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Ayurvedic Management of Dyslipidemia Through Virechan Karma And Shaman Snehpana

Phase 2/3
Not yet recruiting
Conditions
Hyperlipidemia, unspecified. Ayurveda Condition: MEDOROGAH,
Registration Number
CTRI/2025/04/084599
Lead Sponsor
Government Akhand Anand Ayurved College
Brief Summary

**Research question**

Whether Shaman Snehpana and Virechana Karma are equally effective or not in the management of Dyslipidemia?



**Hypothesis**



**NULL HYPOTHESIS [HO]**There is no significant difference in the effect between Shamana Snehapana and Virechan karma in the Management of dyslipidemia



**Alternative Hypothesis**

**(H1)** Shamana Snehapana is more effective than Virechana Karma in the management of dyslipidemia

**(H2)** Virechana Karma is more effective than Shamana Snehapana in the management of dyslipidemia



**AIM:**

To evaluate and compare the efficacy of Shamana Snehapana and Virechana Karma in the management of Dyslipidemia

 

**OBJECTIVES**

To study the complete etiopathology, symptomatology and progress of Dyslipidemia According to Ayurveda as well as modern science



To study the efficacy of Shamana Snehapana in the management of dyslipidemia

To study the efficacy of Virechan in the management of dyslipidemia

To study Virechan karma according to all Ayurvedic texts



**OBJECTIVE CRITERIA**

LIPID PROFILE

TOTAL CHOLESTEROL  more than 200 mgdL

LDL more than100 mgdl

TRIGLYCERIDES  more than150 mgdL

HDL less than 40 mgdL

APOLIPOPROTEIN B  more than 120mgdL



**SUBJECTIVE CRITERIA**

There are no signs and symptoms of dyslipidemia



**Inclusion criteria**

1Age between 18 to 60 yrs

2 On the basis of National Cholesterol Education Program (NCEP) Adult Treatment Plan(ATP) III

Guidelines  patients  having

TOTAL CHOLESTEROL  more than 200 mgdL

OR

LDL  more than 100 mgdL

OR

TRIGLYCERIDES  more than 150 mgDl

OR

HDL less than 40 mgDl

OR

APOLIPOPROTEIN B more than 120mgdL

Patients who are Snehapana Yogya

Patients who are Virechana Yogya



**Exclusion criteria**

Age below 18 years and more than 60 years

Patients with uncontrolled HTN uncontrolled DM

Pregnant / lactating women

Virechan Ayogya

Snehpana Ayogya

Heart Diseases, Kidney Diseases  Stroke  Liver Disease

Pulmonary Dysfunction or COPD

Patients with a history of any acute or chronic infectious diseases like TB AIDS and Other STDs

Patients taking medications like corticosteroids hormonal therapy

antidepressants or any other drugs which may affect the outcome of the

study



**Investigations**



Following investigations will be carried out before and after treatment



LIPID PROFILE

APOLIPOPROTEIN B

To rule out other pathologies CBC and Urine (R and M) will be done



**Study Design**



**Study type**:      Intervention

**Purpose**:          Treatment

**Masking**:         Open labelled. no masking

**Study design:** Randomized clinical trial

**Allocation:**Computer generated randomization

**Timing:** Prospective

**End point**:      Efficacy and safety

**No.** of Groups: 2

**Sample size:** 30 patients (15 patients in each group)



**Details of interventions**



**GROUPING**: Selected patients will be divided randomly into two group



**GROUP A**

15 patients will be treated with Shamana Snehapana



**GROUP B**

15 patients will be treated with Virechana Karma



**GROUP A: SHAMAN SNEHAPANA WITH TRIPHALADI TAIL**

| | | | |

| --- | --- | --- | --- |

|DRUGDOSE & ANUPANA ADMINISTRATION

TIME

DURATION

|Triphala

Trikatu and

Saindhava

Siddha Taila

30-50ml

With Mudga Yusha

Annakala Prakankshit28 Days



**GROUP B: VIRECHANA KARMA**

Procedure is divided into 3 parts as follows



**PURVAKARMA**

| | | |

| --- | --- | --- |

|**PROCEDURE****DRUG AND DOSE****DURATION**

| Deepana and Pachana Drug Trikatu Churna

Dose    4 to 6 gm per day (2

to 3gm twice a day per Aatura

Agni)

