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CTRI Number  CTRI/2025/04/085144 [Registered on: 21/04/2025] Trial Registered Prospectively
Last Modified On: 17/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Other 
Public Title of Study   Is Mashadi Kwath Nasya Along With Atasi Upnah Is More Effective Than Only Atasi Upna In The Management Of Avabahuka With Special Reference To Frozen Shoulder 
Scientific Title of Study   A Randomised Controlled Clinical Study To Evaluate The Add On effect Of Mashadi kwath Nasya Along With Atasi Upnah In The Management Of Avabahuka (FROZEN SHOULDER) 
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 UTTAMRAO SHINDE 
Designation  PG scholar Kayachikitsa  
Affiliation  Government Ayurvedic college Vazirabad Nanded 
Address  Department of Kayachikitsa government Ayurvedic college Nanded Maharashtra India 431601 Nanded Maharashtra India

Nanded
MAHARASHTRA
431601
India 
Phone  7058354463  
Fax    
Email  sanketshinde6163@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mangesh w Nalkande 
Designation  Assistant Professor  
Affiliation  Government Ayurvedic college Vazirabad Nanded 
Address  Department of Kayachikitsa government Ayurvedic college Nanded Maharashtra India 431601 Nanded Maharashtra India

Nanded
MAHARASHTRA
431601
India 
Phone  9766069449  
Fax    
Email  mwnalkande@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mangesh w Nalkande 
Designation  Assistant Professor  
Affiliation  Government Ayurvedic college Vazirabad Nanded 
Address  Department of Kayachikitsa government Ayurvedic college Nanded Maharashtra India 431601 Nanded Maharashtra India

Nanded
MAHARASHTRA
431601
India 
Phone  9766069449  
Fax    
Email  mwnalkande@gmail.com  
 
Source of Monetary or Material Support  
Government Ayurvedic college vazirabad Nanded 431601 INDIA MAHARASHTRA  
 
Primary Sponsor  
Name  Dr SANKET UTTAMRAO SHINDE 
Address  Government Ayurvedic college vazirabad Nanded 431601 INDIA MAHARASHTRA  
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 SANKET UTTAMRAO SHINDE  Government Ayurvedic college and Hospital, Nanded  GOVERNMENT AYURVED COLLEGE NANDED
Nanded
MAHARASHTRA 
7058354463

sanketshinde6163@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUIONAL ETHICAL COMMITTEE GOVERNMENT AYURVED COLLEGE NANDED  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M959||Acquired deformity of musculoskeletal system, unspecified. Ayurveda Condition: AVABAHUKAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: atasi upnah, Reference: sushrut chikitsa 32/12, Route: Topical, Dosage Form: Kalka/ Paste , Dose: 1(NA), Frequency: hs, Bhaishajya Kal: Adhobhakta, Duration: 7 Days, anupAna/sahapAna: No, Additional Information: local application procedure of atasi upnah 12hrs overnight for 7days
2Intervention ArmDrugClassical(1) Medicine Name: mashadi kwath , Reference: sharangdhar samhita uttarkhand 8/37, Route: Nasal, Dosage Form: Bindu/ Drops (Karna/ Nasa/ Netra), Dose: 4(drops), Frequency: od, Bhaishajya Kal: Abhakta, Duration: 7 Days, anupAna/sahapAna: No, Additional Information: mashadi kwath nasya 4 drops in each nostril in evening Along with local application procedure of atasi upnah 12hrs overnight for 7days
(2) Medicine Name: atasi upnah, Reference: sushrut chikitsa 32/12, Route: Topical, Dosage Form: Kalka/ Paste , Dose: 1(NA), Frequency: hs, Bhaishajya Kal: Adhobhakta, Duration: 7 Days, anupAna/sahapAna: No, Additional Information: local application procedure of atasi upnah 12hrs overnight for 7days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients diagnosed as frozen shoulder (adhesive capsulitis).
Patients having pain,stiffness symptoms of Avabahuk.
patient fit for nasya karma.
Patient willing to sign written consent form for participation in the study.
All patients having restricted movements of shoulder joint in presence of normal X-
Ray(plain radiograph)
Patients with controlled diabetes mellitus 
 
ExclusionCriteria 
Details  Patinets with disorders like muscular dystrophy ,arthritis,wasting of muscles which interfere
with the line of treatment with avabahuka.

Disloaction & fracture affecting the shoulder joint.

Preganant and lactating women.
Malignant and Immuno-compromised patients are also excluded.

Patients with uncontrolled diabetes mellitus 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the effect of Mashadi kwath nasya along with Atasi upnah in management of pain and range of movements of Avabahuka with special reference to Frozen Shoulder  7 Days 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the efficacy of mashadi kwath nasya along with atasi upnaha on range of motion of shoulder joint  7 days 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   28/04/2025 
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="2"
Months="0"
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   This is Prospective, Randomised, Open labelled control, Clinical study of effect of mashadi kwath nasya along with local application of atasi upnaha in avabahuk for 7 days.Mashadi kwatha nasya  4 drops in each nostril once a day in evening for 7 days along with local appliaction of  atasi upnaha overnight for 7 days.Only local appliaction of atasi upnaha will be given to controlled group.This study is conducted at PG course at single centre.
Primary outcome:- to evaluate the add on effect of mashadi kswatha nasya  in avabahuk with special reference to frozen shoulder.
Outcome of study will be assesd on following criteria-
1.Not cured- Pain without movement and no improvement in movements 
2.Improved – pain with movements improved 
3.Markedly improved –25 0 improvement in movements and improvement in subjective criteria 
4.Cured –complete Improvement in subjective criteria and 250 improvement in movements  

 
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