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CTRI Number  CTRI/2024/10/075879 [Registered on: 25/10/2024] Trial Registered Prospectively
Last Modified On: 23/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To see the effect of Apamarga pratisarniya kshara and Sariva pratisarniya kshara in Guda Arsha (Hemorrhoids) 
Scientific Title of Study   Comparative Clinical Evaluation of Apamarga Pratisarniya Kshara and Sariva Pratisarniya Kshara in Guda Arsha (Hemorrhoids) 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Monu 
Designation  PG Scholar 
Affiliation  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Haridwar 
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, phase 1, Roorkee Road, Haridwar, Uttarakhand, India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  8059199292  
Fax    
Email  monukaushik139@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Dr Sachin Gupta 
Designation  HOD & Professor  
Affiliation  Patanjali bhartiya ayurvigyan evam anusandhan sansthan  
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, phase 1, Roorkee Road, Haridwar, Uttarakhand, India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  9419135050  
Fax    
Email  chintu.925@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Monu 
Designation  PG Scholar 
Affiliation  Patanjali bhartiya ayurvigyan evam anusandhan sansthan, Haridwar 
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, phase 1, Roorkee Road, Haridwar, Uttarakhand, India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  8059199292  
Fax    
Email  monukaushik139@gmail.com  
 
Source of Monetary or Material Support  
Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Yogpeeth phase-1, Roorkee Road, Haridwar, Uttarakhand, India 249405 
 
Primary Sponsor  
Name  Patanjali bhartiya ayurvigyan evam anusandhan sansthan  
Address  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Haridwar, Uttarakhand, India 249405 
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 Monu  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan   OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, phase 1, Roorkee Road, Haridwar, Uttarakhand, India 249405
Hardwar
UTTARANCHAL 
8059199292

monukaushik139@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan Haridwar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K648||Other hemorrhoids. Ayurveda Condition: ARSAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-Kshara karma with Apamarga pratisarniya kshara (Procedure Reference: , Procedure details: The Apamarga Pratisarniya Kshara will be applied over the pile mass with the help of scoop under direct vision & wait for 100 Matra Kala (about 1 minute) until the sign & symptoms of Samyaka Dagdha “PakvajambuPhala” will be seen. After that Nimbu Swarasa in sufficient quantity will be used for washing of applied Kshara. Whole procedure will be performed in only one sitting & duration of treatment would be of 30 days.)
2Intervention ArmProcedure-Kshara karma with Sariva pratisarniya kshara (Procedure Reference: , Procedure details: The Sariva Pratisarniya Kshara will be applied over the pile mass with the help of scoop under direct vision & wait for 100 Matra Kala (about 1 minute) until the sign & symptoms of Samyaka Dagdha “PakvajambuPhala” will be seen. After that Nimbu Swarasa in sufficient quantity will be used for washing of applied Kshara. Whole procedure will be performed in only one sitting & duration of treatment would be of 30 days.)
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients between 16 to 60 years of age.
2. The patients having complaints of I and II-degree internal hemorrhoids will be taken for the study after per rectal examination.
3. Patients willing to undergo trial and ready to give informed and written consent.
4. Patients of both sexes above the age 16 years. 
 
ExclusionCriteria 
Details  1. Patients below the age of 16 years and above the age of 60 years.
2. III- and IV-degree internal pile.
3. Patients with any other Ano-rectal disease, like Fistula-in-Ano, Fissure in Ano, Rectal prolapse will be excluded from this study.
4. Patients suffering from systemic diseases such as Ulcerative colitis, Crohn’s disease, Cirrhosis of liver, Diabetes mellitus, Tuberculosis and Heart disease will be excluded from this study.
5. Patients with Evidence of malignancy.
6. HIV, Hepatitis B/C positive patients.
7. Pregnancy.
8. Ulcerated hemorrhoids. 
 
Method of Generating Random Sequence   Adaptive randomization, such as minimization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. Pain in anal region
2. Prolapse pile mass per rectum
3. Bleeding per rectum
 
7Days
 
 
Secondary Outcome  
Outcome  TimePoints 
Proctoscopic evaluation of the pile mass-
1) Site
2) Surface
3) Position
4) Size of the pile mass 
3 Months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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 2 
Date of First Enrollment (India)   05/11/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  05/11/2024 
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  
In this study, we will take patients of hemorrhoids in two random group in 30 each. In first group,
Sariva Pratisaraniya Kshara will be applied over pile masses under local anesthesia. In second
group, Apamarga Pratisaraniya Kshara will be applied over pile masses under local anesthesia.
Assessment will be done according to subjective and objective parameters mentioned above.
 
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