Study Of Dosha Dushya Sammurchana In Indralupta And Its Management With...

[Full title: Study Of Dosha Dushya Sammurchana In Indralupta And Its Management With Bhallataka And Madhu W.S.R. To Alopecia Areata]

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[Find the meaning and references behind the names: Bala, Vikas, Gupta, Sodhi, Madhu, Honey]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 70 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 ABSTRACT : Indralupta is a skin ailment that affects all the hair-bearing skin including beard and scalp. Patients who are suffering from Indralupta experiences loss of hair which is not like the usual hair loss but rather tufts of hair which tend to fall out over a short period of time. According to the science of Ayurveda, out of three vital Doshas of our body, Vata and Pitta get localized in the hair pores in the scalp region in aggravated condition. This condition obstructs micro-channels ( Sleshma and Shonita) to supply nutrients to the hair follicle, which results in falling of tufts of hair in that particular region and also preventing further regrowth of hair that leaves a bald patch. Bhallataka is identified botanically as Semecarpus anacardium Linn.f. comes under the family Anacardiaceae. It is commonly known as Indian marking nut and used extensively in the system of Ayurveda to cure many diseases like Arshas (piles), Arbuda (cancer) etc. Bhallataka is mentioned under Upavisha group in Ayurvedi c classics and it is described as a poisonous medicinal plant in Drugs and Cosmetics Act (India), 1940. Bhallataka should be used after proper shodhana (purification/processing). Different shodhana methods are mentioned in the Ayurvedic literature. In this study Bhallatak and Honey have been used to provide therapeutic relief to the patients of Indralupta Keywords : Indralupt, Bhallataka, hair loss, Upavisha ISSN:2581-785 X ISRA Impact Factor : 1.318 SJIF Impact Factor : 5.69 Study Of Dosha Dushya Sammurchana In Indralupta And Its Management With Bhallataka And Madhu W.S.R. To Alopecia Areata Research Article Issue: 12 Volume: 3 Dr Vikas Gupta 1 , Dr Danisha Sodhi 2 , Dr Sakshi Panjgotra 3 1- Dr Vikas Gupta Associate Professor PG Department of Kriya Sharir Jammu Institute Of Ayurveda And Research 2- Dr Danisha Sodhi Associate Professor PG Department of Kriya Sharir Jammu Institute Of Ayurveda And Research 3- Dr Sakshi Panjgotra P.G.Student PG Department of Kriya Sharir Jammu Institute Of Ayurveda And Research

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 71 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 INTRODUCTION Ayurveda is an ancient time tested method of holistic medicine that supports the individual in finding balance throughout their physiology leading to great level of health and happiness. Ayurveda 1 , the 5000 year old healing system from India, has a unique perspective on beauty. Holistic, all encompassing, the Ayurveda explains three pillars of beauty - So, the concept of beauty has always been of a great aesthetic value either in prehistoric times or in present era. Beauty consciousness and the knowledge of application of different beautifying materials is as old as human existence on this earth. Hair: A Barometer Of One’s Beauty Hair is a powerful metaphor in our society. It is an important part of one’s appearance and sets the tone for entire look. Throughout history, hair has played a significant role in our society. It is associated with youthfulness and beauty in women and virility and masculinity in men. THREE BEAUTY PILLARS BY AYURVEDA ROOPAM GUNAM VAYASTAG Inner Beauty How to Cite the Article : Dr Vikas Gupta, Dr Danisha Sodhi, Dr Sakshi Panjgotra , Study Of Dosha Dushya Sammurchana In Indralupta And Its Management With Bhallataka And Madhu W.S.R. To Alopecia Areata , IRJAY, December : 2020 Vol- 3, Issue-12; 70-90, Doi: https://doi.org/10.47223/IRJAY.2020.31213 Article received on-3 Dec Article send to reviewer on-3 Dec. Article send back to author on-15 Dec. Article again received after correction on -21 Dec. Corresponding Author : , Dr Vikas Gupta Associate Professor PG Department of Kriya Sharir Jammu Institute Of Ayurveda And Research, Email, Id-drvikasgupta 3003@gmail.com

