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Integrative management of insomnia during cancer chemotherapy: A case report

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Integrative management of insomnia during cancer chemotherapy: A case report
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Original source:

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Author:

P. Arathi, K. Sreejith, K. Pavithran, Devipriya Soman


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Integrative management of insomnia during cancer chemotherapy: A case report

Year: 2024 | Doi: 10.1016/j.jaim.2024.100899

Copyright (license): CC BY-NC-ND 4.0


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Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Integrative management of insomnia during cancer chemotherapy: A case report�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In the context of medical documentation, a Table is a structured way to present data clearly and concisely. It allows readers to quickly grasp relationships and comparisons among various test results or findings without wading through text. Tables serve as essential tools for summarizing complex data and enhancing interpretability.

2) Chemotherapy:
Chemotherapy is a cornerstone of cancer treatment that utilizes powerful drugs to eradicate or slow the growth of cancer cells. This systemic therapy often results in various side effects, including nausea, fatigue, and insomnia, necessitating supportive measures for overall patient health. Its efficacy varies and can significantly impact a patient's quality of life.

3) Kshirabala (Ksirabala):
Kshirabala is a traditional Ayurvedic preparation known for its beneficial properties in managing various health conditions. Rich in oils and herbs, it is often used in therapies aimed at alleviating insomnia and enhancing sleep quality. This formulation reflects the holistic approach of Ayurveda, emphasizing the balance of body humors and overall well-being.

4) Quality:
Quality, particularly in healthcare, refers to the degree of excellence of care and outcomes provided to patients. In the context of sleep, quality is pivotal to patients' well-being, influencing their recovery and overall health, especially for those undergoing treatments such as chemotherapy that can disrupt natural sleep patterns.

5) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine focusing on holistic health and balance between body, mind, and spirit. It employs natural remedies, dietary recommendations, and lifestyle adjustments to promote wellness and treat ailments, including insomnia and other side effects of conventional treatments like chemotherapy. Its relevance is growing in integrative medicine.

6) Cancer:
Cancer is a complex group of diseases characterized by uncontrolled cell division and the potential to invade other parts of the body. It poses significant health challenges, not only due to physical symptoms but also by affecting psychologic states, such as anxiety and insomnia, particularly during treatments like chemotherapy, which further complicate patient care.

7) Sthana:
In Ayurvedic context, 'Sthana' refers to a place or condition. It is frequently used to denote specific locations in the body where disease manifests or resides. Understanding the 'Sthana' is vital for diagnosis and treatment, as it informs the targeted therapies that practitioners may deploy to restore health and balance.

8) Vaidya:
Vaidya refers to a practitioner of Ayurveda and traditional healing methods. Vaidyas utilize their knowledge of herbal medicine, dietary practices, and restorative techniques to treat diseases holistically. Their role is crucial in implementing personalized treatment plans that align with individual patient needs, especially in managing chronic conditions like insomnia during cancer therapies.

9) Vata:
Vata is one of the three doshas in Ayurveda representing the elements of air and ether. It governs bodily functions related to movement and communication. A balance of Vata is essential for health, and its aggravation can lead to various health issues, including anxiety and insomnia, particularly when affected by stress or illness.

10) Samhita:
Samhita refers to an ancient text or compilation in Ayurveda that encompasses knowledge on health, treatments, and herbal formulations. The Samhitas form the foundation of Ayurvedic practice, guiding practitioners with time-tested wisdom on balancing the body's doshas and maintaining health through personalized therapies and lifestyle recommendations.

11) Pitta:
Pitta is one of the three doshas in Ayurveda, associated with fire and water elements. It governs digestion, metabolism, and energy transformation in the body. Maintaining a proper balance of Pitta is essential for health; its excess can lead to conditions like inflammation and anxiety, which may exacerbate issues such as insomnia.

12) Drug:
A drug is a substance used to diagnose, cure, treat, or prevent diseases and is often central to medical treatments. In the context of cancer therapy, drugs like chemotherapy agents can have significant adverse effects, making it imperative to explore supportive therapies such as Ayurveda that may alleviate these effects and improve quality of life.

