A clinical study to compare effectiveness of Nasya Karma and snehapan with swalapamasha taila along with Sthanik abhyanga and Adtiya paka guggulu (Orally) in cases of avabahuk(WSR to Frozen Shoulder)

AIM & OBJECTIVES:

1. To assess the effectiveness of trial drug in improving the condition of disease.

2.To assess the effectiveness of trial drug (Svalpmasha Tail & Adityapak Gugglu) in improving quality of life in patients of Avabahuka w.s.r Frozen Shoulder.

3. To compare the efficacy of Svalp Masha Tail when used Externally (Abhyanga) & Internally (Nasya & Snehpan) & sanshamana chikitsa by Adityapak Guggul for internal administration in patients of Avabahuka w.s.r Frozen Shoulder.

4. To observe clinical improvement/ prognosis/ recurrence of disease during the follow up period.

PLAN OF STUDY

Selection of cases:

For the purpose of clinical trial, the patient of Avabahuka w.s.r Frozen Shoulder will be selected from OPD and IPD of ‘State Ayurvedic College and Hospital, Lucknow’ and other hospitals who will fulfil the criteria of selection of patients irrespective of their sex, caste and religion. A careful history, physical examination and necessary investigations will be performed as per Performa prepared for the present trial.

INCLUSION CRITERIA: 1. Patient of the age group between 25-65 years will be selected. 2. Sex: Both male & female. 3. All socioeconomically persons. 4. Patient voluntarily willing to participate in the trial. Symptoms- According to Astang Hridaya Ni. 15/43

Type of study: Phase 2, Rational, Randomized parallel group study. • Period of study- Total duration of clinical trial is 3 months. Follow up period- During the treatment - 15 Days. After the treatment - 15 Days. Sample Size: Minimum 50 patients of Avabahuka w.s.r Frozen Shoulder from OPD and IPD of State Ayurvedic College and Hospital and referred cases of other hospital will be selected and randomly divided in two group i.e., group A and group B with approximately 10% drop out. Grouping: Group A- In this group patient will be treated with Nasya (internal use of Svalp Masha tail) & Sthanik Abhyanga along with Adityapak Gugglu orally for 15 Days. Group B- In this group patient will be treated Snehpan (internal use of Masha tail) & Sthanik Abhyanga along with Adityapak Gugglu (orally) for 15 Days.

PLAN OF TREATMENT

Group A: In this group of patients, Nasya (Marsha Nasya) will be given with Svalpmasha Tail in each nostril 6 Drops & Sthanik Abhyanga on shoulder region to neck region for 15 min. in Evening & Adityapak guggul orally 2-tab (each tab. 500 mg) B.D. with lukewarm water after taking meal.

Group B: In this group of patients, Snehpana of Svalpmasha Tailam (30 M.l., B.D. with milk) will be given & Sthanik Abhyanga on shoulder and neck region for 15 min. in Evening along with Adityapak guggul orally 2-tab (each tab. 500 mg) B.D. with lukewarm water after taking meal.