MANAGEMENT OF KHALITYA IN AYURVEDA-A CASE STUDY

Abstract

Purpose-Khalitya is mainly a Pitta dominant Tridoshaja Vyadhi. In Ayurveda Khalitya means hair fall and it closely resembles to baldness or alopecia in modern science. In present era millions of people are suffering from hair fall. Prevalence of hair fall was 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%. It is a universal problem affecting both sexes of all races. Khalitya has been described in Ayurveda under the heading of Kshudra Roga (minor disease) or Shiroroga (diseases of head & scalp). It is progressing disorder people living in sedentary life, stress induced hectic schedules along with indiscriminate dietary habits result in many disturbance and deficiencies in the body which directly reflect in loss of hair. Method-This is single case study of 35 year old female suffering from excessive scalp hair fall along with itching on scalp and constipation (associated complaint) visited the OPD (Registration No-1711022018) of Panchkarma, NIA, Jaipur. As per Ayurveda, this case was treated in the line of Khalitya. The whole treatment includes Takradhara, Nasya Karma with Madhuyashtyadi Taila for 14 days, along with Shamana Chikitsa. Assessment was done on the basis of symptoms. Result-The therapy provided marked changes in the hair fall. The present study showed significant reduction in hair fall, itching on scalp etc. There were no adverse reactions, either reported or observed during the treatment period. Conclusion-Based on the case study it can be concluded that Takradhara, Nasya Karma along with Shamana Chikitsa is effective in the management of Khalitya (hair fall).

Full text

International Journal of Research in Medical Sciences and Technology http://www.ijrmst.com
(IJRMST) 2019, Vol. No. 8, Jul-Dec e-ISSN: 2455-5134, p-ISSN: 2455-9059
537
Presented at SAUNDARYA-2019: An International Conference on Beauty held on 15th & 16th November,
2019 by National Institute of Ayurveda, Jaipur & IConference, New Delhi
MANAGEMENT OF KHALITYA IN
AYURVEDA- A CASE STUDY
*Dr. Nidhi Gupta, **Dr. Gopesh Mangal
*PG Scholar, **Associate Professor & Head, PG Department of Panchakarma, National Institute of Ayurveda,
Jaipur-302002, Rajasthan
ABSTRACT-
Purpose- Khalitya is mainly a Pitta dominant Tridoshaja Vyadhi. In Ayurveda Khalitya means hair fall and it closely
resembles to baldness or alopecia in modern science. In present era millions of people are suffering from hair fall.
Prevalence of hair fall was 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%. It is a universal problem affecting both sexes of all races. Khalitya has been described
in Ayurveda under the heading of Kshudra Roga (minor disease) or Shiroroga (diseases of head & scalp). It is
progressing disorder people living in sedentary life, stress induced hectic schedules along with indiscriminate dietary
habits result in many disturbance and deficiencies in the body which directly reflect in loss of hair.
Method- This is single case study of 35 year old female suffering from excessive scalp hair fall along with itching on
scalp and constipation (associated complaint) visited the OPD (Registration No- 1711022018) of Panchkarma, NIA,
Jaipur. As per Ayurveda, this case was treated in the line of Khalitya. The whole treatment includes Takradhara,
Nasya Karma with Madhuyashtyadi Taila for 14 days, along with Shamana Chikitsa. Assessment was done on the
basis of symptoms.
Result- The therapy provided marked changes in the hair fall. The present study showed significant reduction in hair
fall, itching on scalp etc. There were no adverse reactions, either reported or observed during the treatment period.
Conclusion- Based on the case study it can be concluded that Takradhara, Nasya Karma along with Shamana Chikitsa
is effective in the management of Khalitya (hair fall).
Keywords - Khalitya, Takradhara, Nasya
INTRODUCTION-
Concept of beauty (Saundarya) is gaining more and
more attention globally and hair plays an important
role in and it has been said that hair is a barometer of
one’s beauty1. In this advanced modernized era, the
human are gifted with lot of sophistication, luxuries
but at the same time left with sedentary life style, stress
induced hectic schedules along with faulty dietary
habits. These all habits influences the homeostasis of
the body and many other health problems, hair fall is
one of them. Problem of falling of hair is progressively
increasing in society affecting the quality of life. In
Ayurveda Khalitya means hair fall and it closely
resembles to baldness or alopecia in modern science.
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%2. It is a universal
problem affecting both sexes of all races3. Hair fall has
been described in almost all the Ayurvedic literatures
as Khalitya. It has been included in Shiroroga by
Acharya Charaka and Ashtanga hridaya4. Khalitya is
mainly a Pitta dominant Tridoshaja Vyadhi5 where
Tejas Mahabhoota combining with Vatadi Dosha
reaches the Shira Kapala and cause hair fall by

