Critical review on Ayurvedic Management of Khalitya (Hair Fall) and its Management

Abstract

Khalitya, commonly identified as alopecia in modern medicine, is a progressive disorder characterized by hair fall, particularly from the scalp. Ayurveda classifies Khalitya under Shiroroga (head disorders) and Kshudra Roga (minor ailments) due to its localized impact and mild severity when treated appropriately. The condition is primarily attributed to the aggravation of Pitta dosha, which weakens hair follicles, while Vata dosha induces dryness and brittleness. Additionally, Kapha dosha and Rakta (blood) contribute by obstructing hair roots (Romakupa), hindering hair regrowth. The rising incidence of Khalitya is linked to dietary imbalances, stress, environmental pollution, and improper hair care routines. Excessive intake of spicy, salty, or acidic foods, along with mental stress, disturbs the equilibrium of doshas, exacerbating hair fall. Ayurveda emphasizes a holistic treatment approach that addresses the root causes while enhancing scalp nourishment and promoting healthy hair growth. Management strategies include Nidana Parivarjana (elimination of causative factors), Shodhana (purification therapies) such as Nasya Karma (nasal therapy) and Raktamokshana (bloodletting), and Shamana (palliative therapies) using medicated oils like Bhringaraja Taila and Malatyadi Taila. Oral administration of Rasayana herbs such as Amalaki, Brahmi, and Ashwagandha further strengthens hair roots and improves hair quality. By combining Ayurvedic principles with preventive care, individuals can effectively manage Khalitya, reduce hair fall, and enhance hair regrowth, ensuring long-term scalp health and improved confidence.