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CTRI Number  CTRI/2018/09/015763 [Registered on: 19/09/2018] Trial Registered Prospectively
Last Modified On: 30/06/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To see the effect of Shirobasti(Pooling of oil on head),Shirodhara(Pouring warm oil over the head for a period of time), Shiropichu(cotton dipped with warm medicated oil kept over head) and Shiroabhyanga(Head Massage with medicated oil) with Lakshadi Taila(Medicated oil) in Nidranash(Insomnia). 
Scientific Title of Study   “An Open Randomized Comparative Clinical Study on the types of Murdha Taila in the management of Nidranash (Insomnia).” 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nidhi Gupta 
Designation  PG Scholar 
Affiliation  National Institute of Ayurveda,Jaipur 
Address  PG Department of Panchakarma National Institute of Ayurveda Madhav vilas palace, Near Jorawer singh gate, Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  9691226829  
Fax    
Email  drnidhigupta.20@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gopesh Mangal 
Designation  Assistant professor and Head 
Affiliation  National Institute of Ayurveda,Jaipur 
Address  PG Department of Panchakarma National Institute of Ayurveda Madhav vilas palace, Near Jorawer singh gate, Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  8619849011  
Fax    
Email  gmangal108@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nidhi Gupta 
Designation  PG Scholar 
Affiliation  National Institute of Ayurveda,Jaipur 
Address  PG Department of Panchakarma National Institute of Ayurveda Madhav vilas palace, Near Jorawer singh gate, Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  9691226829  
Fax    
Email  drnidhigupta.20@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Ayurveda Madhav vilas palace, Near Jorawer singh gate Jaipur 302002 , Rajasthan 
 
Primary Sponsor  
Name  National institute of Ayurveda 
Address  PG Department of Panchakarma National Institute of Ayurveda Madhav vilas palace, Near Jorawer singh gate  
Type of Sponsor  Government medical college 
 
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 Nidhi Gupta  National Institute of Ayurveda  Madhav vilas palace, Near Jorawer singh gate,Jaipur
Jaipur
RAJASTHAN 
9691226829

drnidhigupta.20@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, National Institute of Ayurvedat  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G470||Insomnia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group A  Group A- Shirobasti with Lakshadi Taila in the dose of 2.5 Litre continuously for 7days 
Intervention  Group B  Group B- Shirodhara with Lakshadi Taila in the dose of 2.5Litre continuously for 7days  
Intervention  Group C  Group C- Shiropichu with Lakshadi Taila in the dose of 350ml continuously for 7days  
Intervention  Group D  Group D - Shiroabhyanga with Lakshadi Taila in the dose of 210ml continuously for 7days  
Comparator Agent  NOT  Not 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  A. Patients between 16-60 years of age.
B. Patients with clinical signs and symptoms of
Nidranash.(Insomnia)
C. Patients of Insomnia with mild hypertension,mild depression and anxiety disorders without any complications of any other diseases were included for the present study.
D.Patients of either sex irrespective of their occupation, religion and socio-economic status.
E.Patients willing to sign consent form for trial. 
 
ExclusionCriteria 
Details  1.Patients suffering from severe systemic disorders as Uncontrolled Diabetes Mellitus, Uncontrolled Hypertension,Cardiac Problem, Tuberculosis, Leprosy, Paralysis, Malignantdiseases 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Shirobasti, Shirodhara, Shiropichu and Shiroabhyanga.
are effective in management of Nidranash (Insomnia) and Improvement in the symptoms of the Patient.
 
22 days
 
 
Secondary Outcome  
Outcome  TimePoints 
Any adverse effect in clinical signs and symptoms  7days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)
Modification(s)  
01/09/2019 
Date of Study Completion (India) 17/02/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NO 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

Shirobasti, Shirodhara, Shiropichu and Shiroabhyanga is included in variety of Murdha Taila. In the present study Murdha Taila has been explained in Sushruta Sharir Sthana in reference to Nidranash along with other diseases. So, Murdha Taila is selected particularly for Nidranash. Etymology, definition, indication, contraindication, importance, mode of action etc. and the Poorva Karma, Pradhana Karma, Pashchata Karma and precautions explained in detail.

In this clinical trial total 42 patients were registered from OPD/IPD of department of Panchkarma, National Institute of Ayurveda, Jaipur, Rajasthan. Selected patients were divided randomly with the help of lottery method, into 4 Groups. Out of 42 patients, 1 patient was drop-out case in Group B due to chronic rhinitis and 1 patient was drop-out case in Group D due to some family problems before starting the treatment. Total 40 patients completed the treatment.

Following conclusion can be drawn from current research study-

·        Nidranash being a Vata Nanatmaja Vyadhi, Brinhana is best therapy and all the types of Murdha Taila are best recommended in the patient of Nidranash, with the help of  Lakshadi Taila which having Balya, Indriya Prasadana and Nidrajanana Properties, as all the procedures are non-invasive, outpatient procedures with minimal discomfort.

  • Insomnia is more commonly seen in middle age group and females are more affected in this study.
  • It is observed that insomnia manifests mostly in patients who are suffering from Chinta followed by Shoka.

·        Observations and results of the present study hold the explanation of the modern and Ayurveda literatures and also support the result of the previous work done.

  • Tandra (drowsiness), Shirashoola (headache), Angamarda (body ache) and total PSQI (Pittsburg sleep quality index) parameter found significant result in all four Groups.
  •  Jrimbha (yawning) parameter is found significant result in only Group B and Arati - Klama (inertness and fatigue) is found significant result in only Group A.
  • Jadya (stiffness) parameter found significant result in Group A and Group B.
  • Apkti (indigestion) parameter found Non- significant result in all four Groups.
  • According to mean rank percentage, Group B (Shirodhara) is more effective than all Groups.
  • In chronic condition may need long term therapy for better results and to remove occurrence and repeated Murdha Taila after the assessing the patient may be the best choice for the management of Nidranash (insomnia)

·        Thus, it is concluded that the“Types of Murdha Taila are effective in the management of Nidranash (insomnia)”.



 
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