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CTRI Number  CTRI/2022/02/039906 [Registered on: 01/02/2022] Trial Registered Prospectively
Last Modified On: 22/01/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Effect of mashadi taila nasya and pathyadi kashaya in the management of migraine 
Scientific Title of Study   A CLINICAL STUDY ON THE COMBINED EFFECT OF MASHADI TAILA MARSHA NASYA AND PATHYADI KASHAYA IN THE MANAGEMENT OF ARDHAVABHEDAKA WITH SPECIAL REFERENCE TO MIGRAINE 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Deeksha R 
Designation  PG scholar 
Affiliation  SDM College of Ayurveda, Hassan 
Address  #118, 2nd cross, 1st main, CFTRI layout, Bogadhi 2nd stage, Mysore
Department of Shalakya Tantra, 2nd year PG classroom, SDM college of Ayurveda and Hospital, Bangalore-Mangalore highway, Tanniruhalla, Hassan-573201
Hassan
KARNATAKA
570026
India 
Phone  9483483373  
Fax    
Email  deeksha118@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Abhijith H N 
Designation  Asst Professor 
Affiliation  SDM College of Ayurveda, Hassan 
Address  Department of Shalakya tantra, SDM College of Ayurveda, Bangalore Mangalore Highway, Tanniruhalla, Hassan - 573201
SDM college of Ayurveda and Hospital, Bangalore-Mangalore highway, Tanniruhalla, Hassan-573201
Hassan
KARNATAKA
573201
India 
Phone  9482973869  
Fax    
Email  drabhijithhn@sdmcahhassan.org  
 
Details of Contact Person
Public Query
 
Name  Dr Abhijith H N 
Designation  Asst Professor 
Affiliation  SDM College of Ayurveda, Hassan 
Address  Department of Shalakya Tantra, SDM College of Ayurveda, Bangalore- Mangalore highway, Tanniruhalla, Hassan - 573201
SDM college of Ayurveda and Hospital, Bangalore-Mangalore highway, Tanniruhalla, Hassan-573201
Hassan
KARNATAKA
573201
India 
Phone  9482973869  
Fax    
Email  drabhijithhn@sdmcahhassan.org  
 
Source of Monetary or Material Support  
SDM College of Ayurveda and Hospital, Bangalore Mangalore Highway, Tanniruhalla, Hassan - 573201  
 
Primary Sponsor  
Name  Dr Deeksha R 
Address  SDM College of Ayurveda and Hospital, Bangalore-Mangalore Highway, Tanniruhalla, Hassan-573201 
Type of Sponsor  Other [] 
 
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 Deeksha R  SDM college of ayurveda and hospital  Department of Shalakya Tantra, SDM college of Ayurveda and Hospital, Bangalore-Mangalore Highway, Tanniruhalla, Hassan -573201
Hassan
KARNATAKA 
9483483373

deeksha118@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRI DHARMASTHALA MANJUNATHESHWARA COLLEGE OF AYURVEDA AND HOSPITAL, HASSAN  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E889||Metabolic disorder, unspecified. Ayurveda Condition: ARDHAVABEDAKAH,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Mashadi taila and Pathyadi kashaya  Mashadi taila will be given for Marsha nasya(16 drops to each nostril) for 7 days and Pathyadi kashaya 15ml BD after food for 15 days. pathient will be followed up on 7th and 15th day 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patient who fulfill the diagnostic criteria OF Ardhavabhedaka(Migraine) as quoted in Ayurveda samhithas and ICHD-3
Patient of either gender of age between 18 to 60 years
Both fresh and treated case will be considered for the study

Criteria for Diagnosing Migraine without Aura will be based on ICHD-3 1.119
A . At least five attacks fulfilling criteria B–D
B . Headache attacks lasting 4–72 h (untreated or unsuccessfully treated)
C . Headache has at least two of the following characteristics:
ï‚· Unilateral location
ï‚· Pulsating quality
ï‚· Moderate or severe pain intensity
ï‚· Aggravation by or causing avoidance of routine physical activity (e.g.,
walking or climbing stairs)
D . During headache at least one of the following:
ï‚· Nausea and/or vomiting
ï‚· Photophobia and phonophobia
E . Not better accounted for by another ICHD-3 diagnosis 
 