13) Medicine:
Medicine encompasses the science and practice of diagnosing, treating, and preventing illness. It involves various approaches, including pharmacological, holistic, and surgical interventions. Complementary medicines like Ayurveda and conventional treatments often work synergistically to optimize patient care and manage symptoms associated with chronic diseases like cancer.

14) Vatapitta (Vata-pitta):
Vata-pitta denotes a combination of two Ayurvedic doshas, Vata and Pitta. This condition can represent a unique health profile that may require tailored therapies to restore balance. In practices like Ayurveda, understanding an individual's Vata-pitta constitution helps practitioners devise personalized health plans, including dietary and lifestyle modifications to address specific health issues.

15) Sanskrit:
Sanskrit is an ancient Indian language in which many foundational texts of Ayurveda are written, including a wealth of medical knowledge, philosophies, and practices. Understanding Sanskrit is essential for Ayurvedic practitioners to accurately interpret traditional texts and apply their teachings to contemporary holistic healthcare solutions and patient treatments.

16) Nidanasthana (Nidana-sthana):
Nidanasthana refers to a chapter in classical Ayurvedic texts that discusses the causes and diagnosis of diseases. This section plays a fundamental role in ensuring proper evaluation of symptoms, thus guiding effective treatment strategies. A comprehensive understanding of Nidanasthana assists practitioners in diagnosing complex ailments and developing holistic interventions.

17) Dridhabala (Drdhabala):
Dridhabala refers to an ancient Ayurvedic scholar and commentator known for his contributions to Ayurvedic literature, particularly in the context of classical texts. His interpretations and writings have been integral in preserving Ayurvedic knowledge, shaping modern practices and ensuring practitioners can adapt traditional wisdom to contemporary health challenges.

18) Agnivesha (Agnivesa, Agni-vesha):
Agnivesha was a pivotal figure in Ayurveda, credited with authoring the 'Charaka Samhita', one of the foundational texts of Ayurvedic medicine. His contributions provide insights into various healing practices, herbal formulations, and holistic health principles that remain significant in both classical and modern Ayurvedic healing practices.

19) Nibandha (Nibamdha):
Nibandha refers to commentary or explanatory texts that accompany original Ayurvedic literature. Such commentaries help elucidate complex concepts and practices for modern practitioners. The use of Nibandha allows for clarity and a deeper understanding of traditional texts in their application to contemporary medical frameworks.

20) Varanasi (Varanashi):
Varanasi is a sacred city in India known for its rich cultural heritage and as a center for learning, particularly in Ayurveda and traditional sciences. Its historical significance in fostering the evolution of various healing practices and philosophies attracts practitioners and scholars alike, contributing to the ongoing relevance of Ayurvedic medicine.

21) Samgraha (Sangraha):
Sangraha refers to a collection or compilation of knowledge, often seen in Ayurvedic texts. It signifies the holistic nature of Ayurvedic practice by integrating various approaches, remedies, and treatments into comprehensive manuals to aid practitioners in addressing diverse health conditions and promoting patient well-being.

22) Dipika:
Dipika denotes commentary or elucidation on Ayurvedic texts, often aiming to clarify complex concepts. Such insights are invaluable for practitioners, allowing them to apply age-old wisdom effectively in modern contexts. Dipika serves as a bridge between ancient knowledge and contemporary interpretations, enhancing understanding and practice.

23) Family:
Family plays a critical role in healthcare, particularly in supportive roles and decision-making for patients. The dynamics within a family significantly influence a patient's response to treatment and their health journey, including emotional, financial, and physical support during challenging times like cancer treatment.

24) Rules:
Rules in this context may refer to the guiding principles or frameworks that govern Ayurvedic practices. Adhering to these rules ensures that therapies are consistent with traditional knowledge and ethical standards, fostering patient safety and effective therapeutic outcomes, especially in integrative healthcare approaches.

