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CTRI Number  CTRI/2026/01/101847 [Registered on: 22/01/2026] Trial Registered Prospectively
Last Modified On: 17/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Ashwagandha Leha taken internally and Nirgundi oil foot massage help in improving sleep problems, especially in people suffering from primary insomnia. 
Scientific Title of Study   A RANDOMIZED CONTROLLED CLINICAL TRIAL TO STUDY THE EFFECT OF ASHWAGANDHA LEHA AND NIRGUNDI TAILA PADABHYANGA IN NIDRANASH WITH SPECIAL REFERENCE TO PRIMARY INSOMNIA 
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 Yogeshwar Sakharam Bhapkar 
Designation  Post Graduate Student 
Affiliation  SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON IGATPURI NASHIK 
Address  DEPARTMENT OF KAYACHIKITSA SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON IGATPURI NASHIK

Nashik
MAHARASHTRA
422402
India 
Phone  09764264445  
Fax    
Email  yogeshwars.bhapkar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hiraman Warungase 
Designation  HOD & Proffesor 
Affiliation  SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON IGATPURI NASHIK 
Address  DEPARTMENT OF KAYACHIKITSA SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON IGATPURI NASHIK
SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON IGATPURI NASHIK
Nashik
MAHARASHTRA
422402
India 
Phone  9420364157  
Fax    
Email  hiramanwarungase@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Yogeshwar Sakharam Bhapkar 
Designation  Post Graduate Student 
Affiliation  SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON IGATPURI NASHIK 
Address  DEPARTMENT OF KAYACHIKITSA SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON IGATPURI NASHIK

Nashik
MAHARASHTRA
422402
India 
Phone  09764264445  
Fax    
Email  yogeshwars.bhapkar@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Yogeshwar Sakharam Bhapkar 
Address  SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON  
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 Yogeshwar Bhapkar  SMBT AYURVED COLLEGE AND HOSPITAL   OPD NO 20 DEPARTMENT OF KAYACHIKITSA SMBT AYURVED COLLEGE AND HOSPITAL DHAMANGAON IGATPURI NASHIK
Nashik
MAHARASHTRA 
9764264445

yogeshwars.bhapkar@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:PCS||. Ayurveda Condition: NIDRANASAH/ASVAPNAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Ashwagandha leha, Reference: Vangasen Samhita, Route: Oral, Dosage Form: Avleha/Leha/Paka/Raskriya, Dose: 15(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 15 Days, anupAna/sahapAna: Yes(details: Koshna jala), Additional Information: -
2Comparator ArmProcedure-aBya~ggaH, अभ्यंग  (Procedure Reference: Sushrut Samhita, Procedure details: POORVAKARMA: Wash the feet with lukewarm water & gently wipe them with a clean cloth Instruct the patient to lie down in a supine position. PRADHANA KARMA: Take an adequate amount of Nirgundi Taila (at a comfortable warmth) & apply it to the feet. Massage each foot for 15 minutes. The massage will be performed in the following steps: Linear strokes on the feet. Linear strokes on the sides of the feet. Linear strokes on the dorsum of the feet. Thumb pressure on the soles & the area below the thumbs. Linear strokes on the soles. Circular movements on the pads of the feet To-and-fro motion on the soles Linear & circular massage on the toes. Linear strokes on the webbing between the toes PASCHAT KARMA: Wipe off the oil from the feet with a clean cloth.Wash the feet with lukewarm water.))
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients with score in range between 8 -21 on ISI Scale.
2. Individuals of either sex, between the age group of 18 to 60 years, regardless of their socio-economic background.
3. Patients presenting with complaints of insomnia, including difficulty in falling asleep, frequent awakenings, early morning awakening, or difficulty maintaining sleep, occurring more than
three times a week for at least one month, despite having adequate opportunity for sleep.
4. Presence of associated daytime impairments such as drowsiness, heaviness of the body, fatigue, irritability, reduced memory, and poor concentration.
5. Patients complaining of Ayurvedic clinical features such as Angamarda (body ache), Shirogaurav (heaviness in head), Jrimbha (yawning), Jadyata (sluggishness), Glani(fatigue), Bhrama (dizziness), and Apakti (indigestion) and Tandra (drowsiness).
6. Patients who are willing to participate in the clinical trial.  
 
ExclusionCriteria 
Details  1. Patients diagnosed with any other psychiatric disorder who are on
medications that may cause sedation or affect sleep patterns.
2. Patients having Insomnia due to severe illness such as cardiac
diseases, hypertension, diabetes and other chronic disorders like
bronchial asthma, malignancies, liver diseases, chronic renal diseases
were excluded from the study.
3. Individuals in physiological conditions such as pregnancy, lactation, or
the postpartum (puerperal) stage.
4. Patients suffering from other medical conditions such as hypertension,
diabetes, or vertigo.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To Asses Ashwagandha Leha and Nirgundi Taila Padabhyanga in Nidranash with special reference to Primary Insomnia on the assessment criteria of Nidranash after 15 days of treatment.  0 day 7th Day 15th Day  
 
Secondary Outcome  
Outcome  TimePoints 
NIl  NIL 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   09/03/2026 
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  
“A RANDOMIZED CONTROLLED CLINICAL TRIAL TO STUDY THE EFFECT OF ASHWAGANDHA LEHA AND NIRGUNDI TAILA PADABHYANGA IN NIDRANASH WITH SPECIAL REFERENCE TO PRIMARY INSOMNIA” 
INTRODUCTION: Ayurveda emphasizes Nidra (sleep) as one of the three pillars of life (Trayopasthambha), essential for maintaining physical and mental health. Proper sleep brings balance, strength, nourishment, knowledge, and longevity, while disturbed sleep leads to Nidranash (insomnia), a Vata-dominant disorder affecting both mind and daily functioning. Classical texts describe its causes, symptoms, and treatments such as oil massage, foot massage, nourishing diet, and calming therapies to restore balance
Insomnia affects 10–30% of the global population and about 33% of adults in India, significantly impairing cognitive function, mood, work performance, and overall health. Conventional medicines often cause side effects, whereas Ayurveda offers a natural approach by restoring mind–body balance. Ashwagandha Leha promotes sleep by enhancing GABA activity in the brain, while Nirgundi Taila Padabhyanga helps pacify aggravated Vata, supporting natural and healthy sleep.
SAMPLE SIZE: The sample size for the study will be 60 participants. Considering a 5% dropout rate for each group, the total sample size will be 70 participants.
Null Hypothesis: Ashwagandha Leha and Nirgundi Taila Padabhyanga Is Not Effective in sign and symptoms of Nidranash w.s.r. to Primary Insomnia
Alternative Hypothesis : Ashwagandha Leha and Nirgundi Taila Padabhyanga is effective in sign and symptoms of Nidranash w.s.r. to Primary Insomnia.  
 
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