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CTRI Number  CTRI/2025/07/091378 [Registered on: 22/07/2025] Trial Registered Prospectively
Last Modified On: 20/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Preventive 
Study Design  Single Arm Study 
Public Title of Study   To see the effect of Tikshna Palasha Pratisarniya kshara and Drakshasava in Guda Arsha (II Degree Haemorrhoids) 
Scientific Title of Study   Clinical Evaluation of Tikshna Palasha Pratisarniya kshara along with Drakshasava in Guda Arsha (II Degree 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  Bhumika Mahendru 
Designation  PG SCHOLAR 
Affiliation  patanjali bhartiya ayurvigyan evum anusandhan sansthan haridwar 
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Phase 1 Roorkee Road, Haridwar, Uttarakhand, India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  7906459863  
Fax    
Email  bhumikamahendru015@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manisha Yadav 
Designation  ASSOCIATE PROFESSOR 
Affiliation  patanjali bhartiya ayurvigyan evum anusandhan sansthan haridwar 
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Phase 1 Roorkee Road, Haridwar, Uttarakhand, India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  9557692057  
Fax    
Email  drmanishayadav4@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Bhumika Mahendru 
Designation  PG SCHOLAR 
Affiliation  patanjali bhartiya ayurvigyan evum anusandhan sansthan haridwar 
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Phase 1 Roorkee Road, Haridwar, Uttarakhand, India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  7906459863  
Fax    
Email  bhumikamahendru015@gmai.com  
 
Source of Monetary or Material Support  
Patanjali Bhartiya Ayurvigyan Evum Anusandhan Sansthan, yogpeeth phase1 , Roorkee Road, Haridwar, Uttarakhand, India 249405 
 
Primary Sponsor  
Name  Patanjali Bhartiya Ayurvigyan Evum Anusandhan Sansthan Haridwar 
Address  Patanjali Bhartiya Ayurvigyan Evum Anusandhan Sansthan, Haridwar, Uttarakhand 249405 
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 
Bhumika Mahendru  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Phase 1 Roorkee Road, Haridwar, Uttarakhand, India 249405
Hardwar
UTTARANCHAL 
7906459863

bhumikamahendru015@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee Patanjali ayurvedic college  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: ARSAH, (2) ICD-10 Condition:K928||Other specified diseases of the digestive system. Ayurveda Condition: ARSAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-Tikshna Palasha pratisarniya kshara along with drakshasava in guda arsha (II degree haemorrhoids) (Procedure Reference: sushrut samhita, Procedure details: Tiksha palasha pratisarniya kshara in guda arsha)
(1) Medicine Name: Drakshasava, Reference: yogratnakar, Route: Oral, Dosage Form: Asava, Dose: 40(ml), Frequency: bd, Duration: 3 Months
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. patients between 16 to 60 years of age
2. The patients having complaints of I and II degree internal and external haemorrhoids will be taken for the study after per rectal examination.
3. Patients willing to undergo trial and ready to give informed and written consent.
4. patients of both sexes above the age of 16 years. 
 
ExclusionCriteria 
Details  1. patients below the age of 16 years and above the age of 60 years.
2. III and IV degree internal and external piles.
3. patients with any other anorectal disease like fistula in ano, fissure in ano, rectal prolapse will be excluded from this study.
4. patients suffering from systemic diseases such as ulcerative colitis, crohns disease, cirrohosis of liver, diabetes mellitus, tuberculosis, and heart diseases will be excluded from this study.
5. patients with evidence of malignancy
6. HIV, Hepatitis b/c positive patients.
7. pregnancy
8. ulcerated haemorrhoids  
 
Method of Generating Random Sequence   Adaptive randomization, such as minimization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Constipation
2.Pain in anal region
3.Prolapse pile mass per rectum
4.bleeding per rectum  
7 Days 
 
Secondary Outcome  
Outcome  TimePoints 
Proctoscopic evaluation of the pile mass-
1. site
2. size of pile mass
3. surface
4. position
 
3 months 
 
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 
Date of First Enrollment (India)   11/08/2025 
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)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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   In this study , we will take patients of II degree haemorrhoids.
Tikshna Palasha Pratisarniya kshara will be applied over pile masses under local anesthesia and drakshasava has been  given orally to the patients and the conclusion will be made on the basis of observation which is done on subjective and objective parameters.
 
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