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CTRI Number  CTRI/2025/03/081970 [Registered on: 07/03/2025] Trial Registered Prospectively
Last Modified On: 18/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   A clinical trial to study the combined effect of Pathyaksha dhathryadi kashaya internally and Kushtadi lepam in tension type headache 
Scientific Title of Study   Combined effect of pathyaksha dhathryadi kashaya internally and kushtadi lepam in tension type headache 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Bhagyasree B 
Designation  PG scholar 
Affiliation  Government Ayurveda college Kannur 
Address  Government Ayurveda College Pariyaram Kannur Kerala

Kannur
KERALA
670503
India 
Phone  09496888353  
Fax    
Email  drbhagyasreenishanth@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr VKV Balakrishnan 
Designation  Professor 
Affiliation  Government Ayurveda College Kannur 
Address  Government Ayurveda College Pariyaram Kannur Kerala

Kannur
KERALA
670503
India 
Phone  9447037892  
Fax    
Email  baluvkv@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Bhagyasree B 
Designation  PG scholar 
Affiliation  Government Ayurveda College Kannur 
Address  Government Ayurveda College Pariyaram Kannur Kerala

Kannur
KERALA
670503
India 
Phone  09496888353  
Fax    
Email  drbhagyasreenishanth@gmail.com  
 
Source of Monetary or Material Support  
Government Ayurveda College hospital Kannur 
 
Primary Sponsor  
Name  Dr Bhagyasree B 
Address  Government Ayurveda College Pariyaram Kannur Kerala  
Type of Sponsor  Other [self] 
 
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 
Bhagyasree B  Government Ayurveda CollegeHospital Kannur  Government Ayurveda College Pariyaram Kannur 670503
Kannur
KERALA 
09496888353

drbhagyasreenishanth@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Government Ayurveda College Kannur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:G442||Tension-type headache. Ayurveda Condition: SIROROGAH/SIRAHSULA/SIRASTAPA/SIROBITAPA,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Pathyaksha dhathryadi kashaya, Reference: sarangadhara samhitha, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 48(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 14 Days, anupAna/sahapAna: Yes(details: -guda), Additional Information: -
2Intervention ArmProcedure-lepa, लेप (Procedure Reference: sarangadhara samhitha, Procedure details: lepa choorna made into paste with ghee applied to forehead with a thickness of 5mm)
(1) Medicine Name: Kushtadi lepam, Reference: Ashtanga hridaya, Route: Topical, Dosage Form: Lepa Churna, Dose: 10(g), Frequency: od, Duration: 14 Days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1]Age group in between 18-40 years irrespective of gender
2]Patients fulfilling the ICHD-3 diagnostic criteria of tension type headache
3]Patients who are willing to give written informed consent 
 
ExclusionCriteria 
Details  1]Patients with other types of headache
2]Pregnant and lactacting women
3]Subjects suffering from other systemic illness
4]Infrequent episodic type of tension headache 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
severity of pain assessed using visual analogue scale   assessment will be done on 0th,15th ,45th and 60th day  
 
Secondary Outcome  
Outcome  TimePoints 
reducing frequency and duration of pain  assessment will be done on 0th,15th ,45th and 60th day  
 
Target Sample Size   Total Sample Size="31"
Sample Size from India="31" 
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   N/A 
Date of First Enrollment (India)   01/04/2025 
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="0"
Months="0"
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 the general population, tension type headaches, [TTHs], are the most common type of primary headache. It is characterized by bilateral, recurrent, mild to moderately intense headaches that feel tight or pressing and do not become worse with normal routine activities. TTH shares certain features of vatika sirasoola and kaphaja sirasoola mentioned in ayurvedic classics. Pathyaksha dhathryadi Kashaya and kushtadi lepa are two important ayurvedic formulations explained in classics that are beneficial in the management of shirasoola..Tension type headache [TTH] is highly prevalent with a life time prevalence rates varying across the studies between 30-78%, significally impacting socio -economic condition. The causes of TTH include stress, anxiety, tiredness, dehydration, bright light,noise, certain smell, sleep deprivation, uncomfortable position, bad posture, irregular feeding time, and constant use of mobile phone which causes excessive strains the eyes. This study aims to evaluate combined effect of Pathyaksha dhathryadi Kashaya internally and kushtadi lepam externally to reduce the intensity of pain as well as its recurrence 
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