25) Pur:
In clinical assessments, 'poor' often describes an individual's nutritional status, physical condition, or quality of health. It indicates areas needing attention or intervention, particularly relevant in disease contexts where deficiencies may impact treatment efficacy, patient recovery, and overall well-being.

26) Nidranasha (Nidranasa, Nidra-nasha):
Nidranasa refers to the loss or disturbance of sleep as identified in Ayurvedic terms. It encapsulates a condition marked by various symptoms such as difficulty in falling or staying asleep, significantly affecting patients� quality of life. Understanding Nidranasa aids in applying appropriate Ayurvedic interventions for sleep disorders.

27) Sharira (Sarira):
Sharira means 'body' in Sanskrit and is central to Ayurvedic philosophy, linking body and mind interactions to health outcomes. Its understanding informs the holistic approach of Ayurveda, emphasizing that physical health is intertwined with mental and spiritual well-being, guiding therapeutic practices and lifestyle recommendations.

28) Avara:
Avara translates to 'poor' or 'inferior' in English, often describing a condition of low energy, vitality, or overall health status. This term is used frequently in Ayurvedic assessments to gauge a patient's health, especially in evaluating nutritional health and disease responses to tailor more effective treatments.

29) Sutra:
Sutra means 'thread' in Sanskrit, often referring to concise aphorisms or principles in Ayurvedic texts that outline foundational knowledge. Sutras serve as pivotal guidelines for practitioners, summarizing complex ideas into manageable wisdom that directs treatment modalities and patient care in traditional practices.

30) Nidra:
Nidra means 'sleep' and is a significant concept in Ayurveda. The significance of Nidra encompasses physical rest, mental rejuvenation, and balance of doshas. Proper sleep is essential for overall health and recovery, especially critical for patients undergoing treatments that disrupt natural sleep patterns, such as chemotherapy.

31) Shakti (Sakti):
Sakti, meaning 'power' or 'energy' in Sanskrit, relates to the capacity for bodily functions and processes. In Ayurveda, different types of Sakti (such as Ahara Sakti, Vyayama Sakti) are assessed to determine a person’s health state, informing personalized treatment approaches designed to enhance energy levels and overall health.

32) Life:
In Ayurveda, life encompasses the holistic interaction of physical, mental, and spiritual aspects crucial for maintaining health. It's viewed as a dynamic process influenced by diet, lifestyle, and environmental factors. The pursuit of balance in life is central to Ayurvedic practices, promoting longevity and vitality.

33) Pittahara (Pitta-hara):
Pitta-hara refers to therapies or treatments aimed at pacifying or neutralizing the Pitta dosha in Ayurvedic practices. Given Pitta's association with heat and metabolism, Pitta-hara approaches often involve cooling herbs and dietary modifications essential for restoring balance and alleviating related health issues like inflammation and insomnia.

34) Drowsiness:
Drowsiness is a state characterized by feelings of sleepiness and fatigue, often linked with inadequate sleep or metabolic imbalances. In the context of cancer treatment, drowsiness can be exacerbated by medications and may significantly impact daily functioning, requiring integrated interventions to enhance energy and alertness.

35) Tikshna (Tiksna):
Tikshna means 'sharp' or 'acute' and is often used in Ayurveda to describe the potent qualities of certain treatments or conditions. In the context of chemotherapy, Tikshna characterizes the intense nature of drugs, which can induce side effects such as fatigue and insomnia, necessitating supportive therapies.

36) Disease:
Disease signifies a deviation from normal physiological function that impairs health. In Ayurveda, understanding disease involves analyzing the body’s doshas, dhatus, and srotas. Effective treatment requires identifying imbalance and employing tailored approaches to restore harmony within the individual’s body systems.

37) Kapha:
Kapha is one of the three doshas in Ayurveda, representing earth and water elements. It governs structure and stability in the body. Maintaining balanced Kapha is vital for health; its excess can lead to obesity, sluggishness, and respiratory issues, impacting a person’s overall well-being, especially during treatments like chemotherapy.

