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CTRI Number  CTRI/2024/09/073631 [Registered on: 09/09/2024] Trial Registered Prospectively
Last Modified On: 27/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Role of herbal formulation in the management of melasma 
Scientific Title of Study   Clinical study to evaluate the efficacy of varnya yoga (manjishtha-yashtimadhu-sariva)in the management of vyanga(melasma) 
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 Subir Kumar Khan 
Designation  reader , Department of kayachikitsa 
Affiliation  The West Bengal University of Health Sciences, Kolkata  
Address  Institute of Post Graduate Ayurvedic Education And Reasearch at SVSP hospital . OPd no 1 Department Of Kayachikitsa 294/3/1, Α.Ρ.C Road, Kolkata-700009
DD 36, 2nd Avenue, DD Block, Sector 1, Bidhannagar, Kolkata, West Bengal 700064
Kolkata
WEST BENGAL
700009
India 
Phone  8944006115  
Fax    
Email  subirkrkhan2018@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Subir Kumar Khan 
Designation  reader , Department of kayachikitsa 
Affiliation  The West Bengal University of Health Sciences, Kolkata  
Address  Institute of Post Graduate Ayurvedic Education And Reasearch at SVSP hospital . OPd no 1 Department Of Kayachikitsa 294/3/1, Α.Ρ.C Road, Kolkata-700009
DD 36, 2nd Avenue, DD Block, Sector 1, Bidhannagar, Kolkata, West Bengal 700064
Kolkata
WEST BENGAL
700009
India 
Phone  8944006115  
Fax    
Email  subirkrkhan2018@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Rijuana sultana 
Designation  PG Scholar Department of Kayachikitsa 
Affiliation  The West Bengal University of Health Sciences, Kolkata  
Address  Institute of Post Graduate Ayurvedic Education And Reasearch at SVSP hospital . OPd no 1 Department Of Kayachikitsa 294/3/1, Α.Ρ.C Road, Kolkata-700009

Kolkata
WEST BENGAL
700009
India 
Phone  9064344520  
Fax    
Email  rijuanasultana1995@gmail.com  
 
Source of Monetary or Material Support  
Govrenment Of Health and family welfare Swasthya Bhawan GN-29 Sector-V, Salt Lake, Street Number 2, Kolkata, West Bengal 700091 
 
Primary Sponsor  
Name  Institute of Post Graduate Ayurvedic Education And Reasearch at SVSP hospital  
Address  Institute of Post Graduate Ayurvedic Education And Reasearch at SVSP hospital . OPd no 1 Department Of Kayachikitsa 294/3/1, Α.Ρ.C Road, Kolkata-700009 
Type of Sponsor  Government 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 Rijuana Sultana  Institute of Post Graduate Ayurvedic Education And Reasearch at SVSP hospital .  Institute of Post Graduate Ayurvedic Education And Reasearch at SVSP hospital . OPd no 1 Department Of Kayachikitsa 294/3/1, Α.Ρ.C Road, Kolkata-700009
Kolkata
WEST BENGAL 
9064344520

rijuanasultana1995@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L814||Other melanin hyperpigmentation. Ayurveda Condition: VYANGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: MANJISHTHA YASHTIMADHU SARIVA, Reference: CHARAK SAMHITA, Route: Oral, Dosage Form: Churna/ Powder, Dose: 5(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 45 Days, anupAna/sahapAna: Yes(details: WATER), Additional Information:
(2) Medicine Name: , Reference: MANJISHTHA YASHTIMADHU SARIVA, Route: CHARAK SAMHITA, Dosage Form: Churna/ Powder, Dose: 39(0), Frequency: NA, Bhaishajya Kal: bd, Duration: Abhakta, anupAna/sahapAna: No, Additional Information: -
(3) Medicine Name: , Reference: MANJISHTHA YASHTIMADHU SARIVA, Route: CHARAK SAMHITA, Dosage Form: Churna/ Powder, Dose: 9(5), Frequency: g, Bhaishajya Kal: bd, Duration: Adhobhakta, anupAna/sahapAna: No, Additional Information: WATER
2Comparator ArmProcedure-lepa, लेप (Procedure Reference: susruta samhita sutra sthan chap 18/ 04, Procedure details: lepa should be done in protiloma way (in the upward direction) by this way medicine ( manjishtha , yashtimadhu,sariva powder ) stay on the affected face properly for 20 minutes ,twice in a day morning and evening with water . thickness of lepa should be equal to that of the 0.25 cm )
(1) Medicine Name: manjistha yastimadhu sariva , Reference: charak samhita 04/, Route: Topical, Dosage Form: Churna/ Powder, Dose: 10(g), Frequency: bd, Duration: 45 Days
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Clinical features like
From ayurvedic text Neeruja(painless)Tanu(thin)
Shyava Varna Yuktamandala (blue patches) on Mukhapradesh
Hyperpigmented macules on face as per modern text.
Patient are not under other medicine for melasma.
patients willing for trial 
 
ExclusionCriteria 
Details  Blackish and Reddish brown spot present all over the body exists since birth
Any hyperpigmented patches due to leprosy will be excluded
Hyper pigment caused by tumour like malignant melanoma.
Hyperpigmented spot due to some endocrine and metabolic disorder like Addisons disease, Nelsons disease, Haemochromatosis, Pellagra
Acne vulgaris,Inflammatory pigmentation Pregnant women, Lactating mother 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
oral use of varnya yoga may show better result in the symptoms like kandu, rukshata, daha, hyperpigmentation and reduction in size and number of patches  45 Days 
 
Secondary Outcome  
Outcome  TimePoints 
external use of varnya yoga may show better result in the symptoms like kandu, rukshata, daha, hyperpigmentation & reduction in size & number of patches  45 days  
 
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 3 
Date of First Enrollment (India)   12/09/2024 
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="3"
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  
Vyanga, described in classical Ayurveda text under Kshudra Roga, is a hyperpigmentation disorder characterized by painless (Niruja) thin (Tanu) and brownish black (Shyava mandala) patches on the face. Vyanga is primarily caused by vitiation of Pitta Dosha and Vata Dosha. This disease may be co related with melasma due to similar clinical features.
Despite its ancient origin, Vyanga (melasma) remains a significant cosmetic concern, especially among women. It’s chronic and refractory nature calls for deeper understanding of its causes and effective treatments21. Ayurveda offers a holistic management approach through herbal remedies, dietary changes and lifestyle modification focusing on restoring Doshic balance and overall health.
There are so many preparations mentioned in our ayurvedic classics to treat Kshudra Roga.It is expected that the present work Manjishtha (Rubia cordifolia Linn), Yashtimadhu (Glycyrrhiza glabra Linn) and Sariva (Hemedismus indicus R.Br.) will be effective solution on this,distressful aliments as lepa as well as oral use.
 
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