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CTRI Number  CTRI/2026/03/105809 [Registered on: 10/03/2026] Trial Registered Prospectively
Last Modified On: 10/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Study to Know the Effect of Herbal Oil Head Massage With and Without Herbal Decoction in the Management of Tension Type Headache. 
Scientific Title of Study   A Randomized Comparative Clinical Study of Balahathadi Taila Shiroabhyanga With and Without Pathyakshadhatryadi Kashaya Pana in the Management of Vataja Shirashoola With Special Reference to Tension Type Headache. 
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 PRATHIKSHA 
Designation  PG SCHOLAR 
Affiliation  Muniyal Institute of Ayurveda Medical Science, Manipal 
Address  Outpatient department of Kayachikitsa,Room no 4,Ground floor, Muniyal instutute of ayurveda medical sciences,manipal,udupi, Karnataka.576104

Udupi
KARNATAKA
576104
India 
Phone  9986903110  
Fax    
Email  prathikshamr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR PROF SHRIPATHI ACHARYA G 
Designation  Professor and Head of department 
Affiliation  Muniyal Institute of Ayurveda Medical Science, Manipal 
Address  Outpatient department of Kayachikitsa,Room no 4,Ground floor, Muniyal instutute of ayurveda medical sciences,manipal,udupi, Karnataka.576104

Udupi
KARNATAKA
576104
India 
Phone  9845387720  
Fax    
Email  shripathi_acharya@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  DR PRATHIKSHA 
Designation  PG SCHOLAR 
Affiliation  Muniyal Institute of Ayurveda Medical Science, Manipal 
Address  Outpatient department of Kayachikitsa,Room no 4,Ground floor, Muniyal instutute of ayurveda medical sciences,manipal,udupi, Karnataka.576104

Udupi
KARNATAKA
576104
India 
Phone  9986903110  
Fax    
Email  prathikshamr@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Muniyal Institute of Ayurveda Medical Science, Manipal 
Address  Muniyal instutute of Ayurveda Medical Sciences,Manipal,Udupi Karnataka. 576104  
Type of Sponsor  Research institution and hospital 
 
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 PRATHIKSHA  Muniyal instutute of Ayurveda Medical Sciences,Manipal  Outpatient department of Kayachikitsa,Room no 4,Ground floor, Muniyal instutute of ayurveda medical sciences,manipal,udupi, Karnataka 576104
Udupi
KARNATAKA 
9986903110

prathikshamr@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
muniyal institute of ayurveda institutional ethics committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:G998||Other specified disorders of nervous system in diseases classified elsewhere. Ayurveda Condition: SIROROGAH/SIRAHSULA/SIRASTAPA/SIROBITAPA,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Balahathadi Taila, Reference: Sahasrayogam, Route: Topical, Dosage Form: Taila, Dose: 00(NA), Frequency: od, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: No, Additional Information: Balahathadi Taila massage with oral pathyakshadhatryadi kashaya.
2Comparator ArmDrugClassical(1) Medicine Name: Pathyakshadhatryadi Kashaya, Reference: Sharangadhara samhita, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 50(ml), Frequency: bd, Bhaishajya Kal: Abhakta, Duration: 30 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 classical signs & symptoms o f Vataja shirashoola (Tension Type Headache) as mentioned in diagnostic criteria.
2.Patients aged between 18 and 60 years.
3.Patients irrespective of Gender, Religion, or occupation.
4.Patients who are willing to participate in the trial. 
 
ExclusionCriteria 
Details  1.Patients pre diagnosed with Meningitis, brain tumor, encephalitis, intracranial pathologies
& also headache due to refractive errors (Eye pathologies), glaucoma, ear or nose inflammation.
2.Patients pre diagnosed with Coronary artery disease, Diabetes mellitus, and Hypertension.
3.Patients pre diagnosed with TB, HIV, cancer & other chronic illnesses.
4.Pregnant and lactating women.
5.Patients pre diagnosed with migraine, cluster headache, trigeminal neuralgia, or all other form of headache.
6.Head trauma, dental issues, Known sinusitis cases, and seizure disorders. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in the severity and frequency of headache, assessed using the Visual Analog Scale and number of headache episodes per week.  Baseline, 30th day, 45th day 
 
Secondary Outcome  
Outcome  TimePoints 
Reduction in duration of headache and associated symptoms  30 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)   13/04/2026 
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="4"
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   Tension-type headache (TTH) is the most common neurological disorder. It causes significant problems such as reduced work productivity, stress, and difficulty in daily activities. 
Vataja Shirashoola closely resembles tension-type headache. Ayurvedic management includes therapies like Snehana, Svedana, and Nasya, along with medicines that balance Vata. Balahathadi Taila" is a medicated oil mentioned in Sahasrayogam, This possess mainly Vathahara & Balya properties along with Tridosha Shamaka.
 However, there are limited clinical studies comparing the combined use of Balahathadi Taila (external therapy) with Pathyakshadhatryadi Kashaya (internal medicine) versus the Kashaya alone.Therefore, this study aims to evaluate and compare the effectiveness of these two treatment approaches in managing Vataja Shirashoola (Tension-type headache).

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