Let me answer this directly, and then explain the clinical reasoning behind it.
Poor sleep in Ayurveda is rarely treated as an isolated problem — it is usually downstream of an aggravated Vata or Pitta pattern, disrupted digestion, or an evening routine that works against the body's natural rhythm.
Practical changes to the evening routine (timing of the last meal, reduced screen stimulation, a consistent wind-down practice) often produce more durable improvement than herbal support alone, though the two work well together.
For genuinely difficult cases, targeted therapies like Shirodhara can help reset the pattern, but I treat them as part of a broader protocol rather than a standalone fix.
Every patient's presentation is different, so this is general clinical guidance rather than a substitute for an individual consultation — Dr. Rohan Gupta, BAMS, would want to examine your specific history before recommending a protocol.