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CTRI Number  CTRI/2021/07/035020 [Registered on: 20/07/2021] Trial Registered Prospectively
Last Modified On: 11/08/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   To see the effect of Guggulu-Nimb Kshar sutra and Saptang Guggulu in Bhagandara (Fistula in ano) 
Scientific Title of Study   Evaluation Of Guggulu–Nimb Kshar Sutra Ligation With Saptang Guggulu Oraly In Bhagandara (Fistula-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 Prem Prakash Rai 
Designation  PG Scholar 
Affiliation  Patanjali bhartiya ayurvigyan evam anusandhan sansthan 
Address  PG Department Of Shalya Tantra Patanjali Ayurveda Hospital

Hardwar
UTTARANCHAL
249405
India 
Phone  7060197273  
Fax    
Email  pprai333@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prem Prakash Rai 
Designation  PG Scholar 
Affiliation  Patanjali bhartiya ayurvigyan evam anusandhan sansthan 
Address  PG Department Of Shalya Tantra Patanjali Ayurveda Hospital

Hardwar
UTTARANCHAL
249405
India 
Phone  7060197273  
Fax    
Email  pprai333@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sachin Gupta 
Designation  Professor and HOD 
Affiliation  Patanjali Ayurvedic Hospital 
Address  Opd no. 15, shalya tantra department,Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Haridwar

Hardwar
UTTARANCHAL
249405
India 
Phone  9419135050  
Fax    
Email  chintu.925@gmail.com  
 
Source of Monetary or Material Support  
Patanjali Ayurvedic Hospital 
 
Primary Sponsor  
Name  Patanjali Aayurvedic College 
Address  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan Haridwar 
Type of Sponsor  Research institution and hospital 
 
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 Prem Prakash Rai  Patanjali Ayurvedic Hospital  opd no 15 dept of shalya tantra , Patanjali ayurvedic college and hospital, haridwar
Hardwar
UTTARANCHAL 
7060197273

pprai333@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee patanjali ayurvedic college  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K603||Anal fistula. Ayurveda Condition: BAGANDARAH,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Guggulu - Nimb Kshar Sutra ligation  Guggulu - Nimb Kshar Sutra ligation till the disappearance of fistula in ano 
Comparator Agent  Nil  Nil 
Intervention  Saptang Guggulu 1 gram BD oraly  Saptang Guggulu 2 tab BD (500mg each) oraly after meal with lukewarm water for 3 month 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Clinical Signs and Symptoms of all types of Bhagandara 
 
ExclusionCriteria 
Details  HBsAg, HCV and HIV positive patients.
Secondary fistula due to/along with:
1-Ulcerative colitis
2- Osteomyelitis of pelvic bones
3-Crohn’s disease
4-Tuberculosis
5-Uncontrolled Diabetes
6- Pelvic abscess
7-Carcinoma of rectum
8. Hemorrhoids
9- Fissure-in-ano
10- Other systemic disorders. 
 
Method of Generating Random Sequence   Adaptive randomization, such as minimization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Subjective Parameters -
Pain
Discharge
Inflammation
Itching
Burning sensation

Objective Parameters
Unite Cutting time 
90 days 
 
Secondary Outcome  
Outcome  TimePoints 
Subjective Parameters -
Pain
Discharge
Inflammation
Itching
Burning sensation

Objective Parameters
Unite Cutting time 
3 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   23/07/2021 
Date of Study Completion (India) 15/04/2022 
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    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
In this trail , we were selected patients of Bhagandara (Fistula in ano) in which we hav done the intervention with Guggulu Kshar Sutra ligation procedure in fistulous tract and Saptang Guggulu oraly 2 tab BD (500 mg each) till the disappearance of fistula in ano. Assessment was done on the basis of subjective and objective parameters. Subjective parameters includes pain, discharge, inflammation, itching, burning sensation and objectives parameters include Unite Cutting time. Result shows that guggulu nimba kshar sutra application along with oral use of saptang guggulu is effective in the treatment of Bhagandara. 
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