38) Hara:
Hara in Ayurveda signifies the action of pacifying or removing an obstruction, typically relating to imbalances in doshas. It is associated with therapeutic practices aimed at restoring equilibrium within the body. Understanding Hara is critical for devising effective treatment plans that address specific health issues or disorders.

39) Sara (Shara):
Sara means 'essence' or 'quality' in Ayurveda, referring to the fundamental characteristics of an individual’s bodily constitution. Assessing Sara helps practitioners understand a patient’s resilience and potential for health interventions, guiding personalized treatments based on the unique physiological makeup of the individual.

40) Guna:
Guna refers to the inherent qualities or attributes that characterize substances and phenomena in Ayurveda. Understanding Guna is essential for assessing the properties of herbs, foods, and treatments, allowing practitioners to tailor therapies based on the patient's needs and promote balance within the body.

41) Food:
Food plays a crucial role in Ayurveda, being fundamental for nourishment and health. The Ayurvedic approach emphasizes the importance of proper dietary choices according to an individual's constitution (dosha) and specific health conditions. Diet impacts physical well-being, metabolic processes, and overall vitality.

42) Mental disorder:
Mental disorder denotes a variety of psychological conditions that impact an individual's emotional and cognitive functioning. In Ayurvedic perspective, these can be linked to imbalances in doshas, and holistic treatment strategies often include dietary adjustments, meditation, and herbal remedies to restore emotional and psychological health.

43) Sharirasthana (Sarirasthana, Sharira-sthana):
Sharira-sthana refers to the physical aspect of health in Ayurveda, emphasizing the importance of body structure and functions in overall well-being. Understanding Sharira-sthana helps practitioners create effective treatment plans that consider the body’s physical attributes and their interactions with mental and spiritual health aspects.

44) Sutrasthana (Sutra-sthana):
Sutra-sthana indicates sections of traditional texts where fundamental principles or teachings are outlined. It serves as a guide for practitioners, detailing essential methodologies and philosophical foundations that underpin Ayurvedic practices, ensuring a comprehensive understanding of treatment approaches and patient care.

45) Arunadatta:
Arunadatta was a notable commentator on Ayurvedic literature, particularly celebrated for his interpretations of classic texts. His contributions have been instrumental in translating complex Ayurvedic concepts into comprehensible ideas for practitioners, enhancing the understanding of treatments and ensuring the continuity of traditional knowledge in modern contexts.

46) Discussion:
Discussion refers to the cognitive process of articulating and analyzing ideas, findings, or issues. In medical literature, discussions often synthesize research findings, articulate implications for practice, and propose recommendations. This process fosters deeper understanding and exploration of topics, crucial for advancing knowledge and improving patient care.

47) Science (Scientific):
Scientific pertains to a systematic approach that seeks to understand and explain phenomena through observation and experimentation. In healthcare, adopting scientific methods allows for evidence-based practice, which enhances treatment approaches and fosters advancements in holistic medicine, particularly in understanding integrative therapies like Ayurveda.

48) Sadashiva (Sadasiva, Sada-shiva):
Sadashiva signifies a revered figure often associated with traditional Ayurvedic philosophies. His teachings embody the profound intertwining of health, spirituality, and holistic living, providing foundational principles that guide Ayurvedic practitioners in their quest to stabilize health and treat diseases through natural remedies and lifestyle adjustments.

49) Vataroga (Vata-roga):
Vataroga denotes diseases arising from the imbalance of the Vata dosha in Ayurveda. Conditions characterized by Vata imbalance can lead to disorders such as anxiety, insomnia, and restlessness. Understanding Vataroga is crucial for practitioners since targeting Vata restoration is often necessary for promoting overall health and well-being.

50) Rasayana (Rasa-ayana):
Rasayana refers to a branch of Ayurveda focusing on rejuvenation and health enhancement. Rasayana therapies aim to restore youthfulness and vitality, utilizing herbs and lifestyle practices to promote longevity. It underscores the holistic principles of Ayurveda, highlighting the potential of natural interventions to maintain health and prevent diseases.

