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CTRI Number  CTRI/2025/05/087354 [Registered on: 22/05/2025] Trial Registered Prospectively
Last Modified On: 22/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare effect of nirgundi patra bandaging and nirgundi patra pottali fomentation in janusandhigat vata(knee osteoarthritis). 
Scientific Title of Study   A comparative clinical study of efficacy of nirgundi patra upnaha and nirgundi patra pinda sweda in janusandhigat vata with special reference to osteo arthritis of knee joint. 
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 Ganesh Eknath Wagh 
Designation  Post Graduate Resident 
Affiliation  APMs Ayurved Mahavidyalaya, Near sion Railway station , sion Mumbai 
Address  Department of Panchakarma, second floor, APMs Ayurved Mahavidyalaya ,near sion Railway station ,sion mumbai
Near sion Railway station , sion Mumbai
Mumbai
MAHARASHTRA
400022
India 
Phone  8805119991  
Fax    
Email  gwagh90@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vishwajeet J Patade 
Designation  Professor 
Affiliation  APMs Ayurved Mahavidyalaya, Near sion Railway station , sion Mumbai 
Address  Department of Panchakarma, second floor, APMs Ayurved Mahavidyalaya ,near sion Railway station ,sion Mumbai
Near sion Railway station , sion Mumbai
Mumbai
MAHARASHTRA
400022
India 
Phone  9869055701  
Fax    
Email  drvishup@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vishwajeet J Patade 
Designation  Professor 
Affiliation  APMs Ayurved Mahavidyalaya, Near sion Railway station , sion Mumbai 
Address  Department of Panchakarma, second floor, APMs Ayurved Mahavidyalaya ,near sion Railway station ,sion Mumbai
Near sion Railway station , sion Mumbai
Mumbai
MAHARASHTRA
400022
India 
Phone  9869055701  
Fax    
Email  drvishup@gmail.com  
 
Source of Monetary or Material Support  
APMs Ayurved Mahavidyalaya,near sion railway station ,sion ,mumbai -400022 
 
Primary Sponsor  
Name  Seth RV Ayurvedic Hospital Sion 
Address  OPD no 1 Department of Panchakarma Near sion railway station Sion Mumbai 400022 Maharashtra 
Type of Sponsor  Other [Government Aided] 
 
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 Ganesh Eknath Wagh  Seth RV Ayurvedic Hospital Sion  OPD No 1 Department of panchakarma Near Sion railway Station sion mumbai 400022
Mumbai
MAHARASHTRA 
88051199991

gwagh90@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
APMs Ayurved Mahavidyalaya ,Sion IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M15-M19||Osteoarthritis. Ayurveda Condition: SANDHIGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-upanAhasvedaH (sAgniH, उपनाहस्वेदः (साग्निः) (Procedure Reference: Sushrut samhita dalhan tikka adhyaya 32, Procedure details: Fresh leaves of Nirgundi are cut into small pieces and make its paste form. 50 ml Til taila taken in vessel having round bottom keep it on gas to get heat. Fresh Nirgundi patra paste are added to the oil and stirred well to cook properly. A bolus of this hot mixture is formed. Take cotton cloth on table. Spread nirgundi patra over it properly. Then place hot nirgundi patra bolus paste on it)
(1) Medicine Name: Nirgundi Patra , Reference: Bhavprakash Nighantu,Guduchyadi varga, Route: Topical, Dosage Form: Kalka/ Paste, Dose: 250(g), Frequency: od, Duration: 7 Days
(2) Medicine Name: Tila taila, Reference: Bhavprakash Nighantu, Tail varga . sushrut sutrasthan 45, Route: Topical, Dosage Form: Taila, Dose: 100(ml), Frequency: od, Duration: 7 Days
2Comparator ArmProcedure-piNDasvedaH, पिण्डस्वेदः (Procedure Reference: Sushrut samhita dalhan tikka adhyaya 32, Procedure details: Take Vessel having round bottom. Fresh Nirgundi leaves are cut into small pieces into vessel. 50ml Til Taila added to it. Leaves fried with continuous stirring. The 2 cotton cloth is spread on the working table. Fried leaves collect over both cotton equally. The free corners of cloth are approximated to cover the leaves. The free ends of the cloth are folded in its middle and then tied with a cotton thread and pottali made. In a round bottomed vessel Tila Taila is taken and heated. Patra Pottali Placed in it. Patra Pottali must be continuously moved stirring in the oil, if the herbal pack is not moved there is chances of gets burnt. Now the pottali is ready to use for procedure.)
(1) Medicine Name: Nirgundi Patra, Reference: Bhavprakash nighantu,Guduchyadi varga., Route: Topical, Dosage Form: Kalka/ Paste, Dose: 250(g), Frequency: od, Duration: 7 Days
(2) Medicine Name: Tila taila, Reference: Bhavprakash Nighantu, Tailvarga. Sushrut sutrasthan 45, Route: Topical, Dosage Form: Taila, Dose: 100(ml), Frequency: od, Duration: 7 Days
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  patient giving consent
patient having classical signs and symptoms of janusandhigata vata
janusandhishoola
janusandhishotha
Akunchana,prasarana vedana
Sandhiatopa
swedana yogya patient 
 
ExclusionCriteria 
Details  Local skin infection,
ligament tear,hemorrhagic condition,
allergic to medicine (oil),
patient having history of knee joint surgery and knee transplant,
any disease other than osteoarthritis (e.g uncontrolled DM, Obesity, RA, Gout)
knee pain due to any trauma , open wound. 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Janusandhi shool  7 days 
 
Secondary Outcome  
Outcome  TimePoints 
sandhishoola, sandhishotha, akunchana prasaran vedana  7 days 
 
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 4 
Date of First Enrollment (India)   02/06/2025 
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="2" 
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   Knee osteoarthritis also called degenerative joint disease of the knee, usually occurs due to the gradual wearing down and loss of articular cartilage. It occurs most frequently in older women and men. Osteoarthritis is usually a degenerative condition that can ultimately result in disability. Osteoarthritis is a state of disease in which large amount of degenerative changes occur mostly in knee joint. Prevalence of Knee osteoarthritis in Mumbai is 3.62%.
The clinical features of Sandhigata vata as described in Ayurveda are vatpurnadrutisparsh,shula, shotha, prasaran ankunchanyo pravruticchya vedana etc.
Current treatment for degenerative disease is to control the symptoms, to control prolongation of the degenerative process and to lower the pain without Complication. We need to search for a safer, better and cheaper treatment, which improve functional ability in patients. Janusandhigata vata managed by various panchakarma procedures. In sandhigata vata chikitsa sutra upnaha sweda is mentioned. According to Acharya Dalhan Upnaha has 3 dividation- Pradeh, pinda, bandhan. So we have choosen Nirgundi patra pind and Nirgundi patra upnaha , As nirgundi has Vatshamak, vednashamak, shothagna, balya.
Sandhigata vata is an asthi-sandhigata vyadhi, where there is kshya of Asthi Dhatu due to insufficient supply of Poshak Rasa. In Ayurveda text treatment of vatavyadhi given as Snehana , Swedana , Mridu Samshodhana, Basti and Vatahara Aushadha.
 
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