Publisher  
V
P
G
A
R
ISSN No. : 2584-2757  
Volume : 03  
ROGANIDAN VIKRUTIVIGYAN PG ASSOCIATION  
FOR PATHOLOGY AND RADIODIGNOSIS  
Reg. No. : MAHA-703/16(NAG)  
Issue  
: 03  
Year of Establishment – 2016  
:h t t p s : / / d o i . o r g / 1 0 . 5 2 8 1 / z e n o d o . 1 9 5 9 5 9 0 0  
DOI  
Impact Factor : 1.013  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH  
The Effect of Anu Taila Nasya with Shiro Abhyanga and Iron Supplementation  
in the Management of Khalitya (Hair Loss): An Ayurvedic Single Case Report  
Dr. Krishna P. Thorat Kullolli 1, Dr. Vivekanand Mohan Kullolli 2  
1 HOD And Professor ,Department Of Rognidan Evum Vikriti Vigyana ,Indian Institute Of Ayurved, Research  
And Hospital Rajkot.  
2 HOD And Professor ,Department Of Shalya Tantra,Indian Institute Of Ayurved, Research And Hospital Rajkot.  
Corresponding Author: Dr.Krishna P. Thorat Kullolli  
ORCID ID: 0000-0002-5791-372X  
Article Info: Article Received on : 26/03/2026  
Article Reviewed on: 30/03/2026  
Article Published on : 15/04/2026  
Cite this article as: - Thorat Kulloli, K., & Kulloli, V. (2026). The Effect of Anu Taila Nasya with Shiro Abhyanga and Iron  
Supplementation in the Management of Khalitya (Hair Loss): An Ayurvedic Single Case Report. International Journal of  
Diagnostics And Research, 3(3), 26–34. https://doi.org/10.5281/zenodo.19595900  
Abstract  
Background:  
Khalitya (hair loss) is a common disorder described in Ayurveda under Kshudra Roga and Shiroroga,  
primarily caused by vitiation of Pitta and Vata Doṣa affecting hair follicles. Modern lifestyle factors such as  
stress, poor diet, and nutritional deficiencies contribute significantly to its increasing prevalence.  
Objective:  
To evaluate the effect of Anu Taila Nasya with Shiro Abhyanga and iron supplementation in the management  
of Khalitya.  
Methodology:  
A 25-year-old female patient with complaints of severe generalized hair fall, thinning of hair, and scalp  
dryness for 8 months was treated with Anu Taila Nasya, Shiro Abhyanga, and iron supplementation for 21  
days. Assessment was carried out using subjective and objective parameters.  
Results:  
Significant reduction in hair fall, improvement in scalp condition, enhancement in hair texture, and increase in  
hair density were observed.  
Conclusion:  
The integrative approach of Anu Taila Nasya, Shiro Abhyanga, and iron supplementation proved to be  
effective, safe, and non-invasive in the management of Khalitya.  
Keywords: Khalitya, Kshudra Roga , Shiroroga Nasya, Anu Taila, Shiro Abhyanga, Iron Supplementation,  
Hair Loss, pitta vata vitiation .  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
26  
Volume : 03  
Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH  
administration of medicated oil through the nasal  
route directly affects the Shiras (head region),  
improving circulation and nourishment. Anu Taila  
is a classical formulation widely used in Nasya  
therapy due to its Tridosha balancing, Rasayana,  
and Keshya properties[7].  
Introduction :  
Hair is a filamentous biomaterial primarily  
composed of keratin protein and arises from hair  
follicles embedded within the dermal layer of the  
skin. It serves not only protective and sensory  
functions but also plays a significant role in  
defining an individual’s personality and self-  
esteem. In modern society, hair has become an  
important aesthetic component, particularly for  
women, and any alteration in hair health can have  
Shiro Abhyanga (head massage) is another  
important external therapy that enhances scalp  
nourishment, improves blood circulation, and  
reduces stress. Iron supplementation plays a crucial  
role in hair growth by improving oxygen delivery  
profound  
psychological  
Hair loss  
and  
is  
emotional  
common  
to  
hair  
follicles  
and  
correcting  
nutritional  
consequences.  
a
deficiencies. Thus, a combined approach of Nasya,  
dermatological concern affecting both men and  
women across all age groups. Epidemiological data  
suggest that approximately 40% of women  
experience noticeable hair loss by the age of 50,  
and a significant proportion of individuals begin  
experiencing symptoms at a much younger age due  
Abhyanga, and iron supplementation provides a  
comprehensive  
and  
integrative  
management  
strategy for Khalitya.  
