Fatma et al Journal of Drug Delivery & Therapeutics. 2019; 9(4):322-327 ISSN: 2250-1177 [322] CODEN (USA): JDDTAO Available online on 15.07.2019 at http://jddtonline.info Journal of Drug Delivery and Therapeutics Open Access to Pharmaceutical and Medical Research © 2011-18, publisher and licensee JDDT, This is an Open Access article which permits unrestricted non-commercial use, provided the original work is properly cited Open Access Research Article A Pilot Study to Evaluate the Effectiveness of Dalk (Massage) with Roghan Labub-E-Saba in the Control of Insomnia Disorder Saba Fatma 1 , Rubi Anjum 2 *, Atiya Anjum 3 , & Paras Wani 4 1. M.D. Scholar, Dept. of Tahaffuzi-wa- Samaji Tib (Preventive & Social Medicine), School of Unani Medical Education and Research, Jamia Hamdard, New Delhi, India. 2. Assistant Professor, Dept. of Tahaffuzi-wa-Samaji Tib (Preventive & Social Medicine), School of Unani Medical Education and Research, Jamia Hamdard, New Delhi, India. 3. Clinical Registrar, Majeedia Unani Hospital, Jamia Hamdard, New Delhi, India. 4. Medical Officer, GTB Hospital, Govt. of NCT, New Delhi, India. ABSTRACT Background: This pilot study was undertaken to evaluate the effectiveness of Dalk (massage) with Roghan Labub-e-Saba (a local Unani formulation) in the control of Insomnia Disorder. Methods: This Pilot study was done in the months of March and April of the year 2019. A before and after interventional study was done in which total 6 patients of Insomnia Disorder were selected, 3 patients were selected from the OPD of Majeedia Unani Hospital, Jamia Hamdard, New Delhi, India and 3 patients were selected from the community of South Delhi, India. Patients were selected on the basis of subjective parameters and objective parameters of Insomnia Disorder as mentioned in DSM- V. The Patients were provided Dalk (Massage) with Roghan Labub- e- Saba on forehead and temporal region for 15 minutes daily for two weeks. The assessment was done before and after the intervention on the basis of standard methods of scoring specified for insomnia scales i.e. Athens Insomnia Scale and Pittsburgh Sleep Quality Index. Results: Out of total 6 participants, 4 were male and 2 were female. The mean age of the participants was 30.67 years. All the participants showed significant improvement. . Massage with Roghan Labub-e-Saba was found effective in reducing insomnia and it was found statistically significant (0.0040 * and 0.0003 * ). Conclusions: Dalk (massage) therapy is the safe and good alternative modality of conventional sedative hypnotic medications in the control of Insomnia Disorder. It has also not been noted any adverse and addictive effects, therefore it can be used in long-term therapeutics. Keywords: Insomnia Disorder, Sehar, Dalk, Massage, Ilaj Bil Tadbeer & DSM-V. Article Info: Received 13 May 2019; Review Completed 25 June 2019; Accepted 29 June 2019; Available online 15 July 2019 Cite this article as: Fatma S, Anjum R, Anjum A, Wani P, A Pilot Study to Evaluate the Effectiveness of Dalk (Massage) with Roghan Labub-E- Saba in the Control of Insomnia Disorder, Journal of Drug Delivery and Therapeutics. 2019; 9(4):322-327 http://dx.doi.org/10.22270/jddt.v9i4.3050 *Address for Correspondence: Dr. Rubi Anjum, Assistant Professor, Dept. of Tahaffuzi-wa-Samaji Tib (Preventive & Social Medicine), School of Unani Medical Education and Research, Jamia Hamdard, New Delhi. Pin Code: 110062 India. INTRODUCTION: The condition of insomnia is called Sehar or Bekhaabi in Unani medicine. According to Unani Medicine, there are six essential factors (Asbabe-Sitta Zarooriyah) which are necessary at its optimum to maintain the healthy life. Fifth one of them is Naum wa Yaqza which means ‘sleep and awakening’. Imbalance between these two conditions causes the disease state known as Sehar (Insomnia). Normal sleep is because of ratoobat wa baroodat i.e. wetness and coldness in our brain and if there is derailment of balance in sleep and wakefulness, it implies the predominance of yaboosat wa hararat i.e. dryness and hotness widespread in the brain. 1 Insomnia is defined not simply by total sleep time but rather by difficulty in initiation and maintenance of sleep, poor quality of sleep and an insufficient duration of sleep, such that functioning in the awake state is impaired. Insomnia is the most prevalent sleep complaint, affects up to 10 to 45% of the adult population and is second only to the complaint of pain as a reason to seek medical attention. 2