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CTRI Number  CTRI/2025/03/081958 [Registered on: 07/03/2025] Trial Registered Prospectively
Last Modified On: 10/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Other (Specify) [Marma therapy]  
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Treatment of Hypertension through Marma therapy 
Scientific Title of Study   Roll of Marma Therapy on Talhridaya Marma in the management of Avrita Vata w.s.r. to Prehypertension  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Durga Biswas 
Designation  PG Scholar 
Affiliation  Shri NPA Government ayurved College Raipur Chhattisgarh 
Address  OPD No 02 and 18 Department of kayachikitsa Shri Khudadad Dungaji Government Ayurved Hospital Raipur chhattisgarh Shri NPA Government ayurved College Raipur Chhattisgarh

Raipur
CHHATTISGARH
492010
India 
Phone  7049689222  
Fax    
Email  durgabiswas720@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Namrata Tiwari 
Designation  Reader Rachna Sharir 
Affiliation  Shri NPA Government ayurved College Raipur Chhattisgarh 
Address  Department of Rachana Sharir Shri NPA Government ayurved College Raipur Chhattisgarh

Raipur
CHHATTISGARH
492010
India 
Phone  09301411221  
Fax    
Email  drnamratatiwari5190@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Dr Aruna Ojha  
Designation  HOD Kayachikitsa 
Affiliation  Shri NPA Govenrment ayurved College Raipur Chhattisgarh 
Address  OPD No 02 and 18 Department of kayachikitsa Shri Khudadad Dungaji Government Ayurved Hospital Raipur chhattisgarh Shri NPA Goverment ayurved College Raipur Chhattisgarh

Raipur
CHHATTISGARH
492010
India 
Phone  9424401858  
Fax    
Email  arunaojha90@gmail.com  
 
Source of Monetary or Material Support  
Shri NPA Government ayurved College Raipur Chhattisgarh 
 
Primary Sponsor  
Name  Shri NPA Government ayurved College Raipur Chhattisgarh 
Address  Shri NPA Government ayurved College Raipur Chhattisgarh 
Type of Sponsor  Other [Shri NPA Goverment ayurved College Raipur Chhattisgarh] 
 
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 Durga Biswas  OPD No 2 Kaychiktsa Department Shri Khudadad Dungaji Govt Ayurved Hospital Raipur CG  Shri NPA Government ayurved College Raipur Chhattisgarh
Raipur
CHHATTISGARH 
7049689222

durgabiswas720@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
InstitutionalEthicsCommittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:I10||Essential (primary) hypertension. Ayurveda Condition: AVRUT,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-marmacikitsA, मर्मचिकित्सा (Procedure Reference: Sushrut Samhita Sharir Sthan 6/31, Procedure details: Pre therapy exercise: It comprises of the following steps; 1. Total relaxation of body 2. Deep breathing exercise 3. Perception of body as whole 4. Perception of psychic Centres 5. Perception of Marma points 6. Gentle massage with thumb and fingers over Talahridya Marma Stimulation time- 0.8 sec/stimuli 15 to 18 times in every sitting. Time- 2 times per day for 30 days Position of patient: sitting position Site of stimulation: Mid of palm. Method of stimulation: Apply pressure with the help of thumb at the site of Talhridaya Marma on left hand palm.Blood pressure measurement -Three consecutive reading will be taken each time in the left arm in sitting position and then the mean blood pressure will calculate.)
2Comparator Arm (Non Ayurveda)-Not given MarmacikitsaPatients of prehypertensive patient age of 31-50 year whom will not be given intervension ( Marma chikitsa) The patient will spend their normal life style. only their systolic and diastolic blood pressure will taken and compare with the patient of prehypertension whom marma chikitsa will given.
 
Inclusion Criteria  
Age From  31.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Suffering from prehypertension (up to 120-139/80-89 mmHg) 
 
ExclusionCriteria 
Details  Suffering from hypertension.(Above 140/90mmHg)
Breastfeeding, pregnancy.
Hepatic and renal inadequacy hypertension.
Below 31 years and above 50 years. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Normalization of blood pressure level   2 times per day for 30 days  
 
Secondary Outcome  
Outcome  TimePoints 
Balance avrit vata  after 30 days regular Marma therapy 
 
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/ Phase 3 
Date of First Enrollment (India)   15/03/2025 
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="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  
Marma therapy is a profound technique that involves the stimulation of specific points in body to promote healing, balanceenergies and enhance over all well-being. According to various research articles it is proposed that hypertension is to be understood as the Prasara Avastha which means spread of vitiated Doshas from theirspecific sites, specifically of Vyana Vata, Prana Vata, Sadhaka Pitta and Avalambaka Kapha along with Rakta in their disturbed states.
NULL HYPOTHESIS (H0)– Marma therapy (stimulation of Talhhridaya Marma) will not be effectiveon Prehypertension.
Stimulation time- 0.8 sec/stimuli 15 to 18 times in every sitting. Time- 2 times per day for 30 days Position of patient: sitting position Site of stimulation: Mid of palm Method of stimulation: Apply pressure with the help of thumb at the site of Talhridaya Marma on left hand palm.
ASSESSMENT CRITERIA-The objective parameters which will be used to assess the change in blood pressure by using (Marmatherapy) Talhridaya Marma stimulation.
• Blood pressure (Systolic and Diastolic)
 
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