| CTRI Number |
CTRI/2018/12/016654 [Registered on: 13/12/2018] Trial Registered Prospectively |
| Last Modified On: |
12/12/2018 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Medical Device Ayurveda |
| Study Design |
Other |
|
Public Title of Study
|
Role of agnikarma and diet in lower back pain |
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Scientific Title of Study
|
A CLINICAL STUDY ON AGNIKARMA AND DIP(DISCIPLINED AND INTELLIGENT PERSON)DIET IN THE MANAGEMENT OF KATIGATASANDHI VATA WITH SPECIAL REFERENCE TO LUMBAR SPONDYLOSIS. |
| Trial Acronym |
|
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Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
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Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
DR S K GUPTA |
| Designation |
H.O.D Dept. OF SHALYA TANTRA |
| Affiliation |
All india institute of ayurveda,mathura road,gautampuri,sarita vihar,new delhi-76 |
| Address |
Department of shalya Tantra 5th floor academic block,All india institute of ayurveda,sarita vihar, gautampuri, new delhi
South DELHI 110076 India |
| Phone |
8368403099 |
| Fax |
|
| Email |
drskgupta17@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
DR S K GUPTA |
| Designation |
H.O.D Dept. OF SHALYA TANTRA |
| Affiliation |
All india institute of ayurveda,mathura road,gautampuri,sarita vihar,new delhi-76 |
| Address |
Department of shalya Tantra 5th floor academic block,All india institute of ayurveda,sarita vihar, gautampuri, new delhi
South West DELHI 110076 India |
| Phone |
8368403099 |
| Fax |
|
| Email |
drskgupta17@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
DrMONIKA SODE |
| Designation |
PG Scholar 1st year |
| Affiliation |
All india institute of ayurveda,mathura road,gautampuri,sarita vihar,new delhi-76 |
| Address |
Department of shalya Tantra 5th floor academic block,All india institute of ayurveda,sarita vihar, gautampuri, new delhi
South DELHI 110076 India |
| Phone |
9540596304 |
| Fax |
|
| Email |
monikasode0@gmail.com |
|
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Source of Monetary or Material Support
|
| All India Institute of Ayurveda, New Delhi |
|
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Primary Sponsor
|
| Name |
all india institute of ayurveda |
| Address |
All India Institute of Ayurveda, Matura Road,Gautam puri,Sarita Vihar |
| Type of Sponsor |
Research institution and hospital |
|
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Details of Secondary Sponsor
|
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Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Monika Sode |
All India Institute of Ayurveda |
OPD No 6, Ground Floor, Hospital Block, South West DELHI |
9540596304
monikasode0@gmail.com |
|
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Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| IEC |
Approved |
|
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Regulatory Clearance Status from DCGI
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M478||Other spondylosis, |
|
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Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Agni Karma |
Four sessions of Agnikarma with Bindu dahan vishesha by
pancha dhatushalaka at the interval of 7 days. |
| Intervention |
Agni Karma with DIP Diet |
Four sessions of Agnikarma with Bindu dahan vishesha by
pancha dhatushalaka at the interval of 7 days.
