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CTRI Number  CTRI/2024/08/072967 [Registered on: 23/08/2024] Trial Registered Prospectively
Last Modified On: 20/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Ayurvedic Management of Hemorrhoids 
Scientific Title of Study   An Open Labelled Clinical Study To Evaluate The Effect Of Chitraka Pratisaraneeya Teekshna Kshara In Abhyantara Arshas w.s.r. To Internal Haemorrhoids 
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 K Anushree  
Designation  PG Scholar  
Affiliation  Sri Dharmasthala Manjunatheswara college of ayurveda,kuthpady,udupi 
Address  Department of PG studies in Shalya Tantra Sri Dharmasthala Manjunatheswara college of Ayurveda and Hospital Kuthpady Udupi Karnataka Udupi KARNATAKA 574118

Udupi
KARNATAKA
574118
India 
Phone  7204750369  
Fax    
Email  anushree2297@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prashanth K 
Designation  Associate Professor 
Affiliation  Sri Dharmasthala Manjunatheswara college of ayurveda,kuthpady,udupi 
Address  Department of PG studies in Shalya Tantra Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital Kuthpady Udupi Karnataka Udupi KARNATAKA 574118 India

Udupi
KARNATAKA
574118
India 
Phone  9448857560  
Fax    
Email  drp235@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Prashanth K 
Designation  Associate Professor 
Affiliation  Sri Dharmasthala Manjunatheswara college of ayurveda,kuthpady,udupi 
Address  Department of PG studies in Shalya Tantra Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital Kuthpady Udupi Karnataka Udupi KARNATAKA 574118 India

Udupi
KARNATAKA
574118
India 
Phone  9448857560  
Fax    
Email  drp235@gmail.com  
 
Source of Monetary or Material Support  
Sri Dharmasthala Manjunatheswara Ayurveda Pharmacy Kuthpady Udupi Karnataka 574118 
 
Primary Sponsor  
Name  Sri Dharmasthala Manjunatheswara college of ayurveda 
Address  Sri Dharmasthala Manjunatheswara college of Ayurveda and Hospital Kuthpady Udupi Karnataka 574118 
Type of Sponsor  Private medical college 
 
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 K Anushree  Sri Dharmasthala Manjunatheswara college of Ayurveda and Hospital Kuthpady Udupi Karnataka 574118  OPD 5 Department of Shalyatantra Sri Dharmasthala Manjunatheswara college of Ayurveda and Hospital Kuthpady Udupi Karnataka 574118
Udupi
KARNATAKA 
7204750369

anushree2297@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee Sri Dharmasthala Manjunatheswara college of ayurveda and hospital udupi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K00-K95||Diseases of the digestive system. Ayurveda Condition: ARSAH, (2) ICD-10 Condition:K649||Unspecified hemorrhoids. Ayurveda Condition: ARSAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-kShArakarma, क्षारकर्म (Procedure Reference: sushruta samhita sutrasthana, Procedure details: application of chitraka teekshna kshara in abhyantara arshas)
(1) Medicine Name: chitraka teekshna kshara, Reference: sushruta samhita sutrasthana 11 chapter, Route: Rectal, Dosage Form: Kshara, Dose: 1(mg), Frequency: od, Duration: 1 Days
2Intervention ArmDrugClassical(1) Medicine Name: kaishora guggulu, Reference: sharangadhara samhita madhyama khanda 7verse , Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 750(mg), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: Yes(details: Ushnodaka), Additional Information: -
(2) Medicine Name: Gandhaka rasayana, Reference: Rasatarangini 8verse 81 to 86, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 750(mg), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: Yes(details: Ushnodaka), Additional Information: -
(3) Medicine Name: swadishta virechana churna, Reference: rasatantra sara, Route: Oral, Dosage Form: Churna/ Powder, Dose: 5(g), Frequency: od, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: Yes(details: Ushnodaka), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients between the age group of 18-70 years.
Diagnosed case of Internal Haemorrhoids. 
 
ExclusionCriteria 
Details  External Haemorrhoids, Intero External Haemorroids.
Haemorrhoids with complications like thrombosed, infected, strangulated, prolapsed.
Haemorrhoids associated with malignancy, pregnancy, fistula-in-ano, ulcerative colitis, proctitis, abscess,
uncontrolled diabetes, chronic liver disease, HBsAg, HIV, tuberculosis 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To find out the effect of Chitraka Pratisaraneeya Teekshna Kshara in Abhyantara Arshas by observing changes in state and size of pile mass  State of pile mass
Size of pile mass

 
 
Secondary Outcome  
Outcome  TimePoints 
Observing changes in VAS scale, state and size of hemorrhoids  45days 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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   Phase 3/ Phase 4 
Date of First Enrollment (India)   31/08/2024 
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 Yet Recruiting 
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   Hemorrhoids is abnormal sliding of anal cushions due to straining, constipation, low fibre diet and hereditary. Similarly Arshas one among ashtamahagada is caused due to sahajatani, virudhahara sevana, vegadharana which lead to derangement of doshas affecting gudavalli. Here Chitraka Pratisaraneeya Teekshna Kshara will be used in Abhyantara Arshas. 30 patients will be selected who will fulfill the inclusion criteria for study for study and patient will be assessed before and after the treatment. 
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