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CTRI Number  CTRI/2021/05/033587 [Registered on: 12/05/2021] Trial Registered Prospectively
Last Modified On: 18/07/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Other 
Public Title of Study   THE EFFECT OF TRIPHALA GHRITA GUDA-PICHU WITH TRIPHALA KWATHA AVAGAHA SWEDA IN THE MANAGEMENT OF PARIKARTIKA w.s.r. TO FISSURE-IN-ANO” 
Scientific Title of Study   “A RANDOMIZED COMPARITIVE CLINICAL STUDY TO EVALUATE THE EFFECT OF TRIPHALA GHRITA GUDA-PICHU WITH TRIPHALA KWATHA AVAGAHA SWEDA IN THE MANAGEMENT OF PARIKARTIKA w.s.r. TO FISSURE-IN-ANO” 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Beatrice Synnah 
Designation  PG scholar 
Affiliation  Sri Dharmasthala Manjunatheshwara college of ayurveda kuthpady,udupi 
Address  Department of PG studies in shalyatantra Sri Dharmasthala manjunatheswara kuthpady udupi
Department of PG studies in shalyatantra Sri Dharmasthala manjunatheswara kuthpady udupi
Udupi
KARNATAKA
574118
India 
Phone  9101049716  
Fax    
Email  trixysynnah@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rakesh R N 
Designation  Associate Professor 
Affiliation  shri Dharamasthala Manjunatheshwara college of ayurveda kuthpady,udupi 
Address  Department of PG studies in shalyatantra Sri Dharmasthala manjunatheswara kuthpady udupi
Department of PG studies in shalyatantra Sri Dharmasthala manjunatheswara kuthpady udupi
Udupi
KARNATAKA
574118
India 
Phone  9449753320  
Fax    
Email  rakesharyan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Beatrice Synnah 
Designation  PG Scholar 
Affiliation  sri dharmasthala manjunatheswara college of ayurveda kuthpady,udupi 
Address  Department of PG studies in shalyatantra Sri Dharmasthala manjunatheswara kuthpady udupi
Department of PG studies in shalyatantra Sri Dharmasthala manjunatheswara kuthpady udupi
Udupi
KARNATAKA
574118
India 
Phone  9101049716  
Fax    
Email  trixysynnah@gmail.com  
 
Source of Monetary or Material Support  
Sri Dharmasthala manjunatheswara kuthpady udupi 
 
Primary Sponsor  
Name  Shri Dharamshala manjunatheshwara college of ayurveda kuthpadyudupi 
Address  Kuthpady,udupi 
Type of Sponsor  Private 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 Beatrice synnah  Shri Dharamasthala Manjunatheshwara college of ayurveda kuthpady,udupi  Department of PG studies in shalyatantra Sri Dharmasthala manjunatheswara kuthpady udupi
Udupi
KARNATAKA 
9101049716

trixysynnah@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL CLEARANCE COMMITTEE- HUMAN  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K602||Anal fissure, unspecified. Ayurveda Condition: PARIKARTIKA,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Guda pichu & Avagaha  A gauze piece is dipped in the triphala ghrita and is to be placed in the anus gently for 15 minutes Explaining and demonstrating the method of Guda – Pichu to the patient on the day of consultation is to be done. The patient will be asked to do the same procedure, once daily for 7 days after the bowel has been passed. • The patient is made to sit in a tub which is filled with luke warm triphala kwatha . The level of the kwatha should be about 3 to 4 inches (7.6 to 10.2cm) The temperature of the kwatha is maintained by replacing the cold kwatha with warm one frequently This procedure is to be done for 15 minutes The patient will be asked to do the same procedure, once daily, for 7 day after the bowel has been passed.  
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients with clinical signs and symptoms of Parikartika ( Fissure in Ano ) as explained in Ayurvedic Classics.
Subjects fulfilling diagnostic criteria who are willing to give their written informed consent and follow up the protocol of study will be selected.
 
 
ExclusionCriteria 
Details  Patients suffering from systemic diseases like uncontrolled diabetes mellitus, tuberculosis , HIV, hepatitis.
Patients with associated anorectal diseases like complicated hemorrhoids , polyp, fistula in ano , crohn’s disease, ulcerative colitis and malignancy
 
 
Method of Generating Random Sequence   Adaptive randomization, such as minimization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in pain,Burning sensation.
wound is healing & size reduced.No constipation will be there. 
1week 2weeks and 3weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement of sphincter tone.  7 days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/05/2021 
Date of Study Completion (India) 18/07/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NO 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The current study will be â€œA RANDOMIZED COMPARITIVE CLINICAL STUDY TO EVALUATE THE EFFECT OF TRIPHALA GHRITA GUDA-PICHU WITH TRIPHALA KWATHA AVAGAHA SWEDA IN THE MANAGEMENT OF PARIKARTIKA w.s.r. TO FISSURE-IN-ANO”. in this study minimum of 40 diagnosed case of parikartika w.s.r. fissure in ano will be choosenMETHOD OF PLACING GUDA-PICHU A gauze piece is dipped in the triphala ghrita and is to be placed in the anus gently for 15 minutes.Explaining and demonstrating the method of Guda – Pichu to the patient on the day of consultation is to be done. The patient will be asked to do the same procedure, once daily for 7 days after the bowel has been passed.

Method of Avagaha Sweda  The patient is made to sit in a tub which is filled with luke warm triphala kwatha . The level of the kwatha should be about 3 to 4 inches (7.6 to 10.2cm).The temperature of the kwatha is maintained by replacing the cold kwatha with warm one frequently.This procedure is to be done for 15 minutes.The patient will be asked to do the same procedure, once daily, for 7 day after the bowel has been passed.

 
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