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CTRI Number  CTRI/2025/11/096980 [Registered on: 06/11/2025] Trial Registered Prospectively
Last Modified On: 06/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Ayurvedic Treatment Comparison for Healing Infected Chronic Wounds after Cellulitis” 
Scientific Title of Study   A Clinical Comparative Study Between Shal Twak Kwatha And Panchawalkala Kwatha By Prakshalana In The Management Of Dushta Vrana W.S.R To Post Cellulitic Wound 
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 PRATIK MANE  
Designation  PG SCHOLAR - SHALYA TANTRA  
Affiliation  SHRI SHIVAYOGEESHWAR RURAL AYURVEDIC COLLEGE AND HOSPITAL 
Address  Room no 503/B wing kurla samta sahakari co.op housing society kurla east nehru nagar mumbai 400024
GOKAK ROAD, REVANSIDDESWAR NAGAR INCHAL KARNATAKA 591102

MAHARASHTRA
400024
India 
Phone  9702430218  
Fax    
Email  pratikman1996@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR RC YAKKUNDI 
Designation  GUIDE AND HOD SHALYA TANTRA DEPARTMENT  
Affiliation  SHRI SHIVAYOGEESHWAR RURAL AYURVEDIC COLLEGE AND HOSPITAL 
Address  DEPT. OF SHALYA TANTRA, SHRI SHIVYOGESHWAR RURAL AYURVEDIC MEDICAL COLLEGE AND HOSPITAL INCHAL GOKAK ROAD, REVANSIDDESWAR NAGAR INCHAL KARNATAKA 591102
DEPT. OF SHALYA TANTRA, SHRI SHIVYOGESHWAR RURAL AYURVEDIC MEDICAL COLLEGE AND HOSPITAL INCHAL GOKAK ROAD, REVANSIDDESWAR NAGAR INCHAL KARNATAKA 591102
Belgaum
KARNATAKA
591102
India 
Phone  9986265349  
Fax    
Email  ryakkundi298@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR PRATIK MANE 
Designation  PG SCHOLAR - SHALYA TANTRA  
Affiliation  SHRI SHIVAYOGEESHWAR RURAL AYURVEDIC COLLEGE AND HOSPITAL 
Address  Room no 503/B wing kurla samta sahakari co.op housing society kurla east nehru nagar mumbai 400024
DEPT. OF SHALYA TANTRA, SHRI SHIVYOGESHWAR RURAL AYURVEDIC MEDICAL COLLEGE AND HOSPITAL INCHAL GOKAK ROAD, REVANSIDDESWAR NAGAR INCHAL KARNATAKA 591102

MAHARASHTRA
591102
India 
Phone  09702430218  
Fax    
Email  pratikman1996@gmail.com  
 
Source of Monetary or Material Support  
SHRI SHIVAYOGEESHWAR RURAL AYURVEDIC MEDICAL COLLEGE AND HOSPITAL 
 
Primary Sponsor  
Name  SHRI SHIVYOGEESHWAR RURAL AYURVEDIC MEDICAL COLLEGE  
Address  GOKAK ROAD REVANSIDDESWAR NAGAR INCHAL KARNATAKA 591102  
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 PRATIK MANE  SHRI SHIVYOGEESHWAR RURAL AYURVEDIC MEDICAL COLLEGE AND HOSPITAL   DEPT. OF SHALYA TANTRA, SECOND FLOOR , SHRI SHIVYOGESHWAR RURAL AYURVEDIC MEDICAL COLLEGE AND HOSPITAL INCHAL GOKAK ROAD, REVANSIDDESWAR NAGAR INCHAL KARNATAKA 591102
Belgaum
KARNATAKA 
9702430218

