Introduction
In Ayurveda Hair fall or loss of hair termed as Khalitya.[1] Acharya Sushruta classified it under the Kshudraroga[2] and Acharya Vagbhata under the Shiroroga.[3] The incidence of “Khalitya” (Hair fall) is increasing day by day. Changing lifestyle, unhealthy dietary habits, sleep disturbances, systemic diseases, medications and stressful life also contribute to it.[4] According to survey up to 40% of men and 25% of women in India are victims of hair fall. Now a day’s hair falls commonly seen in youngsters too.[5] Shabdakalpadruma and Vachaspatya have mentioned as "Khalati Skahalyanti Kesha Asmar", this means word Khalitya is falling of the hair. Here, Teja and Vatadi Dosha when enters into the Kesha Bhoomi, it results in Khality, while commenting on this Acharya Chakrapani clarifies that the word Teja denotes Dehoshma and is directly proportional to Pitta Dosha.[6] Kesha is the Mala of Asthi Dhatu[7], consequently whenever there is a Vrudhi and Kshaya of Asthi Dhatu there it will affect the growth and development of the hair. This is observed through the sign and symptoms of the Asthi Kshaya i.e., Kesha, Loma, Nakha, Shamshru, Dwija Prapatanam, Shrama and Sandhi Shaithilyam.[8]
Millions of people are suffering from hair fall and the prevalence of hair fall found to be 60.3%, prevalence of dandruff was found to be 17.1% and the prevalence of baldness was found to be 50.4%.[9] It is a universal problem affecting both sexes of all races.[10] According to modern science hair fall is one of the main symptoms which indicate many pathological conditions. It may occur due to hormonal disturbance. In Ayurveda there is no clear description about the causative factors of Khalitya except Acharya Charaka and Vagbhatta who has mentioned the major factors as follows- Pitta Prakarti, Ksharaatisevan, Lavanrasa Atisevan, Ushama Bhoomi, Viruddha Aharasevan[11], ignorance of Pratishyaya[12], intake of Atilavana during pregnancy would be result in congenital hair loss (Khalitya).[13] Khalitya is mainly a Pitta dominant Tridoshaja Vyadhi[14] where Tejas Mahabhoota combining with Vatadi Dosha reaches the Shira Kapala and causes hair fall by Dahana of Roma Koopa (hair follicles).[15] Indralupta and Ruhyam these are 2 words which is also described in Ayurveda as a symptom of Hair fall.[16]
According to Acharya Charaka, the Teja Dhatu (heat) of the body in association with Vayu and other Dosha, scorches up the hair-root (scalp) giving instantaneous rise to Indralupta (alopecia). According to Acharya Kartika, falling of hair from all over the body is called Ruhya. There are some differences between Khalitya & Indralupta. In Khalitya, hair loss is gradual and generalized over the scalp but hair is lost suddenly and patch by patch in Indralupta.[17]
Causes of Hair Fall
- Viruddha Aahara Vihara
- Pitta Vardhak Aahara Vihara
- Hina, Mithya and Atiyoga of Aahara, Nidra and Brahmacharya
- Consuming polluted water
- Living in polluted
- Non application of oil on the
- Consumption of Dushi Visha.
Following treatment of Khalitya are described by different Acharya in our text. Acharya Charaka mentioned that patient of Khalitya should be treated by Nasya, Shiroabhyanga and Pralepa on head and face along with Shodhana Chikitsa.[18] Acharya Sushruta has also mentioned about Pradhamana Nasya in management of Khalitya.[19] Acharya Vagbhatta mentioned that after Shodhana of Dosha, treatment which is mentioned in Indralupta and Palitya, should be done in Khalitya.
Ayurvedic Line of Treatment
- Moordha Tail (oiling) and paste for local application over scalp
- Nasya (nasal drop)
- Snana (taking bath)
- Dhoomapana (medicated smoke)
- Kshaurakarma: Haircutting & proper care of the hair of scalp & beard
- Ushnishka: The wearing of Ushnishka (turban or cap)
- Panchakarma (Virechana)
- Basti (Panchatikta Kshira)
- Shirodhara
- Rasayana Chikitsa - Amalaki Rasayan