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CTRI Number  CTRI/2025/07/091495 [Registered on: 23/07/2025] Trial Registered Prospectively
Last Modified On: 22/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) 
Study Design  Single Arm Study 
Public Title of Study   Medicated enema for low sperm count (Male infertility) 
Scientific Title of Study   A SINGLE ARM CLINICAL TRIAL TO EVALUATE THE EFFICACY OF SUKRALA BASTI IN KSHEENA SUKRA OLIGOSPERMIA 
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 ANAGHA KOMALANKUTTY 
Designation  PG SCHOLAR DEPARTMENT OF PANCHAKARMA 
Affiliation  ALVAS AYURVEDA MEDICAL COLLEGE 
Address  3rd floor DEPARTMENT OF PANCHAKARMA ALVAS AYURVEDA MEDICAL COLLEGE VIDYAGIIRI MOODUBIDRE DK DISTRICT

Dakshina Kannada
KARNATAKA
574227
India 
Phone  9946128666  
Fax    
Email  anaghakomalan98@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr ROHINI PUROHIT 
Designation  ASSOCIATE PROFESSOR 
Affiliation  ALVAS AYURVEDA MEDICAL COLLEGE 
Address  3RD FLOOR DEPARTMENT OF PANCHAKARMA ALVAS AYURVEDA MEDICAL COLLEGE VIDYAGIIRI MOODUBIDRE DK DISTRICT KARNATAKA 574227

Dakshina Kannada
KARNATAKA
574227
India 
Phone  9481845928  
Fax    
Email  dr.rohiniayu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr ANAGHA KOMALANKUTTY 
Designation  PG SCHOLAR, DEPARTMENT OF PANCHAKARMA 
Affiliation  ALVAS AYURVEDA MEDICAL COLLEGE 
Address  ALVAS AYURVEDA MEDICAL COLLEGE VIDYAGIIRI MOODUBIDRE DK DISTRICT KARNATAKA 574227

Dakshina Kannada
KARNATAKA
574227
India 
Phone  9946128666  
Fax    
Email  anaghakomalan98@gmail.com  
 
Source of Monetary or Material Support  
ALVAS AYURVEDA MEDICAL COLLEGE VIDYAGIIRI MOODUBIDRE D.K DISTRICT 
 
Primary Sponsor  
Name  Dr ANAGHA KOMALANKUTTY 
Address  ALVAS AYURVEDA MEDICAL COLLEGE VIDYAGIRI MOODUBIDRE DK DISTRICT KARNATAKA 574227 
Type of Sponsor  Other [SELF] 
 
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 Anagha Komalankutty  ALVAS AYURVEDA MEDICAL COLLEGE  3RD FLOOR DEPARTMENT OF PANCHAKARMA ALVAS AYURVEDA MEDICAL COLLEGE VIDYAGIIRI, MOODUBIDRE, D.K. DISTRICT KARNATAKA 574227
Dakshina Kannada
KARNATAKA 
9946128666

anaghakomalan98@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Clinical Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:Z00-Z99||Factors influencing health status and contact with health services. Ayurveda Condition: SUKRAKSHAYAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-bastikarma/vastikarma, बस्तिकर्म/वस्तिकर्म (Procedure Reference: Caraka Samhitha Sidhi sthana, Procedure details: The Sukrala Basti procedure is carried out over five days, with Niruha Basti administered in the mornings on Days 2 to 4 & Anuvasana (Matra) Basti in the afternoons on all five days. The preparation of Masha Atmaguptadi Basti involves mixing Madhu & Saindhava first, followed by the slow addition of Murchita Go Ghrita with continuous stirring. Then, Kalka made from Masha, Atmagupta, Godhuma, & Yava is added, & finally the corresponding Kwatha is incorporated to make a total of 485 ml. The mixture is filtered, warmed using a hot water bath, churned thoroughly, & stored in a sterile Basti Putaka, ensuring air is excluded & the contents are ready for administration. For Niruha Basti, the patient undergoes prior bowel cleansing with Avipatti Churna, followed by local Abhyanga & Swedana. The Basti is administered with the patient in the left lateral position; the nozzle is gently inserted, & the medicine is introduced in one steady compression. Post-administration, the patient lies supine for one muhurta before evacuating. Anuvasana Basti is given in the afternoon post-lunch. After bowel & bladder evacuation, the patient lies on the left side, & Murchita Ghrita is administered using a lubricated catheter. The patient is advised to rest until natural evacuation occurs. Samyak Basti signs include proper elimination of mala, mutra, & vata, improved appetite, lightness in the body, & relief from disease symptoms.)
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  50.00 Year(s)
Gender  Male 
Details  Patients of age group 25 to 50 years with total sperm concentration less than 15 million per ml.
Patients with duly written consent.
 
 
ExclusionCriteria 
Details  Chronic uncontrolled Diabetes mellitus. Hypertension
Azoospermia and Aspermia
Diagnosed case of Genetic defect like Klinefelter syndrome
Bilateral Varicocele
Accessory sex gland infections
Diagnosed cases of STDs
H/O lower lumbar spinal injury
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate efficacy of Masha Atmaguptadi Basti in the management of Ksheena Sukra (Oligospermia)  82 days 
 
Secondary Outcome  
Outcome  TimePoints 
To find the path of the Basti Dravya on administration in colon  By Semen analysis following will be evaluated
1. Volume
2. Consistency
3. Sperm count
4. Motility rate
5. Morphology
6. Sperm density
7. Time of liquefaction
 
 
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/ Phase 3 
Date of First Enrollment (India)   05/08/2025 
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="0"
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   Oligospermia, characterized by a low sperm count, is a significant cause of male infertility. Ayurveda attributes this condition to Shukra Kshaya, primarily influenced by Vata and Pitta doshas. Basti Karma, is considered effective in addressing Vata-related disorders and has been postulated to enhance male reproductive health. 
Objective: This study aims to evaluate the efficacy of Masha Atmaguptadi Basti in improving semen parameters in Ksheena Shukra (Oligospermia) and to assess the path of Basti Dravya within the colon. 
Methods: A single-arm, open-label clinical trial will be conducted on 30 male patients diagnosed with Oligospermia, recruited from Alva’s Ayurveda Medical College and Dhatree Fertility Centre. The intervention involves the administration of Masha Atmaguptadi Basti over a specified treatment schedule. Semen parameters, including sperm count, motility, morphology, and density, will be assessed pre- and post-treatment. Statistical analysis will be conducted using paired t-tests and Wilcoxon signed-rank tests. 
Expected Outcome: The study hypothesizes a significant improvement in semen parameters post-treatment, supporting the role of Masha Atmaguptadi Basti in managing Oligospermia.  
Conclusion: This study aims to contribute scientific evidence to the Ayurvedic management of male infertility, potentially validating the efficacy of Basti therapy in enhancing sperm count and overall reproductive health.
 
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