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CTRI Number  CTRI/2025/07/090559 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 09/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To study the effect of musta amalaki takradhara in the management of Hypertension 
Scientific Title of Study   An open randomized control clinical trial of musta amalaki takradhara in uccha rakta chapa with special reference to essential hypertension 
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 Shivani Sunil Nirmal 
Designation  PG Scholar  
Affiliation  Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Centre Ashta 
Address  OPD No 09 Panchakarma OPD ground floor Dhanvantari Ayurved Hospital Ashta Tal Walwa Dist Sangli

Sangli
MAHARASHTRA
416301
India 
Phone  9623364323  
Fax    
Email  shivaninirmal051@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Alaknanda Kulkarni 
Designation  Professor 
Affiliation  Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Centre Ashta 
Address  Department of Panchakarma Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Center Ashta Tal Walwa Dist Sangli

Sangli
MAHARASHTRA
416301
India 
Phone  9860359489  
Fax    
Email  Vdalaknandakulkarni@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Alaknanda Kulkarni 
Designation  Professor 
Affiliation  Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Centre Ashta 
Address  Department of Panchakarma Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Center Ashta Tal Walwa Dist Sangli

Sangli
MAHARASHTRA
416301
India 
Phone  9860359489  
Fax    
Email  Vdalaknandakulkarni@gmail.com  
 
Source of Monetary or Material Support  
Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Center Ashta, Maharashtra. India 416301 
 
Primary Sponsor  
Name  Dr Shivani Sunil Nirmal 
Address  OPD NO 09 Panchakarma OPD ground floor Dhanvantari Ayurved Hospital Ashta, Maharashtra,India 416301 
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 Shivani Sunil Nirmal  Hon Shri Annasaheb Dange Ayueved Medical College Post Graduate and Research Center Ashta  OPD NO 09 Panchakarma OPD ground floor Dhanvantari Ayurved Hospital Ashta Tal Walwa Dist Sangli
Sangli
MAHARASHTRA 
9623364323

shivaninirmal051@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Hon Shri Annasaheb Dange Ayurved Medical College Ashta Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:I10||Essential (primary) hypertension. Ayurveda Condition: HRUDROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-takradhArA, तक्रधारा (Procedure Reference: Dharakalp, Procedure details: 1 Purvakarma i Counselling and consent for karma ii Sambhar sangraha iii Preparation of Musta Amalaki siddha Takra iv Patient will be asked to lie down on table 2 Pradhankarma Dhara of Siddha Takra poured on the forehead for about 30 to 45 minutes 3 Paschatkarma i Rest for about 15 to 30 minutes ii Take warm water head bath )
(1) Medicine Name: Musta Amalaki siddha Takra, Reference: Dharakalp, Route: Topical, Dosage Form: Kwatha/Kashaya, Dose: 2000(ml), Frequency: od, Duration: 14 Days
2Comparator ArmProcedure-SiraHsekaH, शिरःसेकः (Procedure Reference: Ashtang Hridaya, Procedure details: 1 Purvakarma i Counselling and consent for karma ii Sambhar sangraha iii Preparation of Manasyadi kwath iv Patient will be asked to lie down on table 2 Pradhankarma Dhara of Manasyadi kwath poured on the forehead for about 30 to 45 minutes 3 Paschatkarma i Rest for about 15 to 30 minutes ii Take warm water head bath )
(1) Medicine Name: Manasyadi kwath, Reference: Siddhayog Sangraha, Route: Topical, Dosage Form: Kwatha/Kashaya, Dose: 2000(ml), Frequency: od, Duration: 14 Days
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Essential Hypertension Systolic blood pressure is 140 to 159 mm of Hg and diastolic blood pressure is 90 to 99 mm of Hg with or without allopathic medicine
Chronicity less than 2 years 
 
ExclusionCriteria 
Details  Secondary Hypertension
Pregnancy induced hypertension
Gestational hypertension
Patients having history of acute coronary syndrome cardiomyopathies MI Stroke
Pregnant and lactating womens
Alcohol and drug abusers  
 
Method of Generating Random Sequence   Other 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy of musta amalaki takradhara in Uccha Rakta Chapa  4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1 To review Uccha Rakta Chapa in detail
2 To review Essential Hypertension in detail
3 To review Takradhara procedure for Hypertension
4 To review Manasyadi Kwath Shirodhara procedure for Hypertension
5 To find out adverse drug reaction of either drug or procedure 
4 weeks 
 
Target Sample Size   Total Sample Size="68"
Sample Size from India="68" 
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)   10/08/2025 
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)   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  
Hypertension is one of the most common lifestyle diseases in present era. It is a major global public health problem due to its high prevalence.  Uccha Rakta Chapa is a chronic medical condition caused by persistently elevated blood pressure in the arteries. When the Systolic blood pressure remains elevated above 140mmHg and Diastolic blood pressure remains elevated above 90mmHg. It is considered as Hypertension. It is classified into Primary (Essential) Hypertension and Secondary Hypertension.
Essential Hypertension is one of life-threatening disorder of today’s life which has psychosomatic and hereditary background results from variety of reasons like stressful psychological conditions, faulty life style, obesity, over use of salts etc. It is called a silent killer because it rarely exhibits symptoms before it damages the heart, brain, or kidney.
According to Acharya Charaka’s concepts it is a manifestation of Dushta Rakta and can be treated with therapeutics of Shita, Ushna, Snigdha kriya.
In present research I have selected same concept by adoption of Shirodhara; one of the type of Murdha Taila, which pacifies Sharira and Manasa Dosha to overcome Essential Hypertension.
 
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