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CTRI Number  CTRI/2025/06/088944 [Registered on: 16/06/2025] Trial Registered Prospectively
Last Modified On: 14/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Other 
Public Title of Study   A Comparative Study on the Effectiveness of Suranawleha and Suranvatak in Managing Piles (Haemorrhoids)  
Scientific Title of Study   A Comparative Clinical Study to evaluate the efficacy of Suranawleha and Suranvatak in the management of Shushka Arsha with special reference to 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  Dr Ashlesha Chandrashekhar Vengurlekar  
Designation  MS Scholar Shalyatantra Samanya department  
Affiliation  Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital, Nashik  
Address  Department of Shalyatantra Samanya,Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital,Kamal nagar, Hirawadi, Panchavati, Nashik Maharashtra 422003

Nashik
MAHARASHTRA
422003
India 
Phone  8928666184  
Fax    
Email  ashuven99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aparna Raut  
Designation  HOD AND PROFESSOR  
Affiliation  Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital Nashik  
Address  Department of Shalyatantra Samanya,Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital,Kamal nagar, Hirawadi, Panchavati, Nashik

Nashik
MAHARASHTRA
422003
India 
Phone  9822979769  
Fax    
Email  dr.aparnaraut12@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ashlesha Chandrashekhar Vengurlekar  
Designation  MS Scholar Shalyatantra Samanya department  
Affiliation  Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital Nashik  
Address  Department of Shalyatantra Samanya,OPD no 3 ,Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital,Kamal nagar, Hirawadi, Panchavati, Nashik Maharashtra 422003

Nashik
MAHARASHTRA
422003
India 
Phone  8928666184  
Fax    
Email  ashuven99@gmail.com  
 
Source of Monetary or Material Support  
Shalyatantra department, OPD no 3, Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital Kamal nagar, Hirawadi, Panchavati, Nashik, Maharashtra 422003 
 
Primary Sponsor  
Name  Department of Shalyatantra,Shree Saptashrungi Ayurveda Mahavidyalay  
Address  Shalyatantra department, Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital Kamal nagar, Hirawadi, Panchavati, Nashik, Maharashtra 422003 
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 Ashlesha Chandrashekhar Vengurlekar   Shree Saptashrungi Ayurveda Mahavidyalay and Hospital ,Kamal Nagar, Hirawadi, Panchavati, Nashik.   Department of Shalyatantra,OPD no 3
Nashik
MAHARASHTRA 
8928666184

ashuven99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC Shree Saptashrungi Ayurved Mahavidyalaya ,Panchavati,Nashik   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,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Suranawleha , Reference: Sharangdhar sanhita, Route: Oral, Dosage Form: Avleha/Leha/Paka/Raskriya, Dose: 10(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 21 Days, anupAna/sahapAna: Yes(details: Warm water ), Additional Information: -
2Comparator ArmDrugClassical(1) Medicine Name: Suranvatak , Reference: Sharangdhar sanhita , Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 21 Days, anupAna/sahapAna: Yes(details: Warm water ), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1) Patients having symptoms of Arsha (1st and 2nd degree piles)
2) Patients of age groups 18-60 years irrespective of gender,socioeconomic status .
3) Patients who are willing to participate in the study and ready to give informed written consent  
 
ExclusionCriteria 
Details  1)Thrombosed prolapsed piles, third, and 4th degree piles .
2) Patient suffering from anorectal pathology other than Arsha.
3) Patient below age group under 18 years and above 70 years.
4) Patients suffering from any serious systemic diseases like hypertension, diabetes mellitus , malignancy, Hepatitis B, HIV, HCV, Tuberculosis
5) Bleeding per rectum. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To reduce signs and symptoms of constipation,anal itching in management of Shushka arsha with special reference to Haemorrhoids   21 days 
 
Secondary Outcome  
Outcome  TimePoints 
To provide long term relief & reduce recurrence   21 days 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   26/06/2025 
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="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   Study Title:
A Comparative Clinical Study to Evaluate the Efficacy of Suranawleha and Suranvatak in the Management of Shushka Arsha with Special Reference to Haemorrhoids

Background:
Shushka Arsha, correlating with dry-type haemorrhoids, is a common anorectal disease which is well known for its chronicity, recurrences & 
frequent acute exacerbations .Ayurvedic literature offers various herbal formulations for its management, among which Suranawleha and Suranvatak can be used.

Objective:
1.Primary Objective 
To study the effect of Suranawleha as compared to Suranvatak in management of Shushka Arsha wsr to Haemorrhoids .
2.Secondary Objective
1) To study in detail Arsha as per Ayurvedic literature. 
2) To study in detail Haemorrhoids as per Modern science.
3) To study in detail about the drug Suranawleha.

Design: Comparative clinical trial

Participants: 
Patients diagnosed with Shushka Arsha (1st & 2 nd degree piles) of ahe group 16-80 years meeting the inclusion and exclusion criteria will be selected from OPD and IPD of Shalyatantra department of Shree Saptashrungi Ayurveda Mahavidyalaya and Hospital, Nashik.

Intervention Groups:
Group A: Treated with Suranawleha
Group B: Treated with Suranvatak

Duration: 
Treatment duration:21 days
Follow up on 7 ,14 & 21 st day 

Assessment Criteria: 
Symptomatic relief (pain, constipation), reduction in pile mass, and overall quality of life.

Expected Outcome:
The study aims to determine which formulation provides better symptomatic relief and therapeutic outcomes, thereby guiding effective Ayurvedic management protocols for haemorrhoids.

Overall Assessment of Therapy:
Observations and results will be formulated in accordance with the assessment 
criteria.

12.Conclusion:
The conclusion will be derived exclusively from the statistical analysis.

 
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