International Journal of Research in Medical Sciences and Technology http://www.ijrmst.com
(IJRMST) 2019, Vol. No. 8, Jul-Dec e-ISSN: 2455-5134, p-ISSN: 2455-9059
538
Presented at SAUNDARYA-2019: An International Conference on Beauty held on 15th & 16th November,
2019 by National Institute of Ayurveda, Jaipur & IConference, New Delhi
Dahana of Roma Koopa (hair follicles)6. Indralupta
and Ruhyam these are 2 words which is also described
in Ayurveda as a symptom of Hair fall7. According to
Acharya Charaka, the Tejas 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
generalised over the scalp but hair is lost suddenly and
patch by patch in Indralupta8.
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, Ushar Bhoomi, Viruddha Aharasevan9,
ignorance of Pratishyaya10, take of Lavan during
pregnancy would be result in congenital hair loss
(Khalitya)11. Acharya Vagbhatta has mentioned
Shiroroga under the caption of Urdhvajatrugata
Vyadhi and these are further divided into 9 Kapalagata
Vyadhi, Khalitya being one of them12. There is no
separate description about causative factor of Khalitya
but the general etiological factor of Shiroroga can be
considered as that Khalitya Nidana.
Hair fall changes the outer look of a person, which
becomes embarrassing and more conscious and is
being forced to undergo various and more expensive
treatment like hair transplant in modern science.
Different types of steroids are being prescribed for the
management of hair fall continuous and long term of
which is having various adverse effects. In such a
scenario there is a need for the efficient management
of hair fall in a natural way without leading to further
adverse effects. Ayurveda classics explain different
modality for the management of Khalitya (hair fall).
Pitta is the Pradhana Doshas contributing to Khalitya
(hair fall). Ayurveda advocates some fruitful
Panchakarma therapies like Takradhara and Nasya
Karma. Hence an effort has been made to evaluate the
efficacy of Takradhara and Nasya Karma along with
Shamana Chikitsa (Internal medicine) in the
management of the Khalitya (hair fall).
CASE REPORT
This is single case study of 35 year old female
suffering from excessive scalp hair fall along with
itching on scalp) since 1year, visited the OPD
(Registration No- 1711022018) of Panchakarma,
NIA, Jaipur.
History of present illness- A 35 year old female
experienced itching of scalp 13 year back. After few
months, she suffered from hair fall. Gradually she
developed excessive hair loss of scalp like baldness.
She was under mental stress due to hair loss. She had
undergone allopathic treatment but that provide her
only temporary relief. With this complains, patient
approached the NIA, jaipur.
History of past illness- there was no relevant past
history.
Family history- No member of the family had history
of such illness.
Personal history- [Table no.1]
Diet
Vegetarian
Appetite
Good
Micturition
5-6 times/day and 0-1 time/night
Sleep
Sound rarely disturbed
Bowel habit
irregular
addiction
Not any
Astavidha Pariksha - [Table no.2]

International Journal of Research in Medical Sciences and Technology http://www.ijrmst.com
(IJRMST) 2019, Vol. No. 8, Jul-Dec e-ISSN: 2455-5134, p-ISSN: 2455-9059
539
Presented at SAUNDARYA-2019: An International Conference on Beauty held on 15th & 16th November,
2019 by National Institute of Ayurveda, Jaipur & IConference, New Delhi
Nadi
74bpm
Mutra
Samyaka
Mala
Sama
Jivha
Nirama
Shabda
Spasta
Sparsha
Samshitoshna
Drik
Spasta
Akriti
Madhyam
Systemic examination- [Table no.3]
Blood Pressure
126/80
Temperature
A febrile
Pulse
74/bpm
Respiratory Rate
18/min.
Weight
62 kg
Height
5’3’’
Sleep
Sound
Gait
Normal
Oedema
Absent
Investigation-Hematological investigation of the patient was within normal limits. The case was diagnosed Khalitya
(Hair fall) on the basis of sign and symptoms. Patient was treated at OPD level of Panchkarma department of NIA.
The treatment was given according to Ayurveda principles.
Intervention- Takradhara and Nasya Karma along with the Shamana Chikitsa was given to the patient.
Shodhana Chikitsa- [Table no.4]

