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CTRI Number  CTRI/2025/07/090184 [Registered on: 04/07/2025] Trial Registered Prospectively
Last Modified On: 03/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Aabhadi Choorna with Til Tail Abhyanga in Janu Sandhigata Vata 
Scientific Title of Study   Assesment of an add on effect of Aabhadi Choorna along with Tila Tail Abhyanga in Janu Sandhigata vata Randomized Controlled Trial 
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 Sanyogita Vikas Patil 
Designation  MD Scholar Kayachikitsa  
Affiliation  PMTS Ayurved College and Shri Eknath Rugnalaya Shevgoan 
Address  OPD NO 105 Kayachikitsa Department , Shri Eknath Ayurved Rugnalaya, PMTS Ayurved College Shevgoan,Akhegoan road ,TAL Shevgoan , DIST Ahilyanagar, MAHARASHTRA.

Ahmadnagar
MAHARASHTRA
414502
India 
Phone  7218828509  
Fax    
Email  dr.sanyogitavpatil@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Digvijay Zarekar 
Designation  Associate Professor 
Affiliation  PMTS Ayurved College and Shri Eknath Rugnalaya Shevgoan 
Address  OPD NO 105 Kayachikitsa Department , Shri Eknath Ayurved Rugnalaya, PMTS Ayurved College Shevgoan,Akhegoan road ,TAL Shevgoan , DIST Ahilyanagar, MAHARASHTRA.

Ahmadnagar
MAHARASHTRA
414502
India 
Phone  9890908899  
Fax    
Email  digvijay.zarekar61@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Digvijay Zarekar 
Designation  Associate Professor 
Affiliation  PMTS Ayurved College and Shri Eknath Rugnalaya Shevgoan 
Address  OPD NO 105 Kayachikitsa Department , Shri Eknath Ayurved Rugnalaya, PMTS Ayurved College Shevgoan,Akhegoan road ,TAL Shevgoan , DIST Ahilyanagar, MAHARASHTRA.

Ahmadnagar
MAHARASHTRA
414502
India 
Phone  9890908899  
Fax    
Email  digvijay.zarekar61@gmail.com  
 
Source of Monetary or Material Support  
PMTS Ayurved College and Shri Eknath Ayurved Rugnalaya,Shevgoan,Akhegoan road ,TAL Shevgoan , DIST Ahilyanagar, MAHARASHTRA,INDIA -414502 
 
Primary Sponsor  
Name  Dr Sanyogita Patil 
Address  PMTS Ayurved College and Shri Eknath Ayurved Rugnalaya,Shevgoan,Akhegoan road ,TAL Shevgoan , DIST Ahilyanagar, MAHARASHTRA,INDIA -414502 
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 Sanyogita Vikas Patil  PMTS Ayurved College and Shri Ekanth Rugnalaya , Shevgoan  OPD NO 105 Kayachikitsa Department , Shri Eknath Ayurved Rugnalaya, PMTS Ayurved College Shevgoan,Akhegoan road ,TAL Shevgoan , DIST Ahilyanagar, MAHARASHTRA.
Ahmadnagar
MAHARASHTRA 
07218828509

dr.sanyogitavpatil@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PMTs Ayurved College, Shevgoan Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M17||Osteoarthritis of knee. Ayurveda Condition: SANDHIGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-aBya~ggaH, अभ्यंग  (Procedure Reference: Charak Sutrasthana 13/12 and Sushrut Chikitsasthana24/30 Dalhana Tika, Procedure details: The verse given states that massaging body / body parts with Til Tail provides Baal which means Power. Simple Rotatary Movement over Knee joint advised for 15 minutes reaches to Asthi.)
(1) Medicine Name: Til Tail, Reference: Charak Sutrasthana 27/286-288, Route: Topical, Dosage Form: Taila, Dose: 5(ml), Frequency: od, Duration: 28 Days
2Intervention ArmDrugClassical(1) Medicine Name: Aabhadi Choorna, Reference: Yog Ratnakar Vaat Vyadhiadhikar, Route: Oral, Dosage Form: Churna/ Powder, Dose: 3(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 28 Days, anupAna/sahapAna: Yes(details: Ushnodak), Additional Information: Add on with Til Tail Abhyanga over Janu Sandhi with Rotatary Movement for 15 minutes
3Comparator ArmProcedure-aBya~ggaH, अभ्यंग  (Procedure Reference: Charak Sutrasthana 13/12 and Sushrut Chikitsasthana24/30 Dalhana Tika, Procedure details: The verse given states that massaging body / body parts with Til Tail provides Baal which means Power. Simple Rotatary Movement over Knee joint advised for 15 minutes reaches to Asthi.)
(1) Medicine Name: Til Tail, Reference: Charak Sutrasthana 27/286-288, , Route: Topical, Dosage Form: Taila, Dose: 5(ml), Frequency: bd, Duration: 28 Days
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1.The patients presenting with the signs and symptoms of Janu sandhigata vata – Sandhi shoola , Sandhi shotha , Sandhi Atopa , Akcunchana Prasarana Vedana .
2.Patients in the age group from 40 to 55 years will be selected.
3.Patients will be selected irresepective of Gender, Religion and Economic status.
4.Patient who gives written consent.
 
