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CTRI Number  CTRI/2025/07/090552 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 08/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) [Relieving symptoms of Parikartika ]  
Study Design  Single Arm Study 
Public Title of Study   Manegment of Fissure with Yastimadhu Panchavalkal Ghrit Suppositor  
Scientific Title of Study   Use of Yastimadhu Panchavalkal Ghrut suppository in relieving symptoms of Parikartika (Fissure in Ano) in conservative management of Fissure in Ano  
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 Pandurang Eknathrao Dhage  
Designation  Pg Scholar MS Shalyatantra 
Affiliation  DMM Ayurved Mahavidyalaya Yavatmal  
Address  Department of Shalyatantra Dayabhai Maoji Majithiya Ayurved Mahavidyalaya Arni road Shivaji Nagar Yavatmal 445001

Yavatmal
MAHARASHTRA
445001
India 
Phone  9082176479  
Fax    
Email  dhagepandurang792@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Laxminiwas R Soni 
Designation  HOD and Professor, Department of Shalyatantra  
Affiliation  Dayabhai Maoji Majithiya Ayurved Mahavidyalaya Yavatmal  
Address  Dayabhai Maoji Majithiya Ayurved Mahavidyalaya and LK Ayurved Rugnalaya, Department of Shalyatantra, OPD no. 05 Shivaji Nagar Arni road Yavatmal

Yavatmal
MAHARASHTRA
445001
India 
Phone  9890578425  
Fax    
Email  lrsoni10@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Laxminiwas R Soni 
Designation  HOD and Professor, Department of Shalyatantra  
Affiliation  Dayabhai Maoji Majithiya Ayurved Mahavidyalaya Yavatmal  
Address  Dayabhai Maoji Majithiya Ayurved Mahavidyalaya and LK Ayurved Rugnalaya, Department of Shalyatantra, OPD no. 05 Shivaji Nagar Arni road Yavatmal

Yavatmal
MAHARASHTRA
445001
India 
Phone  9890578425  
Fax    
Email  lrsoni10@gmail.com  
 
Source of Monetary or Material Support  
DMM Ayurved Mahavidyalaya affiliated with L.K. Ayurved Rugnalaya Shivaji nagar, Arni road Yavatmal 445001 
 
Primary Sponsor  
Name  DMM Ayurved Mahavidyalaya Yavatmal  
Address  DMM Ayurved Mahavidyalaya and LK Ayurved Rugnalaya opd no.5 Shalyatantra department Shivaji Nagar Arni road Yavatmal 445001 
Type of Sponsor  Other [Government Aided 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 Pandurang Eknathrao Dhage   Dayabhai Maoji Majithiya Ayurved Mahavidyalaya and LK Ayurved Rugnalaya Yavatmal   Shalyatantra department OPD no.05 and IPD no 25, 26 LK Ayurved Rugnalaya Yavatmal
Yavatmal
MAHARASHTRA 
9082176479

dhagepandurang792@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical committee, D.M.M. Ayurved Mahavidyalaya, Yavatmal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K928||Other specified diseases of the digestive system. Ayurveda Condition: PARIKARTIKA,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Yastimadhu Panchavalkal Ghrut Suppository, Reference: 1 Bhavprakashnighantu by Bhisagratna Pandit Sri. Brahma Sankara Misra 2 Rajnighantu by Dr. Indradev Tripathi 3 Dravyagunavidnyan by Dr. A. P. Deshpande, Dr. R. R. Jawalgekar, Dr. S. Ranade, Route: Rectal, Dosage Form: Varti/ Suppository, Dose: 1.82(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 28 Days, anupAna/sahapAna: No, Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients suffering from Fissure in Ano (acute or chronic) in which surgery is not indicated.
2.Patients irrespective of caste, religion, sex, economic status. 3. Patients who can give written consent and regular follow up.
4.Patients between age group 18 to 60 years.
5.Patients suffered from Parikartika with controlled Diabetes mellitus and controlled Hypertension.  
 
ExclusionCriteria 
Details  1.Fissure in Ano associated with inflamed sentinel tag, fistula in Ano, hemorrhoids, anorectal abscess, ulcerative colitis, Crohns disease, CA rectum, rectum prolapse and rectal polyp. 2.HIV, HBsAg positive patient. 3.Sexually transmitted diseases. 4. Lactating and breastfeeding womens. 
 
Method of Generating Random Sequence    
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Parameters will be noted down before and after treatment
Patients will be diagnosed based on symptoms of Parikartika (Fissure in Ano) explained in Ayurvedic and Modern texts
1 Pain
2 Bleeding
3 Ulcer
4 Itching
 
1st, 2nd, 3rd, 4th, 5th, 6th, 7th, 9th, 11th, 13th, 15th, 18th, 21st, 28th day 
 
Secondary Outcome  
Outcome  TimePoints 
1)Cured –70-100% relief in signs & symptoms.
2) Markedly improved-50-70% relief in signs & symptoms.
3)Improved-30-50% relief in signs & symptoms.
4) Unchanged- Less than 30% relief in signs and symptoms. 
1st, 2nd, 3rd, 4th, 5th, 6th, 7th, 9th, 11th, 13th, 15th, 18th, 21st, 28th day 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   19/07/2025 
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="6"
Days="0" 
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  
Parikartika (Fissure in Ano) is most common among anorectal diseases.
According to Ayurveda when a person of Kshinbala, Mrudukoshta, Mandagni or Ruksha prakruti takes
Ati-tikshna, Ati-ushna, Ati-lawan or Ati-ruksha medicine, his Pitta and Vata gets  polluted due to which a phenomenon called ’Parikartika’ occurs.
Parikartika is associated with symptoms like burning pain, bleeding, ulcer and sometimes pruritis.
Yastimadhu Panchavalkal Ghrut suppository contains Yastimadhu and Panchavalkal.
Yastimadhu is Madhura rasa pradhan Sheeta virya and act as a Pitta,Rakta and Vata shamaka. It helps in vranaropana, vednashamana, shotha shamana. Yastimadhu’s active compounds reduce inflammation in the anal region, alleviating pain and promoting healing.
In Panchavalkal 
1) Vat helps in dahashaman, wound healing and having anti-inflammatory properties.
2) Udumbar helps in wound healing.
3) Ashvathha helps in raktavikar and dahshaman.
4) Plskha heps in raktaj vikar.
5) Vetas works as vranashodhka.
So, I am using Yastimadhu Panchavalkal Ghrut suppository in relieving symptoms of Parikrtika [Fissure in Ano] in conservative management of Fissure in Ano.
Follow up will be taken on 1st,2nd,3rd,4th,5th,6th,7th,9th,11th,13th, 15th,18th, 21st, and 28th day.
 
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