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CTRI Number  CTRI/2026/01/101639 [Registered on: 20/01/2026] Trial Registered Prospectively
Last Modified On: 20/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Unani
Other (Specify) [Clinical Study ]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Comparative Study of Massage Therapy, Herbal Preparation, and Their Combination in Patients with Primary Insomnia 
Scientific Title of Study   Comparative Study of Dalk -I- Layyin with Rvghan -e- Kahu Harira Maghz -i- Badam Wala and their Combination in Primary Insomnia 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mohd Akram Laeeque 
Designation  Research Officer Unani 
Affiliation  Regional Research Institute of Unani Medicine Srinagar 
Address  Room No. 1 Department of Moalajat Regional Research Institute of Unani medicine University of Kashmir Srinagar Jammu and Kashmir

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  7500877065  
Fax    
Email  akram.laeeque@ccrum.res.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Mohd Akram Laeeque 
Designation  Research Officer Unani 
Affiliation  Regional Research Institute of Unani Medicine Srinagar 
Address  Room No. 1 Department of Moalajat Regional Research Institute of Unani medicine University of Kashmir Srinagar Jammu and Kashmir

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  7500877065  
Fax    
Email  akram.laeeque@ccrum.res.in  
 
Details of Contact Person
Public Query
 
Name  Dr Huma 
Designation  Research Officer Unani 
Affiliation  Regional Research Institute of Unani Medicine Srinagar 
Address  Room No. 05 Regional Research Institute of Unani medicine University of Kashmir Srinagar Jammu and Kashmir

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  9796550059  
Fax    
Email  humaccrum@gmail.com  
 
Source of Monetary or Material Support  
Central Council for Research in Unani Medicine 
 
Primary Sponsor  
Name  Central Council for research in Unani Medicine 
Address  Regional Research Institute of Unani Medicine Habak Chowk Naseem Bagh Campus Jammu and Kashmir, Srinagar Jammu and Kashmir 190006  
Type of Sponsor  Research institution 
 
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 Mohd Akram Laeeque  Regional Research Institute of Unani Medicine  Research OPD No. 1 and 2, Regional Research Institute of Unani Medicine Naseem Bagh Campus Habak Chowk University of Kashmir Srinagar Jammu and Kashmir 190006
Srinagar
JAMMU & KASHMIR 
7500877065

dr.a.laeeque@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, RRIUM Srinagar   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F139||Sedative, hypnotic or anxiolytic-related use, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dalk i Layyin with Rvghan i Kahu  Dalk i Layyin gentle massage will be administered using Ravghan i Kahu with local application to the scalp for approximately fifteen minutes per session. The intervention will be given daily during the first week on alternate days in the second week and once weekly in the third and fourth weeks. The total duration of the intervention will be four weeks with a total of twelve sessions for each participant 
Comparator Agent  Harira Maghz i Badam Wala  Harira Maghz i Badam Wala will be administered orally at a dose of twenty five grams per day. It will be given once daily in the morning. The total duration of administration will be four weeks and the formulation will be given daily throughout the study period. The formulation contains Maghz i Badam Shirin sweet almond Magh i Tukhm i Kaddu Shirin sweet pumpkin seed Maghz Tukhm i Tarbuz watermelon seed Tukhm i Khashkhash poppy seeds Samgh i Arabi gum acacia Nashasta starch and Misri rock sugar. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients of both gender
Age group 18-60 years
Diagnosed with Primary Insomnia. Patients were selected on the basis of DSM-V-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) diagnostic criteria for primary insomnia
 
 
ExclusionCriteria 
Details  Presence of significant psychiatric disorders, including major depression, anxiety disorders, psychosis, or epilepsy
Patients with serious somatic illnesses such as severe respiratory, cardiovascular, endocrine disorders, or hepatic/renal insufficiency.
History of alcohol or substance abuse.
Patients with disease requiring long term treatment
Pregnant or lactating women.
Individuals engaged in night-shift work or those with irregular sleep patterns who are unable or unwilling to modify their work schedule.
History of suicidal ideation or behaviour
Use of psychiatric medications, hypnotics, or antihistamines within four weeks prior to baseline. However, individuals who used prescription or over-the-counter hypnotics no more than twice per week may be included after appropriate washout
Use of any alternative or complementary therapies during the study period.
Presence of primary sleep disorders such as restless legs syndrome, circadian rhythm sleep disorders, or parasomnias.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Change in sleep quality and severity of insomnia assessed using standardized scales (Pittsburgh Sleep Quality Index [PSQI] and Insomnia Severity Index [ISI])  Primary outcome assessment will be done at the following time points

1 Baseline before initiation of treatment to record PSQI and ISI scores

2 At the end of the treatment period (4 weeks) to assess change in PSQI and ISI scores from baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   02/02/2026 
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  dr.a.laeeque@gmail.com

  6. For how long will this data be available start date provided 25-01-2026 and end date provided 02-01-1970?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary  

Primary insomnia, known as Ibtidai Sahar in Unani medicine, is a common yet underrecognized disorder characterized by difficulty in initiating or maintaining sleep, early morning awakening, or non restorative sleep despite adequate opportunity to sleep. It results in significant daytime dysfunction and reduced quality of life. Modern medical systems recognize insomnia as an independent clinical disorder with defined diagnostic criteria in DSM five, ICSD three, and ICD ten. Chronic insomnia leads to fatigue, irritability, impaired concentration and memory, reduced productivity, and increases the risk of anxiety, depression, cardiovascular disease, diabetes, and immune dysfunction.

In Unani medicine, sleep or Nawm is considered essential for health and is one of the six fundamental factors known as Asbab i Sitta Zaruriyya. Sahar, also called Araq or Ifrat i Bedari, is attributed to derangement of temperament particularly hot and dry temperament of the brain, imbalance of humors, mental stress, pain, and dominance of Rooh i Nafsani. Classical scholars such as Ibn Sina described sleep as a natural cooling process that restores bodily functions. Unlike modern hypnotic drugs, which are associated with dependency and adverse effects, Unani medicine emphasizes regimenal and dietary therapies aimed at restoring balance safely and holistically.

Dalk i Layyin with Ravghan i Kahu is a well known Unani regimenal therapy used for its calming, sedative, and nervine strengthening effects. It helps relieve cerebral dryness, relax the nervous system, and promote natural sleep. Harira Maghz i Badam Wala is a classical Unani nutritive formulation that nourishes the brain and nerves and supports normal sleep through its sleep promoting and tonic properties.

The present study is a randomized parallel group interventional clinical trial designed to evaluate the efficacy and safety of Dalk i Layyin with Ravghan i Kahu, Harira Maghz i Badam Wala, and their combined therapy in patients with primary insomnia over a period of four weeks. Primary outcomes include improvement in sleep quality and insomnia severity, while secondary outcomes assess improvement in daytime symptoms and safety parameters. This study aims to generate scientific evidence for Unani interventions in the holistic management of primary insomnia.

 
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