Review Of Literature :  
Khalitya is described in Ayurvedic classics as a  
progressive disorder characterized by gradual hair  
loss due to vitiation of Doṣhas, predominantly Pitta  
and Vata. According to classical texts, aggravated  
Pitta located in Romakupa (hair follicles) causes  
degeneration of hair roots, while Vata leads to  
dryness and subsequent hair shedding. Kapha and  
Rakta further contribute by obstructing the  
to  
stress,  
hormonal  
imbalance,  
nutritional  
deficiencies, and environmental factors[1,2,3]. While  
the physiological loss of 70–100 hairs per day is  
considered normal, excessive shedding indicates  
pathological conditions requiring intervention[4].  
In Ayurveda, hair (Kesha) is considered as a Mala  
(waste product) of Asthi Dhatu, and its health  
reflects the status of underlying Dhatus[5]. Hair loss  
is described under Khalitya and Indralupta,  
classified among Kshudra Roga and Shiroroga.  
The pathogenesis of Khalitya involves vitiation of  
Pitta Doṣa along with Vata, leading to degeneration  
of hair follicles and subsequent hair fall. Kapha and  
Rakta further obstruct the hair follicle openings,  
preventing regrowth[6]. Nasya Karma is one of the  
Panchakarma procedures indicated for diseases  
above the clavicle (Jatrurdhva Roga). The  
follicular openings, preventing regrowth of hair[8,9]  
.
Charaka has also emphasized that excessive intake  
of Kshara, Lavana, and Viruddha Ahara leads to  
vitiation of Pitta and contributes to Khalitya[10]  
.
Additionally, hair being considered as a Mala of  
Asthi Dhatu indicates that Dhatu kshaya also plays  
a significant role in the pathogenesis[11]  
.
From  
a
modern  
perspective,  
hair  
loss  
is  
multifactorial and includes androgenetic alopecia,  
telogen effluvium, and diffuse hair loss. Among  
these, telogen effluvium is commonly associated  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
27  
Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
with stress, nutritional deficiencies, and systemic  
imbalance. Studies have shown that nutritional  
factors, especially micronutrient deficiencies, play  
Roga). The classical statement “Nasa hi Shiraso  
Dwaram” explains that the nose is the gateway to  
the head, and drugs administered through this route  
directly affect cranial structures and associated  
a crucial role in hair follicle cycling and growth[12]  
.
Iron deficiency has been strongly associated with  
hair loss, particularly in females. Iron is essential  
for DNA synthesis and oxygen transport, which are  
critical for rapidly dividing cells such as hair  
follicle matrix cells. Low serum ferritin levels have  
been identified as a risk factor for diffuse hair loss  
and telogen effluvium[13]. It has been observed that  
iron deficiency is common among females with  
hair loss, and most authors recommend iron  
tissues[15]  
.
Nasya  
helps  
in  
clearing  
Srotas,  
improving circulation, and nourishing the scalp and  
hair follicles.  
Anu Taila, a classical medicated oil, is specifically  
indicated in Nasya for disorders of head and scalp.  
It possesses Vata-Pitta shamaka, Rasayana, and  
Keshya properties, which help in strengthening hair  
roots and preventing hair fall[16]. Due to its  
Sookshma (subtle) and Vyavayi (penetrating)  
properties, Anu Taila can reach deeper tissues and  
facilitate Romakupa Vishodhana (cleansing of hair  
follicles), thereby promoting hair growth.  
supplementation when ferritin levels are low[14]  
.
Iron improves oxygen delivery to hair follicles,  
enhances cellular proliferation, and supports  
anagen  
phase  
maintenance.  
Therefore,  
Shiro Abhyanga (head massage) is another  
important therapeutic modality in the management  
of Khalitya. It involves application of medicated oil  
over the scalp, which helps in pacifying Vata  
Doṣha, improving local blood circulation, and  
nourishing hair follicles. Among various oils,  
Bhringaraja Taila is considered the best classical  
oil for hair disorders due to its Keshya (hair  
promoting) and Rasayana properties. Bhringaraja  
(Eclipta alba) has been traditionally used for  
promoting hair growth, preventing hair fall, and  
improving scalp health. Modern observations  
suggest that Bhringaraja oil penetrates deeply into  
the scalp, reduces dryness, improves hair strength,  
and promotes hair growth by enhancing follicular  
nourishment .  
supplementation with iron preparations such as  
Orofer XT is clinically justified in cases where  
nutritional deficiency contributes to hair fall.  
