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CTRI Number  CTRI/2025/10/096543 [Registered on: 28/10/2025] Trial Registered Prospectively
Last Modified On: 27/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) [TREATMENT ]  
Study Design  Single Arm Study 
Public Title of Study   THIS IS THE CLINICAL STUDY TO CHECK THE WEIGHT LOSS WITH UDWARTANA AND NITYAVIRECHANA PROCEDURE IN THE PEOPLE WITH OBESITY 
Scientific Title of Study   AN OPEN LABELLED CLINICAL STUDY TO EVALUATE THE COMBINED EFFECT OF TWO FORMS OF APATARPANA CHIKITSA IN STHAULYA W.S.R TO OVERWEIGHT AND OBESITY 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR SHREENIDHI 
Designation  PG SCHOLAR 
Affiliation  SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE, LAXMI NAGAR KUTHPADY UDUPI 
Address  DEPARTMENT OF PANCHAKARMA SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE, LAXMI NAGAR KUTHPADY UDUPI KARNATAKA INDIA

Udupi
KARNATAKA
574118
India 
Phone  9108013923  
Fax    
Email  bhatnidhisvr99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR RAJALAXMI MG 
Designation  PROFESSOR 
Affiliation  SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE, LAXMI NAGAR KUTHPADY UDUPI 
Address  DEPARTMENT OF PANCHAKARMA SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE, LAXMI NAGAR KUTHPADY UDUPI KARNATAKA INDIA

Udupi
KARNATAKA
574118
India 
Phone  9448951673  
Fax    
Email  drrajalaxmisdm@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR RAJALAXMI MG 
Designation  PROFESSOR 
Affiliation  SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE, LAXMI NAGAR KUTHPADY UDUPI 
Address  DEPARTMENT OF PANCHAKARMA SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE, LAXMI NAGAR KUTHPADY UDUPI KARNATAKA INDIA

Udupi
KARNATAKA
574118
India 
Phone  9448951673  
Fax    
Email  drrajalaxmisdm@gmail.com  
 
Source of Monetary or Material Support  
SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE UDUPI  
 
Primary Sponsor  
Name  SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE UDUPI  
Address  DEPARTMENT OF PANCHAKARMA SDM AYURVEDA COLLEGE, HOSPITAL AND RESEARCH CENTRE, LAXMI NAGAR KUTHPADY UDUPI 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
Nil  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR SHREENIDHI   SDM AYURVEDA COLLEGE HOSPITAL AND RESEARCH CENTRE  DEPARTMENT OF PANCHAKARMA SDM AYURVEDA COLLEGE HOSPITAL AND RESEARCH CENTRE LAXMI NAGAR KUTHPADY UDUPI 574118
Udupi
KARNATAKA 
9108013923

bhatnidhisvr99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE SDM COLLEGE OF AYURVEDA UDUPI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E669||Obesity, unspecified. Ayurveda Condition: ATISTHAULYAM (KEVALA-KAPHA),  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-udvartanam, उद्वर्तनम् (Procedure Reference: ASHTANGA HRIDAYA SUTRASTANA 2/15, Procedure details: UDWARTANA Purva Karma: This includes preparation of the patients and the patients are thoroughly examined. The Prakriti and saara of patient are assessed and documented. The disease is also examined. It is confirmed if the patient is fit to undergo Udvartana treatment or not. Then preparation for the treatment like material needed for the treatment are collected beforehand. Udwartana ideally should be done in the morning after evacuation of bowel and bladder. Pradhana Karma: It is important that udvartana should be done simultaneously and synchronously from both sides of the body to maintain uniformity. It is done covering all the 7 postures. • Position 1- patient sitting on the massage table with lower limbs extended. • Position 2- patients lying on his back. (supine) • Position 3-patients lying on one side, turning towards left (left lateral) • Position 4- patients lying on his belly, face downwards (prone) • Position 5- patients lying on other side, turning towards right (right lateral) • Position 6- repeat position 2, patients lying on his back, facing upwards (supine) • Position 7- repeat position 1, patients sitting with legs extended. Duration: Each part of the body in their respective positions is massaged for 3-5 minutes. Usually the duration of Udvartana is 30 minutes. Paschat Karma: After Udvarthana, the body of the patient will be wiped off with cloth, later the patient is advised to take rest till the cessation of sweat, then the patient is advised to take hot water bath. DURATION OF THE STUDY Duration of treatment- 7 days)
(1) Medicine Name: Musta, Aragwadha, paata, triphala, devadharu, shwadanstra, kadira, nimba, haridra, twak, vatsaka, Reference: CHARAKA SAMHITA SUTRASTANA 23/12, Route: Topical, Dosage Form: Churna/ Powder, Dose: 430(g), Frequency: od, Duration: 7 Days
2Intervention ArmProcedure-virecana-karma, विरेचन-कर्म nitya (Procedure Reference: CHARAKA SAMHITA SUTRASTANA 16/13, Procedure details: The patients who are fulfilling the above said criteria will be selected for Nitya Virechana for 7 days. The patient will be administered with Triphala bhavitha katuki choorna in empty stomach, in a dose of 3 g with ushna jala as anupana at 7 am. After the administration, the subject will be observed for number of vegas, assessment of jeerna and ajeerna lakshanas of virechana dravya, Once the samyak viriktha lakshana is achieved, then patient is asked to take laghu aahara.)
(1) Medicine Name: TRIPHALABHAVITA KATUKI CHOORNA , Reference: CHARAKA SAMHITA SUTRASTANA 4 /9, Route: Oral, Dosage Form: Churna/ Powder, Dose: 3(g), Frequency: od, Duration: 7 Days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Subjects fulfilling the diagnostic criteria.
Subjects aged between 16-70 years of either gender
Subjects who are fit for nitya virechana and udwartana
Subjects whose BMI is above 25 upto 40kg/m2
 
 
ExclusionCriteria 
Details  Morbid obesity
Obesity due to endocrinal abnormalities
Subjects presented with cardiovascular and cerebrovascular diseases
Subjects with diabetes mellitus and hypertension
Pregnant and lactating women
Subjects who are not fit for nitya virechana and udwartana 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
BMI  0th day and 7th day  
 
Secondary Outcome  
Outcome  TimePoints 
Anthropometric features (measuring skin fold thickness using the slide callipers), Triceps, Biceps,
Subscapular, Abdomen and Thigh.
Measurement taken at various levels
Chest
Abdomen
Thigh
Buttock
Waist-hip ratio
Chala-sthana, udara, sphik
Kshudha adhikya
Atipipasa
Nidradhikya
Daurgandya
Shareera Gaurava 
0th day and 7th day  
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   05/11/2025 
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="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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 is an open label interventional clinical study to evaluate the combined effect of nitya virechana and udwartana in the management of
sthaulya with special reference to overweight and obesity on day 0 and day 7 of intervention based upon subjective and objective parameters.
 
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