Comprehensive Ayurvedic Management of Khalitya: A Case Report

Background: Khalitya is an Ayurvedic condition characterized by excessive hair fall and progressive thinning of hair. Its multifactorial nature requires a comprehensive approach addressing systemic and local factors. Case Report: A 28-year-old female presented with hair fall (Khalitya) for one year, associated with scalp itching (Shirah Kandu), hair dryness (Kesha Rukshata), and hair thinning (Kesha Tanutva). Clinical examination revealed a dry scalp, generalized hair loss, thin hair density, and a positive hair-pull test). Haemoglobin was 9.8 g/dL. The patient was treated with an individualized Ayurvedic regimen comprising Saptamrit Lauha, Praval Panchamrita , Amalaki Rasayaana, compounds of keshya aushadhi like Bhringraj, Yashtimadhu , Jatamansi, Brahmi Churna along with external application of Bhringraj Taila and Triphala Kwatha hair wash. Pathya and Nidana Parivarjana were also advised. The patient was followed for 90 days. Outcome: After 90 days, the Khalitya score improved from grade 3 to grade 1, while Shirah Kandu, Kesha Rukshata, and Kesha Tanutva improved from grade 3 to grade 0. Haemoglobin increased from 9.8 to 12.2 g/dL. Improvement in hair quality and overall patient satisfaction was also reported. Conclusion: The present case demonstrated clinical improvement in hair fall and associated scalp and hair symptoms following comprehensive Ayurvedic management over 90 days.