International Journal of Research in Medical Sciences and Technology http://www.ijrmst.com
(IJRMST) 2019, Vol. No. 8, Jul-Dec e-ISSN: 2455-5134, p-ISSN: 2455-9059
540
Presented at SAUNDARYA-2019: An International Conference on Beauty held on 15th & 16th November,
2019 by National Institute of Ayurveda, Jaipur & IConference, New Delhi
S.No
Procedure
Drug
Dose
Time
1.
Takradhara
Takra+ Amalaki
Churna+ Vidanga
Churna
1-1.5 litre
For 14 days at the
morning time
2.
Nasya
Madhuyashtyadi Taila
4 drop each nostril
For 14 days at the
morning time
Shamana Chikitsa- [Table no.5]
S. No.
Date of start
11/2/2019
Drug
Dose
Frequency
1.
Amalaki Churna
Bhrangaraj Churna
Yastimadhu Churna
2gm
2gm
2gm
BD after meal
2.
Bhrangaraj Asava
1 tsf
BD after meal
3.
Neelibrangyadi Taila
For local application
4.
Rich Health Nutra
1cap
OD after meal
Follow up of the patient was done after 1month of completion of procedure.
Assessment-
Assessment was done after the completion of procedure and after the follow up. Both subjective as well as clinical
improvements were employed for the assessment of the impact of the procedure. All symptoms which were selected
for assessment, their improvements were thoroughly examined and the severity of each of them was rated before and
after the trial of the procedure. Grading was done for the assessment [Table no. 6], [Table no 7]
Subjective criteria-
Keshpata (hairfall)- [Table no. 6]
1.
No hair fall
0
2.
Hair fall once in the morning while washing/ combing
1
3.
Hair fall on every time of morning
2
4.
Hair fall even without combing and raised hairline in frontal
region (mild baldness)
3
Keshbhoomi Rukshata (Roughness)- [Table no. 7]
1.
Smooth hair surface
0
2.
Occasional rough hair surface
1
3.
Slight rough hair surface
2
4.
Rough hair surface
3
Keshbhoomi Kandu (itching)- [Table no. 8]

International Journal of Research in Medical Sciences and Technology http://www.ijrmst.com
(IJRMST) 2019, Vol. No. 8, Jul-Dec e-ISSN: 2455-5134, p-ISSN: 2455-9059
541
Presented at SAUNDARYA-2019: An International Conference on Beauty held on 15th & 16th November,
2019 by National Institute of Ayurveda, Jaipur & IConference, New Delhi
1.
Absent
0
2.
Mild itching
1
3.
Moderate itching
2
4.
Severe itching
3
Darunaka (Dandruff)- [Table no. 9]
1.
Absent
0
2.
Mild
1
3.
Moderate
2
4.
Severe
3
Simple pull test- [Table no 10]
<2 hair
0
2-4 hair
1
4-6 hair
2
6-8 hair
3
Overall assessment- [Table no 11]
S.No
Symptoms
BT
AT
After follow up
1.
Keshpata (hairfall)
3
1
2
2.
Keshbhoomi Rukshata
(Roughness)
3
2
2
3.
Keshbhoomi Kandu (itching)
2
1
1
4.
Darunaka (Dandruff)
0
0
0
5.
Pull test
3
1
1
Figure No.1
Before treatment After treatment
DISCUSSION- Following treatment of Khalitya are described by
different Acharya in our text. Acharya Charaka