Clinical recommendations also suggest that iron  
supplementation should be considered when hair  
loss is associated with confirmed deficiency, as it  
significantly improves hair growth outcomes.  
Biotin, although widely used in hair supplements,  
has limited scientific evidence in individuals  
without deficiency. It plays a role in keratin  
synthesis and follicular health; however, studies  
indicate that its benefits are mainly observed in  
cases of biotin deficiency or specific metabolic  
disorders. Therefore, while biotin may support hair  
structure, iron remains a more evidence-based  
intervention in clinical hair loss.  
Additionally, Shiro Abhyanga helps in reducing  
stress, which is a major contributing factor in hair  
loss. Stress-induced hormonal changes can push  
Nasya Karma is considered the most effective  
therapy for diseases above the clavicle (Jatrurdhva  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
28  
Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
hair follicles into the telogen phase, leading to  
increased hair shedding. Regular head massage  
improves relaxation, reduces cortisol levels, and  
indirectly supports hair growth.  
Inclusion Criteria :  
Patients presenting with:  
Clinical features of Khalitya (hair fall,  
thinning, dryness)  
Thus, the integrative approach combining Anu  
Taila Nasya, Shiro Abhyanga with Bhringaraja  
Taila, and iron supplementation (Orofer XT)  
addresses Khalitya at multiple levels. It provides  
Age group between 18–40 years  
Willingness to undergo Ayurvedic treatment  
Exclusion Criteria :  
Patients with alopecia areata or scarring  
Doṣha  
improvement in scalp circulation, and correction of  
underlying nutritional deficiency. This  
pacification,  
follicular  
nourishment,  
alopecia  
Patients with severe systemic disorders  
Patients on long-term steroid or hormonal  
therapy  
multidimensional approach is more effective than  
single modality treatment and aligns with both  
Pregnancy and lactation  
Ayurvedic  
principles  
and  
modern  
scientific  
Intervention Protocol :  
understanding.  
The patient was treated with an integrative  
Ayurvedic approach for 21 days.  
Materials And Methods :  
1. Anu Taila Nasya  
This study was conducted as a single-case clinical  
study to evaluate the effect of Anu Taila Nasya,  
Shiro Abhyanga, and iron supplementation in the  
management of Khalitya (hair loss). The study  
duration was 21 days with follow-up assessment.  
Study Design :  
Anu Taila was administered as Marsha Nasya in a  
dose of 8 drops in each nostril once daily. The  
procedure was performed in the morning under  
proper conditions after mild facial massage and  
fomentation.  
2. Shiro Abhyanga  
A single-case observational clinical study.  
Shiro Abhyanga was performed using Bhringaraja  
Taila daily for 10–15 minutes before bath. Gentle  
circular massage was applied over the scalp to  
enhance local circulation and nourishment of hair  
follicles.  
Case Description:  
A 25-year-old female patient presented with  
complaints of excessive hair fall (approximately  
80–100 hairs per day), thinning of hair (Kesha  
Tanutva), and dryness of scalp (Kesha Rukshata)  
for a duration of 8 months. The onset was gradual  
with progressive worsening. There was no history  
of systemic illness, hormonal disorder, or long-term  
3. Iron Supplementation  
Orofer  
XT  
tablet  
(iron  
supplement)  
was  
administered orally once daily after food for the  
entire duration of treatment to correct underlying  
nutritional deficiency contributing to hair fall.  
medication.  
Family  
history  
revealed  
similar  
complaints in the mother.  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
29  
Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
over the 21-day treatment period. The response to  
Assessment Criteria :  
Assessment was carried out based on both  
subjective (Ayurvedic Lakṣaṇa) and objective  
parameters, using a grading scale (0–3) at Day 0,  
therapy was progressive, with mild changes  
observed during the first week, followed by  
moderate improvement by the second week, and  
marked improvement by the end of the study.  
Day 7, Day 14, and Day 21.  
Ayurvedic  
Term  
At baseline (Day 0), the patient presented with  
severe symptoms, including excessive hair fall  
(>150 hairs/day), marked thinning of hair (Kesha  
Tanutva), severe scalp dryness (Kesha Rukshata),  
and poor hair quality characterized by dullness and  
brittleness (Kesha Guna Hani). Objective findings  
showed reduced hair density, dry and rough scalp  
condition, strongly positive hair pull test (>10  
hairs), and absence of new hair growth.  
