Khalitya refers to the excessive loss of hair from the scalp, which is primarily caused by imbalances in Pitta and Vata doshas. It involves the weakening of hair roots, resulting in shedding or thinning of hair.

Hair fall, or Khalitya, is described in Ayurveda as the result of imbalanced Pitta dosha combined with Vata. Pitta heats and weakens the hair follicles, while Vata causes dryness, leading to hair fall. It is a disorder that affects the Rasa Dhatu (nutrition channels) and Asthi Dhatu (bone tissue), as hair is considered a by-product of bone tissue in Ayurveda.

Reference:

• Charaka Samhita, Sutrasthana, 5/81: "Yat khalitya romapaatam cha karoti tat pittam" (Hair fall is caused by aggravated Pitta).

• Defieciency of nutrition 
• Excessive consumption of Pitta-aggravating foods, such as spicy, sour, salty, and fried items, can lead to hair fall.

Reference:

• Ashtanga Hridayam, Sutrasthana, 11/27: "Amla lavana katu rasa...Pittakrit" (Sour, salty, and pungent tastes aggravate Pitta and can lead to hair problems).

• Stress and Anxiety: Mental stress aggravates Vata dosha, leading to dryness and weakening of hair roots.
• Excessive Heat Exposure: Overexposure to the sun or heat aggravates Pitta in the scalp, contributing to hair loss.
• Improper Sleep: Lack of sleep increases Vata, which dries out the scalp and leads to hair thinning.
• Chronic Indigestion
• IBS
• Liver Problem
• Excessive Body heat

The aggravation of Pitta dosha in the body heats the scalp and causes the blood vessels nourishing the hair follicles to weaken. When combined with Vata dosha’s drying effect, it results in the gradual loss of hair.

Reference:

• Ashtanga Hridayam, Sutrasthana, 23/29: "Pittavrittam khalityam" (Hair fall due to aggravated Pitta).

In Ayurveda, diagnosis is made through pulse reading (Nadi Pariksha) to assess doshic imbalances. Detailed questioning about diet, lifestyle, and stress levels is also involved to understand the root cause.

Reference:

• Charaka Samhita, Sutrasthana, 18/44: "Pittavrittam khalityam cha vata viti chintayet" (Hair fall is due to the imbalance of Pitta and Vata).

Body Tissue (Dhatu Involvement):

• Rasa Dhatu (Nutritional Essence): Weak nourishment reaching the scalp, leading to undernourished hair follicles.
• Asthi Dhatu (Bone Tissue): As hair is considered a by-product of bones, weakened Asthi Dhatu can lead to hair loss.

Waste Product (Mala Involvement):

• Sweda Mala (Sweat): Excessive sweating caused by aggravated Pitta can clog the hair follicles, causing hair fall.

Channels (Srotas Involvement):

• Rasavaha Srotas (Nutrition Channels): Blockages in the channels supplying nutrition to hair.
• Swedavaha Srotas (Sweat Channels): Blockages due to excess sweating on the scalp.

• Gradual thinning of hair
• Scalp heat or irritation
• Occasional scalp dryness

• Thinning Hair
• Receding Hairline
• Hair loss

• Excessive shedding of hair
• Bald patches or thinning areas on the scalp
• Dry, brittle hair that breaks easily
• Irritation or sensitivity of the scalp

• Vata-Type Hair Loss

  • Characterized by dry, brittle hair that easily breaks and falls out.
  • Often associated with an imbalanced Vata dosha, leading to dryness and roughness.

• Pitta-Type Hair Loss

  • Associated with premature graying, thinning hair, and bald patches.
  • Linked to an excess of Pitta dosha, causing inflammation and overheating of the scalp.

• Kapha-Type Hair Loss

  • Characterized by oily, greasy hair and dandruff-related hair fall.
  • Related to an imbalance in the Kapha dosha, leading to excess oil production and clogged hair follicles.

• Khalitya

  • General term for hair loss due to various imbalances in the body.
  • Can involve a combination of Vata, Pitta, and Kapha doshas affecting hair health.

• Indralupta

  • Ayurvedic term for sudden patchy hair loss, similar to alopecia areata.
  • Often associated with stress, dietary factors, or severe Pitta imbalance.

• Baldness or alopecia in severe cases
• Scalp infections due to blocked follicles
• Emotional distress or lowered self-esteem

With early treatment, Khalitya can be managed effectively, but complete hair regrowth may not always be possible in advanced cases. Prevention through proper diet and lifestyle management is key.

1. Chronic Indigestion, Liver Problem, Grahani (IBS):

• Tb Panchamrut Parpati x 2 BD / after meal

• Tb Arogya vardhini x 2 BD / after meal
• Decoctions of Rasapachak + sunth + kutaj + musta x 20ml BD / after meal

This combination provides a holistic approach to addressing different hair problems with both modern and traditional Ayurvedic remedies.

1. Nasya (Nasal Therapy): Application of medicated oils like Bhringraj taila or Anu taila through the nostrils helps in nourishing the scalp and strengthening hair roots.

   Reference:

   • Sushruta Samhita, Chikitsa Sthana, 40/20: "Nasya karma khalitya shiro roga hara" (Nasal therapy is highly beneficial in treating hair-related issues like Khalitya).

2. Shirodhara (Oil Drip Therapy): Continuous pouring of medicated oil on the scalp pacifies Pitta and strengthens hair follicles.

3. Panchakarma (Detoxification):

   • Virechana (Purgation): To expel aggravated Pitta and purify the system.
   • Shiro Abhyanga (Head Massage): Application of cooling oils like Bhringraj taila, Amla oil, and Coconut oil to nourish the scalp and prevent hair fall.

4. Herbal Remedies:

   • Bhringraj (Eclipta alba): Known as "The King of Hair," it nourishes hair roots, prevents hair fall, and promotes regrowth.
   • Amla (Indian Gooseberry): Rich in vitamin C, it acts as a natural antioxidant and strengthens hair follicles.

   Reference:

   • Charaka Samhita, Chikitsa Sthana, 6/1: "Amlaki pittahara shreshta" (Amla is one of the best Pitta-pacifying herbs).

Holistic Approaches:

• Yoga and Meditation: Practices like Shavasana and Sheetali pranayama help manage stress and balance Vata and Pitta doshas.
• Scalp Massage: Regular oil massage improves blood circulation and strengthens hair roots.

• Consume cooling foods like ghee, cucumbers, melons, and leafy greens to pacify Pitta.
• Include nourishing foods like almonds, sesame seeds, and milk to support Rasa Dhatu and Asthi Dhatu.

Reference:

• Ashtanga Hridayam, Sutrasthana, 11/10: "Shitashita madhurani annani" (Cooling, sweet, and wholesome foods are beneficial for Pitta).

• Avoid spicy, sour, and salty foods, which aggravate Pitta and increase hair fall.
• Avoid excessive heat exposure, including sunbathing and hot water baths.

Hair fall is linked to genetic predispositions, hormonal imbalances, and nutritional deficiencies. Ayurveda offers a holistic approach by addressing root causes like stress, diet, and dosha imbalances. Treatments like scalp massages, herbal applications, and detox therapies (Panchakarma) are effective in managing hair fall naturally.

• Nadi Pariksha (Pulse Diagnosis): To assess the imbalanced doshas, primarily Pitta and Vata.
• Examination of Scalp and Hair Quality: Ayurvedic assessment of hair texture, scalp condition, and follicle health.
• Blood Tests: Modern investigations may include checking for anemia, thyroid function, and nutrient deficiencies (iron, vitamin D, B12).