Download Clinical Research Protocols for Traditional Health Sciences: by Central Council for Research in Ayurveda and Siddha (India) PDF

By Central Council for Research in Ayurveda and Siddha (India)

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Additional info for Clinical Research Protocols for Traditional Health Sciences: Ayurveda, Siddha, Unani, Sowa Rigpa, and Others

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To be translated into regional language. 39 CENTRAL COUNCIL FOR RESEARCH IN AYURVEDA AND SIDDHA ASSESSMENT OF SAFETY& THERAPEUTIC EFFICACY OF SHIRISHADI KWATHA IN THE MANAGEMENT OF MILD PERSISTENT ASTHMA (TAMAKA SWASA) CASE REPORT FORM I - SCREENING BEFORE TREATMENT (Enter a in the appropriate box) 1. ………. 2. Code No. (of clinical trial) 3. ………………………………… 4. Gender: 5. Date of Birth: 6. Address Permanent postal address with phone number and email if any. ) : CRITERIA FOR INCLUSION Yes (1) 7. Age between 18 years to 40 years 8.

No. ………………………………… 4. Name of the Subject: ........................................................................................................... 5. Gender: 6. Date of Birth: 7. ………………………… 8. Educational status: Illiterate (1) 9. A. (8) Field work (2) Occupation: Desk work(1) Field work with physical labour (3) Field work with intellectual (4) (6) Indicate nature of work: ........................................................................... 10. ): ____________________________ of the participant and Head of the family Chief complaints with duration (in days) Yes (1) 11.

Of attack Per month Present (1) Absent (0) If present, then duration Yes (1) No (0) 18. Skin allergy History of Present illness: 19. History of Nasal symptoms 1. Sneezing 2. Running nose 3. Blocked nose 4. Post nasal drip 5. History of throat clearing If yes then specify: ............................................................................................... 43 Treatment History Yes (1) No (0) Yes (1) No (0) 20. Traditional/Homeopathic Medicine 21. Modern Medicine History of Past illness: 22.

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