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[Find the meaning and references behind the names: Mala, Roman, Roma]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 72 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Healthy, beautiful, attractive hairs increase the charm of the personality. Hair Loss: A Struggle Losing hair can be seem like a fairly frivolous thing for countless people across the globe.One looses up to 100 hair’s from one’s scalp everyday. That’s normal and in most people, those hairs grow back 2 Hair: An Ayurvedic Aspect The word “ Kesha ” is used for hair in Ayurveda. Halayudha Kosha has explained it as- “Kesha are the elements that grow on scalp, mastak and shirah.” Kesha are parthiva dravyas because of their qualities such as roughness, steadiness, heaviness etc.In Brihattrayee Samhitas, Kesha is mentioned as Mala of Asthi-Dhatu while Sharangdhara has mentioned it as updhatu of Majja 3 . Table 1- Kesha Sankhya - No.of Kesha= No.of Sira & Dhamani 4 Acharyas Kesha Sankhya Yajnavalkya 3 lakh kesha. 54,67,50,000 roma. Charaka 29956 kesha. Vidhyotini-teeka of Charaka 72 crores(apatopdesha) Sushruta Innumerable. Vagbhat Same as that of Charaka. Kashyapa 2,00,000 roma koopa.

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 73 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table-2- Kesha Growing On Different Body Parts Area of Body Name of Hairs (Based on location) Scalp Kesha, Kantal, Chikru Body Roma,Romaraji,Loma Eyelids Pakshama Face Shmashru Eyebrows Bhrikuti Genitalia and arm pits Vyanjana or Vyanjanana Hair : Modern Aspect Hair is one of the defining characters of mammals.It is a protein filament that grows from follicles found in dermis or skin. It is primarily composed of protein Keratin. Table 3- Synonyms Of Indralupta Given By Different Acharyas Acharya Sushruta Khalitya, Ruhya Acharya Charaka Khalitya, Khalati Ashtang Sangraha Rujya, Khalati Ashtang Hridya Khalati, Chacha Harita Keshaghna Bhoja Ruhya

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[Find the meaning and references behind the names: Mark, Madhav]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 74 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 4-Definition Of Indralupta Given By Different Acharyas Acharya Charaka Tejas by involving Vatadi Dosha when reaches the scalp, it results in Khalitya (Indralupta)(Ch.ch.26/132) Acharya Sushruta Pitta along with Vata by involving the roots of hair (Romakoopa) causes fall of hairs and there after kapha along with rakta obstructs the channel of Romakoopa leading to the stoppage of the regeneration of hair and this condition is known as Indralupta, Khalitya or Ruhya (Su.Ni. 13/32-33) Ashtang Sangraha Acharya Vagbhatta has described pathology as per Acharya Sushruta.(A.s. 27/24-25)He has differentiated Indralupta and Khalitya by saying that :-“In Khalitya, loss of hair occurs gradually than that in Indralupta.” Ashtang Hridya Laghu Vagbhatta has described it same as Ashtanga Samgraha. Madhav Nidana Madhavakara has followed the description of Sushruta(M.N.55/28- 29) Nidana Of Indralupta - 1-Over intake of kshara,lavana and viruddha ahara.(Ch.Vi.1/17-18). 2-By ignorance of pratishyaya(Ch.ch.26) Alopecia-Areata Alopecia areata (AA) is an autoimmune skin disease in which hair is lost from some or all areas of the body, usually from the scalp often resulting in the bald patches Alopecia is not contagious. It is not due to nerves. What happens is that the immune system attacks the hair follicles causing hair loss. This disease most often occurs in otherwise healthy people Signs &Symptoms- 1 Patchy hair loss. 2 Exclamation Mark” hairs 3 Pitting & longitudnal wrinkling of nails.

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[Find the meaning and references behind the names: Long]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 75 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 5- Types Alopecia- Areata Alopecia Areata Focalis Hair loss occurs in patches on the scalp or on other parts of the body.(eg)Face, Abdomen, Extremities. Alopecia Areata Totalis Loss of all hair on the scalp including eyebrows and eye lashes. Alopecia Areata Universalis Loss of all or almost all body hair. Alopecia Maligna Long term loss of hair resistant to treatment. Ophiasis Marginata Snake shaped hair loss around the circumference of the head in the temporal,occipital and frontal areas. Ophiasis Inversus Inverse pattern of hair loss which expands from the central to the marginal area of the head. Alopecia Areata Reticularis Diffuse or reticular hair loss where no separate bald patches can be distinguished. Selection Of The Drug Bhallataka, mixed with honey is applied on patients of Indralupta 5 NEED FOR STUDY 1 Indralupta may often affect a person psychologically and emotionally. 2 Existing treatment methods such as corticosteroids, immuno-suppressants etc. may result in various adverse effects and lack of efficacy also. 3 Further such treatments can be found out to be expensive. 4 Recurrence is seen many times even after the completion of course of the treatment. 5 So this study was carried out to find a reliable, effective, no recurrence and more over affordable treatment. AIMS AND OBJECTIVES – 1 To study the etiopathogenesis of Indralupta . 2. To evaluate the efficacy of Bhallataka and Madhu in the management of Indralupta.

