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Shafia Mushtaq1*, Azhar Jabeen1, Fasihuzaman1, Musadiq Mushtaq2, Shazia Jilani1, Sadia Nikhat3, Shah Alam1
1Departmen of Moalijat, Faculty of Medicine, Jamia Hamdard, Hamdard Nagar, New Delhi, India.
2 Department of Paediatrics under National Rural Health Mission. GB Pant Children Hospital, Jammu and Kashmir, India.
3Department of Tahaffuzi-wa-samaji Tib, Jamia Hamdard, Hamdard Nagar, New Delhi, India.

CASE REPORTS
Volume 2, Issue 1, Jan-April 2014, Page 51-53.

Article history
Received: 10 March 2014
Revised: 20 March 2014
Accepted: 10 April 2014
Early view: 28 April 2014

*Author for correspondence
E-mail: shafiya.mushtaq786@gmail.com

Keywords:
Akhlat
Aasbab-e-sittah zarooriya,
Ratoobat
Nutool
Insomniac
Depression.

ABSTRACT
According to Unani system of medicine, health is attributed to the equilibrium of akhlat (humors), besides this there is asbab-e-sittah zarooriya (six essential factors). These are air, food and drinks, bodily movements and repose (harkat-wa-sakoon badni), mental activity and repose (harkat-wa-sakoon nafsani), sleep and wakefulness (naum wa yaqza) and retention and excretion (ahtibas wa istifiragh). Any imbalance in any of the above factors is likely to cause disease. Normal sleep is thought to be because of ratoobat wa baroodat i.e. wetness and cold in our body and if there is derailment of balance in sleep and wakefulness, it implies the predominance of yuboosat wa hararat i.e. dryness and hotness widespread in the brain. Insomniacs complain of difficulty falling asleep, difficulty staying asleep, poor quality sleep, or inadequate sleep despite adequate opportunity. In addition, the sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning. Herein, we report a case study of secondary insomnia female patient, who also suffered from chronic depression. The patient was treated with nutool therapy with some specific oils, and the dose of antidepressants was tapered off gradually. The patient showed significant improvement in 12 sittings.