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CTRI Number  CTRI/2026/01/100864 [Registered on: 12/01/2026] Trial Registered Prospectively
Last Modified On: 12/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Panchakarma Procedure And Ayurvedic Medicine In The Management of Amavata W.S.R To Rheumatoid Arthritis. 
Scientific Title of Study   A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF AJMODADI VATAK WITH AND WITHOUT DWIPANCHMOOLADI NIRUHA BASTI IN THE MANAGEMENT OF AMAVATA WITH SPECIAL REFERENCE TO RHEUMATOID ARTHRITIS 
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 Himani Bhardwaj 
Designation  PG SCHOLAR 
Affiliation   
Address  Department Of Panchakarma, Dayanand Ayurvedic College, Mahatma Hansraj Marg, Gurdev Nagar, Jalandhar (Punjab), Pincode- 144008, India

Jalandhar
PUNJAB
144008
India 
Phone  8278710767  
Fax    
Email  thevedichealer01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neetika Nirmal 
Designation  Associate Professor 
Affiliation   
Address  Department Of Panchakarma, Dayanand Ayurvedic College, Mahatma Hansraj Marg, Gurdev Nagar, Jalandhar (Punjab), Pincode- 144008, India

Jalandhar
PUNJAB
144008
India 
Phone  8219756483  
Fax    
Email  neetikanirmal1990@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Himani Bhardwaj 
Designation  PG SCHOLAR 
Affiliation   
Address  Department Of Panchakarma, Dayanand Ayurvedic College, Mahatma Hansraj Marg, Gurdev Nagar, Jalandhar (Punjab), Pincode- 144008, India

Jalandhar
PUNJAB
144008
India 
Phone  8278710767  
Fax    
Email  thevedichealer01@gmail.com  
 
Source of Monetary or Material Support  
Dayanand Ayurvedic College, Mahatma Hansraj Marg, Jalandhar (Punjab), Pin Code- 144008, India 
 
Primary Sponsor  
Name  Dayanand Ayurvedic College 
Address  Dayanand Ayurvedic College, Mahatma Hansraj Marg, Jalandhar (Punjab), Pin Code- 144008, India 
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 Himani Bhardwaj  Dayanand Ayurvedic College And Hospita  Department Of Panchakarma, Dayanand Ayurvedic College, Mahatma Hansraj Marg, Jalandhar (Punjab), Pincode- 144008, India, Jalandhar, PUNJAB
Jalandhar
PUNJAB 
8278710767

thevedichealer01@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DAC Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M069||Rheumatoid arthritis, unspecified. Ayurveda Condition: AMAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-bastikarma/vastikarma, बस्तिकर्म/वस्तिकर्म (Procedure Reference: Charak Samhita Siddhi Sthan Ch.3, Procedure details: Poorva Karma: • It will involve Snehana of abdomen, back, thigh & legs followed by Nadi Sveda. Pradhana Karma: • Patient will be asked to lie down in the left lateral position with left leg straight and right leg flexed, his head should rest on his left flexed arm. • Sukhoshna Sneha will be applied in the anal region and on the Basti Netra. • Basti Netra will be introduced gradually & patient is asked to breath in. • Basti Dravya will be pushed into the rectum with constant pressure till a little quantity is remained in the Putaka (to prevent Vayu to enter into the Pakvashaya) • At last, Netra will be then withdrawn slowly. Paschat karma: • Patient will be asked to keep lying till the patient is able to hold Basti for better absorption of drug from anal region. • Patient will be asked to lie down with his face upward after getting the urge he will eliminate the faeces sitting on his heels. • After defecation patient will be asked to take a bath with warm water and have a light meal. Anuvasana Basti: • This will be done in the same way except in Poorva karma patient will be asked to have light meal prior to Basti Karma. • In Paschat Karma patient’s buttocks will be patted, lower abdomen will be massaged, legs will be raised for a while to increase the retention period. ))
(1) Medicine Name: Dwipanchamooladi Niruha Basti, Reference: Charak Sidhisthan 3/59–60, Route: Rectal, Dosage Form: Kwatha/Kashaya, Dose: 600(ml), Frequency: od, Duration: 6 Days
(2) Medicine Name: Brihatsaindhavadi Taila, Reference: Bhaishajya Ratnawali 29/ 216–221 , Route: Rectal, Dosage Form: Taila, Dose: 50(ml), Frequency: od, Duration: 10 Days
2Intervention ArmDrugClassical(1) Medicine Name: Ajmodadi Vatak, Reference: Chakradutt 25/52-56, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: tds, Bhaishajya Kal: Pragbhakta, Duration: 30 Days, anupAna/sahapAna: Yes(details: Ushanodaka), Additional Information: -
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Subjects fulfilling the 2010 EULAR/ACR revised criteria of Amavata (Rheumatoid Arthritis).
2. Subjects fit for Basti.
3. Subjects aged between 30 to 60 years of either sex.
4. Subjects with controlled Hypertension & Diabetes.
5. Subjects willing to participate in study.  
 
ExclusionCriteria 
Details  1.Subjects having Upadrava and Arista laxana
2.Amavata associated with severe complicated diseases like Diabetes mellitus, cardiac disease,
tuberculosis, AIDS.
3. Subjects with severe deformities, severe ankylosed joints, septic arthritis and gouty arthritis etc
4.Pregnant women & lactating women.  
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Following symptoms will be assessed for the reduction in their severity:
1. Sandhishoola (pain in joints)
2. Sandhishopha (swelling in joints)
3. Jadya (Stiffness over affected joint)
4. SparshaAsahtva (tenderness)
5. Vibhandha (constipation)
6. Angamarda (bodyache)
7. Alasya (lethargy)
8. Daha (burning sensation in body)  
On 0th, 16th, 30th, 40th Day  
 
Secondary Outcome  
Outcome  TimePoints 
Significant Improvement in the objective parameters.
1. RA Factor Quantitative
2. ESR
3. CRP
4. Anti - CCP 
On 0th and 40th day. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   27/01/2026 
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  

The total of 60 patients will be selected who are between age group of 30 to 60 years of either sex who are diagnosed with Amavata on the basis of sign and symptoms. Patients will be divided into two groups (Trial Group A and Trial Group B). Group A will be intervene with Dwipanchmooladi Niruha Basti along with oral administration of Ajmodadi Vatak and Group B will be intervene with oral administration of Ajmodadi Vatak and conduct a clinical study - To evaluate the efficacy of Ajmodadi Vatak in the management of Amavata w.s.r to Rheumatoid Arthritis. • To evaluate the combined efficacy of Dwipanchmooladi Niruha Basti with oral administration of Ajmodadi Vatak in the management of Amavata. • To compare the efficacy of Ajmodadi Vatak with and without Dwipanchmooladi Niruha Basti in the management of Amavata w.s.r. to Rheumatoid Arthritis


 
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