Using diet, yoga, and naturopathy to manage dry eye disease and improve sleep

INTERVENTION: Intervention1: naturopathy and yoga protocol: Participants will receive an anti‐inflammatory diet combined with naturopathy and yoga interventions for 8 weeks. Anti‐inflammatory Diet: Seeds: flaxseed, pumpkin seeds, sunflower seeds, sesame seeds Nuts: walnuts Legumes: rajma, chickpea, channa, moong dal, masur dal, horse gram Fruits: apple, orange, pineapple, lemon Vegetables: carrot, cabbage, cucumber, spinach, sweet potato, peas, beetroot, broccoli Whole grains: brown rice, oats, multigrain atta (jowar, bajra, jau, soyabean, amaranth, makka, channa, singhara) Spices: turmeric, black pepper, pink salt Sweetener: jaggery Naturopathy Intervention: Hot towel eye fomentation using towels soaked in water heated to approximately 60 C and applied over both eyes. Yoga Interventions: Trataka: Candle‐gazing practice for 15 minutes following eye exercises. Jal Neti: Nasal cleansing with lukewarm saline water using a neti pot. Deep Relaxation Technique (DRT): Guided relaxation involving A‐U‐M chanting and progressive body relaxation. Control Intervention1: control group: Participants will receive eye health education (eye education) only for the study duration, without the anti‐inflammatory diet, naturopathy treatment, or yoga interventions. CONDITION: Health Condition 1: H041‐ Other disorders of lacrimal gland PRIMARY OUTCOME: the Schirmer s testTimepoint: baseline,3week,8 week SECONDARY OUTCOME: Ocular Surface Disease Inde X(OSDI)Timepoint: baseline,3week, 8week Pittsburgh Sleep Quality Inde X(PSQI)Timepoint: baseline,3week,8 week INCLUSION CRITERIA: Patient meeting the diagnostic criteria for Mild to Moderate Dry Eye Disease.