Parameter  
Hair fall  
0 (Normal)  
1 (Mild)  
2 (Moderate)  
3 (Severe)  
50–100  
hairs/day  
Slight  
thinning  
Slight  
dryness  
Slight  
dullness  
100–150  
hairs/day  
Moderate  
thinning  
Moderate  
dryness  
Khalitya  
<50 hairs/day  
>150 hairs/day  
Hair  
thinning  
Hair  
dryness  
Hair  
Kesha  
Tanutva  
Kesha  
Rukshata  
Kesha Guna  
Hani  
Normal  
thickness  
Severe  
thinning  
Severe dryness,  
rough  
Very dull,  
brittle hair  
Smooth, oily  
Normal shine  
Dull, weak  
hair  
quality  
Objective Assessment Criteria :  
Method of  
Parameter  
0 (Normal) 1 (Mild) 2 (Moderate)  
3 (Severe)  
Assessment  
Visual scalp  
examination  
Clinical  
Hair  
density  
Scalp  
Normal  
density  
Healthy  
scalp  
Slight  
reduction  
Mild  
dryness  
Mild  
positive (3–  
5 hairs)  
Minimal  
growth  
Moderate  
reduction  
Dry, flaky  
scalp  
Marked reduction  
Severe  
dryness/scaling  
condition  
observation  
Hair pull Gentle traction Negative  
test  
Moderate (6– Strong positive  
10 hairs)  
test  
(≤2 hairs)  
(>10 hairs)  
New hair  
growth  
Visual  
observation  
Normal  
growth  
Moderate  
regrowth  
By Day 7, slight improvement was observed. Hair  
fall reduced to approximately 100–120 hairs per  
day, and scalp dryness showed mild reduction.  
However, hair thinning and density did not show  
significant change at this stage, indicating that  
initial response was mainly symptomatic.  
No regrowth  
Overall Grading Interpretation :  
Score  
Range  
Clinical Interpretation  
No symptoms  
Mild involvement  
Moderate involvement  
Severe involvement  
0
1
2
3
By Day 14, moderate improvement was evident in  
most parameters. Hair fall reduced further to 70–  
100 hairs per day. Scalp dryness improved  
noticeably, with better hydration of scalp. Hair  
quality showed improvement with reduction in  
brittleness and dullness. Hair pull test showed  
Observation :Day-Wise Assessment Of  
Khalitya (Hair Loss)  
Ayurvedic  
Term  
Parameter  
Hair fall  
Day 0  
Day 7  
Day 14  
Day 21  
3 (>150  
hairs/day)  
3 (Severe  
thinning)  
3 (Severe  
dryness)  
2–3 (100–120  
hairs/day)  
3 (No major  
change)  
2 (70–100  
hairs/day)  
2 (Moderate  
thinning)  
2 (Moderate  
dryness)  
1 (<50  
hairs/day)  
1–2 (Mild  
thinning)  
1 (Mild  
dryness)  
1–2  
Khalitya  
Hair  
thinning  
Hair  
Kesha  
Tanutva  
Kesha  
2–3 (Dry scalp)  
dryness  
Rukshata  
moderate  
positivity  
(4–6  
hairs),  
indicating  
Hair  
quality  
Kesha  
Guna Hani  
3 (Dull,  
brittle)  
3 (Slight  
improvement)  
2 (Less dullness) (Improved  
texture)  
2–3 (Slight  
improvement)  
2 (Better  
decreased hair shedding. Early signs of new hair  
growth were also observed.  
Hair  
density  
Scalp  
condition  
Hair pull  
test  
3 (Marked  
reduction)  
3 (Dry,  
2 (Improved  
density)  
1 (Healthy  
scalp)  
1 (≤2–3  
hairs)  
2 (Improved  
regrowth)  
—
—
—
—
3 (No change)  
2–3 (Less  
dryness)  
rough scalp)  
hydration)  
By the end of the study (Day 21), significant  
improvement was noted. Hair fall reduced to less  
than 50 hairs per day, which is within physiological  
limits. Scalp condition became near normal with  
3 (>10 hairs) 2–3 (6–10 hairs) 2 (4–6 hairs)  
New hair  
growth  
3 (No 3 (Minimal 2–3 (Visible  
growth) growth) regrowth)  
Results :  
The present case study demonstrated a gradual and  
minimal  
dryness.  
