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CTRI Number  CTRI/2026/04/107813 [Registered on: 07/04/2026] Trial Registered Prospectively
Last Modified On: 02/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Preventive 
Study Design  Single Arm Study 
Public Title of Study   To evaluate effect of ayurveda medicine and pranayama on voice fatigue in proffessional voice users. 
Scientific Title of Study   A study on combined effect of yashtimadhuchoornam and bhramari Pranayama on functional dysphonia among voice professionals 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Cigi V S 
Designation  PG Scholar 
Affiliation  Government Ayurveda college,Tripunithura 
Address  Department of Swasthavritta, Government Ayurveda Medical College,
Dhanvantri Nagar, Puthiyakavu, Trippunithura,
Ernakulam
KERALA
682301
India 
Phone  9446021387  
Fax    
Email  cigivs@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrJayanD 
Designation  HOD 
Affiliation  Government Ayurveda college,Tripunithura 
Address  Department of Swasthavritta Government Ayurveda College Tripunithura

Ernakulam
KERALA
682301
India 
Phone  9447104383  
Fax    
Email  dr.jayan.d@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrJayanD 
Designation  HOD 
Affiliation  Government Ayurveda college,Tripunithura 
Address  Department of Swasthavritta Government Ayurveda College Tripunithura

Ernakulam
KERALA
682301
India 
Phone  9447104383  
Fax    
Email  dr.jayan.d@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Cigi VS 
Address  PG Scholar, Department of Swasthavritta, Government Ayurveda Medical College, Dhanvantri Nagar, Puthiyakavu, Trippunithura, Ernakulam, Kerala, India- 682301 
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 Cigi V S  Government Ayurveda College Tripunithura  Department of Swasthavritta 4th floor,Hospital building 682301 Tripunithura
Ernakulam
KERALA 
09446021387

cigivs@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE (IEC),Government Ayurveda College Tripunithura  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:R490||Dysphonia. Ayurveda Condition: SVARABEDAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: yashtimadhu, Reference: Ashtanga hridaya, Route: Oral, Dosage Form: Churna/ Powder, Dose: 2(g), Frequency: qid, Bhaishajya Kal: Muhurmuhu, Duration: 1 Months, anupAna/sahapAna: Yes(details: -Honey), Additional Information: -along with Bramari pranayama 10 mts daily for one month.
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Professional voice users who are diagnosed with functional dysphonia without other serious systemic
illness.
2.Working hours of the participant should be more than 3.5 hours.
3.Who have given written and informed consent for the study.  
 
ExclusionCriteria 
Details  1. Pregnant women and lactating mothers.
2. Known case of malignancies.
3. Patients with history of DM.
4. Known cases of severe systemic illness like renal failure, cardiac failure and liver failure.
5. Working hours less than 3.5 hours.
6. Those who have GERD, peptic ulcer.
7. Those who undergoing speech therapy,
8. Those having vocal cord nodules. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To find the combined effect of yashtimadhu choornam with honey along with bhramari pranayama on functional dysphonia on professional voice users based on Voice Handicap Index (VHI)  1 month 
 
Secondary Outcome  
Outcome  TimePoints 
To reduce the relapse of dysphonia assessed via follow ups.   3 month 
 
Target Sample Size   Total Sample Size="21"
Sample Size from India="21" 
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)   16/04/2026 
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="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   Functional dysphonia is a clinical condition characterized by hoarseness breathiness or voice loss occuring without any structural or neurological laryngeal pathology.Since it effect the livelihood of voice professional it is a serious condition.Existing treatment include voice rest and voice therapy.No treatment available to nourish and strengthen the vocal cords .This study is a humble attempt to find the effect of yashtimadhu choornam  2 gm with honey and bhramari pranayama 10 mts daily for a period of one month can bring relief to functional dysphonia .
This is a single arm pre post intervention study.Participants are patients with mild moderate functional dysphonia having VHI index upto 60  between age 25 and 60 who come to Government Ayurveda College Swasthavritta OP.Laryngoscopy will be performed for required patients under Dr.Sreekumar Co Guide Associate Proffessor Department of Salakyatantra Government Ayurveda College Tripunithura.Effect of study is evaluated using VHI Index Score.Study period is one month and follow up is done for 3 months to study the relapse .
 
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