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[Find the meaning and references behind the names: Brown]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 76 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 MATERIAL AND METHODS - Literary review: Ayurvedic literature was studied and material regarding the topic of the study was collected . Previous works done on this topic were studied and taken into consideration. PLAN OF STUDY- 30 patients of Indralupta were taken from the O.P.D and I.P.D of JIAR. Bhallataka oil, which was obtained from Bhallataka fruit, was mixed with honey and was applied on the region of Indralupta . This was repeated after seven days till the desired effects are visible . SELECTION CRITERIA- Inclusion : ➢ Patients of the age group of 16 to 50 years were selected . ➢ Both male and female patients were selected. Exclusion : ➢ Patients below the age of 16 yrs and the above the age of 50 years were not included. ➢ Patients having chronic diseases like chronic liver disease and chronic renal failure were not included in the study. How Bhallataka Was Used In This Study Fruit of Bhallataka is used either as a single drug or as an ingredient in many compound formulations to cure many diseases. In this study, Bhallataka was used as single drug. Drug in this study was used in its raw form.Fresh Ripened(Blackish- Brown) Bhallataka fruits were taken. The fruits were cleaned by removing the false material and false fruits.Remaining Bhallataka fruits were used for the cases. Method Of Application- Bhallataka fruit was either given a cut with sharp knife or was broken. The oil obtained after cutting the fruit was applied on the region of Indralupta. Patient was asked to apply honey on the area. Patient was asked to not to wash the area till next day. Patient was observed weekly. This was repeated after seven days till desired effects were visible. Precautions used during application of Bhallataka- Gloves were used properly during application. Care of the eyes were taken

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[Find the meaning and references behind the names: Sun]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 77 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 while breaking or cutting the Bhallataka fruit. Hands were washed properly after its application. Instructions given to the Patients- Restrictions to touch the medicine applied area. Less intake of salt, meat and spices 6,7 . Avoiding exposure of sun, heat. Maintaining hygiene Table 6-ASSESSMENT CRITERIA PARAMETER SCORING 1 )Hair-Loss(Patches) Scalp not seen by naked eye(Absent 0 Scalp slightly seen by naked eye(Mild) 1 Scalp more appropriately seen by naked eye(Moderate) 2 Scalp clearly seen by naked eye(Severe) 3 2 ) Darunaka a)Absent 0 b)Mild 1 c)Moderate 2 d)Severe 3 3) Kesha-Rukshta a)Absent 0 b)Mild 1 c)Moderate 2 d)Severe 3 4) Shirah kandu (Itching) a)Absent 0

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 78 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 b)Mild 1 c)Moderate 2 d)Severe 3 5) Keshabhoomi Rukshta (Dryness of scalp) a)Absent 0 b)Mild 1 c)Moderate 2 d)Severe 3 6) Keshabhoomi Daurgandha a)Absent 0 b)Mild 1 c)Moderate 2 d)Severe 3 7) Keshabhoomi Daha a)Absent 0 b)Mild 1 c)Moderate 2 d)Severe 3 OBSERVATIONS AND RESULTS Table 7-On The Basis Of Patients Registered TYPE NO. OF PATIENTS Registered 30 Completed 30

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 79 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 8-On The Basis Of Age AGE(YEARS) NO.OF PATIENTS PERCENTAGE 16-29 19 63.33% 30-40 10 33.33% 40-50 1 3.33% 30 30 100 100 0 20 40 60 80 100 120 Registered Completed N O. OFP A TIE N TS TYPE OF PATIENTS NO. OF PATIENTS PERCENTAGE 19 10 1 63 34 3.33 0 10 20 30 40 50 60 70 16-29 30-40 40-50 N O. OF P AT IE N TS AGE GROUP NO.OF PATIENTS PERCENTAGE

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 80 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 9-On The Basis Of Mode Of Onset ONSET NO. OF PATIENTS PERCENTAGE Gradual 26 86.66% Sudden 4 13.33% Table 10-On The Basis Of Sharir Prakriti SHARIR-PRAKRITI NO. OF PATIENTS PERCENTAGE Vata-Pitta 12 40% Vata-Kapha 6 20% Pitta-Kapha 12 40% 26 4 86.66 13.34 0 10 20 30 40 50 60 70 80 90 100 Gradual Sudden N O. OF PA TIE N TS ONSET STATUS OF PATIENTS NO. OF PATIENTS PERCENTAGE

