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CTRI Number  CTRI/2026/01/100740 [Registered on: 09/01/2026] Trial Registered Prospectively
Last Modified On: 08/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Other (Specify) [Agnikarma with Suvranashalaka]  
Study Design  Single Arm Study 
Public Title of Study   To Study The Effect of Agnikarma Therapy By Using A Gold Probe for the Treatment of Tennis Elbow. 
Scientific Title of Study   A Single Arm Clinical Trial To Study The Effect Of Agnikarma With Suvarna Shalaka As An Ashukari Chikitsa In The Management Of Snayugata Vata With Special Reference To Lateral Epicondylitis. 
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 Saumya Suresh Mishra 
Designation  PG Student 
Affiliation  SMBT Ayurved College and Hospital 
Address  Department of Shalyatantra SMBT Ayurved College and Hospital Nandi Hills Dhamangaon Ghoti Igatpuri Nashik 422403

Nashik
MAHARASHTRA
422403
India 
Phone  8788181573  
Fax    
Email  saumya19999@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shilpa Badhe 
Designation  Professor 
Affiliation  SMBT Ayurved College and Hospital 
Address  Department of Shalyatantra SMBT Ayurved College and Hospital Nandi Hills Dhamangaon Ghoti Igatpuri Nashik 422403

Nashik
MAHARASHTRA
422403
India 
Phone  9689339928  
Fax    
Email  adkpc74@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Saumya Suresh Mishra 
Designation  PG Student 
Affiliation  SMBT Ayurved College and Hospital 
Address  Department of Shalyatantra SMBT Ayurved College and Hospital Nandi Hills Dhamangaon Ghoti Igatpuri Nashik 422403

Nashik
MAHARASHTRA
422403
India 
Phone  8788181573  
Fax    
Email  saumya19999@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Saumya Suresh Mishra 
Address  Department of Shalyatantra SMBT Ayurved College and Hospital Nandi Hills Dhamangaon Ghoti Igatpuri Nashik 422403 
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 Saumya   SMBT Ayurved College and Hospital  OPD NO.4 Department of Shalyatantra SMBT Ayurved College and Hospital Nandi Hills Dhamangaon Ghoti Igatpuri Nashik 422403
Nashik
MAHARASHTRA 
8788181573

saumya19999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SMBT Ayurved College and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M709||Unspecified soft tissue disorder related to use, overuse and pressure. Ayurveda Condition: SNAYUGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-agnikarma, अग्निकर्म (Procedure Reference: Sushruta Samhita, Sutrasthana, Chapter 12, Procedure details: Agnikarma is performed with Suvarna Shalaka over Lateral Epicondylitis.)
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1) Patients in the age group of 20 to 60 years of either sex.

2) Patients will be included if they experience sign and symptoms of snayugatavata at Karpur Sandhi.

3) Patients will be included by confirming positive cozens test and mills maneuver.  
 
ExclusionCriteria 
Details  1) A patient will be excluded if he or she was currently receiving corticosteroid injection during the past months.

2) Patients which are contraindicated for Agnikarma.

3) Patients who have completed participation in any other clinical trial during last 6 months

4) Patient which are known cases of DM, IHD,HTN, Malignancies, Dyslipidemia, Chronic Renal Failure & Endochronological disorders will be excluded

5) Cervical spine or any other upper limb dysfuction.

6) Neurological disease and osteoporosis.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
the role of Agnikarma with Suvarna Shalaka as an Ashukari
Chikitsa in the management of Snayugata Vata with special reference to
lateral epicondylitis based on subjective and objective criteria  
Within 1 Day of Treatment 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   N/A 
Date of First Enrollment (India)   30/01/2026 
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  
TITLE - A SINGLE ARM CLINICAL TRIAL TO STUDY THE EFFECT OF AGNIKARMA WITH SUVARNA SHALAKA AS AN ASHUKARI CHIKITSA IN THE MANAGEMENT OF SNAYUGATA VATA WITH SPECIAL REFERENCE TO LATERAL EPICONDILYTIS.

INTRODUCTION -  In Ayurveda, Snayugatavata is classified under Vatavyadhi. In this condition, the Vata Dosha becomes vitiated and localizes in the Snayu (ligaments and tendons) of the body. This results in symptoms such as Shoola (pain), Kampa (tremors), and Stambha (stiffness) in the Kurpara Sandhi (elbow joint). A similar condition in modern medicine is Lateral Epicondylitis, commonly known as Tennis Elbow. It occurs due to repetitive strain or excessive workload, leading to microtears or rupture of the tendon at the elbow joint, which causes pain and a reduced grip strength.
                              The prevalence of Lateral Epicondylitis is 3%. According to the Lakshanas we can correlate it to Snayugatavata and  lateral epicondylitis.
                              In modern science, there are two line of treatment for Tennis elbow which includes :                  
                                 A) medicinal (steroids) 
                                 B) surgical  
                            Therefore this study is selected for the research purpose, to avoid adverse reaction of long term use of steroids.
                            Gold has one of the highest thermal conductivity among metals. It delivers heat more uniformly and deeply into the affected tissues compared to other . And Suvarna Shalaka has yet not been studied for Agnikarma procedure in Snayugatavata as an Ashukari Chikitsa to fulfill this knowledge gap.  there is a need to study Agnikarma as an Ashukari Chikitsa in Snayugat Vata.
                         Vas scale will be applied for clinical study and final conclusion will be drawn.

Null Hypothesis(H0):  Agnikarma with Suvarna Shalaka is not effective as an Ashukari Chikitsa  in the management of Snayugatavata with special reference to lateral Epicondilytis.

Alternate Hypothesis(H1): Agnikarma with Suvarna Shalaka is effective as an Ashukari Chikitsa  in the management of Snayugatavata with special reference to lateral Epicondilytis.

Size Sample: The sample size was calculated by the formula and the prevalence rate of the disease. Hence the calculated sample size is 51, but for more accuracy of study sample size will be taken 60 patients.


 
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