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CTRI Number  CTRI/2025/04/084720 [Registered on: 15/04/2025] Trial Registered Prospectively
Last Modified On: 11/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   This is a study conducted to know the efficacy of nasya with mashabaladi kwatha for the management of cervical spondylosis. 
Scientific Title of Study   A randomised controlled clinical study to evaluate the efficacy of nasya with mashabaladi kwatha in the management of manyasthambha 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aishwarya Suresh Belle 
Designation  Post graduate resident  
Affiliation  Muniyal institute of ayurveda medical science, manipal  
Address  Out patient ward , department of panchakarma, ground floor, room no.3 Muniyal institute of ayurveda medical science 34-C, Shivalli, Industrial Area, Manipal, Karnataka 576104

Udupi
KARNATAKA
576104
India 
Phone  9483318796  
Fax    
Email  belleaishwarya@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrGuruprasad G 
Designation  Professor  
Affiliation  Muniyal institute of ayurveda medical science manipal  
Address  Out patient ward , department of panchakarma, ground floor, room no.3 Muniyal institute of ayurveda medical science 34-C, Shivalli, Industrial Area, Manipal, Karnataka 576104

Udupi
KARNATAKA
576104
India 
Phone  9844632505  
Fax    
Email  shettydrguruprasad@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  DrGuruprasad G 
Designation  Professor  
Affiliation  Muniyal institute of ayurveda medical science manipal  
Address  Out patient ward , department of panchakarma, ground floor, room no.3 Muniyal institute of ayurveda medical science 34-C, Shivalli, Industrial Area, Manipal, Karnataka 576104

Udupi
KARNATAKA
576104
India 
Phone  9844632505  
Fax    
Email  shettydrguruprasad@yahoo.co.in  
 
Source of Monetary or Material Support  
MUNIYAL INSTITUTE OF AYURVEDA MEDICAL SCIENCE AND RESEARCH CENTRE MANIPAL 34-C Shivalli, Industrial area Manipal-Udupi 576104 
 
Primary Sponsor  
Name  Aishwarya Suresh Belle  
Address  Muniyal institute of ayurveda medical science 34-C, Shivalli, Industrial Area, Manipal, Karnataka 576104 
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 
Dr Aishwarya Suresh Belle   Muniyal institute of ayurveda medical science manipal   Out patient department of panchakarma room no.3 ground floor,
Udupi
KARNATAKA 
9483318796

belleaishwarya@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
muniyal institute of ayurveda medical science manipal institutions ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M479||Spondylosis, unspecified. Ayurveda Condition: MANYASTAMBAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-nasyam/ nastam, नस्यम्/ नस्तम् (Procedure Reference: Gada nigraha, shri vaidya shodala with comentory of vidyotini kayachikitsa khanda 2, pg-459, chapter by sri indradeva tripathi, published by chaukambha oriental varanasi., Procedure details: Group A: 20 patients will be treated using Mashabaladi kwatha nasya. Group B: 20 patients will be treated using Dashamoola kwatha nasya. Therapeutic: Group A: Poorvakarma – Sthanika Abhyanga with Murchita tila taila & BashpaSveda with dashamoola kwatha. Pradhanakarma – Mashabaladi kwatha nasya Paschat karma – Kavala with Sukoshnajala and Dhoompana with Haridra Dhuma varti. Group B: Poorvakarma – Sthanika Abhyanga with Murchita tila taila and Bashapasveda with dashamoola kwatha Pradhanakarma – Dashamooladi kwatha nasya Paschat karma – Kavala with Sukoshnjala and Dhoomapana with Haridra Dhuma varti. Posology: 6 drops each nostril in empty stomach)
(1) Medicine Name: Mashabaladi kwatha, Reference: Gada nigraha, shri vaidya shodala with comentory of vidyotini kayachikitsa khanda 2, pg-459, chapter by sri indradeva tripathi, published by chaukambha oriental varanasi., Route: Nasal, Dosage Form: Kwatha/Kashaya, Dose: 6(drops), Frequency: od, Duration: 7 Days
2Comparator ArmProcedure-nasyam/ nastam, नस्यम्/ नस्तम् (Procedure Reference: Gada nigraha, shri vaidya shodala with comentory of vidyotini kayachikitsa khanda 2, pg-459, chapter by sri indradeva tripathi, published by chaukambha oriental varanasi., Procedure details: Group A: 20 patients will be treated using Mashabaladi kwatha nasya. Group B: 20 patients will be treated using Dashamoola kwatha nasya. Therapeutic: Group A: Poorvakarma – Sthanika Abhyanga with Murchita tila taila & BashpaSveda with dashamoola kwatha. Pradhanakarma – Mashabaladi kwatha nasya Paschat karma – Kavala with Sukoshnajala and Dhoompana with Haridra Dhuma varti. Group B: Poorvakarma – Sthanika Abhyanga with Murchita tila taila and Bashapasveda with dashamoola kwatha Pradhanakarma – Dashamooladi kwatha nasya Paschat karma – Kavala with Sukoshnjala and Dhoomapana with Haridra Dhuma varti. Posology: 6 drops each nostril in empty stomach)
(1) Medicine Name: Dashamoola kwatha, Reference: Bhavaprakasha of bhavamishra by Dr. b. sitaram, madhyama khnada, Vol 2, published by chaukambha orientalia, 2010 edition., Route: Nasal, Dosage Form: Kwatha/Kashaya, Dose: 6(drops), Frequency: od, Duration: 7 Days
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients with classical symptoms of Manyastamba.

Patients of the age group between 30-70 years.

Patients of either gender irrespective of caste and religion.

Patients who are fit for narya. 
 
ExclusionCriteria 
Details  Pregnant women and lactating mother.

Any disorder contraindicated for nasya.

Patient with congenital deformities of spine.

Some diseased condition like cervical radiculopathy 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
assessment of pain will be done
to reduce pain 
7th day 
 
Secondary Outcome  
Outcome  TimePoints 
Ro minimise the stiffness and restricted range of movement  14days 
 
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   N/A 
Date of First Enrollment (India)   22/04/2025 
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="1"
Months="3"
Days="15" 
Recruitment Status of Trial (Global)   Not Applicable 
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   According to global burden of disease 2015, neck pain remain the leading cause of years lived with diasability and fourth leading cause of diasability adjusted life years.
The prevalence of cervical spondylosis was 13.76% and cervical spondylosis is considered a natural process of aging with a 95% prevalence by age of 65 years.
In the present era of modernisation, people are prone to numerous degenerative disease due to present day lifestyle, a great number of people are inclined to desk work and computer usage .manyasthambha is one among such disease where the stiffness of neck with severe pain is the classical symptom which hampers our day to day life.

 
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