51) Ashtanga (Astanga, Ashtan-anga):
Ashtanga is a term referring to the eight limbs of yoga outlined in Patanjali’s Yoga Sutras, emphasizing a comprehensive approach to physical and spiritual wellness. In Ayurveda, Ashtanga principles can complement dietary and therapeutic approaches, creating holistic healing pathways for individuals seeking balance in mind and body.

52) Hridaya (Hrdaya):
Hridaya means 'heart' and is significant in Ayurvedic philosophy, symbolizing the seat of emotions and consciousness. In healthcare discussions, understanding the Hridaya concept helps in exploring the connection between emotional health and physical well-being, informing therapeutic practices that acknowledge the mind-body relationship.

53) Prastha (Prashtha):
Prastha refers to a measure of quantity in Ayurvedic texts, often used in the context of dosages and formulations. Understanding Prastha is essential for practitioners to accurately prepare remedies that align with traditional practices while ensuring patient safety and efficacy through correct dosing protocols.

54) Vyakhya:
Vyakhya means 'exegesis' or 'explanation' and often pertains to commentaries on classical texts that elucidate complex concepts in Ayurveda. Such interpretations are vital for practitioners, as they provide clearer understanding and application of traditional wisdom to contemporary health issues and therapeutic techniques.

55) Hemadri (Heman-adri):
Hemadri was a renowned Ayurvedic scholar recognized for his contributions to classical texts and commentaries. His works, influencing modern practice, serve as pivotal resources for practitioners in navigating traditional knowledge and techniques that are essential for effective patient treatment and health maintenance.

56) Worry (Worried, Worrying):
Worried encapsulates a state of anxiety or concern often observed in patients dealing with chronic illnesses like cancer. This emotional state can significantly impact physical health, resulting in issues such as insomnia, making it essential for healthcare providers to address both mental and physical aspects in treatment approaches.

57) Pavana:
Pavana stands for 'air' or 'wind' in Ayurveda, representing one of the key elements in the understanding of bodily functions. Its significance lies in its connection to the Vata dosha, influencing a range of bodily processes. In therapeutic contexts, balancing Pavana is crucial for maintaining health and well-being.

58) Satmya:
Satmya refers to dietary habits and substances the body is accustomed to and can tolerate. Understanding a person's Satmya is a key consideration in Ayurveda, guiding dietary and lifestyle recommendations that promote balance and enhance overall health, particularly in treating disruptions from disease.

59) Nausea:
Nausea is a common symptom often experienced by patients undergoing chemotherapy and can greatly affect quality of life. In Ayurveda, nausea is assessed in connection with dosha imbalances, and treatments may include herbal remedies and lifestyle adjustments aimed at restoring balance and alleviating discomfort.

60) Indian:
Indian denotes the cultural and geographical context from which Ayurveda originates, encompassing the traditions, practices, and philosophies inherent in this ancient medical system. Understanding Indian cultural nuances is essential for practitioners leveraging Ayurvedic principles in contemporary settings, ensuring practices resonate with heritage while meeting modern health needs.

61) Ushna (Usna):
Ushna translates to 'hot' and is a key characteristic in Ayurveda, often describing the qualities of food, herbs, or environmental conditions that can influence health. Understanding Ushna properties helps practitioners make informed choices in dietary recommendations and treatment modalities to maintain balance and mitigate associated health issues.

62) Ruksha (Ruksa):
Ruksha means 'dry' in Ayurveda, representing a quality that can have both beneficial and detrimental effects depending on context. Assessing Ruksha aids practitioners in identifying imbalances that may affect digestion and hydration, guiding formulations that restore moisture and balance.

63) Sida (Shida):
Sida refers to the genus of plants used in traditional Ayurvedic medicine. One species, Sida cordifolia, is noted for its medicinal properties. Understanding the relevance of Sida allows practitioners to incorporate effective herbal remedies that align with individual health needs, supporting holistic treatment plans.

