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CTRI Number  CTRI/2024/03/064375 [Registered on: 19/03/2024] Trial Registered Prospectively
Last Modified On: 11/05/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) [Nasal route for drug administration with oral medicine]  
Study Design  Single Arm Study 
Public Title of Study   Ayurvedic management of migraine 
Scientific Title of Study   A clinical evaluation of Guda Shunthi Avapeeda Nasya and Pathyadi Kwatha in the management of Ardhavbhedaka wsr to migraine an open label single arm study 
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 Kunjal Bhatt 
Designation  Professor 
Affiliation  J S ayurveda mhavidyalaya 
Address  Department of Shalakya Tnatra J S ayurveda college College road Nadiad 387001 Gujarat
Department of Shalakya Tnatra J S ayurveda college College road Nadiad 387001 Gujarat
Kheda
GUJARAT
387001
India 
Phone  8128302560  
Fax    
Email  drkhbhatt@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ganga R Hadimani 
Designation  Professor 
Affiliation  J S ayurveda college 
Address  Department of Shalakya Tantra J S Ayurveda college College road Nadiad Gujarat
J S Ayurveda college College road Nadiad Gujarat
Kheda
GUJARAT
387001
India 
Phone  8780067570  
Fax    
Email  gangupatil2001@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ganga R Hadimani 
Designation  Professor 
Affiliation  J S ayurveda college 
Address  Department of Shalakya Tantra J S Ayurveda college College road Nadiad Gujarat
J S Ayurveda college College road Nadiad Gujarat
Kheda
GUJARAT
387001
India 
Phone  8780067570  
Fax    
Email  gangupatil2001@rediffmail.com  
 
Source of Monetary or Material Support  
Sundar Ayurveda teaching pharmacy of J S Ayurveda college Nadiad 
 
Primary Sponsor  
Name  J S Ayurveda college and P D Patel Ayurveda hospital 
Address  college road Nadiad Kheda Gujarat 387001 
Type of Sponsor  Research institution and hospital 
 
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 Kunjal H Bhatt  P D Patel Ayurveda hospital  Department of Shalakya Tantra J S Ayurveda college and P D Patel Ayurveda hospital
Kheda
GUJARAT 
8128302560

drkhbhatt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee for human research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:G430||Migraine without aura. Ayurveda Condition: ARDHAVABEDAKAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-nasyam/ nastam, नस्यम्/ नस्तम् (Procedure Reference: Susruta Samhita, Procedure details: Juice will be procured by mixing Guda(Jaggery) & Shunthi churna and water. 4 drops of juice will be instilled in each nostril for seven days once in morning)
(1) Medicine Name: Guda(Jaggery) and Shunthi Churna, Reference: yog ratnakar, Route: Nasal, Dosage Form: Swaras/ Juice, Dose: 4(drops), Frequency: od, Duration: 7 Days
2Intervention ArmDrugClassical(1) Medicine Name: Pathyadi Kwatha, Reference: Sharandhar Samhita Madyam Khada, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 40(ml), Frequency: bd, Bhaishajya Kal: Abhakta, Duration: 45 Days, anupAna/sahapAna: Yes(details: Guda(Jeggary)), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Pain in neck eyebrows temples ear eyes and frontal area
Pain on every 10 15 30 days interval or sudden onset
Nausea Vomiting vertigo Aura GI tract symptoms
Associated with sensitivity to light sound and movement
Chronicity of the disease up to 10 years
Nasya Yogya
 
 
ExclusionCriteria 
Details  Age less than 18 years and above 60 years
Chronicity of the disease more than 10 years will be excluded
Patients suffering from any chronic debilitating disease with other neurological pathology ENT pathology and cases which require surgical intervention will be excluded from study
Patients suffering from sinusitis, hypertension secondary headache caused by meningitis tumour encephalitis cervical spondylitis and refractive errors will be excluded from study
Patients using any other systemic drugs which may alter the results of study
Pregnant lady and lactating mother
Nasya Ayogya
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
relief in headache in terms of frequency, duration and severity  0 week, 6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in MIDAS score  0 week, 6 weeks 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "62"
Final Enrollment numbers achieved (India)="62" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   27/03/2024 
Date of Study Completion (India) 02/01/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The disease Ardhavbhedaka is included in Shiroroga in Ayurvedic classics having hemicrainal pain as its cardinal feature. The pain involves Pradhan Marma- Shira hence very troublesome for the patient.The symptoms of Ardhavbhedaka are similar to those of Migraine.In the Global Burden of Disease Study2010 (GBD2010), it was ranked as the third most prevalent disorder in the world. In GBD2015, it was ranked third–highest cause of disability worldwide in both males and females under the age of 50 years.[i] Almost 1.04 billion individuals were estimated to have migraine. It caused 45.1 million YLDs(years of life lived with disability) globally in 2016. It is most burdensome in women between ages 15 and 49 years, causing 20.3 million YLDs in 2016, which was 11.2% of all YLDs in this age group and sex. To get rid of the pain the patient has to take some medication which may show some side effects or durg dependancy or withdrawl symptoms. Ayurvedic manegement of migraine includes instillation of drug through nasal route (Nasya)along with oral medicines. This helps in reliving symptoms faster. Role of Nasya in Ardhavbhedaka is established but the specific combination of Guda(Jeggary) and Shunthi (powder of Gingibar officinale) Avapeeda Nasya has not been tried yet .In this study the relief in symptoms will be observed and difference in MIDAS score will be observed.


[i]https://ichd-3.org/1-migraine/

 
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