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CTRI Number  CTRI/2025/05/086823 [Registered on: 13/05/2025] Trial Registered Prospectively
Last Modified On: 09/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   effect of panchakarma treatment like virechana and basti in type 2 diabetes  
Scientific Title of Study   To Evaluate the add on effect of Virechana followed by Basti on Mitochondrial Dysfunction assessed through Humanin in Patient of Type 2 Diabetes (Prameha) – An open labelled Randomized Standard Controlled Clinical Trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Devika Bhuva 
Designation  PhD Scholar 
Affiliation  ITRA Jamnagar 
Address  4th floor, panchakarma department, institute building, ITRA , Jamnagar, pin. 361008
To.Dhudasiya Ta. Gondal Dis.Rajkot Pin. 364470
Jamnagar
GUJARAT
361008
India 
Phone  08758820690  
Fax  -  
Email  devikabhuva@gamil.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof. Dr. Anup Thakar 
Designation  Professor 
Affiliation  ITRA Jamnagar 
Address  4th floor, panchakarma department, institute building, ITRA , Jamnagar, pin. 361008
4th floor, panchakarma department, institute building, ITRA , Jamnagar, pin. 361008
Jamnagar
GUJARAT
361008
India 
Phone  9427776660  
Fax  -  
Email  anup_Thakar@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Devika Bhuva 
Designation  PhD Scholar 
Affiliation  ITRA Jamnagar 
Address  4th floor, panchakarma department, institute building, ITRA , Jamnagar, pin. 361008
To.Dhudasiya Ta. Gondal Dis.Rajkot Pin. 364470

GUJARAT
361008
India 
Phone  08758820690  
Fax  -  
Email  devikabhuva@gamil.com  
 
Source of Monetary or Material Support  
ITRA HOSPITAL,Gurudwara Rd.,opp.B division police station, near reliance smart, jamnagar, gujrat 361008 india  
 
Primary Sponsor  
Name  ITRA Institute 
Address  Gurudwara Rd, opp. B Division Police Station, near Reliance Smart, Valkeshwari, Park Colony, Jamnagar, Gujarat 361008 
Type of Sponsor  Research institution and hospital 
 
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 
DrDevika Bhuva  ITRA  4th floor, panchakarma department, institute building, Institute of Teaching and Research in Ayurveda , Jamnagar, pin. 361008 To.Dhudasiya Ta. Gondal Dis.Rajkot Pin. 364470
Jamnagar
GUJARAT 
08758820690

devikabhuva@gamil.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ITRA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E119||Type 2 diabetes mellitus without complications. Ayurveda Condition: PRAMEHAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-virecana-karma, विरेचन-कर्म & BASTI (Procedure Reference: Charaka samhita, Vidyotini hindi commentary edited by pt. Kashinath shastri, published by choukhambha Bharati academy, Varanasi – ch.k.7/29, Procedure details: For Deepana & Pachana, take 3 grams of Trikatu Powder twice a day with warm water for 3 to 5 days. During Snehapana, consume Tila Taila (Sesamum oil) for a duration of 3 to 7 days. Follow up with Abhyanga & Bashpa Swedana using Bala Oil (Sida cordifolia Linn.) for 3 days. On the designated day for Virechana Karma, use Trivrittadi Yoga. After that, adhere to the Samsarjana Karma diet plan based on Shuddhi for 3 to 7 days. For Madhutailika Basti, the treatment lasts for 8 days and consists of the Take 100 grams of Madhu (Mel depuratum), followed by 12 grams of Saindhava (Rock salt). Use 100 ml of Tila Taila (Sesamum indicum Linn.) as seed oil. Include 24 grams of Shatpushpa Kalka (Peucedanum graveolens Linn.), which comes from the fruit. Lastly, consume 200 ml of Eranda Moola Kwatha (Ricinus Communis Linn.), extracted from the root. )
(1) Medicine Name: Trivrittadi Yoga , Reference: Charaka samhita, Vidyotini hindi commentary edited by pt. Kashinath shastri, published by choukhambha Bharati academy, Varanasi – ch.k.7/29, Route: Oral, Dosage Form: Churna/ Powder, Dose: 25(g), Frequency: od, Duration: 1 Days
2Comparator Arm (Non Ayurveda)-Metformin/ Combination of MetforminTime of administration 30 min prior to breakfast and dinner. Route of administration orally
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patient having three or more signs and symptoms of the disease.
Freshly diagnosed patients and patient with ongoing medication (metformin/combination of metformin) of Type 2 Diabetes with blood sugar level- FBS - 126 to 220 mg/dl or
PPBS - 200 to 300 mg/dl or Age group of 30-65 years.
Patient fit for Virechana and Basti Karma.

 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Increase Sr. Humanin (HN) level  4th week of treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Reduction the levels FBS & PPBS
Improvement in the quality of Life in Diabetic Patients.

 
4th week of treatment 
 
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 2 
Date of First Enrollment (India)   01/06/2025 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   this research explores whether an ayurvedic treatment like virechana and basti can help to improve the health in diabetes patients. in type two diabetes the tiny power plants in our cells called mitochondria don’t work properly. this can lower energy levels make the body less responsive to insulin and allow harmful waste to build up inside and around cells. ayurvedic treatment like virechana might belp by flushing out these wastes improving how these cell power plants work. another treatment basti improves gut health which can boost mitochondrias function by producing helpful enzymes and hormones. the study will test panchakarma procedure like virechana and busti which can enhance the activity of mitochondria in diabetic patient. 100 patients aged between 30 to 60 years with fbs 126mg/dl or ppbs 200mg/dlpatient having symptoms of type 2 diabetes will participate they will be divided into two groups in group A 50 patients will receive virechana and basti and in group B 50 patient will receive metformin. study period is four weeks symptoms of diabetes biomarkers and who DQOL will be assessed before and after treatment if any positive findings are obtained in mitochondrial dysfunction then it will be great boost to explore this part of the treatment in future and treatment plan for many diseases can be made by considering this abnormality of the cell  
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