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CTRI Number  CTRI/2025/03/081852 [Registered on: 06/03/2025] Trial Registered Prospectively
Last Modified On: 05/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A comparative study of enema therapy prepared in two different ways in low back pain radiating to lower limbs. 
Scientific Title of Study   Comparative clinical study on Erandamooladi Niruha Basti using Kashaya and Rasakriya in Vatakaphaja Gridhrasi. 
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 P V Chithra Ramakrishnan Yadhav 
Designation  PG Scholar 
Affiliation  SDM College of Ayurveda and Hospital 
Address  Department of Panchakarma Sri Dharmasthala Manjunatheshwara College of Ayurveda & Hospital Thanniruhalla Hassan Karnataka India

Hassan
KARNATAKA
573201
India 
Phone  9961159122  
Fax    
Email  chithraramakrishnan98@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashvini Kumar M 
Designation  Professor 
Affiliation  Sri Dharmasthala Manjunatheshwara College of Ayurveda & Hospital  
Address  Department of Panchakarma Sri Dharmasthala Manjunatheshwara College of Ayurveda & Hospital Thanniruhalla Hassan Karnataka India

Hassan
KARNATAKA
573201
India 
Phone  8217505755  
Fax    
Email  ashvinipanchakarma@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ashvini Kumar M 
Designation  Professor 
Affiliation  SDM College of Ayurveda and Hospital 
Address  Department of Panchakarma Sri Dharmasthala Manjunatheshwara College of Ayurveda & Hospital Thanniruhalla Hassan Karnataka India

Hassan
KARNATAKA
573201
India 
Phone  8217505755  
Fax    
Email  ashvinipanchakarma@gmail.com  
 
Source of Monetary or Material Support  
Sri Dharmasthala Manjunatheshwara College of Ayurveda & Hospital Thanniruhalla Hassan Karnataka 573201 India  
 
Primary Sponsor  
Name  SDM College of Ayurveda and Hospital 
Address  Thanniruhalla, Hassan, Karnataka 573201 
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 P V Chithra Ramakrishnan Yadhav   Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital  OPD and IPD under all the departments of Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Thanniruhalla, Hassan, Karnataka, India, 573201
Hassan
KARNATAKA 
9961159122

chithraramakrishnan98@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M544||Lumbago with sciatica. Ayurveda Condition: GRUDHRASI,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-bastikarma/vastikarma, बस्तिकर्म/वस्तिकर्म (Procedure Reference: Charaka Samhita Siddhisthanam, Procedure details: Basti prepared with Erandamooladi Kashaya)
(1) Medicine Name: Erandamooladi Niruha Basti, Reference: Charaka Samhita Siddhisthanam, Route: Rectal, Dosage Form: Not Applicable, Dose: 675(ml), Frequency: od, Duration: 3 Days
(2) Medicine Name: Sahacharadi Taila, Reference: Astanga Hridaya Chikitsa Sthana 29/66-68, Route: Rectal, Dosage Form: Not Applicable, Dose: 80(ml), Frequency: od, Duration: 5 Days
2Intervention ArmProcedure-bastikarma/vastikarma, बस्तिकर्म/वस्तिकर्म (Procedure Reference: Charaka Samhita Siddhisthanam, Procedure details: Basti prepared with Erandamooladi Rasakriya)
(1) Medicine Name: Erandamooladi Niruha Basti , Reference: Charaka Samhita Siddhisthanam, Route: Rectal, Dosage Form: Not Applicable, Dose: 675(ml), Frequency: od, Duration: 3 Days
(2) Medicine Name: Sahacharadi Taila, Reference: Astanga Hridaya Chikitsa Sthana 29/66-68, Route: Rectal, Dosage Form: Not Applicable, Dose: 80(ml), Frequency: od, Duration: 5 Days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Participants fulfilling the diagnostic criteria
2. Age between 18-60 years irrespective of gender
3. Participants fit for Basti Karma.
4. Participants who are willing to participate and sign the informed consent form.
5. Participants with positive Straight Leg Raising (SLR) test.
 
 
ExclusionCriteria 
Details  1. Pregnant women.
2. Uncontrolled Type 1 & 2 Diabetes mellitus & Hypertension.
3. Diagnosed cases of systemic disorders like heart disease, renal failure and liver disease which may interfere with the course of the treatment.
4. History of HIV, HBsAg, Carcinoma and Tuberculosis.
5. Fractures of pelvis and femur.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Assessment will be based on Samyak Basti Lakshanas, Retention time of Basti Dravya, Number of Vegas. Assessment of Gridhrasi will be based on Ruk (pain)- Visual Analogue Scale (0-10), Stambha (stiffness)- Schober’s Test, Toda (pricking sensation), Aruchi(Anorexia), Gourava(Heaviness), Tandra(drowsiness), Straight Leg Raising Test.  0th day, 5th day, 20th day 
 
Secondary Outcome  
Outcome  TimePoints 
Improvemnt in ease of life  20days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   18/03/2025 
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="2"
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  

Basti is the prime treatment modality among panchakarma and it is referred as Ardha Chikitsa. Niruha Basti therapy is applied for various ailments in which Kashaya being a crucial ingredient. However, Kashaya must be freshly prepared and has a shorter shelf life. Therefore, its essential to adapt the prepration process of Kashaya to extend its shelf life without losing its medicinal value. In this context, Erandamooladi Niruha basti which is widely used in clinical practice, has been choosen and Rasakriya is prepared from Erandamooladi Kashaya which offers the benefit of longer shelf life and storage compared to traditional method of Kashaya prepration. Shelf life of Rasakriya is 1 year as mentioned by sharangadhara samhitha and no preservatives added, this Rasakriya is prepared once before the start of the study and stored in air tight container, during the preparation of  Kashaya,Rasakriya is added. Prepared Rasakriya is mixed into warm water and stirred continuously for 2 minutes until it is fully dissolved during the process of Basti prepration which saves the time.

         The prevalence rate of sciatica varies significantly ranging from 1-6% in the general population and from 40-70% in working population.  It can cause significant economic burden due to loss of work productivity so study for its effective management can reduce its burden. So to fulfill the expectations from the ayurvedic field and to find out effective and safe therapy for Gridhrasi and the duration required for the prepration can be minimized,which may prove beneficial for ayurvedic practices and Basti treatments.Therefore this particular study has been choosen.

 
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