Hair  
texture  
improved  
and  
clinically significant improvement in both  
subjective and objective parameters of Khalitya  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
considerably,  
showing  
better strength  
30  
Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
smoothness. Hair pull test became mildly positive  
(≤2–3 hairs), indicating stabilization of hair roots.  
Hair density showed improvement, and visible  
regrowth of new hair was observed. Overall, the  
intervention resulted in approximately 60–70%  
improvement in clinical symptoms. Maximum  
improvement was observed in hair fall, scalp  
condition, and hair pull test, while moderate  
improvement was noted in hair density and  
regrowth—clearly reflect this classical Samprapti.  
The treatment approach in this study was aimed at  
Samprapti  
Vighatana,  
i.e.,  
breaking  
the  
pathogenesis at multiple levels.  
The significant reduction in hair fall from >150  
hairs/day to <50 hairs/day over 21 days suggests  
effective pacification of aggravated Doṣas. The  
improvement in scalp dryness indicates Vata  
shamana, while reduction in hair fall reflects  
stabilization of Pitta-induced follicular damage.  
The observed improvement in hair texture and  
density suggests restoration of Dhatu poshana,  
particularly Rasa and Rakta Dhatu, which are  
essential for hair nourishment.  
regrowth.  
These  
findings  
indicate  
that  
the  
combined therapy of Anu Taila Nasya, Shiro  
Abhyanga, and iron supplementation was effective  
in reducing hair fall, improving scalp health, and  
promoting hair growth.  
Nasya Karma plays a central role in the  
management of Khalitya. The classical statement  
“Nasa hi Shiraso Dwaram” emphasizes that the  
nasal route provides direct access to the head  
region[19]. In this study, Anu Taila Nasya was  
administered, which possesses Sookshma (subtle)  
and Vyavayi (pervasive) properties, enabling it to  
penetrate deeper tissues and act on hair follicles. It  
facilitates Romakupa Vishodhana (cleansing of hair  
follicles) and improves local circulation. The  
progressive improvement seen after Day 7 and Day  
14 indicates that Nasya has a cumulative  
therapeutic effect. Anu Taila, being Vata-Pitta  
shamaka and Rasayana in nature, helps in  
Discussion :  
Khalitya (hair loss) is a multifactorial disorder  
described in Ayurveda under Kshudra Roga and  
Shiroroga, involving the vitiation of Doṣhas, Dhatu  
kshaya, and Srotorodha. In the present case, the  
patient exhibited classical features such as  
excessive hair fall (Khalitya), thinning of hair  
(Kesha  
Tanutva),  
dryness  
of  
scalp  
(Kesha  
Rukshata), and deterioration in hair quality (Kesha  
Guna Hani). The chronicity of symptoms along  
with family history indicates the involvement of  
both Nidana Sevana (etiological factors) and Beeja  
Dosha (genetic predisposition).  
According to Ayurvedic texts, Khalitya occurs due  
to aggravated Pitta Doṣha localized in Romakupa  
(hair follicles), which leads to destruction of hair  
roots. Simultaneously, Vata Doṣa contributes to  
dryness and hair shedding, while Kapha and Rakta  
strengthening  
hair  
roots  
and  
promoting  
regrowth[20]  
.
Shiro  
Abhyanga  
using  
Bhringaraja  
Taila  
contributed significantly to the improvement in  
scalp condition and hair quality. Bhringaraja is  
well known for its Keshya (hair promoting) and  
Rasayana properties, and its regular application  
obstruct  
the  
hair  
follicles,  
preventing  
regrowth[17,18]. The baseline findings in this case—  
severe  
hair  
fall,  
dryness,  
and  
absence  
of  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
31  
Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
helps in nourishing the scalp and improving blood  
circulation. The reduction in scalp dryness and  
improvement in hair texture observed in this study  
can be attributed to the Snigdha (unctuous) and  
Brimhana (nourishing) properties of the oil.  
Additionally, Shiro Abhyanga plays an important  
role in reducing stress, which is a major  
contributing factor in hair loss. Stress-induced Vāta  
aggravation leads to increased hair shedding, and  
its reduction helps in stabilizing the hair growth  
cycle.  
baseline, became mildly positive by Day 21,  
indicating stabilization of hair roots and reduction  
in active shedding. This objective improvement  
supports the effectiveness of the intervention.  
