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Clinical Trials/CTRI/2025/01/079136
CTRI/2025/01/079136Not yet recruitingPhase 2

Efficacy of Hijama bish shart(wet cupping) in primary varicose vein (Dawali)- A randomized controlled clinical trial

National Institute of Unani Medicine1 site in 1 country36 target enrollmentStarted: February 20, 2025Last updated:

Trial Snapshot

Phase
Phase 2
Status
Not yet recruiting
Enrollment
36
Locations
1
Primary Endpoint
VCSS Score (Revised venous clinical severity score)

Study Overview

Brief Summary

Title of study- Efficacy of Hijama bish shart (wet cupping) in primary varicose vein (Dawali)- A randomized controlled clinical trial

study design-single centre, two armed, parallel groups assessor blinded randomized controlled clinical trial

Intervention- subjects in the test group will undergo 3 sittings of Hijāma bish Shará¹­ at regular intervals of 7 days (0 day, 7th day and 14th day) and the last assessment for efficacy done on the 21st day. The wet cupping will be done by following standard operative procedure. One medium-sized (5.2 cm) and one small-sized cup (3 cm) will be applied over the calf region at least 5 cm away from the maximum tortuosity of the most prominent varicose vein. If both calves have varicosities, 2 cups will be applied on each limb. Approximately 10-15 tiny (2mm depth, 2mm length) superficial scarifications will be made at the cupped area and approximately 20 ml of blood will be drawn in medium and 10 ml in small cup and discarded as per NABH guidelines. The values of VCSS will be averaged if varicosities are present in both legs. The vitals of the patients will be recorded before and after the procedure. Compression stockings will be worn by all patients as mentioned in the control group for 21 days.

control group- Compression stockings The elastic compression stocking exerting 20-30 mm Hg of pressure, will be worn daily for 21 days during the daytime (for at least 8 hours) from the ankle to below the knee and removed during the night.

Primary outcome measure- VCSS Score ( Revised venous clinical severity score)

sample size- 36

site of study- National Institute of Unani Medicine, Bangalore

Study Design

Study Type
Interventional
Allocation
Randomized
Masking
Outcome Assessor Blinded

Eligibility Criteria

Ages
30.00 Year(s) to 65.00 Year(s) (—)
Sex
All

Inclusion Criteria

  • Patient clinically diagnosed case of primary varicose vein
  • willing to sign the informed consent form.

Exclusion Criteria

  • 1.patients having grade 2 hypertension 2.patients of secondary varicose vein 3.pregnant and lactating women 4.patients who fail to follow up 5.patients having diabetus mellitus and other systemic illness eg cancer liver ,kidney, cardiac and pulmonary diseases 6.patients with haemoglobin less than 9.5gm/dl 7.patients having bleeding diathesis,HIV infection, hepatits B and C infection
  • patients of deep venous thrombosis.

Outcomes

Primary Outcomes

VCSS Score (Revised venous clinical severity score)

Time Frame: At Baseline, 7th day, 14th day, 21st day

Secondary Outcomes

  • No secondary outcome(Not applicable)

Investigators

Sponsor Class
Research institution and hospital
Responsible Party
Principal Investigator
Principal Investigator

Dr Budeppa

National Institute of Unani Medicine, Bangalore

Study Sites (1)

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