 
ExclusionCriteria 
Details  1.Patients suffering from K/C/O - Rheumatoid arthritis, Rheumatic fever, Rheumatic Heart disease, Gouty arthritis, Ankolysing Spondolysis and Psoriatic arthritis.
2.Patients Suffering from Aamvata , Vatarakta , Kroshtukshirsha ,Asthi – Majjagata Vata , Sarvangavata .
3.Patient suffering with infective K/C/O – Supparative arthritis , HIV , HbsAg.
4.Patient undergoing Steroid Thearpy .
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To compare the efficacy of Aabhadi Choorna with Til Tail Abhyanga and Til Tail alone in Janu Sandhigata Vata.  Twice a Day after meal for 28 days with 5 follow ups on 0th , 7th ,14th,21st and 28th day 
 
Secondary Outcome  
Outcome  TimePoints 
1.To Review the Literature about drugs of Aabhadi churna and Tila tail from various Samhitas
2.To review the literature about Sandhigata vata and Osteoarthritis from various Books
3.To Evaluate the efficacy of Aabhadi Churna along with Tila Tail in Janu Sandhigata vata
4.To Evaluate efficacy of Tila Tail Abhyanga alone in Janu Sandhigata Vata
5.To Observe Any Adverse Effect of Drug / Procedure if occurs.
 
Twice a Day after meal for 28 days with 5 follow ups on 0th , 7th ,14th,21st and 28th day 
 
Target Sample Size   Total Sample Size="68"
Sample Size from India="68" 
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 4 
Date of First Enrollment (India)   04/08/2025 
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  

Osteoarthritis is a degenerative disorder, caused by breakdown of cartilage and underlying bone. Osteoarthritis is the second most common rheumatologic problem in India. It is the most frequent joint disease with a prevalence of 22 percent to 39 percent in India.OA is more common in women than men, but the prevalence increases dramatically with age. Nearly, 45 percent of women over the age of 65 years have symptoms while radiological evidence is found in 70 percent of those over 65 years.OA of the knee is a major cause of mobility impairment, particularly among females.OA was estimated to be the 10th leading cause of nonfatal burden.

The modern science can touch this disease in a conservative way with help of Corticosteriods, NSAIDs, Narcotics and Opoids which causes a temporary sense of pain relief and no pathological reversal with a list of adverse effects. Hence, there is no exact relief from the modern management.

While the Ayurveda has shown a lot of great possible outcomes in the managing the pain and other symptoms and underlying pathology without much intervention.

In Ayurvedic Textbooks, there is detailed description of Sandhigata vata and its management which includes Snehana, Swedana, Agnikarma, Upanaha, Unmardan , Bandhana.

The treatment is effective with no adverse effects; We are attempting to evaluate the efficacy of Aabhadi Choorna with Tila Taila Abhyanga which can breakdown the pathology of Sandhigata Vata.

Churna is extensively described in all Samhitas. It is noticed that the use of Choorna Kalpana is getting increased along with the advancing period.As it can be taken with many Anupanas , a consideration for any Anupanas according to requirement can be done easily which increases the pallatibility .It does have shelf life of 2 months .Churnas are used to make Vati, Avaleha, Arka, Kasaya, Hima, Phanta, Snehas which is the main content, this gives it a prime importance.

The Abhyanga is a procedure that can be performed on daily basis (abhyanga acharen nitya ) .In case of Janu Sandhigat Vata ,Abhyanga with taila  is done with rotatory movements over knee joint . Abhyanga is termed to be one of the important Upakrama for Vata Dosha Shamana.Abhyanga is not an invasive method .It is cost effect with good mode of action as it keeps ability to go in sukshma marga and cure the disease .It helps in reducing the symptoms as well as underlying pathogenesis.

This treatment helps to improve the quality of life and provide free mobility of joints with pain relief.

So to upgrade the existing knowledge gap we concluded to work over this topic.

 
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