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CTRI Number  CTRI/2026/02/103710 [Registered on: 12/02/2026] Trial Registered Prospectively
Last Modified On: 11/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Siddha 
Study Design  Single Arm Study 
Public Title of Study   A Study on the PANCHATHIKTHA GHRITAM(internal) AND VASAVU ENNAI(external) in the management of ENBU KURAL NOI (Genu valgum and Genu varum) in Paediatrics 
Scientific Title of Study   PRECLINICAL AND CLINICAL EVALUATION OF THE EFFECT ON ORAL ADMINISTRATION OF PANCHATHIKTHA GHRITAM ALONG WITH VASAVU ENNAI (THOKKANAM AND KATTU) IN THE MANAGEMENT OF ENBU KURAL NOI(GENU VALGUM AND GENU VARUM) IN PAEDIATRICS 
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 S Sripriya 
Designation  PG Scholar 
Affiliation  GOVERNMENT SIDDHA MEDICAL COLLEGE,PALAYAMKOTTAI 
Address  PG SECOND YEAR DEPARTMENT OF KUZHANTHAI MARUTHUVAM GOVERNMENT SIDDHA MEDICAL COLLEGE PALAYAMKOTTAI TIRUNELVELI

Tirunelveli
TAMIL NADU
627002
India 
Phone  7358974275  
Fax    
Email  ahchchi9@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr J SRI RAM 
Designation  LECTURER GRADE-II  
Affiliation  Government Siddha medical college palayamkottai  
Address  Department of Kuzhanthai Maruthuvam Government Siddha medical college palayamkottai
Lecturer Department of Kuzhanthai Maruthuvam Government Siddha medical college palayamkottai
Tirunelveli
TAMIL NADU
627002
India 
Phone  9486811230  
Fax    
Email  sriramsiddha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr J SRI RAM 
Designation  LECTURER GRADE-II  
Affiliation  Government Siddha medical college palayamkottai  
Address  Department of Kuzhanthai Maruthuvam Government Siddha medical college palayamkottai
Lecturer Department of Kuzhanthai Maruthuvam Government Siddha medical college palayamkottai
Tirunelveli
TAMIL NADU
627002
India 
Phone  9486811230  
Fax    
Email  sriramsiddha@gmail.com  
 
Source of Monetary or Material Support  
Government Siddha Medical College and Hospital Palayamkottai 627002 Tirunelveli,Tamil nadu,India. 
 
Primary Sponsor  
Name  Dr S Sripriya 
Address  PG Second year,department of Kuzhanthai Maruthuvam, Government siddha medical college and Hospital, Palayamkottai 627002 Tirunelveli, Tamil nadu, India 
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 S SRIPRIYA  GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITALPALAYAMKOTTAI  Department of Kuzhanthai Maruthuvam,Government Siddha Medical College and Hospital, Palayamkottai 627002, Tirunelveli
Tirunelveli
TAMIL NADU 
7358974275

ahchchi9@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE GOVERNMENT SIDDHA MEDICAL COLLEGE PALAYAMKOTTAI.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  PANCHATHIKTHA GHRITAM(ORAL ADMINISTRATION)  SHOULD ADMINISTERED ORALLY TWICE A DAY BEFORE MEAL DOSAGE ACCORDING TO AGE AND BODY WEIGHT 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  PATIENT WITH GENU VALGUM AND GENU VARUM CAUSED BY VITAMIN D DEFICIENCY
VITAMIN D DEFICIENCY INVOLVED RICKETS
CHILDREN WHO PRESENTED WITH GENU VALGUM AND GENU VARUM WITHOUT ANY CHRONIC SYSTEMIC ILLNESSES 
 
ExclusionCriteria 
Details  below 2 years
above 12 years
children with Genu valgum and Genu varum without any other diseases  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The treatment is expected to change in knee alignment and limb angle measurement(degree of Genu valgum and Genu varum),improve the quality of life in children without the need for surgery. It will provide scientific validation for the Siddha formulations Panchathiktha ghritam and Vasavu ennai in pediatric care  The Study outcomes,including reduce the curvature of lower limbs at the knee joint and improve the quality of life,will be assessed at predefined time points-at baseline (day 0),at the end of the treatment (day 48),and follow-up (Day 90)-to evaluate both the immediate and sustained effects of the Siddha formulations Panchathiktha ghritam and Vasavu Ennai without the need for surgical intervention 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="15"
Sample Size from India="15" 
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)   01/03/2026 
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   Nutritional deficiency is involved in growth and development of paediatrics. Vitamin d deficiency is influence in bone and muscles’  health and development. this deficiency is main reason for Genu valgum and Genu varum those are common knee deformities in children. Genu valgum is knock knee is characterised by the curving inward are and touching each other while ankles apart when standing. Genu varum is called bow leg is the opposite with the knee curving outward and the ankle touching while the knees are apart.the higher prevalence of vitamin D deficiency is significant indicate in sun rich country like India several reasons including inadequate expose to sunlight, dietary factors such as inadequate vitamin D and calcium intake,intake of caffeine,high prevalence of lactose intolerance.In Siddha text like thirumanthiram mentioned the word kural to describe as deformity.Panchathiktha Ghritam is type of medicine has main ingredient is Ghee it is good content of Vitamin D and Calcium.Vasavu ennai is to release the stiffness of muscle.

Objective
To evaluate the combine effect of Panchathktha Ghritam(Internal) and Vasavu ennai (External) (Thokkanam and Kattu) in the management of Enbu Kural Noi (Genu valgum and Genu varum)
 
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