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CTRI Number  CTRI/2025/04/084001 [Registered on: 03/04/2025] Trial Registered Prospectively
Last Modified On: 02/04/2025
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   Comparative clinical study of standard ksharsutra and guggulu based Arshoghna Mahakashaya ksharsutra in the management of Arsha  
Scientific Title of Study   An open labelled active controlled randomized comparative clinical study to evaluate the efficacy of standard ksharsutra & guggulu based Arshoghna mahakashaya ksharsutra in the management of Arsha w.s.r.to haemorrhoids  
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 Ankit kumar gautam 
Designation  MS PG scholar  
Affiliation  OPD -3,Kunwar Shekhar Vijendra Ayurved Medical College and Research center,Gangoh, 
Address  OPD -3 , Kunwar shekhar vijendra ayurvedic medical College gangoh saharanpur u.p

Saharanpur
UTTAR PRADESH
247341
India 
Phone  8923422507  
Fax    
Email  ankitgautam174@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Narendra singh shekhawat 
Designation  MS Ayurveda Associate Professor department of Shalya Tantra 
Affiliation  Kunwar Shekhar Vijendra Ayurved Medical College and Research center,Gangoh 
Address  OPD no 3 Department of Shalya Tantra Kunwar Shekhar Vijendra Ayurved Medical College and Research center Shobhit University Gangoh,Saharanpur

Saharanpur
UTTAR PRADESH
247341
India 
Phone  9928297691  
Fax    
Email  dr.naren90@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr ayasha goyal  
Designation  assistant professor 
Affiliation  Kunwar Shekhar Vijendra Ayurved Medical College and Research Center 
Address  OPD no 3 Department of Shalya Tantra Kunwar Shekhar Vijendra Ayurved Medical College and Research center Shobhit University Gangoh,Saharanpur

Saharanpur
UTTAR PRADESH
247341
India 
Phone  7895676181  
Fax    
Email  goyalayasha@gmail.com  
 
Source of Monetary or Material Support  
Kunwar Shekhar Vijendra Ayurved Medical College and Reasearch centre shobhit University,Gangoh,Uttar Pradesh,247341 
 
Primary Sponsor  
Name  Dr Ankit Kumar Gautam  
Address  OPD no 3 Department of Shalya Tantra Kunwar Shekhar Vijendra Ayurved Medical College and Research center Shobhit University Gangoh,Saharanpur 
Type of Sponsor  Research institution and hospital 
 
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 Narendra singh shekhawat  Kunwar Shekhar Vijendra Ayurved hospital and Research center  OPD no 3 Department of Shalya Tantra Kunwar Shekhar Vijendra Ayurved Medical College and Research center Shobhit University,Gangoh,Uttar Pradesh,247341 Saharanpur UTTAR PRADESH
Saharanpur
UTTAR PRADESH 
9928297691

dr.naren90@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:O||Medical and Surgical. Ayurveda Condition: ARSAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: charak sutra 4/12, Procedure details: Standard ksharsutra ligation)
2Intervention ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Ras tarangini 24/527-5, Procedure details: Guggulu based arshoghna mahakashaya ksharsutra ligation)
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Diagnosed case of arsha attending the o.p.d and i.p.d of our ayurved hospital & Research institute.
diagnosed cases of 3rd degree and 4th degree interno-external pile mass
Patient fit for operation 
 
ExclusionCriteria 
Details  Pregnancy
Rectal carcinoma
Rectal prolapse
Uncontrolled HT &DM
Otherwise unfit for operation  
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
We will assess bleeding per rectum and
pain per anum. 
We will assess bleeding per rectum and pain in ano at zerodays, 7thdays, and 14th day. follow up will be taken 21th and 28th day. 
 
Secondary Outcome  
Outcome  TimePoints 
we will assess swelling per anum and condition of anal sphincter tone.  we will assess swelling per anum and condition of anal sphincter tone at zero, 7th, and 14th day.  
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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 3 
Date of First Enrollment (India)   01/05/2025 
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="0"
Months="10"
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  
Arsha can be included as one of the lifestyle disorders caused due to sedentary lifestyle.the arsha is one among the ano-rectal disease which occurs in Gudapradesh(anus) as sadhyopranahara marma . Acharya Sushruta has mentioned several method of treatment .Among them Kshar sutra is mentioned in the treatment of arsha ,so I decided to evaluate the efficacy of standard Ksharsutra and gugglu based Arshoghna mahakashaya Ksharsutra in the management of arsha w s r to haemorrhoids . 
Therefore i have selected this trial,there will be 80  patients in two groups and  in each group will be 40 patients aged between 18 to 65 years,the patients should be selected on the basis of inclusion and exclusion criteria . We will assess bleeding per rectum and  pain per anum in subjective parameters and swelling per anum and condition of anal sphincter tone in objective parameter . We will assess bleeding per rectum, pain in ano, swelling per anum and condition of anal sphincter at zero,  7th, and 14th day. 
Follow up will be taken 21tn and 28th day.
 
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