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CTRI Number  CTRI/2026/03/105658 [Registered on: 09/03/2026] Trial Registered Prospectively
Last Modified On: 09/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Siddha 
Study Design  Single Arm Study 
Public Title of Study   CLINICAL TRIAL TO EVALUATE THE THERAPEUTIC EFFECTIVENESS OF THOKKANAM [ PIDITHAL AND AZHUTTHAL MURAI ] USING NALVELAI VATHA ENNAI (EXTERNAL) IN THE MANAGEMENT OF THANDAGA VATHAM [ LUMBAR SPONDYLOSIS ]. 
Scientific Title of Study   AN OPEN LABELLED NON RANDOMIZED PHASE II CLINICAL TRIAL TO EVALUATE THE THERAPEUTIC EFFECTIVENESS OF THOKKANAM [ PIDITHAL AND AZHUTTHAL MURAI ] USING NALVELAI VATHA ENNAI (EXTERNAL) IN THE MANAGEMENT OF THANDAGA VATHAM [ LUMBAR SPONDYLOSIS ]. 
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 ARPITA BISWAS S 
Designation  PG SCHOLAR  
Affiliation  GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL , PALAYAMKOTTAI  
Address  PG SCHOLAR, DEPARTMENT OF PURA MARUTHUVAM,GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL,NO 2 LANGAR GANA STREET, PALAYAMKOTTAI Tirunelveli TAMIL NADU 627002 India

Tirunelveli
TAMIL NADU
627002
India 
Phone  9361047785  
Fax    
Email  bswsrpt@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SUJATHA S MDs 
Designation  PROFESSOR AND HEAD OF THE DEPARTMENT  
Affiliation  GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL, PALAYAMKOTTAI  
Address  PROFESSOR AND HEAD OF THE DEPARTMENT, DEPARTMENT OF PURA MARUTHUVAM,GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL,NO 2 LANGAR GANA STREET, PALAYAMKOTTAI Tirunelveli TAMIL NADU 627002 India

Tirunelveli
TAMIL NADU
627002
India 
Phone  9442331462  
Fax    
Email  sujatharajasekar66@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR SUJATHA S MDs 
Designation  PROFESSOR AND HEAD OF THE DEPARTMENT  
Affiliation  GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL, PALAYAMKOTTAI  
Address  PROFESSOR AND HEAD OF THE DEPARTMENT, DEPARTMENT OF PURA MARUTHUVAM,GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL,NO 2 LANGAR GANA STREET, PALAYAMKOTTAI Tirunelveli TAMIL NADU 627002 India

Tirunelveli
TAMIL NADU
627002
India 
Phone  9442331462  
Fax    
Email  sujatharajasekar66@gmail.com  
 
Source of Monetary or Material Support  
OPD AND IPD FACILITIES AND CENTRAL LIBRARY OF GOVERNMENT SIDDHA MEDICALCOLLEGE AND HOSPITAL, PALAYAMKOTTAI 
 
Primary Sponsor  
Name  DR ARPITA BISWAS S  
Address  PG SCHOLAR,DEPARTMENT OF PURA MARUTHHUVAM,GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL,NO 2 LANGAR GANA STREET, PALAYAMKOTTAI,TIRUNELVELI,TAMIL NADU,INDIA 627002. 
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 ARPITA BISWAS S   GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL, PALAYAMKOTTAI   PG SCHOLAR,DEPARTMENT OF PURA MARUTHHUVAM,GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL,NO 2 LANGA GANA STREET, PALAYAMKOTTAI,TIRUNELVELI,TAMIL NADU,INDIA 627002.
Tirunelveli
TAMIL NADU 
9361047785

bswsrpt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M478||Other spondylosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NOT APPLICABLE   NOT APPLICABLE  
Intervention  THOKKANAM [ PIDITHAL AND AZHUTTHAL MURAI ] USING NALVELAI VATHA ENNAI  THOKKANAM [ PIDITHAL AND AZHUTTHAL MURAI ] USING NALVELAI VATHA ENNAI FOR 7 DAYS FOR 15 TO 20 MINS 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Participants having symptoms of pain in the lumbar region.
Participants having radiating pain to gluteal and lower limbs.
Participants having stiffness/ muscle spasm present in lumbar region.
Participants having pain during forward bending of spine.
Participants with or without numbness and burning sensation in lower limbs.
Participants with positive signs for the specific lumbar examinations.
Participants who are willing to attend OPD and admission and stay in IPD.
Positive radiological findings (X ray/CT/MRI) for lumbar spondylosis.
Participants with mild to moderate grade of symptoms.
 
 
ExclusionCriteria 
Details  Participants with recent H/O trauma, fracture, dislocation and surgery.
Participants with H/O cardiac diseases.
Participants with severe disc bulge, disc protrusion, disc herniation and disc sequestration.
Autoimmune diseases like rheumatoid arthritis, systemic lupus erythematosus, psoriasis, mixed connective tissue disorders.
Ankylosing spondylitis, Tuberculosis of lumbar spine, cauda equina syndrome, osteomyelitis etc.
Spina bifida and any other deformity of vertebral spine.
Renal calculi.
Pregnancy and lactating women.
Any other serious illness like any other skin disease and skin infection
Participants who need internal medicines. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
This study will help to understand the effectiveness of THOKKANAM using NALVELAI
VATHA ENNAI (EXTERNAL) in the management of THANDAGA VATHAM (LUMBAR
SPONDYLOSIS) and Reduction of pain, muscle spasm, numbness, burning sensation and
increase in range of motion in lumbar spine is assessed by clinical assessments. 
7 DAYS 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the safety profile of Thokkanam therapy with NALVELAI VATHA ENNAI
To document the basic siddha diagnostic tool Naadi and Neikuri of the participants before and after treatment. 
7 DAYS 
 
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 2 
Date of First Enrollment (India)   20/03/2026 
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 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   It is an open labelled non randomized phase II clinical trial to evaluate the efficacy of 
 
Trial drug : 
             
                NALVELAI VATHA ENNAI ( external medicated oil )

External therapy: 
            
                Thokkanam
    
                The  4 types of oil is taken in equal quantity and mixed . Then extract of nalvelai and goat milk is added in required quantity. This mixture is boiled till it attains suitable consistency.
 
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