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CTRI Number  CTRI/2026/01/102516 [Registered on: 30/01/2026] Trial Registered Prospectively
Last Modified On: 29/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Other (Specify) [Procedure]  
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   A study comparing two treatments given through the nasal route using a medicated milk preparation for neck pain caused by cervical spondylosis. 
Scientific Title of Study   A comparative clinical trial to evaluate the effect of Nasya and Nasapana with Prasaranyadi ksheera kashaya in cervical 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  SREESHMA P 
Designation  PG Scholar, Department of Panchakarma 
Affiliation  Government Ayurveda College Tripunithura 
Address  Second year PG Scholar, Department of Panchakarma, Government Ayurveda College, Tripunithura, Ernakulam, Kerala, 682301, India

Ernakulam
KERALA
682301
India 
Phone  8943265815  
Fax    
Email  sreeshmawdr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Remya Vijayan 
Designation  Associate Professor 
Affiliation  Government Ayurveda College Tripunithura 
Address  Associate Professor, Department of Panchakarma, Government Ayurveda College, Tripunithura, Ernakulam, Kerala, 682301, India

Ernakulam
KERALA
682301
India 
Phone  9847852619  
Fax    
Email  dr.remyavijayan83@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Remya Vijayan 
Designation  Associate Professor 
Affiliation  Government Ayurveda College Tripunithura 
Address  Associate Professor, Department of Panchakarma, Government Ayurveda College, Tripunithura, Ernakulam, Kerala, 682301, India

Ernakulam
KERALA
682301
India 
Phone  9847852619  
Fax    
Email  dr.remyavijayan83@gmail.com  
 
Source of Monetary or Material Support  
Government Ayurveda College Tripunithura, Ernakulam, Kerala- 682301 
 
Primary Sponsor  
Name  Government Ayurveda College Tripunithura 
Address  Government Ayurveda College Tripunithura, Dhanwantari Nagar, Puthiyakavu, Ernakulam, Kerala- 682301 
Type of Sponsor  Other [Government Ayurveda College Tripunithura] 
 
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 Remya Vijayan  Government Ayurveda College and Hospital, Tripunithura  Department of Panchakarma,Government Ayurveda College and Hospital, Puthiyakavu, Dhanwanthari Nagar,Tripunithura, Eranakulam, 682301
Ernakulam
KERALA 
9847852619

dr.remyavijayan83@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Government Ayurveda College, Tripunithura, Kochi, Kerala- 682301  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M479||Spondylosis, unspecified. Ayurveda Condition: VISVACI,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-Nasapana (Procedure Reference: Vangasena Vatavyadi Adhyaya, Procedure details: Nasapana with Prasaranyadi ksheera kashaya for 7 days with an increasing dose upto 20ml in each nostrils)
(1) Medicine Name: Prasaranyadi ksheera kashaya, Reference: Sahasrayogam, Route: Nasal, Dosage Form: Ksheerpaka, Dose: 20(ml), Frequency: od, Duration: 7 Days
2Intervention ArmProcedure-nasyam/ nastam, नस्यम्/ नस्तम् (Procedure Reference: Ashtanga Hrdaya , Procedure details: Nasya with Prasaranyadi ksheera kashaya for 7 days with an increasing dose upto 10 bindu in each nostrils )
(1) Medicine Name: Prasaranyadi ksheera kashaya, Reference: Sahasrayoga, Route: Nasal, Dosage Form: Ksheerpaka, Dose: 5(ml), Frequency: od, Duration: 7 Days
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Duration of disease less than 10 years
Participants satisfying Neck disability index with mild to moderate disability
Diagnosed as cervical spondylosis based on sign and symptoms or radiological evidence
Participants fit for Nasya 
 
ExclusionCriteria 
Details  Participants with history of cervical spine trauma, fracture, surgery
Diagnosed case of stroke, Cardiac disease, Autoimmune disease , Malignancy
Participants suffering from acute upper, lower respiratory infections, sinusitis, Obstructive nasal pathologies 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the pain and functional improvement by Neck Disability Index
To assess the range of movements of Cervical spine and Shoulder joint using Goniometry 
Treatment period-7 days
Assessment will be done on 0th, 8th, and 21st day with Neck Disability Index and range of movements of cervical spine and shoulder joint assessed by Goniometer 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
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)   16/02/2026 
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 - NO
Brief Summary   A comparative clinical trial with 38 participants 19 in each group will be selected from the IPD of Department of Panchakarma, Govt Ayurveda College, Tripunithura based on inclusion and exclusion criteria. The Neck Disability Index score and Range of Movements of cervical spine and shoulder joint will be  assessed 0th day 8th day( after treatment) and 21st day. One group will be given Nasapana with Prasaranyadi ksheera kasaya for 7 days with an increasing dose upto 24 ml in each nostrils and another group will be given Nasya with Prasaranyadi ksheera kasaya for 7 days with an increasing dose upto 10 bindus in each nostrils. The outcome of the study will be assessed, processed and analyzed statistically. 
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