ExclusionCriteria 
Details  Migraine with aura.
Severe depression or psychiatric disorders.
Referred pain in one half of head due to disorders of ear, eye, nose, teeth
and neck.
Unilateral headache due to sinusitis, Hypertension.
All patients contraindicated for marsha nasya.
Patients who are using drugs like alcohol, chlorpromazine,
hydrochlorothiazide, anti-anxiety agents, antidepressants, antipsychotics,
antispasmodics, antihistamines and diuretics
Patients under continuation of other system of medication for migraine
Pregnant and lactating women 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the effect of mashadi taila nasya and pathyadi kashaya in ardhavabhedaka(migraine)  Baseline, 7th day, 14th day, 30th day 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the effect of mashadi taila marsha nasya and pathyadi kashaya in ardhavabhedaka(migraine)  31st day 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   10/02/2022 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Ardhavabhedaka is one of the shirorogas characterized by severe pain in one half of the head which when not treated or poorly treated may lead to complications like destruction of eye and ears (Nayana and Sravana vinasha). Nasya is the main treatment indicated in all urdhwajatrugata rogas. The formulation, mashadi taila is indicated in all types of Shirorogas. Pathyadi Kashaya is specifically mentioned for Ardhavabedhaka. Drugs in Mashadi Taila posses the properties which are mainly vatahara (pacifies vata dosha), acts as shiroartinut (Pacifies headache). The drugs in Pathyadi Kashaya are tridoshahara and are specifically indicated for Ardhavabedhaka. Mashadi taila is a simple taila preparation with three ingredients and Pathyadi kashaya has eight drugs which can be easily procured. Hence, these two formulations have been selected to access their combined effect on Ardhavabedhaka (Migraine). 

OBJECTIVES- To evaluate the combined effect of Mashadi Taila marsha nasya and pathyadi kashaya in the management of Ardhavabedaka with special reference to Migraine 

METHODOLOGY
METHODOLOGY: Interventional clinical study
 RESEARCH DESIGN Open labeled single arm prospective clinical trial 
SOURCE OF DATA: 30 Patients will be selected from Out-patient department and In-patient department of Shalakya Tantra, Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital, Hassan. SAMPLING TECHNIQUE: Convenient sampling 
SAMPLE SIZE: 30 
DIAGNOSTIC CRITERIA: Criteria for Diagnosing Migraine without Aura will be based on ICHD-3 1.119 A . At least five attacks fulfilling criteria B–D B . Headache attacks lasting 4–72 h (untreated or unsuccessfully treated) C . Headache has at least two of the following characteristics: ï‚· Unilateral location ï‚· Pulsating quality ï‚· Moderate or severe pain intensity ï‚· Aggravation by or causing avoidance of routine physical activity (e.g., walking or climbing stairs) D . During headache at least one of the following: ï‚· Nausea and/or vomiting ï‚· Photophobia and phonophobia E . Not better accounted for by another ICHD-3 diagnosis 
INCLUSION CRITERIA ï‚· Patient who fulfill the diagnostic criteria ï‚· Patient of either gender of age between 18-60 years ï‚· Both fresh and treated case will be considered for the study 
Exclusion Criteria: ï‚· Migraine with aura. ï‚· Severe depression or psychiatric disorders. ï‚· Referred pain in one half of head due to disorders of ear, eye, nose, teeth and neck. ï‚· Unilateral headache due to sinusitis, Hypertension. ï‚· All patients contraindicated for marsha nasya. ï‚· Patients who are using drugs like alcohol, chlorpromazine, hydrochlorothiazide, antianxiety agents, antidepressants, antipsychotics, antispasmodics, antihistamines and diuretics ï‚· Patients under continuation of other system of medication for migraine ï‚· Pregnant and lactating women
 
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