64) Roga:
Roga means 'disease' or 'disorder' in Sanskrit. It represents the imbalances in the body that seek restoration through appropriate interventions. Effective Ayurvedic practice relies on identifying Roga to facilitate holistic treatment approaches, addressing underlying causes rather than merely alleviating symptoms.

65) Hari (Harin):
Hari is a revered term often associated with auspiciousness and clearing negativity in Ayurvedic and spiritual contexts. It emphasizes the need for purification and balance, representing a guiding principle in therapies aiming to restore health by eliminating impeding factors adversely affecting an individual's well-being.

66) Bala:
Bala means 'strength' or 'power' in Ayurveda, denoting physical and mental resilience crucial for recovery and overall health. Understanding an individual's Bala helps practitioners adapt treatments to support strength restoration and enhance vitality, particularly in recovering patients undergoing taxing conditions such as cancer treatments.

67) Dosha (Dosa):
Dosha refers to the three fundamental energies (Vata, Pitta, and Kapha) in Ayurveda that govern physiological and psychological functions. Understanding an individual's dosha constitution is essential for practitioners in determining personalized treatment strategies designed to restore balance and promote overall health.

68) Chan:
Chan likely refers to an author or contributor within the medical literature, particularly concerning studies on cancer and insomnia. Invoking authoritative sources is crucial for bolstering the credibility and relevance of findings, linking traditional practices to empirical evidence in clinical contexts.

69) Cow milk (Cow's milk):
Cow's milk is a fundamental dietary component recognized for its nutritional value. In Ayurveda, it is revered for its sattvic qualities that promote health and balance. Understanding the role of cow's milk allows practitioners to tailor dietary recommendations to enhance overall vitality and support treatment goals.

70) Vetiveria zizanoides:
Vetiveria zizanoides, or vetiver, is a grass native to India known for its calming fragrances and medicinal properties. In Ayurveda, its use can help in stress relief and enhancing sleep quality, making it a valuable ingredient in treatments for insomnia and other psychological ailments.

71) Phyllanthus emblica:
Phyllanthus emblica, or Indian gooseberry, is a highly regarded herb in Ayurveda for its health benefits, including boosting immunity and enhancing vitality. Its use in formulations signifies the importance of natural remedies in preserving health and treating various conditions, particularly in supportive roles during cancer treatments.

72) Glycyrrhiza glabra:
Glycyrrhiza glabra, commonly known as liquorice, is valued in Ayurvedic medicine for its soothing properties. It is used to harmonize Pitta and Vata doshas and is often included in formulations targeting digestive issues and respiratory concerns, showcasing its versatility in promoting health and wellness.

73) Rubia cordifolia:
Rubia cordifolia, or Indian madder, is a plant used in Ayurvedic medicine for its blood-purifying properties. It embodies the principles of healing through natural substances, aligning traditional wisdom with modern expectations for holistic treatments aimed at restoring balance and addressing various health issues.

74) Cyperus rotundus:
Cyperus rotundus, or nut grass, holds a significant place in traditional medicine due to its wide range of therapeutic applications. In Ayurveda, it is often utilized for its anti-inflammatory and digestive properties, underscoring the plant’s role in holistic health practices.

75) Crocus sativus:
Crocus sativus, commonly referred to as saffron, is known for its unique flavor and numerous health benefits in Ayurveda. Considered a potent rasayana, saffron is valued for its mood-lifting properties and support in treating anxiety and insomnia, demonstrating the intersection of flavor and health in traditional practices.

[Note: The above list is limited to 75. Total glossary definitions available: 159]

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Discover the significance of concepts within the article: �Integrative management of insomnia during cancer chemotherapy: A case report�. Further sources in the context of Science might help you critically compare this page with similair documents:

Vatapitta, Nidranasha, Chemotherapy, Aging, Quality of life, Therapeutic intervention, Insomnia Severity Index, Pittsburgh Sleep Quality Index, Integrative oncology, External therapies, Patient evaluation, Shirothalam.

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