PHYSIOLOGY OF SLEEP AND DREAMS

  • PHYSIOLOGY OF SLEEP AND DREAMS


    • Sleep is a natural, periodic, and reversible state of rest in which consciousness is altered and sensory activity is decreased.

    • In Ayurveda, Nidra (sleep) is considered one of the Trayopastambhas (three supporting pillars of life) alongside Ahara (diet) and Brahmacharya (celibacy).

    • Proper sleep is essential for health, longevity, strength, enthusiasm, fertility, intelligence, and happiness.


    DEFINITION OF SLEEP

    • Modern Definition: Sleep is a state of rest in which the nervous system is relatively inactive, the eyes closed, postural muscles relaxed, and consciousness practically suspended


    PHYSIOLOGY OF SLEEP :

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    TYPES OF SLEEP


    IN MODERN PHYSIOLOGY

    • Sleep is broadly divided into two types:

      • Non-Rapid Eye Movement (NREM) Sleep

        • Also called slow-wave sleep.

        • Has four stages based on EEG: stages 1тАУ4.

        • Associated with reduced physiological activities.

      • Rapid Eye Movement (REM) Sleep

        • Also known as paradoxical sleep or dreaming sleep.

        • EEG resembles that of an awake person.

        • Characterized by vivid dreams, rapid eye movements, muscle atonia.

    IN AYURVEDA

    • Nidra is of six types : 

      • Shleshma Sammarsaja Nidra тАУ sleep caused by Kapha dominance.

      • Tamasika Nidra тАУ sleep due to mental Tamas.

      • Manasija Nidra тАУ caused by emotional factors like anxiety or depression.

      • Sharirika Nidra тАУ due to physical exhaustion.

      • Vaishayi Nidra тАУ induced by indulgence in sensual pleasures.

      • Agantuki Nidra тАУ sleep due to external factors like drugs or trauma.

      • Swabhavika Nidra тАУ physiological, natural sleep, essential for health.


    PHYSIOLOGY OF SLEEP IN MODERN SCIENCE

    • Controlled by Reticular Activating System (RAS) in the brainstem.

    • Suprachiasmatic Nucleus (SCN) of the hypothalamus regulates the circadian rhythm.

    • Neurotransmitters involved include:

      • Serotonin тАУ initiates sleep.

      • Melatonin тАУ released from the pineal gland, promotes sleep.

      • Gamma-Aminobutyric Acid (GABA) тАУ induces and maintains sleep.

      • Acetylcholine тАУ active during REM sleep.

    • Sleep Cycle:

      • Lasts about 90 minutes.

      • Repeats 4тАУ6 times per night.

      • Alternates between NREM and REM sleep.


    PHYSIOLOGY OF SLEEP IN AYURVEDA

    • Sleep occurs due to Kapha dominance and withdrawal of sense organs from their objects.

    • When Manas, Indriyas, and Atma detach from Vishaya, sleep is naturally induced.

    FUNCTIONS OF SLEEP

    • Modern View

      • Restoration and repair of neural tissue.

      • Memory consolidation, especially in REM sleep.

      • Metabolic waste clearance from brain (glymphatic system).

      • Regulation of hormone secretion (e.g., growth hormone during deep sleep).

    • Ayurvedic View

      • Maintains equilibrium of Dhatus.

      • Enhances Agni (digestive fire) and Ojas (immunity).

      • Rejuvenates body and mind.


    DREAMS (SWAPNA)

    MODERN UNDERSTANDING

    • Dreams occur mainly during REM sleep.

    • Serve in emotional processing and memory integration.

    • Theories include:

      • Activation-synthesis theory тАУ brain tries to make sense of random neural activity.

      • Information-processing theory тАУ dreams help process and sort information.

      • Dreams may reflect past experiences, heard knowledge, desires, or even future events.

    • Swapna is a sign of the health of Manovaha Srotas.

    • Types of dreams described as auspicious or inauspicious depending on Dosha condition.


    DOSHAS AND SLEEP

    • Kapha predominance induces and maintains normal sleep.

    • Pitta disturbance may cause interrupted sleep.

    • Vata vitiation leads to insomnia or light sleep.


    DISORDERS OF SLEEP

    MODERN CLASSIFICATION

    • Insomnia тАУ inability to fall or stay asleep.

    • Hypersomnia тАУ excessive sleep.

    • Sleep Apnea тАУ obstructed breathing during sleep.

    • Narcolepsy тАУ sudden onset of sleep during the day.

    • Parasomnias тАУ abnormal behaviors during sleep (e.g., sleepwalking).

    AYURVEDIC CORRELATES

    • Alpanidra (less sleep) тАУ due to Vata and Pitta vitiation.

    • Atinidra (excessive sleep) тАУ due to Kapha dominance.

    • Nidranasha тАУ equated with insomnia, treated using Medhya Rasayana, Snehana, Shirodhara, etc.


    MANAGEMENT OF SLEEP DISTURBANCE

    MODERN APPROACH

    • Cognitive-behavioral therapy.

    • Sleep hygiene practices.

    • Pharmacological treatment (sedatives, melatonin).

    AYURVEDIC APPROACH

    • Snehapana, Abhyanga, Shirodhara, Takradhara, Nasya.

    • Use of Medhya Rasayana like Brahmi, Mandukaparni, Ashwagandha.

    • Dinacharya and Ritucharya practices to balance Doshas and improve sleep quality.