Time of

Administration   Before

Food

Anupana   Ushna Jala

Route       Oral Route



3 to 5 Days (Till the

Karma appearance of

Samyak Deepana

and Pachana

Lakshana observed)

| Snehapana Drug    Tila taila 3 to 7 Days

Dose    20 to 40 ml starting dose in vardhamana Krama

(as per Aatura-Kostha and Agni)



Time of Administration

EarlyMorning at empty

stomach



Anupana  Ushna Jala

Route    Oral Route

Diet       Light Diet (drava ushna

annabhishyan  natisnidgha  asankirn

a)

3 to 7 Days 

| Sarvanga Abhyanga and baspa sweden 

Drug  Tila taila QS

(Approx 50 ml)

For 1st  2nd  3rd day during

vishrama kala after

completionof abhyantar

snehapana and also 4th day

prior to Virechan karma

4days



**PRADHAN KARMA**



| | | |

| --- | --- | --- |

|**PROCEDURE****DRUG AND DOSE****DURATION**

|Virechan karmaDrug   Abhyadimodak 8-10 Tab   Anupana Sheet Jala  Time of Administration Sheleshma Kale Gate after 10am1 DAY



**PASCHAT KARMA**

| | | |

| --- | --- | --- |

|**PROCEDURE****DRUG AND DOSE****DURATION**

|Samsarjana

Krama

Diet Plan will be fixed as per

shuddhi for 3 to 7 days

The regimen of 7  5  3 days

will be fixed according to the Pravar Madhyama  Avara Shuddhi



The sequence of Peya  Vilepi

AkritMudga   Yusha andOdana

Krita Mudga  Yusha andOdana

will be

served for 3 2 1 aaharakala

According to the type of

shuddhi

3 to 7 Days

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
30
Inclusion Criteria

1 Age between 18 to 6O years 2 Patients having Total Cholestrol more than 2OOmgdl OR LDL more than 1OO mgdl OR Triglycerides more than 15O mgdl OR HDL less than 4O mgdl OR Apolipoprotein B more than 12O mgdl 3 Snehpana yogya 4 Virechan yogya.

Exclusion Criteria

1 Age below 18 and more than 6O years 2 Patients with uncontrolled HTN and DM 3 Pregnant and lactating women 4 Virechan Ayogya 5 Snehpana Agyogya 6 Known case of heart disease Stroke liver disease COPD 7 Acute or chronic infectious diseases like TB STDs AIDS 8 On medications like corticosteroids, hormonal therapy antidepressants.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Outcome will be based on LIPID PROFILE OR Apolipoprotein B before and after treatment that is will be based on objective criterion1 month
Patients having1 month
LDL more than 1OO mgdl OR1 month
HDL less than 4O mgdl OR1 month
Apolipoprotein B more than 12O mgdl1 month
Total Cholestrol1 month
LDL1 month
Triglycerides1 month
HDL1 month
Apolipoprotein B1 month
Total Cholestrol more than1 month
2OOmgdl OR1 month
Triglycerides more than 15O1 month
mgdl OR1 month
Secondary Outcome Measures
NameTimeMethod
Patients will be assessed by blood investigations cbc, urine routine and microscopic.1 month

Trial Locations

Locations (1)

Government Akhandanand Ayurved College

🇮🇳

Ahmadabad, GUJARAT, India

Government Akhandanand Ayurved College
🇮🇳Ahmadabad, GUJARAT, India
Dr Swetlana Upreti
Principal investigator
8979269473
swatiupreti7@gmail.com

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