International Journal of Research in Medical Sciences and Technology http://www.ijrmst.com
(IJRMST) 2019, Vol. No. 8, Jul-Dec e-ISSN: 2455-5134, p-ISSN: 2455-9059
542
Presented at SAUNDARYA-2019: An International Conference on Beauty held on 15th & 16th November,
2019 by National Institute of Ayurveda, Jaipur & IConference, New Delhi
mentioned that the patient of Khalitya should be
treated by Nasya, Shiroabhyanga and Pralepa on the
head and face along with Shodhana Chikitsa13.
Acharya Sushruta has also mentioned about
Pradhamana Nasya in the management of Khalitya14.
Acharya Vagbhatta mentioned that after the Shodhana
of Dosha, the treatment which is mentioned in
Indralupta and Palitya, should be done in Khalitya. In
present study Takradhara and Nasya Karma with
Madhuyashtyadi Taila along with Shamana Chikitsa
was a good choice of treatment modality for Khalitya.
Probable mode of action of Takradhara- Shirodhara
is a form of Ayurveda therapy that involves gently
pouring warm liquids over the forehead. There are
various form of Shirodhara such as Tailadhara,
Takradhara, Ksheeradhara, Jaladhara and
Kvathadhara. The aim of this study was to treat
Khalitya (hair fall) in natural way with administration
of medicine with some special modification. Here we
have been used Takra as a main content for Shirodhara
in place of oil hence we called as Takradhara. The
drugs used along with Takradhara (Amalaki, Vidanga)
have Vata, Pitta Shamaka property which are not only
reduces mental stress and tension but also enhance the
circulation of brain, improves memory, nourishes the
hair on scalp and help to reduce hair fall. When Takra
is poured in a continuous stream over forehead it might
communicate with the deepest recesses of the brain
soothing the Marma. Takradhara stimulates some
Marma like Shankha, Sthapni, Apanga etc. and
improves blood circulation in the brain.
Probable mode of action of Nasya Karma- Nasya is
mainly indicated to cure the diseases affecting as well
as strengthen the supra-clavicle part of the body such
as head and sense organs because nostril is considered
as route of head “ Nasa hi sirso dwaram”.
Yashtimadhu, Amalki, Godugdha and Tila Taila are
the contained of Madhuyashthadi Taila which having
the Rasayana, Keshavriddhikara, Kriminashaka,
Balya Varnya, Kandughhna, and Vyasthapana
properties.
Probable mode of action of Shamana Chikitsa-
Neelibrangyadi Tail used as a local application over
head which has Keshya and Rasayana properties. This
oil also enhances the nutritive beneficial effect on the
hair. The Neelibrangyadi Taila is likely to stimulate
the anagen phase (growth phage) and re-growth of
hairs and this purpose is achieved by local application
of oil over head due to deeper absorption. The
combination of Amalaki, Bhrangaraj and
Yashtimadhu work as a Rasayana which help in
Keshavriddhi and rejuvenation. These drugs are
possessing Tridoshhara property, Agnideepana,
Krimihara action. There by promoting hair growth
along with overall wellness of the body.
CONCLUSION
On the basis of single case study it can be conclude
that Takradhara and Nasya along with Shamana
Chikitsa are effective in the management of Khalitya
(hair fall).
Conflicts of Interest: Not any
REFERENCES-
1. Review article on CONCEPT OF HAIR
AND ITS CARE IN AYURVEDA, Ankita
Viroja et al, Journal of Biological and
scientific opinion, vol.3 (6). 2015; ISSN
2321-6328.
2. Article on Study on Hair fall with related
problems among males of age 18 to 50 years,
Priyadharshini Mahendra Varman et al; DOI:
10,7860/JCDR/2018/36050.12175.
3. Review article on ELIXIR ACTION OF
AYURVEDA IN KHALITYA; Sanchit Jain
et al; An International Journal of Research in
AYUSH and Allied Systems; ISSN: 2393-
9583 (P)/ 2393-9591 (0)
4. Ashtanga Hrdayam of Vagabhata, Vidyotini
Hindi commentary Uttarsthana, 23/26
Chaukhamba Prakashana, Varanasi, Edition;
Reprint, 2009 page no.728
5. Acritical review on Nidana Panchaka of
Khalitya, Pramod Kumar et al; International
journal of research in Indian medicine; e-
ISSN; 2456-4435
6. Charaka Samhita, Vidyotini Hindi
commentary vol.2, Chikitsasthana, 26/132
Chaukhamba Bharati Akadmi; Varanasi By

International Journal of Research in Medical Sciences and Technology http://www.ijrmst.com
(IJRMST) 2019, Vol. No. 8, Jul-Dec e-ISSN: 2455-5134, p-ISSN: 2455-9059
543
Presented at SAUNDARYA-2019: An International Conference on Beauty held on 15th & 16th November,
2019 by National Institute of Ayurveda, Jaipur & IConference, New Delhi
Dr. Gorakha Nath Chaturvedi & Pd. Kashi
Nath Shashtri, page no.744
7. Ashtanga Hrdayam of Vagabhata, Vidyotini
Hindi commentary Uttarsthana, 23/25
Chaukhamba Prakashana, Varanasi, Edition;
Reprint, 2009 page no.728
8. Ashtanga Hrdayam of Vagabhata, Vidyotini
Hindi commentary Uttarsthana, 23/26
Chaukhamba Prakashana, Varanasi, Edition;
Reprint, 2009 page no.728
9. Article on Evaluation of efficacy of
Bruhatyadi Taila Nasya with Shiroabhyanga
in the management of Khalitya;
www.ejpmr.com; ISSN 2394-3211
10. Charaka Samhita, Vidyotini Hindi
commentary vol.2, Chikitsasthana, 26/107-
108 Chaukhamba Bharati Akadmi; Varanasi
By Dr. Gorakha Nath Chaturvedi & Pd.
Kashi Nath Shashtri, page no.737
11. Kaviraja Atrideva Gupt, Astanga Samgraha-
I, Sharir sthana, 2/61, Chaukhamba
Krishnadas Academy, Varanasi, reprint-
2005, page no. 280-281.
12. Kaviraja Atrideva Gupt, Astanga Hridaya–
Uttartantra, 23/24-25, Chaukhamba
publication, Varanasi, reprint-2012, page no
728
13. Charaka Samhita, Vidyotini Hindi
commentary vol.2, Chikitsasthana, 26/262
Chaukhamba Bharati Akadmi; Varanasi By
Dr. Gorakha Nath Chaturvedi & Pd. Kashi
Nath Shashtri, page no.761
14. Shushrut samhita Chaukhamba Sanskrit
Sansthana, Edition: Reprint, 2014 volume
Chaukhamba publication Hindi commentary,
Volume 2; Uttarasthana, 54/37 page no-513.