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[Find the meaning and references behind the names: Sama]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 81 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 11-On The Basis Of Agni AGNI NO. OF PATIENTS PERCENTAGE Sama 18 60% Vishama 4 13.33% Manda 7 23.33% Tikshana 1 3.33% 12 6 12 40 20 40 0 5 10 15 20 25 30 35 40 45 Vata-Pitta Vata-Kapha Pitta-Kapha N O. OF PA TIE N TS SHARIR-PRAKRITI NO. OF PATIENTS PERCENTAGE

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 82 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 12-On The Basis Of Kostha KOSHTA NO. OF PATIENTS PERCENTAGE Mridu 2 6.66% Madhyam 23 76.66% Krura 5 16.66% 18 4 7 1 60 13.34 23.33 3.33 0 10 20 30 40 50 60 70 Sama Vishama Manda Tikshana N O. OF P AT IE N TS AGNI NO. OF PATIENTS PERCENTAGE 2 23 5 6.66 76.67 16.67 0 10 20 30 40 50 60 70 80 90 Mridu Madhyam Krura N O. OF PA TIE N TS KOSHTA NO. OF PATIENTS PERCENTAGE

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 83 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 13-On The Basis Of Associated Complaints ASSOCIATED- COMPLAINTS NO. OF PATIENTS PERCENTAGE Darunaka 18 60% Shirah-Kandu 19 63.33% Kesha-Rukshta 22 73.33% Kesha-Bhoomi Rukshta 20 66.66% Kesha-Bhoomi Daurgandha 10 33.33% Kesha-Bhoomi Daha 14 46.66% 18 19 22 20 10 14 60 63.33 73.33 66.66 33.33 46.66 0 10 20 30 40 50 60 70 80 Darunaka Shirah-Kandu Kesha-Rukshta Kesha-Bhoomi Rukshta Kesha-Bhoomi Daurgandha Kesha-Bhoomi Daha NO. OF PATIENTS PERCENTAGE ASSOCIATED

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 84 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 RESULTS Table 14-HAIR LOSS SCORING BT AT a)Scalp not seen by naked eye(Absent) (0) 0 19 b)Scalp slightly seen by naked eye(Mild) (1) 10 6 c)Scalp more appropriately seen by naked eye(Moderate) (2) 12 3 d)Scalp clearly seen by naked eye(Severe) (3) 8 2 0 10 12 8 19 6 3 2 0 2 4 6 8 10 12 14 16 18 20 Absent Mild Moderate Severe BT AT

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 85 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 15-Hair Loss: Statistical Analysis The mean gradation of Hair loss before treatment was 1.93 which decreased to 0.44 after the completion of the treatment. This statistically 75% relief was statistically highly significant(P<0.001 Table 16- Kesha Bhoomi Daha SCORING BT AT a)Absent (0) 16 23 b)Mild (1) 5 5 c)Moderate (2) 6 2 d)Severe (3) 3 0

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[Find the meaning and references behind the names: Main]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 86 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 Table 17- Kesha Bhoomi Daha (Statistical Analysis) SYMPTOM N MEAN MEAN MD M% S.D S.E tvalue pvalue Significance BT AT Kesha Bhoomi-daha 30 0.87 0.20 0.66 63% 0.88 0.16 4.13 <0.001 Highly Significant The mean gradation of Hair loss before treatment was 0.87 which decreased to 0.20 after the completion of the treatment. This statistically 63% relief was statistically significant(P<0.001 DISCUSSION Indralupta is a disease in which hair loss occurs in the form of patches Acharya Vagbhata was the first to differentiate Indralupta and Khalitya. Lavana, katu and Kshara pradhana dravyas are mainly responsible for development of Indralupta Hair-Loss in bald patches is the main 16 5 6 3 23 5 2 0 0 5 10 15 20 25 Absent Mild Moderate Severe BT AT

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 87 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 cardinal symptom Along with hair loss, other associated symptoms involved are:- 1) Darunaka- It may aggravates the premature hair -fall. 2) Shirah- Kandu - It indicates vridhi of Kapha and also some localism (eg) That of fungus. 3) Kesha Bhoomi Daha - It indicates pitta vridhi in Kesha bhoomi, Rasrakta sroto dushti. 4) Kesha Bhoomi Daurgandha 8 - It also indicates pitta vridhi in Kesha bhoomi and some localism. 5) Kesha Rukshta - It indicates Vatavridhi and some abnormality in sebaceous gland of hair follicle. 6) Kesha Bhoomi Rukshta - It also indicates Vata–vridhi. Regarding Observations – • Age- Found maximum in the age group of 16-29 years(63.33%).Hormonal disturbance, stress, dietic habits use of different hair products can be the reason of Indralupta being more in young age group. • Sex- Found maximum in males(73.33%).The reason behind this may be that males are more prone to stress and environmental hazards. • Family-History- In maximum patients(80%),family history was not present. • Onset- In maximum patients(86.66%),onset was gradual. • Prakriti- Found mostly in Vata- Pitta(40%) and Pitta-Kapha (40%) prakriti showing that these two parkritis are more prone to hair loss. • Oil used- Mostly found in patients using narikel taila (56.66%).It was also found that narikel taila used in wet hairs causes dandruff which may lead to hair loss. • Hair washing material used- Occurs mostly in patients using Hair • shampoos(80%).Shampoos may wash off sebum making hair roots dry that damages hair. • Kesha Sparsha - Occurs mostly in patients having Ruksha hairs(73.33%)

