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CTRI Number  CTRI/2025/08/093143 [Registered on: 18/08/2025] Trial Registered Prospectively
Last Modified On: 18/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A comparative study to evaluate the efficacy of Marma Chikitsa and Anu Taila Pratimarsha Nasya in the management of Shushkakshipaka (Dry Eye Syndrome) 
Scientific Title of Study   A comparative clinico-anatomical study to evaluate the efficacy of Marma Chikitsa and Anu Taila Pratimarsha Nasya in the management of Shushkakshipaka (Dry Eye Syndrome) 
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 Sona Rani 
Designation  PhD Scholar 
Affiliation  Dr Sarvepalli Radhakrishnan Rajasthan Ayurved University, Jodhpur 
Address  Department of Rachana Sharir, Government Ayurved, Yog and Naturopathy Integrated College, Bandra Bass mod, Rani Bazaar Bikaner

Bikaner
RAJASTHAN
334001
India 
Phone  8562877395  
Fax    
Email  sonurani2061@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rakesh Kumar Sharma 
Designation  Associate Professor 
Affiliation  Dr Sarvepalli Radhakrishnan Rajasthan Ayurved University, Jodhpur 
Address  Department of Rachana Sharir, Post Graduate Institute of Ayurveda and Research, Dr Sarvepalli Radhakrishnan Rajasthan Ayurved University, Jodhpur

Jodhpur
RAJASTHAN
342037
India 
Phone  9166216760  
Fax    
Email  rksharma69jumbo@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sona Rani 
Designation  PhD Scholar 
Affiliation  Dr Sarvepalli Radhakrishnan Rajasthan Ayurved University, Jodhpur 
Address  Department of Rachana Sharir, Government Ayurved, Yog and Naturopathy Integrated College, Bandra Bass mod, Rani Bazaar Bikaner

Bikaner
RAJASTHAN
334001
India 
Phone  8562877395  
Fax    
Email  sonurani2061@gmail.com  
 
Source of Monetary or Material Support  
Post Graduate Institute of Ayurveda and Research, DSRRAU, Jodhpur (Rajasthan) India - 342037 
 
Primary Sponsor  
Name  Post Graduate Institute of Ayurveda and Research,DSRRAU,Jodhpur 
Address  Post Graduate Institute of Ayurveda and Research, DSRRAU, Nagaur Road,Karwad,Jodhpur 
Type of Sponsor  Government 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 Sona Rani  Government Ayurved,Yog and Naturopathy Integrated College,Bikaner  OPD no.11, Department of Shalakya Tantra, Eye Divison, Government Ayurved,Yog and Naturopathy Integrated College,Bandra Bass Mod, Rani Bazaar, Bikaner (Rajasthan) - 334001
Bikaner
RAJASTHAN 
8562877395

sonurani2061@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Post Graduate Institute of Ayurved Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:H049||Disorder of lacrimal system, unspecified. Ayurveda Condition: SUSHKAKSHIPAKAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-pratimarSaH, प्रतिमर्श (Procedure Reference: Sushruta Uttar Tantra-9/22, Procedure details: Individuals will receive Pratimarsha Nasya of Anu Taila, which involves instilling 2-2 drops of Anu Taila into each nostril once a day for the duration of 2 months.Follow up will be taken after one month. )
(1) Medicine Name: Anu Taila, Reference: Bharat Bhaishjya Ratnakar-Part-1 page no.65, Route: Nasal, Dosage Form: Taila, Dose: 2(drops), Frequency: od, Duration: 2 Months
2Intervention ArmProcedure-marmacikitsA, मर्मचिकित्सा (Procedure Reference: MARMACHIKITSA-Basic Tenets in Ayurveda and Therapeutic Approaches- chapter-3 page-85-87, Procedure details: Procedure Reference: MARMACHIKITSA-Basic Tenets in Ayurveda and Therapeutic Approaches- chapter-3 page-85-87, Procedure details: Marma Chikitsa will be administered to the individuals, targeting specific Marma points including Apanga, Avarta & Shringataka Marma. The pressure will be given 15-18 times to each Marma point once a day for the duration of 2 months.Follow up will be taken after one month.)
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Patients having symptoms of Shushkakshipaka according to Ayurveda classics as well as modern science.
2.Patient willing to take Nasya or Marma Chikitsa.
3.Person who will ready to sign the consent form.  
 
ExclusionCriteria 
Details  1.Patients below the age of 16 years and above the age of 50 years.
2.Other type of Eye Disorders.
3.Patients with severe systemic disorders as uncontrolled Hypertension, Cardiac problem, Diabetes mellitus, Tuberculosis, Leprosy, Paralysis, malignant disease etc.
4.Pregnancy.
5.Use of other alternative medication during Ayurveda treatment.
6.Any pervious surgical history related to site of these Marmas.
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary outcome will be Improvement in clinical symptoms like Feeling of Dryness,foreign body sensation,Blurring of vision, Hardness of eyelids,Difficulty in opening and closing of eye,Burning sensation and Intolerance to light.

Outcome will be accessed after 2 months of intervention, follow up after every 15 days for 1 month. 
Baseline, after 2 months of intervention, follow up after every 15 days for 1 month. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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/ Phase 4 
Date of First Enrollment (India)   30/08/2025 
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="0"
Months="3"
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  
In India, limited epidemiological data is available on dry eye syndrome. Recently a study from north India reported 32% prevalence of dry eye syndrome there. Out of them 81% were having severe dry eye syndrome based on symptoms. Another study from south India reported 1.46% Dry eye syndrome incidences. The authors predicted that within the end of next decade, large number of urban and rural populations would have dry eye syndrome.Dry eye syndrome is more common among women than men. Many factors such as poor nutrition, prolonged screen time etc. results in dry eye. Vitamin A deficiency in children due to diseases like measles, respiratory tract infection etc. also results in dry eye.Tear substitutes are the only affordable treatment modality with modern medical science. The duration of action of these tear substitutes is variable and are advised as per the need, only providing symptomatic relief. The preservatives present in these formulations are also a cause of dry eye, whereas those available without preservatives are not cost-effective. so there arises the need for the approach from Ayurveda to manage and prevent the disease Migraine. A study will be conducted to evaluate the efficacy of Anu Taila Pratimarsha Nasya and Marma Chikitsa in the management of   Shushkakshipaka (Dry Eye Syndrome ). The study will involve 100 individuals randomly assigned to two groups: Each group will consist of 50 individuals. 
Group A(Marma Chikitsa): - Marma Chikitsa will be administered to the individuals, targeting specific Marma points. Firstly Tila Taila will be applied and than 15-18 times pressure will be given to each Marma point once a day for duration of 2 month.  . 
Group B (Anu Taila Pratimarsha Nasya): - Individuals in this group will receive Pratimarsha Nasya of Anu Taila, which involves instilling 2-2 drops of Anu Taila into each nostril once a day for duration of 2 months. Follow up will be taken after one month. 
 
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