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CTRI Number  CTRI/2025/05/087551 [Registered on: 26/05/2025] Trial Registered Prospectively
Last Modified On: 23/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical Study comparing the effectiveness of Simhnad Guggulu and Panchamrita Lauha Guggulu with Amalakadi Choorna in Manyastabha treatment. 
Scientific Title of Study   A Comparative Clinical Study to evaluate the efficacy of Simhnad Guggulu And Panchamrita Lauha Guggulu along with Amalakadi Choornam in the management of Manyastambha 
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 Kuldeep 
Designation  Associate Professor, Department of Kayachikitsa, Shiva Ayurvedic College And Hospital P.O Chandpur, Distt. Bilaspur, Himachal Pradesh.  
Affiliation  Atal Medical and Research University Distt. Mandi, Himachal Pradesh  
Address  Opd Block, Room no 403, Kayachikitsa Opd, Shiva Ayurvedic College And Hospital P.O Chandpur, Distt. Bilaspur, Himachal Pradesh. Pin 174004.

Bilaspur
HIMACHAL PRADESH
174004
India 
Phone  7018918260  
Fax    
Email  kdeep.thakur1990@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr P Gourisankar 
Designation  Professor and Head Department of Kayachikitsa, Glocal College of Ayurvedic Medical Sciences and Research Centre Saharanpur,Uttar Pradesh.  
Affiliation  Glocal University,Delhi yamunotri Marg,state Highway 57,Mirzapur Pole, Saharanpur, U.P 
Address  Opd Block,Room no.1, Kayachikitsa opd, Glocal University,Delhi yamunotri Marg,state Highway 57,Mirzapur Pole, Saharanpur, U.P

Saharanpur
UTTAR PRADESH
247121
India 
Phone  9447308867  
Fax    
Email  drpgourisankar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Kuldeep 
Designation  Associate Professor, Department of Kayachikitsa,Shiva Ayurvedic College And Hospital P.O Chandpur, Distt. Bilaspur, Himachal Pradesh.  
Affiliation  Atal Medical and Research University Distt. Mandi,Himachal Pradesh. 
Address  Opd Block, Room No.403, Kayachikitsa opd, Shiva Ayurvedic College And Hospital P.O Chandpur, Distt. Bilaspur, Himachal Pradesh. Pin 174004.

Bilaspur
HIMACHAL PRADESH
174004
India 
Phone  7018918260  
Fax    
Email  kdeep.thakur1990@gmail.com  
 
Source of Monetary or Material Support  
Shiva Ayurvedic Medical College and Hospital P.O Chandpur Distt Bilaspur himachal Pradesh Pin 174004  
 
Primary Sponsor  
Name  Dr Kuldeep Associate Professor Department of Kayachikitsa  
Address  Shiva Ayurvedic Medical College And Hospital P.O Chandpur Distt Bilaspur, Himachal Pradesh 
Type of Sponsor  Other [Self Sponsored] 
 
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 Kuldeep  Shiva Ayurvedic Medical College and Hospital   Room No 403,Shiva Ayurvedic Medical College and Hospital P.O Chandpur, Distt Bilaspur, Himachal Pradesh
Bilaspur
HIMACHAL PRADESH 
7018918260

kdeep.thakur1990@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Glocal University   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M479||Spondylosis, unspecified. Ayurveda Condition: MANYASTAMBAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: Amalakadi Choornam, Reference: Sarangdhar Samhita, Route: Oral, Dosage Form: Churna/ Powder, Dose: 5(g), Frequency: bd, Bhaishajya Kal: Abhakta, Duration: 5 Days, anupAna/sahapAna: Yes(details: -Ushnodaka), Additional Information: -
(2) Medicine Name: Simhnad Guggulu, Reference: Bhaisajyaratnavali, Route: Oral, Dosage Form: Guggulu , Dose: 500(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 60 Days, anupAna/sahapAna: Yes(details: -Ashtavargam Kashyam 30 ml with equal quantity of ushnodaka), Additional Information: -
2Comparator ArmDrugClassical(1) Medicine Name: Amalakadi Choornam, Reference: Sarangdhar Samhita, Route: Oral, Dosage Form: Churna/ Powder, Dose: 5(g), Frequency: bd, Bhaishajya Kal: Abhakta, Duration: 5 Days, anupAna/sahapAna: Yes(details: Ushnodaka), Additional Information: -
(2) Medicine Name: Panchamrita Lauha Guggulu, Reference: Ras Tantra Sara Evum Siddha Prayoga Samgraha, Route: Oral, Dosage Form: Guggulu , Dose: 500(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 60 Days, anupAna/sahapAna: Yes(details: Ashtavargam Kashyam 30ml with equal quantity of ushnodaka), Additional Information: -
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Subjects between the age group of 20 to 60 years.
2. The subjects with classical signs and symptoms of Manyasthamba .
3. Subjects of all genders, irrespective of religion and caste. 
 
ExclusionCriteria 
Details  1. Patients below 20 and above 60 years of age.
2. Pregnant and lactating mother.
3. Subjects with other systemic disorders such as accelerated hypertension, uncontrolled diabetes, gastritis, acid peptic disorder, hypothyroidism that interfere in the line of treatment.
4. Subjects with congenital deformity, traumatic injuries, cervical stenosis & myelopathy, ankylosing spondylitis, infections of bones, and gross bony deformity.
5. Patient suffering from autoimmune joint disorders. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in Ruk(Pain), Stambha(Stiffness) of Manyapradesha.  95days 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in pain Vas Score, Neck disability index score and Neck range of movement   95 days 
 
Target Sample Size   Total Sample Size="140"
Sample Size from India="140" 
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   N/A 
Date of First Enrollment (India)   10/06/2025 
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 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   The present study is an interventional, open label, parallel group trial which aims to evaluate and compare the efficacy of Simhanad Guggulu and Panchamrita lauha guggulu along with Amalakadi choornam in the management of  manyastambha. One hundred and forty patient aged 20 - 60 years with classical features of mayastambha will be randomly categoriesd in two groups i.e 70 patients in each groups. In both groups for amapachana Amalakadi Choornam  will be given for 5 days which is followed by simhanad Guggulu 500mg  BD  in  Group A for 60 days. while in Group B after Amapachan Panchamrita lauha Guggulu 500mg BD for 60 days will be given.for both groups Ashtavargam Kashyam 30 ml is used as anupana for guggulu kalpas.After medication patient will  observed  for  30 days in both groups.  So overall study duration becomes 95 days and  followup will be done after 15 days . 
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