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IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 88 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 • Darunaka - It was found in 60% patients. • Shirah-Kandu - It was found in 63.33% patients. • Keshabhoomi Daha - It was observed in 46.66% patients. • Keshabhoomi daurgandha - It was found in 33.33% patients. • Kesha Rukshta - It was observed in 73.33% patients. • Kesha Bhoomi Rukshta - It was found in 66.66% patients REGARDING RESULTS- SYMPTOM PERCENTAGE RELIEF(M%) RESULT 1)Hair loss ( In Patches) 75% Highly significant(P<0.001) 2)Darunaka 48% Significant(P<0.05) 3)Shirah- Kandu 71% Highly significant(P<0.001) 4)Kesha Bhoomi Daha 63% Significant(P<0.001) 5)Kesha Bhoomi Daurgandha 64.50% Highly significant(P<0.001) 6) Kesha Rukshta 52% Highly significant(P<0.001) 7) Kesha Bhoomi Rukshta 54% Highly significant(P<0.001)

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[Find the meaning and references behind the names: Nil]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 89 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 CONCLUSION The present study entitled “Study of Dosha Dushya Sammurchana in Indralupta and its management with Bhallataka and Madhu w.s.r. to Alopecia Areata” embodies description of both literary and clinical part. Significant results have been obtained by the use of Bhallataka and honey. No recurrence was seen in the patients. It can be concluded that Bhallataka and Honey has proved to be reliable, effective and moreover cheaper therapeutic treatment for Indralupta. Acknowledgement :- Nil Financial Assistant:- Nil Conflict of interest :- Nil

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[Find the meaning and references behind the names: Lal, Anoop, Deepika, Krishna, Hari, Grant, Chandra, Prabha]

IRJAY IS THE OFFICIAL JOURNAL OF BALA G PUBLICATION 90 VOLUME- 3 | ISSUE- 12 DECEMBER 2020 REFERENCES: 1. 1. Agnivesha. Charaka Samhita, Agnivesha’s treatise refined and annotated by Charaka and redacted by Drudabala, with Ayurveda Deepika commentary by chakrapani Varanasi, Chaukamba Sanskrit Sansthan; reprint: 2004. 2. Anoop Kuttikat, Roderick Grant, Kuntal Chakravarty, Management of Osteoporosis, J Indian Rheumatological Association 2004. 3. Astanga Sangraha with Hindi Vyakhya by Lal Chandra Shastry Vaidya, Baidyanatha Publications, - 1989. 4. Astanga Hridaya with the commentaries, Sarvangasundara of Arundatta and Ayurveda Rasayana of Hemadri, edited by Pandit Hari Sadasiva Sastri Paradakara Bhisagacarya; Chaukhamba Orientalia, Varanasi, Ninth Edition, 2002. 5. Bhavamishra. Bhava Prakasha with English Translation by Prof. K.R.Srikanta Murthy, 3 rd edition, Varanasi, Choukhamba Krishna Das Academy, 2005. 6. C. C. Chatterji, Human Physiology, Medical Allied Agency, vol I, 1992. 7. Chambers TJ. The pathobiology of the osteoclast. J Clin Pathol; 38: 241-252, 1985. 8. Dr Indradev Tripathi, edited by Prof Ramanath Dwividy Chakrapanidatta. Chakradatta with vaidhya prabha Hindi commentary,1 st edition Varanasi, Chaukhamba Sanskrit Sansthan, Varanasi 1992.

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Kesa, Shodhana, Ayurveda, Bhallataka, Majja, Lavana, Kshara, Katu, Asthidhatu, Upavisha, Indralupta, Khalitya, Darunaka, Bhallataka oil, Vata and Pitta, Hair loss, Etiopathogenesis, Patchy hair loss, Hair follicle, Alopecia areata, Stress, Dosha Dushya Sammurchana, Dandruff, Micro channels, Autoimmune skin disease, Dietic habits, Sebum, Roma Koopa, Sebaceous gland, Hormonal Disturbance, Corticosteroid, Hair shampoo.