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CTRI Number  CTRI/2024/02/063209 [Registered on: 27/02/2024] Trial Registered Prospectively
Last Modified On: 11/02/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Siddha 
Study Design  Single Arm Study 
Public Title of Study   To Evaluvate the Effectiveness of Siddha Varmam management in Thathu Nattum [Oligospermia] 
Scientific Title of Study   To Evaluvate the Effectiveness Of Siddha Varmam Points in Thathu Nattum [Oligospermia] – A Pilot Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr G Thirunarayanan 
Designation  Medical Officer 
Affiliation  National Institute of Siddha 
Address  Room no : 20 Department of Noi Nadal, National Institute of Siddha (An Autonomous body under the Ministry of AYUSH) Govt. of India. Tambaram Sanatorium, Chennai.

Kancheepuram
TAMIL NADU
600047
India 
Phone  8148425747  
Fax    
Email  thirunarayanan.dr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Dr G J CHRISTIAN MD Siddha PhD 
Designation  Hospital Superindantent (i/c), Professor and Head of the Department 
Affiliation  National Institute of Siddha 
Address  Room no : 20 Department of Noi Nadal, National Institute of Siddha (An Autonomous body under the Ministry of AYUSH) Govt. of India. Tambaram Sanatorium, Chennai.

Kancheepuram
TAMIL NADU
600047
India 
Phone  9962545930  
Fax    
Email  christianvijila@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr G Thirunarayanan 
Designation  Medical Officer 
Affiliation  National Institute of Siddha 
Address  Room no : 20 Department of Noi Nadal, National Institute of Siddha (An Autonomous body under the Ministry of AYUSH) Govt. of India. Tambaram Sanatorium, Chennai.

Kancheepuram
TAMIL NADU
600 047,
India 
Phone  8148425747  
Fax    
Email  thirunarayanan.dr@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Siddha, Chennai - 600047 
 
Primary Sponsor  
Name  Dr G Thirunarayanan 
Address  Medical Officer, National Institute of Siddha, Chennai– 600047  
Type of Sponsor  Other [Self] 
 
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 G Thirunarayanan  AYOTHIDOSS PANDITHAR HOSPITAL  Room no : 20 Department of Noi Nadal, National Institute of Siddha (An Autonomous body under the Ministry of AYUSH) Govt. of India. Tambaram Sanatorium, Chennai – 600 047.
Kancheepuram
TAMIL NADU 
8148425747

thirunarayanan.dr@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, National Institute of Siddha  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N461||Oligospermia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Varma Points Manipulation  Following The Varmam points manipulations will given once in 3 days for 90 days, for 15-20 minutes. 1. Kondai Kolli Varmam is located over the bregma of the skull, Manipulated at ¼ Maathirai pressure by placing the tip of middle three finger, then press and move the finger right and left side gently for 3 times. 2. Thilartha Varmam is located over Nasion, in between frontal and nasal bone, Manipulated at ¼ Maathirai pressure by placing thumb finger , then press and rise upward gently for 3 times. 3. Poigai Varmam is Situated 2 fingers above the tragus of ear, Manipulated at ¼ Maathirai pressure by placing middle finger in the mentioned point ,then pressand rise upward for 3 times 4. Kalidai Varmam is situated at the pubic tubercule , Manipulated at ¼ Maathirai pressure by Placing thumb finger ,then press gently for 3 times. 5. Moothira Varmam is situated 4 fingers below the umbilicus, Manipulated at ¼ Maathirai pressure by placing the tip of middle finger, then press and release gently for 3 times 6. Pathaipu Varmam is situated 4 fingers below and lateral side of Moothira Varmam, Manipulated at ¼ Maathirai pressure by placing thumb finger and then press and release gently for 3 times. 7. Vithu Varmam is Situated 4 fingers below the Kalidai Varmam, Manipulated at ¼ Maathirai pressure by placing thumb finger and then press gently from medial to lateral aspect for 3 times 8. Thumbu Varmam is Situated Posterior aspect of the Scrotum Manipulated at ¼ Maathirai pressure by placing middle finger in the mentioned point ,then press and rise upward gently for 3 times. 9. Muzhangai Mel Naduku Varmam is situated 4 fingers below the Elbow (mid point of all four sides), Manipulated at ¼ Maathirai pressure by placing thumb finger and then press and release for 3 times.  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  40.00 Year(s)
Gender  Male 
Details  Patient having abnormalities of Semen parameters Oligospermia
Poor motility, poor quantity and quality of seminal fluid
Willing to sign the consent form for enrollment in the study
 
 
ExclusionCriteria 
Details  Azoospermia
K/C/O testicular varicocele and hydrocele
K/C/O Filiariasis
History of Undescended testis
Genetic issues
Patients having chronic illness or tumors
Any anatomical defects 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Improvement in semen parameters such as sperm count, volume, viscosity both in quality and quantity, morphology will be assessed by Computer Aided Semen Analysis (CASA).  90 days 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
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 
Date of First Enrollment (India)   01/03/2024 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

This is a Single arm Experimental study to determine the therapeutic effectiveness of Varmam Points based on Computer Aided Semen Analysis (CASA) in the treatment of THAATHU NATTAM (Oligospermia) among the outpatients attending Ayothidoss pandithar hospital, National Institute of Siddha in 10 Male Patients. The study will be conducted among adult patients with oligozoospermia having sperm count below 15 million /ml, poor motility, Poor quantity and quality of seminal fluid who approach Ayothidoss  Panditharhospital, NIS, Chennai. Trial participants will be included based on Inclusion and Exclusion criteria. After enrolment, Varma Points Manipulation will be done every 3 days for 90 days. The outcome of the trial will be assessed through improvement in semen parameters such as sperm count, volume and viscosity both in quality and quantity, morphology will be assessed by Computer Aided Semen Analysis (CASA).

 
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