaken during the night, either from allergies or pet movements.

v Avoid watching TV, eating, and discussing emotional issues in bed.The bed should be used for sleep and sex only. If not, we can end up associating the bed with distracting activities that could make it difficult for us to fall asleep.

DIET AND SLEEP

How much of a direct effect diet has on sleep is still unclear. Adjusting our eating routine may also help us to get a better night's sleep. Most people in our country eat a light breakfast, a moderate lunch, and a large meal in the evening. Yet leaving the largest meal to the end of the day may not be the best choice, since it can result in uncomfortable distention and possibly heartburn when we retire for the night. 

Pattern for a more sleep-friendly meal plan: 

v Eat a substantial breakfast. Because we are breaking our nighttime fast and consuming the nutrients will need for energy throughout the morning, breakfast should be our largest meal of the day. Whole-grain breads and cereals, yogurt, and fruit are just a few examples of good breakfast choices. 

v Opt for a moderate lunch. Choose brown rice, pasta, or whole-grain bread and a serving of protein -- fish, eggs, chicken, meat or beans. 

v Finish with a light dinner. It is particularly important to eat lightly for our evening meal in order to prepare for a good night's sleep. Plan to finish our meal at least two hours before going to bed, preferably longer.

HOMOEOPATHIC MANAGEMENT FOR SLEEP DISORDERS

Professional homoeopaths do not generally prescribe remedies to treat symptoms individually, as the symptoms are considered to be only the outward sign that your vital force is struggling to overcome disease. Instead a remedy is prescribed for the whole person. Accurate prescribing is essential to the success of homoeopathy. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions. The medicines given below indicate the therapeutic affinity but this is not a complete and definite guide to the treatment of this condition. The symptoms listed against each medicine may not be directly related to this disease because in homeopathy general symptoms and constitutional indications are also taken into account for selecting a remedy.

Reportorial rubric

[Kent] Sleep, Sleeplessness

Acon., Argen. Nit, Arsenicum album, Belladona, Bryonia, Cactus, Calcerea, Chamomilla, China, Cicuta v, Coffea, Cyclamen,Hepar sulp, Hyosyamus,Kali ars, Kali Carb, Lachesis, Mercurius, Merc. Cor, Nux.vom, Opium, Phosphorus, Plumbum, Pulsatilla, Rhus.tox, Sepia, Stannum met, Silicea, Staphy, Sulphur, Thuja

[Complete] Sleep, Sleeplessness, night

Arsenicum album, Causticum, China, Cina, Coffea, Conium, Ferrem met, Graphites, Hyosyamus, Mag.carb, Moschus, Nat.mur, Nit.ac, Nux.vom, Olendar, Opium, Phosphorus, Plumbum, Rhus.tox, Silicea, Spigelia, Squilla, Thuja

[Boericke] Nervous system, Sleep, Insomnia (Sleeplessness)

Absin, Acon., Anacardium, Arsen album, Avena, Belladona, Calcerea, Camph, Camph – monobrom, Cann ind, Chammomilla, Cimcifuga, Cinchona, Coca, Cocaine, Cocculus, Coffea, Cypripedium pubescens, Gelsimium, Hyoscyamus, Hyoscyaminum hydrobromatum, Ignasia, Kali brom, Lupulus hum, Nux.vom, Opium, Passiflora, Pulsatilla, Scutellaria  lateriflora, Sulphur, Sumbulus ferula

[Boenninghausen’s] Sleep, Sleeplessness

Aconite, Arsenicum album, Bryonia, Calcerea, Chamomilla, Coffea, Hepar sulp, Kali Carb,  Mercurius, Nux.vom, Pulsatilla, Sepia, Silicea

Remedy	Individualizing  Symptoms
Aconite	Sleeplessness related to anxiety, shock, fright or grief. The sufferer is frequently troubled by nightmares and insomnia accompanied by physical and mental restlessness. Symptoms are worse from pressure of bedding, during menses and in a warm room. Better in open air.
Arnica	Sleeplessness associated with jet lag and overwork, the sufferer’s bed feels too hard and uncomfortable, and they may be overtired. Also useful for insomnia related to recent injury. Worse from least touch or wine. Better for lying with the head low or lying outstretched.
Arsenicum Album	Feel sleepy during the day but anxious at night. Restless in bed with anxious dreams and nightmares. Also for warmth, warm drinks, moving about, and sleeping propped up in bed.
Chamomilla	Sleeplessness related to restlessness, irritability, anger or the overuse of coffee. This is a well-used remedy for children suffering from insomnia who refuse to be calmed. Also handy for insomnia and restlessness during the first part of the night and insomnia related to nightmares. Worse for being covered but better for sweating.
Cocculus	Difficulty sleeping due to being overtired or exhausted. People needing this remedy are often emotionally sensitive, suffer from motion sickness and/ or depression. Symptoms are worse for touch, noise or cold, worse during menses and better for lying on the side.
Coffea c.	This is an excellent remedy for insomnia, particularly where the person is troubled by unwanted thoughts and the nervous system is over-excited, causing an over activity of the mind and body. Worse for cold and noise and better for warmth. Also useful for insomnia during pregnancy.
Gelsemium	Sleeplessness associated with anxiety related to impending events such as stage fright in people who tend to be dull and drowsy, who cannot get fully to sleep, or have a restless or overly heavy sleep. Worse in damp, humid weather or in spring and better for reclining with the head held high.
Ignatia	Sleepless from grief or sadness. Those who’ll benefit from this remedy are very light sleepers who often whimper while sleeping and have re-occurring bad dreams. Worse for cold open air and touch and better from pressure and warmth.
Kali phos	Sleeplessness related to anxiety, mental strain, muscular fatigue, night terrors, restlessness or sleepwalking. Worse for touch, cold or fatigue and better for leaning against something.
Nux vom	Sleeplessness associated with irritability, anger and gastrointestinal complaints in people who are impatient, fastidious and competitive. The person who’ll benefit from this remedy often wakes at around 3am, is worse for cold, dry weather, worse from eating and better for strong pressure and damp, wet weather.
Opium	If the person is feeling sleepy but unable to get to sleep, if the bed is too hot, or else sleep comes but it is so heavy that the person snores and cannot be roused.
Pulsatilla	The Pulsatilla type is restless in the first part of sleep and can’t decide if they’re too hot or too cold and they may wake up too early.  Insomnia may be related to sadness, fear or irritability. Symptoms are worse from eating bread, fatty or rich food before sleep, and symptoms are worse before or during menses. Better in the open air or cool weather.

MOTHER TINCTURES

Absinthium

            Sleeplessness due to nervous excitement

Avena sativa

            Insomnia with despondency

Passiflora Incarnata

            60 drops in a ounce of hot water at 8pm induces sleep

Thea

            For nervous sleeplessness with history of tea abuse

Piscidia

            Here cause of sleeplessness is mental worries

Hypericum

            The key actions are antidepressant, antispasmodic, analgestic, astringent, antiviral, sedative and it stimulates bile flow

Conclusion

The main outcome of Homoeopathic approach is to regains the body's natural healing and immune the body cells to treat the conditions that affect the body, prevent it and restore the good level of health and well-being. Along with Homoeopathic medicines, the lifestyle, personal habits & food habits modification may be useful for treatment of patients with sleep disorders.