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CTRI Number  CTRI/2025/01/079202 [Registered on: 22/01/2025] Trial Registered Prospectively
Last Modified On: 21/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Yoga & Naturopathy
Physiotherapy (Not Including YOGA)
Behavioral 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Ashvinimudra yogasana with bilva patra Kadha sitz bath Sweda in piles 
Scientific Title of Study   An open randomized controlled clinical study to evaluate efficacy of Ashwini Mudra along with Bilva patra kati avgah sweda in the management of Gudarsh wsr to grade 1 and 2 haemorrhoids  
Trial Acronym  Nill 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  RAJASHREE RAJESH KOLARKAR 
Designation  professor  
Affiliation  School of ayurveda, D.Y.Patil deemed to be University 
Address  School of ayurveda, D.Y.Patil deemed to be University, sector-7, Nerul, Navi Mumbai.
K.G.MITTAL AYURVED COLLEGE MUMBAI
Mumbai
MAHARASHTRA
400706
India 
Phone  9820064750  
Fax    
Email  rajashreekolarkar32@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  RAJASHREE RAJESH KOLARKAR 
Designation  professor  
Affiliation  KG MITTAL AYURVED COLLEGE MUMBAI 
Address  NETAJI SUBHASH ROAD CHARNI ROAD MUMBAI 400002
MUMBAI
Mumbai
MAHARASHTRA
400002
India 
Phone  9820064750  
Fax    
Email  rajashreekolarkar32@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dwivedi Amarprakash  
Designation  Professor 
Affiliation  school of Ayurveda, D Y Patil Deemed to be University, Navi Mumbai  
Address  School of Ayurveda, D Y Patil Deemed to be University, Navi Mumbai
School of Ayurveda, D Y Patil Deemed to be University, Navi Mumbai
Mumbai (Suburban)
MAHARASHTRA
400706
India 
Phone  9323097013  
Fax    
Email  amar.dwivedi@dypatil.edu  
 
Source of Monetary or Material Support  
DY Patil University School of Ayurved College in Nerul, Navi Mumbai 400706. Telephone No:022 3096 5888.OPD NO.3 SHALY TANTRA 
 
Primary Sponsor  
Name  DR RAJASHREE KOLARKAR 
Address  School of Ayurveda Padm.D.Y.Patil deemed to be University School of Ayurveda sector 7 Nerul Navi Mumbai.400706 state:Maharashtra Country -India Ph.D.scholer  
Type of Sponsor  Other [PHD THESIS ] 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Rajashree kolarkar rajashreekolarkargmailcom   School of ayurveda D.Y.Patil deemed to be University  opd no 3 surgery opd First Floor
Mumbai
MAHARASHTRA 
9820064750
0000000
diptyrk72@gmail.com This is my common email id 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Comittee school of ayurved D Y Patil deemed University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K928||Other specified diseases of the digestive system. Ayurveda Condition: PILES,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-AVGAH SWED AND ASHWINI MUDRA (Procedure Reference: HATHYOGRADIPIKA AND ASHTANGHRUDAY, Procedure details: Ashwini Mudra (horse gesture) Technique 1: Rapid contraction Its preferable to do empty stomach Sit in tub of bilva kadha in sitz bath position. Close the eyes and relax the whole body. Become aware of the natural breathing. Then take the awareness to the anus. Rapidly contract the anal sphincter muscles for a few seconds without straining, then relax them. Confine the action to the anal area. Contraction and relaxation should be performed 10 to 20 times, smoothly and rhythmically. )
(1) Medicine Name: PANCHSAM CHURNA, Reference: SHARANGADHAR SAMHITA, Route: Oral, Dosage Form: Churna/ Powder, Dose: 3(g), Frequency: bd, Duration: 1 Months
2Intervention ArmProcedure-avgah sweda (Procedure Reference: avgah swed, Procedure details: HATHYOGRADIPIKA AND ASHTANGHRUDAY, Procedure details: Ashwini Mudra (horse gesture) Technique 1: Rapid contraction Its preferable to do empty stomach Sit in tub of bilva kadha in sitz bath position. Close the eyes & relax the whole body. Become aware of the natural breathing. Then take the awareness to the anus. Rapidly contract the anal sphincter muscles for a few seconds without straining, then relax them. Confine the action to the anal area. Contraction & relaxation should be performed 10 to 20 times, smoothly and rhythmically. ))
(1) Medicine Name: bilva kadha, Reference: ashtang hriday, Route: Rectal, Dosage Form: Kwatha/Kashaya, Dose: 5(NA), Frequency: bd, Duration: 3 Months
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Age group: 20 to 50 years,
Gender-Both, male and female.
Patients diagnosed with Grade 1 & 2 Haemorrhoids who are not receiving any other treatment
 
 
ExclusionCriteria 
Details  Patients with Grade 3 and Grade 4 Haemorrhoids
Malignant conditions Ca Rectum and accelerated hypertensive, patient with systemic diseases like HIV, VDRL, CKD etc.
Patient with known complications of Haemorrhoids like Thrombosed, Strangulated Piles, Severe Anaemia etc.
Post Haemorrhoidectomy patients, Fissure, Fistula complex cases
Pregnant woman
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. To evaluate the therapeutic efficacy of Ashwini mudra along with Bilva Patra kati Avgah sweda in the management of symptomssuch as Bleeding per rectum, Size of pedicle, Colour of pedicles, Constipation and Pain.  0 15th DAY 30th DAY 45TH DAY 60TH DAY 75TH DAY 90TH DAY 
 
Secondary Outcome  
Outcome  TimePoints 
3. To establish Ashwini Mudra as an alternative regime for the management of first- and second-degree hemorrhoids and also for prevention from other ano rectal problems.  THREE MONTHS 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="65" 
Phase of Trial   N/A 
Date of First Enrollment (India)   03/02/2025 
Date of Study Completion (India) 06/11/2025 
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   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response (Others) -  N

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response (Others) -  N
  3. Who will be able to view these files?
    Response (Others) -  N

  4. For what types of analyses will this data be available?
    Response (Others) -  N

  5. By what mechanism will data be made available?
    Response (Others) -  N

  6. For how long will this data be available start date provided 18-04-2025 and end date provided 18-03-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - N
Brief Summary   The role of Ayurvedamanagement of Haemorrhoids has been proved by scientific studies. many people not only want to know how to heal haemorrhoids but how to heal them fast and naturally without any intervention and surgery. yoga naturopathy ayurveda have found cost effective lifestyle modification without surgery. purpose of the study is to create the awareness regarding modification of lifestyle for the prevention of pilesby regular practice of Yogic asanas, following pathya (Wholesome) Ahar (Diet) and viharas according to Ayurveda. also to find out the measures to prevent the advancement of disease into fourt degree which requirs compulsory surgical management. we can  avoid further complications of haemorrhoid like thrombosed piles,severe anaemia,fistula by this therapy. 
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