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CTRI Number  CTRI/2024/06/069605 [Registered on: 27/06/2024] Trial Registered Prospectively
Last Modified On: 15/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Effect of sudation therapy with Varunadi formulation in Lumbar Spondylosis 
Scientific Title of Study   Effect of Varunadi Choorna Pinda Sweda in Lumbar Spondylosis 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Fathima A 
Designation  P G Scholar,Department of Panchakarma 
Affiliation  Government Ayurveda Medical College and Hospital 
Address  Government Ayurveda Medical College and Hospital,Pulimood Junction,Thiruvananthapuram KERALA India

Thiruvananthapuram
KERALA
695001
India 
Phone  8848819910  
Fax    
Email  fathimayasar5@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Fathima A 
Designation  P G Scholar,Department of Panchakarma 
Affiliation  Government Ayurveda Medical College and Hospital 
Address  Government Ayurveda Medical College and Hospital,Pulimood Junction,Thiruvananthapuram KERALA India

Thiruvananthapuram
KERALA
695001
India 
Phone  8848819910  
Fax    
Email  fathimayasar5@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Manju P S 
Designation  Associate Professor,Department of Panchakarma 
Affiliation  Government Ayurveda Medical College and Hospital 
Address  Government Ayurveda Medical College and Hospital,Pulimood Junction,Thiruvananthapuram Kerala India

Thiruvananthapuram
KERALA
695001
India 
Phone  9847317295  
Fax    
Email  manjumahesh1977@gmail.com  
 
Source of Monetary or Material Support  
Government Ayurveda Medical College and Hospital, Thiruvananthapuram Kerala 695001 India 
 
Primary Sponsor  
Name  Dr. Fathima A 
Address  PG Scholar , Government Ayurveda Medical College And Hospital, Thiruvananthapuram 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Fathima A  Government Ayurveda Panchakarma Hospital,Poojappura,Thiruvananthapuram  In patient Department of Swasthvritta,Government Ayurveda Panchakrma Hospital,Poojappura,Thiruvananthapuram
Thiruvananthapuram
KERALA 
8848819910

fathimayasar5@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE (IEC) Government Ayurveda Medical College, Thiruvananthapuram  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M478||Other spondylosis. Ayurveda Condition: SANDHIGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-piNDasvedaH, पिण्डस्वेदः (Procedure Reference: Gada Nigraha, Procedure details: Intervention:  Procedure Preparation of pottali Each drug will bought in raw form.Then it should be cleaned and dried properly.For preparing pottali, it should be pulverized to get fine powder.4 pottali were prepared each containing 250gms of varunadi choorna. The powder should be fried in the vessel till it attains a golden brown colour.it should be divided into 4 equalparts and tied into 4 pottalis. Poorvakarma Patient should be seated on the table/droni and Rasnadi choorna should be applied on the head. Pradhanakarma The hot pottali should be gently applied over the body, after confirming the temperature by applying pottalies on the dorsum of hand of therapist,(420 C - 450 C).Just pressing the body with pottali should be done, no need of kneading and massaging with the pottali. Both pottalis are used alternately after reheating tomaintain uniform temperature throughout the procedure. Same pottali can be used for three days. For whole body, it should be done for about 30 – 45 minutes in the 7 positions. Samyak swinna lakshanas must be looked for. Paschathkarma After the procedure,thala should be removed with cotton and Rasnadi choorna should be applied over moordha. Patient should take complete rest for at least half an hour and should take bath in hot water. Study duration:  Intervention- 7 days.  Evaluation of the disease condition before treatment (0th day).)
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Participants with signs and symptoms of Lumbar Spondylosis along with x ray
showing degeneration of lumbarspine
2. Participants aged between 30&60 years
3. Participants fit for rooksha sweda.
 
 
ExclusionCriteria 
Details  1. Lumbar Spondylosis associated with any type of malignancy or neoplastic
infiltration.
2. Participants with uncontrolled hypertension, diabetes mellitus, major liver or renal
disorder.
3. Participants contraindicated for swedana in Ayurvedic classical textbooks 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Outcome measures are evaluated by comparing the pre and post measurements
in VAS Scale, Range of movement by goniometer, and quality of life by
Quebec low back pain  
0th day,8th day 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="25"
Sample Size from India="25" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/07/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Lumbar spondylosis is a condition caused by degeneration of the lumbar disc or facet joints..Degenerative changes cause the weakening of the disc fibers, causing wear and tear.Constant wear and tear cause inflammation and formation of mineral deposits within the discs. Due to similar presentations Lumbar spondylosis can be correlated with Kateegraha mentioned in our classics. Swedana is indicated in vathakaphaja rogas.As katee is vatha sthana and joints are kapha sthana, rooksha sweda can given to kateegraha.Symptoms such as thodha,aayama, sthamba ,graha etc are relieve suddenly by sweda. Varunadi choorna pinda sweda mentioned in the vathavyadhi chikitsa of Gadha Nigraham is indicated in vatha rogas. The gana used for varunadi sweda contains 8 drugs.All are having vatha hara and vathakapha hara properties.Varunadi gana contains 8 drugs such as Varuna,Eranda,Vathari,Mundi,Shigru, 2 Shathavari,Gokshura & Sarshapa.All of these drugs are shoolagna,shwayadugna and easily available. Study design is an experimental study with pre-post assessment without control group. Participant aged between 30-60 years registered in IPD of Government Ayurveda Panchakarma hospital, Poojappura, Thiruvananthapuram diagnosed to have Lumbar spondylosis and satisfying inclusion criteria will be selected. The base line data will be collected through interview,observation and questionnaire. After collecting base line data, detailed history and examination will be done using clinical case proforma. Choornapindasweda will be done up to 35 minutes for 7 days. Changes in low back ache, range of movements and functional assessment will be analysed before treatment and, after treatment on the 8th day . Depending upon the distribution of variables, it will be analysed according to statistical test. 
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