This will be associated with DIP DIET - Daily for 1 month |
|
|
Inclusion Criteria
|
| Age From |
20.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Patients irrespective to their sex, religion, education and socio-economic status with cardinal features of Lumbar Spondylosis. |
|
| ExclusionCriteria |
| Details |
Patients of DM, TB of spine, fracture of spine, HIV, HBsAG, VDRL, osteopenia / osteoporosis or fracture of lumbar spine, Spondylolisthesis, ankylosing spondylosis, rheumatoid arthritis, Malignancy of lumbar vertebra |
|
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Method of Generating Random Sequence
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Computer generated randomization |
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Method of Concealment
|
An Open list of random numbers |
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Blinding/Masking
|
Open Label |
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Primary Outcome
|
| Outcome |
TimePoints |
| Relief in cardinal symptoms of lumbar spondylosis. |
One Month |
|
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Secondary Outcome
|
| Outcome |
TimePoints |
| Improvement in quality of life by WHO QOL Scale. |
18 months |
|
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Target Sample Size
|
Total Sample Size="90" Sample Size from India="90"
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/ Phase 3 |
|
Date of First Enrollment (India)
|
20/12/2018 |
| 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 |
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Publication Details
|
THE thesis work will be publish in reputed journal |
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Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
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Brief Summary
|
Sandhigata Vata is a clinical condition develops when vitiated Vayuis localized at Kati Pradesha.The symptoms likeShoola, Shopha, Stambha etc. are developed.During the process of pathogenesis, Kapha Avrit VyanVayu obstruct the circulation of Rasa RaktaDhatu and gradually structural changes are developed in Kati Pardesha.Acharya Charak has described this disease first time as‘Sandhigata Anila’ under the chapter of Vatavyadhi(ch.ch.28/36). It is characterized by the features of Shoola (pain),Shotha (swelling) and Akunchana Prasarane Vedana (pain on flexion and extension of the joint), Hantisandhin (structural changes). Madhava has given one extra feature i.e. Aatopa (crepitus). Based upon its feature,Sandhigata Vata can be equated withLumbar Spondylosis. Lumbar Spondylosis is a degenerative condition which affects the lower spine. In a patient with Lumbar Spondylosis, the spine is compromised by a narrowing of the space between the vertebrae, causing a variety of health problems ranging from back pain to neurological issues. WHO estimates that about 80% of individuals older than 40 years have lumbar spondylosis, increasing from 3% of individuals aged 20-29 years. Internationally, lumbar spondylosis can be developed in persons as young as 20 years. It increases with, and perhaps is an inevitable concomitant of age.Inmodern medicine various treatment options are available like conservative treatment, surgical methods but all modalities have their own limitation and complications. In Ayurveda Snehana, Upanaha, Agnikarma, Raktamokshana, Katibasti, Virechana, Bhesaja Chikitsa etc. have been recommended for management of Vatikdisorders. Among these Agnikarma is a well-known para-surgical procedure and has its own therapeutic value for treatment of Sandhigata Vata(Lumbar spondylosis). Acharya Sushruta has mentioned Agnikarmaprocedure as a best among all otherprocedure(su.su 12/3)and in this study Pancha Dhatu Shalaka has been selected for Agnikarma. It is suitable for heat transfer and to produce Samyak Dagdha Vrana (ideal therapeutic burn). पथà¥à¤¯à¥‡Sसतिगदाितसà¥à¤¯à¤¤à¤¿à¤®à¤”षधतिषेवरà¥à¤¤: ।। पथà¥à¤¯à¥‡à¤¸à¤¤à¤¿à¤—दाितसà¥à¤¯à¤¤à¤¿à¤®à¤”षधतिषेवरà¥à¤¤: ।। (लोतलमà¥à¤¬à¤°à¤¾à¤œ) That means those people have no use to givemedicine who did not follow proper diet. And for those who actually follow proper diet there is no need of medicine for them. Ahara(food), Nidra (sleep) and Brahmacharya (celibacy) are the Traya Upastambhas (Trayopastambhas) explained in Ayurveda. Among the three pillars, Ahara or food is a major supporting pillar which helps in sustenance of life and maintenance of health. One cannot imagine living without food. Acharya Charaka Samhita gives a beautiful concept about Ahara and tells that the Ahara not only forms this body but also forms the diseases which occur in us. If the wholesome food (Hita Ahara) is responsible for Sukha (happiness, health), the unwholesome food (AhitaAhara) causes Dukha (misery, unhealthy). He also tells that Ahara or food is the best among the things which sustain the life.(ch.su.28/45) Kashyapa tells that no medicine is equivalent to the Aharaor food. He also calls Ahara as Maha Bhaishajya (greatest and best medicine). Just by the administration of proper food and diet it is possible to cure the diseases even without the need of administration of medicines and treatment.(ka.sm.khl.4/5) Any disease can be comprehensively cured without any medicine by just following ‘pathya Ahara’ or wholesome food whereas even hundreds of medicines and formulations cannot cure a disease in the absence of a planned wholesome regimen of diet. |