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CTRI Number  CTRI/2025/04/084332 [Registered on: 07/04/2025] Trial Registered Prospectively
Last Modified On: 03/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Other (Specify) [Procedure ]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To study the effect of Agnikarma by Panchadhatu shalaka in the management of Gridhrasi. 
Scientific Title of Study   A Randomised Comparative clinical trial to evaluate the effect of Agnikarma by Panchadhatu shalaka among two different sites in the management of 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 Sanket Sunil Sangale  
Designation  PG Scholor  
Affiliation  PDEAs College of Ayurved and Research Centre, Nigdi Pune 
Address  PDEAs College of Ayurved and Research Centre,Third floor,Shalyatantra department Sector no.25, Nigdi Pradhikaran,Pune Pune MAHARASHTRA 411044 India

Pune
MAHARASHTRA
411044
India 
Phone  9689768608  
Fax    
Email  sanketsangle2@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Madhavi Banarase  
Designation  Professor and H.O.D 
Affiliation  PDEAs College of Ayurved and Research Centre Nigdi Pune 
Address  PDEAs College of Ayurved and Research Centre,Third floor,Shalyatantra department Sector no.25, Nigdi Pradhikaran,Pune Pune MAHARASHTRA 411044 India

Pune
MAHARASHTRA
411044
India 
Phone  9423207569  
Fax    
Email  dr.madhavibanarase209@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Madhavi Banarase  
Designation  Professor and H.O.D 
Affiliation  PDEAs College of Ayurved and Research Centre Nigdi Pune 
Address  PDEAs College of Ayurved and Research Centre,Third floor,Shalyatantra department Sector no.25, Nigdi Pradhikaran,Pune Pune MAHARASHTRA 411044 India

Pune
MAHARASHTRA
411044
India 
Phone  9423207569  
Fax    
Email  dr.madhavibanarase209@gmail.com  
 
Source of Monetary or Material Support  
PDEAs College of Ayurved and Research Centre, Nigdi Pradhikaran,Pune,Maharashtra, 411044,India  
 
Primary Sponsor  
Name  PDEAs College of Ayurved and Research Centre Nigdi Pune 
Address  PDEAs College of Ayurved and Research Centre,Third floor,Shalyatantra department Sector no.25, Nigdi Pradhikaran,Pune Pune MAHARASHTRA 411044 India 
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 Sanket Sunil Sangale   Ayurved Rugnalya And Snowbell Multi-speciality Hospital   Ayurved Rugnalya And Snowbell Multi-speciality Hospital, Shalyatantra Department,OPD No 123A Nigdi Pradhikaran,411044,Pune, Maharashtra
Pune
MAHARASHTRA 
9689768608

sanketsangle2@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PDEAs College Institutional Ethical Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M958||Other specified acquired deformities of musculoskeletal system. Ayurveda Condition: GRUDHRASI,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-agnikarma, अग्निकर्म (Procedure Reference: Charaka Samhita of charak, chikitsa, Procedure details: Purvakarma – 1.Written consent 2. Patient will be advised to lie down on bed in right/left lateral position according to the affected leg. Pradhan Karma – 1.Points of gulpha pradesh are assessed & marked. 2. Agnikarma will be done by conduction method at the point of gulpha pradesh. 3. Procedure will be stopped when patient feels atmost heat. Pashchat Karma - After Agnikarma immediately Ghruta will be applied. ( Agnikarma will done on 0 , 7th, 14th & 21st day. ))
2Intervention ArmProcedure-agnikarma, अग्निकर्म (Procedure Reference: Sushruta Samhita Chikitsa Sthana, Procedure details: Agnikarma :- • Purvakarma - 1.Written consent 2. Patient will be advised to lie down on bed in right/left lateral position according to the affected leg. • Pradhan Karma - 1.Points of maximum tenderness are assessed & marked. 2. Agnikarma will be done by conduction method at the point of maximum tenderness. 3.Procedure will be stopped when patient feels atmost heat. • Pashchat Karma – After agnikarma immediately Ghruta will be applied. ( Agnikarma will done on 0 , 7th, 14th & 21st day. ))
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients with classical clinical features
of Gridhrasi that is Ruka,Toda,Stambha,Suptata in Sphik,Kati,Uru,Janu,Jangha and Pada, Irrespective of religion,Caste,Gender and Socioeconomic status. 
 
ExclusionCriteria 
Details  Pregnancy,DM
K/C/O-Tuberculosis, Cardiac diseases, Spondylolisthesis, Sarcoiliac arthritis, Dislocation, Fracture,Ligaments tear, HTN  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Improvement in Ruka,Toda,Stambha,Suptata will be assessed on 7th,14th and 21st day after intervention.  Improvement in Ruka,Toda,Stambha,Suptata will be assessed on 7th,14th and 21st day after intervention. 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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)   15/04/2025 
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="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   Ayurveda mentions a disease called as Gridhrasi under the cluster of
Nanatmaj vyadhi of vata i.e. where only vitation of vata dosha occurs.
 In this disease, piercing pain starts from the sphik pradesh radiating
to kati , prushta , uru , janu , jangha & pada . Also stambha , toda , spandan
is experienced by the patient.
 Patient experiences sakhtiutkshepa , nighraha i.e. unability to lift
the leg & hence has restricted movements.
 Gridhrasi in Sanskrit describes a particular type of gait of the
patient where in the patient resembles the bird vulture. i.e. legs look a bit
tensed and slightly curved.
 Aacharya sushrut states that when vata dosha is vitated and affects
the heel and toe area. It leads to restricted movements of the leg that
gives rise to the disease – Gridhrasi.
RATIONALE OF STUDY: -
• There is a need to introduce a minimal invasive and instant pain-
relieving treatment modality in Gridhrasi. It has been very well
explained in Ayurvedic scriptures.
• The research formulation mentioned to treat gridhrasi in
ayurvedic Samhita is beneficial . The research comprises the
agnikarma by panchadhatu shalaka which has qualities of vata
shaman .
 
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