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CTRI Number  CTRI/2025/10/095687 [Registered on: 07/10/2025] Trial Registered Prospectively
Last Modified On: 03/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Clinical Evaluation of Dugdhikadi Ghrita Per Rectal Instillation in 1st and 2nd Degree Bleeding Piles 
Scientific Title of Study   Clinical Evaluation of Dugdhikadi Ghrita Per Rectal Instillation in Raktarsha (1st and 2nd Degree Bleeding Piles) 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aishwarya Uppal 
Designation  PG scholar  
Affiliation  Quadra Institute of Ayurveda and Hospital Roorkee Haridwar  
Address  OPD No 1 Department of Shalya Tantra Quadra Institute of Ayurveda and Hospital NH58 Roorkee Haridwar Road Near Montfort School Roorkee 247667

Hardwar
UTTARANCHAL
247667
India 
Phone  9103746179  
Fax    
Email  aishwaryauppal21@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bhoomi Soni 
Designation  Associate Professor  
Affiliation  Quadra Institute of Ayurveda and Hospital Roorkee Haridwar 
Address  OPD No 1 Department of Shalya Tantra Quadra Institute of Ayurveda and Hospital NH58 Roorkee Haridwar Road Near Montfort School Roorkee 247667

Hardwar
UTTARANCHAL
247667
India 
Phone  9008637659  
Fax    
Email  bhoomi629@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Aishwarya Uppal 
Designation  PG Scholar 
Affiliation  Quadra Institute of Ayurveda and Hospital Roorkee Haridwar 
Address  OPD No 1 Department of Shalya Tantra Quadra Institute of Ayurveda and Hospital NH58 Roorkee Haridwar Road Near Montfort School Roorkee 247667

Hardwar
UTTARANCHAL
247667
India 
Phone  9103746179  
Fax    
Email  aishwaryauppal21@gmail.com  
 
Source of Monetary or Material Support  
Aishwarya Uppal Department of Shalya Tantra Quadra Institute of Ayurveda and Hospital NH58 Roorkee Haridwar Road Near Montfort School Roorkee Haridwar (India) 247667 
 
Primary Sponsor  
Name  Aishwarya Uppal 
Address  OPD No 1 Department of Shalya Tantra Quadra Institute of Ayurveda and Hospital NH58 Roorkee Haridwar Road Near Montfort School Roorkee 247667 
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 Aishwarya Uppal  Quadra Institute of Ayurveda and Hospital Roorkee Haridwar  OPD No 1 Department of Shalya Tantra Quadra Institute of Ayurveda and Hospital NH58 Roorkee Haridwar Road Near Montfort School Roorkee 247667
Hardwar
UTTARANCHAL 
9103746179

aishwaryauppal21@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee Quadra Institute of Ayurveda  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K641||Second degree hemorrhoids. Ayurveda Condition: RAKTAJA-ARSAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Dugdhikadi Ghrita, Reference: Charaka Chikitsa 14/198, Route: Rectal, Dosage Form: Ghrita, Dose: 5(ml), Frequency: od, Bhaishajya Kal: Adhobhakta, Duration: 15 Days, anupAna/sahapAna: No, Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients with the Signs and symptoms of Raktarsha such as Raktasrava (Bleeding per rectum), Kandu (itching), Vibanda (Constipation), Daha (Burning sensation), Guda Vedana (Pain).
2. Patients between the age group of 18-60 years.
3. The patient having complaints of 1st and 2nd degree bleeding piles.
4. Patients with controlled DM and HTN.
5. Patients willing to undergo trail and ready to give informed and written consent. 
 
ExclusionCriteria 
Details  1. Patient below the age of 18 years and above the age of 60 years.
2. Patient who have HB less than 8 gm%.
3. Third and fourth degree prolapsed intero-external piles.
4. Known case of tuberculosis.
5. Patient suffering from severe systemic disorders such as HIV, Ulcerative colitis, Crohn’s disease, carcinoma of rectum and any hereditary bleeding disorder will be excluded from this study.
6. Patients on Thrombolytic drugs.
7. Patient with uncontrolled DM and HTN.
8. The associated condition like Fistula-in-ano, Fissure-in-ano will be excluded from this study.
9. Patient who are not ready to sign written informed consent. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Relief in Subjective Parameters :
1. Raktsrava (Bleeding per anum)
2. Frequency of bleeding per anum
3. Vibanda (Constipation)
4. Guda Vedana (Pain in anal region)
5. Prolapsed pile mass per rectum
6. Daha (Burning Sensation) 
Assessment will be done on 0 day (Before Treatment), 7th day (After treatment), 15th day (After treatment), 1st follow-up (After 15 days), 2nd follow-up (15 days after 1st follow-up). 
 
Secondary Outcome  
Outcome  TimePoints 
Relief in Objective Criteria:
1. Site
2. Surface
3. Position
4. Size of pile mass
5. Colour of pile mass
 
The follow-up period will be of 1 month after treatment, constituting of 2 follow-ups.
1st visit: 15 days after the completion of treatment
2nd visit: 15 days after 1st follow up.
 
 
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   Phase 2 
Date of First Enrollment (India)   25/10/2025 
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="6"
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 is an open randomized prospective study to evaluate the effect of Dugdhikadi Ghrita in Raktarsha for the age group between 18 years to 60 years for duration of 15 days. It will be clinical study of 30 patients suffering from Raktarsha. Patient will randomly selected irrespective of their gender, race, religion, occupation. This clinical study will be conducted with aims and objective to provide better, safe and effective management to the patient of Raktarsha. Total 30 patients will be registered for this study from the OPD/ IPD of surgery department of Uttarakhand Ayurveda University, Quadra Institute of Ayurveda Roorkee and other hospitals. A detailed proforma will be prepared on the basis of Ayurvedic text and allied science. The patient will be registered on this proforma and scoring of different clinical features will be done on the assessment criteria. The diagnosis is done on the basis of Raktarsha Lakshana mentioned in Ayurvedic classical textbooks. The patients were assessed on the basis of subjective and objective parameters before and after treatment. The observation of patients will be done before, during and after completion of trial. Little addition or exclusion may be done as per necessity of the study. 
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