pratikman1996@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL EHTICS CLEARANCE COMMITEE   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L80-L99||Other disorders of the skin and subcutaneous tissue. Ayurveda Condition: DUSHTAVRANAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: SHAL TWAK KWATHA , Reference: Description of shal shorea robusta in DhanvantariNighantu 16 and Kaiyadeva Nighantu , Route: Topical, Dosage Form: Kwatha/ Kashaya, Dose: 100(ml), Frequency: od, Bhaishajya Kal: Adhobhakta, Duration: 1 Weeks, anupAna/sahapAna: No, Additional Information: -
2Intervention ArmProcedure-prakShAlana-karma, प्रक्षालन-कर्म (Procedure Reference: SUSHRUTA SAMHITA CHIKITSA 1/74-76, Procedure details: Hands will be cleaned properly before Procedure. Under Aseptic precautions wound Toileting will be done. Freshly prepared Shal Twak Kwatha, prepared at low flame will be used at Luke warm temperature for Prakshalana procedure. Under all aseptic precautions, Prakshalana will be done of Dhusta Vrana by Shal Twak Kwath to remove the slough and dead tissue. Daily Prak$halana for 14 days will be done. After Prakshalana sterile Gauze impregnated with Jatyadi taila will be placed on Dushta Vrana. Sterile Pad and Sterile Bandage Cloth will be used for Bandaging. )
(1) Medicine Name: SHAL TWAK KWATHA , Reference: Description of shal shorea robusta in DhanvantariNighantu 16 and Kaiyadeva Nighantu , Route: Topical, Dosage Form: Kwatha/Kashaya, Dose: 100(ml), Frequency: od, Duration: 01 Weeks
3Comparator ArmProcedure-prakShAlana-karma, प्रक्षालन-कर्म (Procedure Reference: SUSHRUT SAMHITA CHIKITSASTHAN 1/74-76, Procedure details: Hands will be cleaned properly before Procedure. Under Aseptic precautions Wound Toileting will be done. Freshly prepared Panchawalkala Kwatha, prepared at low flame will be used at Luke warm temperature for Prakshalana procedure. Under all aseptic precautions, Prakshalana will be done of Dhusta Vrana by Panchawalkala Kwatha to remove the slough and dead tissue.. Daily Prakshalana for 14 days will be done. After Prakshalana sterile Gauze impregnated with Jatyadi taila will be placed on Dushta Vrana. Sterile Pad and Sterile Bandage Cloth will be used for Bandaging. )
(1) Medicine Name: PANCHAWALKA KWATHA , Reference: Description of PANCHAWALKALA KWATHA in SUSHRUT SAMHITA18 AND 19 SHARNGDHAR SAMHITA , Route: Topical, Dosage Form: Kwatha/Kashaya, Dose: 100(ml), Frequency: od, Duration: 01 Weeks
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Subjects of Age group between 18-70 years.
Subjects will be selected irrespective of Sex, Religion & Occupation Status.
Subjects presenting with the Lakshanas of Dushta Vrana.
Subjects who are fit for kwatha Prakshalan procedure.
Patients with clinical signs and symptoms of Post Cellulitic Wound will be Included.
 
 
ExclusionCriteria 
Details  Subjects who are aged Below 18 years and Above 70 Years.
Subjects with Severe Systemic Disorders like Uncontrolled Diabetes Mellitus, Hypertension that interfere with the course of Treatment.
Subjects with Specific Ulcers due to Malignancy, Gangrene, Tuberculous Wounds.
Patient with Known case of HIV, HBsAg, Tuberculosis, and having immunosuppressive disorder or patient taking immunosuppressive drugs.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
THERE IS STATISTICALLY SIGNIFICANT DIFFERENCE IN THE EFFICACY OF SHAL TWAK KWATHA BY PRAKSHALANA IN THE MANAGEMENT OF DUSHTA VRANA ALSO HEALTHY HEALING OF WOUND AND REDUCE PAIN   GROUP A:
Number of Patients - 20 Patients.
• Procedure - PANCHAWALKALA Kwatha Prakshalana
Intervention Duration - 14 days
Assessment on during treatment - 1st day, 7th day, 14th day.

Assessment on Follow up - 21st day and 28th day.

Total Study Duration - 28Days.


GROUP B:
• Number of Patients - 20 Patients.
• Procedure - Shal Twak Kwatha Prakshalana
Intervention Duration - 14 days
Assessment on during treatment - 1st day, 7th day, 14th day
Assessment on Follow up - 21st day and 28th day
Total Study Duration - 28Days.
 
 
Secondary Outcome  
Outcome  TimePoints 
REDUCTION IN PAIN AND BOOTS WITH HEALTHY HEALING OF WOUND AND   DURATION OF STUDY - 28 DAYS
ROUTE OF ADMINISTRATION - LOCAL APPLICATION
DOSE - QUANTITY SUFFCIENT
FOLLOW UP ON 21ST AND 28TH DAY 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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 1 
Date of First Enrollment (India)   18/11/2025 
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="1"
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  

 This study is Clinical Comparative Study between Shal Twak Kwatha and Panchawalkala Kwatha by Prakshalana in the Management of Dushta Vrana W.S.R. to Post Cellulitic Wound. Vrana can be defined as Breach in the Continuity of body tissue. Ayurveda offers a comprehensive and time-tested approach to wound management. The term "Vrana" refers to any breach in bodily tissue integrity, and Dushta Vrana describes wounds that do not heal within expected time frames, often complicated by infection and vitiated doshas. The ancient texts of Sushruta and Charaka provide detailed insights into the causative factors and stages of wound development, with a particular emphasis on the importance of wound cleansing - Shodhana followed by healing promotion - Ropana. These measures, based on holistic understanding and practical experience, emphasize removing necrotic material, controlling microbial invasion, and stimulating healthy tissue restoration. Within Ayurvedic wound care, Prakshalana or therapeutic wound irrigation occupies a key role. In the study 40 patients fulfilling Inclusion criteria and complying with Informed Consent of either sex irrespective of age group between 18 – 70 years were selected using simple random sampling Technique. Two groups were made GROUP A and GROUP B Each with  Number of Patients 20 Patients, Intervention Duration 14 days, Assessment on during treatment 1st day, 7th day, 14th day,  Assessment on Follow up on 21st day and 28th day. , Total Study Duration - 28 Days. To provide a comprehensive review of Ayurvedic concepts and interventions related to Dushta Vrana – Prakshalana, Shal Twak Kwatha, and Panchawalkala Kwatha and To assess the clinical efficacy of Shal Twak Kwatha Prakshalana in the management of Dushta Vrana W.S.R. to post-cellulitic wounds.

 
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