Introduction

Tinea capitis is a superficial dermatophytic infection of the scalp and hair shafts, primarily caused by Trichophyton and Microsporum species.^[1,2] It is more commonly observed in children but may also occur in adults, particularly those with compromised immunity or prolonged exposure to unhygienic conditions. Clinically, the condition manifests as round or irregular scaly patches of alopecia, broken hairs, black dots, pruritus, and occasionally pustules or kerion formation. Chronic cases may extend to involve other facial hair regions, such as the eyebrows and beard.

In modern medicine, treatment primarily involves systemic antifungal agents, which may carry risks of side effects and relapse upon discontinuation. Ayurveda, however, offers a holistic treatment strategy focusing on Dosha balance, detoxification, and tissue rejuvenation.

In Ayurvedic texts, tinea infections can be correlated with Dadru Kushtha, a condition attributed to the vitiation of Pitta and Kapha Doshas, often associated with Krimi (pathogenic organisms).^[3,4] The treatment protocol involves both internal and external therapies, including Krimighna, Kusthaghna, and Rasayana Dravyas, to eliminate the root cause and rejuvenate affected tissues. This case study highlights the successful Ayurvedic management of a 36-year-old male suffering from tinea capitis alopecia, using a combination of local applications and internal medications. The outcome demonstrates the potential of Ayurvedic interventions in managing chronic dermatological conditions, especially those involving fungal infections and hair loss.

Patient Information

• Age/Gender: 36-year-old male
• Presenting Complaints: Patchy alopecia over scalp, right eyebrow, and beard with intense itching and scaling for 5 months
• Medical History: No systemic illness or immunosuppression
• Previous Treatment: Homeopathic therapy which worsened the symptoms

Clinical Findings

• Scalp: Multiple round to oval alopecic patches; dry and scaly with black dot hairs

• Adverse Effects: None reported
• Patient Satisfaction: High, due to cosmetic and symptomatic relief

Discussion

Tinea capitis often becomes chronic or recurrent due to incomplete treatment, resistance, or immune factors. In this case, Ayurvedic management targeted multiple aspects - eliminating Krimi, correcting Doshic imbalance, and promoting Rasayana (rejuvenation).

• Karanj Taila has antifungal and anti-inflammatory properties.^[6]
• Tankan Bhasma works as a keratolytic agent to reduce scaling.^[7]
• Arogyavardhini Vati and Gandhak Rasayana detoxify and purify Rakta Dhatu.^[8]
• Krimi Kuthar Rasa targets the underlying fungal component (Krimi).^[9]
• Manjisthadi Kwath supports blood purification and skin healing.^[10]

The holistic and synergistic effect of these medicines led to sustained symptom relief and visible cosmetic recovery.

Patient Perspective

The patient expressed satisfaction with symptom relief and cosmetic improvement. He appreciated the natural approach and lack of adverse effects.

Written informed consent was obtained from the patient for publication of this case and accompanying images

Conclusion

This single case study demonstrates the potential of Ayurvedic treatment in managing Tinea Capitis alopecia effectively, without side effects.

The results suggest that classical Ayurvedic formulations can serve as a reliable therapeutic option for chronic fungal scalp infections. Further large-scale, controlled clinical trials are recommended to establish statistical significance and broader applicability.