{
  "abstract": "Insomnia affects 10-30% of adults globally, with limited non-pharmacological options. This single-case report documents Siddha Varmathadaval therapy for stress-related insomnia. A 55-year-old woman presented with four-month history of insomnia (difficulty initiating/maintaining sleep) and daytime fatigue. Thookaminmai (insomnia) of Vatha-Pitham origin per Siddha principles was diagnosed. Baseline assessments showed severe insomnia (Insomnia Severity Index [ISI] = 21/28, Pittsburgh Sleep Quality Index [PSQI] = 15/21, Athens Insomnia Scale [AIS] = 13/24, Perceived Stress Scale-10 [PSS-10] = 31/40). The patient underwent twenty-one consecutive daily Varmathadaval therapy sessions using Sukku Thailam (90-120 minutes each), administered by a trained Siddha physician. Post-therapy improvements included ISI = 8/28 (62% reduction), PSQI = 6/21 (60% reduction), AIS = 4/24 (69% reduction), and PSS-10 = 12/40 (61% reduction). Traditional Siddha parameters (Manikadai Nool, Neikuri) demonstrated progressive improvement correlating with clinical outcome. Sleep latency decreased (45 → 15 minutes) and total sleep time increased (4-5→6-7 hours). Benefits were sustained at 4-week (ISI = 9) and 12-week (ISI = 11) post-treatment follow-up, with mild stress-related variation. Varmathadaval therapy produced clinically significant, sustained improvements in stress-related insomnia. The therapy was safe and well-tolerated. Controlled trials with prospective stress assessment are warranted.",
  "abstract_shown": true,
  "affiliations": [
    "Sri Sairam Siddha Medical College and Research Centre, West Tambaram, Chennai, Tamil Nadu, India. Electronic address: kanishkasiddha@gmail.com.",
    "Sri Sairam Siddha Medical College and Research Centre, West Tambaram, Chennai, Tamil Nadu, India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Kanishka Sakthivel",
      "orcid": "0009-0004-8186-3162"
    },
    {
      "affs": [
        1
      ],
      "name": "Mary Princess Sulekha Stephen Rajaiah"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2b62s1966x6ef.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaim.2026.101367",
  "fulltext_url": "https://europepmc.org/articles/PMC13683776",
  "id": "2b62s1966x6ef",
  "issns": [
    "0975-9476",
    "0976-2809"
  ],
  "landing_url": "https://europepmc.org/article/MED/42868869",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2707|Traditional Chinese Medicine Studies"
    ]
  ],
  "openalex": "W7221598832",
  "pdf_url": "https://europepmc.org/articles/PMC13683776?pdf=render",
  "pmcid": "PMC13683776",
  "pmid": "42868869",
  "published": "2026-09-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/2b62s1966x6ef.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:18Z",
      "native_id": "MED:42868869",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42868869"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2707|Traditional Chinese Medicine Studies",
      "subfield": "general"
    }
  ],
  "title": "Siddha Varmathadaval therapy in the management of stress-related insomnia: A case report.",
  "title_text": "Siddha Varmathadaval therapy in the management of stress-related insomnia: A case report.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:18Z",
  "url": "https://research.draconitic.com/paper/2b62s1966x6ef",
  "venue": "Journal of Ayurveda and integrative medicine",
  "versions": []
}