Similarly, the gradual improvement in hair density  
and regrowth indicates restoration of follicular  
activity.  
The overall improvement observed in this study can  
be explained by the synergistic action of the three  
interventions. Anu Taila Nasya acted at the level of  
Shiras and Srotas, Shiro Abhyanga provided local  
nourishment and stress reduction, and iron  
supplementation corrected nutritional deficiency.  
Together, they addressed the pathology of Khalitya  
at multiple levels—Doṣha, Dhatu, and Srotas.  
The pattern of improvement observed in this case is  
also clinically significant. Minimal changes during  
From a modern scientific perspective, scalp  
massage  
has  
been  
shown  
to  
improve  
microcirculation and oxygen supply to hair  
follicles, thereby enhancing hair growth. It also  
reduces cortisol levels, which are associated with  
stress-induced hair loss. Thus, Shiro Abhyanga acts  
through both physiological and psychological  
mechanisms.  
the  
first  
week  
followed  
by  
progressive  
improvement in subsequent weeks indicate a  
Iron supplementation in the form of Orofer XT also  
played a crucial role in this study. Iron is essential  
for DNA synthesis and cellular proliferation,  
particularly in rapidly dividing cells such as hair  
follicle matrix cells. Iron deficiency is a well-  
established cause of hair loss, especially telogen  
effluvium[21,22]. The improvement in hair density  
and regrowth observed in this case may be partly  
attributed to correction of underlying nutritional  
deficiency. Iron enhances oxygen delivery to hair  
follicles and supports the anagen phase of hair  
growth. Studies have shown that low serum ferritin  
levels are associated with increased hair shedding,  
and supplementation leads to improvement in hair  
cumulative  
therapeutic  
effect,  
which  
is  
characteristic  
of Ayurvedic  
treatments.  
This  
highlights the importance of regular and sustained  
therapy for achieving optimal results.  
From a modern viewpoint, the combined therapy  
likely improved scalp microcirculation, reduced  
oxidative stress, enhanced follicular metabolism,  
and regulated the hair growth cycle. The integrative  
approach  
concepts  
thus  
with  
bridges  
traditional  
Ayurvedic  
contemporary  
scientific  
understanding.However, as this is a single case  
study, the findings cannot be generalized. The  
absence of biochemical parameters such as serum  
ferritin levels is a limitation. Further studies with  
larger sample size and objective measurements are  
required to validate these findings.  
growth[23]  
.
The hair pull test, which was strongly positive at  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
32  
Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
Overall, the study demonstrates that an integrative  
approach combining Anu Taila Nasya, Shiro  
Abhyanga, and iron supplementation is effective in  
managing Khalitya. It provides a holistic, safe, and  
non-invasive treatment option that addresses both  
the root cause and symptoms of hair loss.  
it addresses the condition at multiple levels—  
systemic, local, and nutritional. The treatment was  
found to be safe, cost-effective, and non-invasive,  
making it suitable for long-term management.  
However, as this is a single case study, the findings  
cannot be generalized. Further large-scale clinical  
studies with objective biochemical parameters and  
longer follow-up are required to validate these  
Conclusion :  
The present case study demonstrates that an  
integrative Ayurvedic approach consisting of Anu  
Taila Nasya, Shiro Abhyanga with Bhringaraja  
Taila, and iron supplementation (Orofer XT) is  
effective in the management of Khalitya (hair loss).  
The intervention resulted in a significant reduction  
in hair fall, improvement in scalp condition,  
enhancement of hair texture, and initiation of hair  
regrowth within a period of 21 days.  
results  
and  
establish  
standardized  
treatment  
protocols.  
References :  
1. Wikipedia contributors. Hair. Available  
from: https://en.wikipedia.org/wiki/Hair  
2. Lake R. Hair loss statistics. Available from:  
https://www.creditdonkey.com/hair-loss-  
statistics.html  
From an Ayurvedic perspective, the therapy acts by  
pacifying aggravated Pitta and Vata Doṣha,  
clearing Srotorodha at the level of Romakupa, and  
promoting Dhatu poshana, thereby restoring  
normal hair physiology. Nasya Karma plays a key  
role by directly acting on the Shiras, while Shiro  
Abhyanga provides local nourishment and Vata  
shamana. Iron supplementation supports the  
treatment by correcting underlying nutritional  
deficiency, which is an important contributing  
factor in hair loss.  
3. Thankan R, Patil V, Aithal P. Clinical study  
on effect of different procedures of Nasya  
with Bhringaraja Taila in Khalitya. J  
Ayurveda Hol Med. 2014;2(4).  
4. Arakawa T, Emoto K, Utsunomiya S,  
Hagiwara  
Y,  
Shimizu  
T.  
Effect  
of  
swertinogen on hair growth with special  
reference to its activities on skin function.  
Tokushima J Exp Med. 1962;9:37–59.  
From a modern scientific viewpoint, the observed  
improvement may be attributed to enhanced scalp  
microcirculation, improved oxygen delivery to hair  
follicles, reduction in stress-related factors, and  
stimulation of follicular activity, resulting in  
stabilization of the hair growth cycle.  
5. Vagbhata. Ashtanga Hridaya. Varanasi:  
Chaukhamba Surabharati Prakashan; 2007.  
6. Sushruta.  
Sushruta  
Samhita.  
Varanasi:  
Chaukhamba Surabharati Prakashan; 2018.  
The study highlights that a multimodal, integrative  
approach is more effective than a single therapy, as  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
33  
Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
7. Agnivesha. Charaka Samhita. Varanasi:  
Chaukhamba Surabharati Prakashan; 2019.  
17. Vagbhata. Ashtanga Hridaya. Varanasi:  
Chaukhamba Surabharati Prakashan; 2007.  
8. Vagbhata. Ashtanga Hridaya. Varanasi:  
Chaukhamba Surabharati Prakashan; 2007.  
18. Agnivesha. Charaka Samhita. Varanasi:  
Chaukhamba Surabharati Prakashan; 2019  
9. Agnivesha. Charaka Samhita. Varanasi:  
Chaukhamba Surabharati Prakashan; 2019  
19. Vagbhata. Ashtanga Sangraha. Varanasi:  
Chaukhamba Sanskrit Series; 2016.  
10. Agnivesha. Charaka Samhita. Varanasi:  
Chaukhamba Surabharati Prakashan; 2019  
20. Sharangadhara.  
Sharangadhara  
Samhita.  
Varanasi:  
Chaukhamba  
Surabharati  
Prakashan; 2014.  
11. Arakawa T, Emoto K, Utsunomiya S,  
Hagiwara  
Y,  
Shimizu  
T.  
Effect  
of  
21. Almohanna HM, Ahmed AA, Tsatalis JP,  
Tosti A. The role of vitamins and minerals  
swertinogen on hair growth with special  
reference to its activities on skin function.  
Tokushima J Exp Med. 1962;9:37–59.  
in  
hair  
loss.  
Dermatol  
Ther.  
2018;31(5):e12655.  
12. Sushruta.  
Sushruta  
Samhita.  
Varanasi:  
22. Guo EL, Katta R. Diet and hair loss: effects  
of nutrient deficiency and supplement use.  
Dermatol Pract Concept. 2017;7(1):1–10.  
Chaukhamba Surabharati Prakashan; 2018  
13. Sushruta.  
Sushruta  
Samhita.  
Varanasi:  
Chaukhamba Surabharati Prakashan; 2018  
23. Almohanna HM, Ahmed AA, Tsatalis JP,  
Tosti A. The role of vitamins and minerals  
14. Sushruta.  
Sushruta  
Samhita.  
Varanasi:  
in  
hair  
loss.  
Dermatol  
Ther.  
Chaukhamba Surabharati Prakashan; 2018  
2018;31(5):e12655.  
Declaration :  
Conflict of Interest : None  
15. Vagbhata. Ashtanga Sangraha. Varanasi:  
Chaukhamba Sanskrit Series; 2016.  
16. Sharangadhara.  
Sharangadhara  
Samhita.  
Varanasi:  
Chaukhamba  
Surabharati  
Prakashan; 2014.  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
34  
Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
ISSN: 2584-2757  
DOI : https://doi.org/10.5281/zenodo.19595900  
Dr. Krishna Kullolli Inter. J.Digno. and Research  
This work is licensed under Creative  
Commons Attribution 4.0 License  
Submission Link : http://www.ijdrindia.com  
Benefits of Publishing with us  
Fast peer review process  
Global archiving of the articles  
Unrestricted open online access  
Author retains copyright  
Unique DOI for all articles  
https://ijdrindia.com  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0103 |ISSN :2584-2757  
35