Issue : 01 DOI :
INTERNATIONAL
JOURNAL
OF
DIAGNOSTICS
AND
RESEARCH
Volume : 02
Copyright @ : - Dr.Vishwajit Rajput Inter. J.Digno. and Research IJDRMSID00066 |ISSN :2584-2757
179
Abstract
Indralupta is a Disease of Scalp. Its clinical feature is loss of hair with poor replacement. Hair loss is a major
problem for millions of men and women in whole world. Indralupta is due to vitiation of Tridosha and Rakta
Dhatu. The disease is also called as Khalitya and Rujya. In Modern Science we relate Indralupta with “Alopecia”.
Androgenic Alopecia (Male pattern Baldness) is most common type of Alopecia. It is patterned hair loss over the
crown. The Ayurveda suggests many preventive and curative measures for Indralupta. Shiroabhyanga, Lepa,
Rasayana, Nasya and Sastra karma like Prachchhana and Siravedha has been adopted for the Management of
Indralupta. Indralupta causes due to vitiation of Rakta Dhatu, in which Raktamokshana is choice of treatment. So
Prachchhana Karma has been adopted as surgical procedure along with Ayurvedic Medicines.
Keywords – Indralupta, Androgenic alopecia, Prachchhana Karma
P
ISSN No. : 2584-2757
Volume : 02
Issue : 04
DOI
: 10.5281/zenodo.16099942
Reg. No. : MAHA-703/16(NAG)
Year of Establishment – 2016
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH
Corresponding author: Dr.Vishwajit Rajput Article Info: Published on : 15/07/2025
Impact Factor : 1.013
Management Of Indralupta (Androgenic Alopecia) – A Single Case Study
Dr.Vishwajit Rajput 1, Dr. Avinash S. Wade 2
1 H.O.D & Associate professor Department of Shalya Tantra, Ananya College of Ayurved, KIRC campus,
Kalol, Gandhinagar, Gujarat.
2 H.O.D. & Associate Professor, Department of Roga Nidana evum Vikriti Vigyana, Nootan Ayurvedic
College and Research Centre, S.P. University, Mehsana, Gujarat.
Cite this article as: - Dr.Vishwajit Rajput (2025) ; Management Of Indralupta (Androgenic Alopecia) – A Single Case Study
;Inter .J. Dignostics and Research 2 (4) 179-183, DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 6 0 9 9942
Introduction :
Hair form an important anatomical structure of the
body, derived from ectoderm of skin. Hair is made up
of keratin protein. Hair loss is consider the fall of hair
from head. Hair loss is a major problem for millions
of men and women in whole world. In modern
science loss of hair is termed as “Alopecia”. There
are many types of Alopecia depending upon the
pattern of hair loss. Androgenic alopecia is the
common cause of hair loss. Modern lifestyle,
avoidance of head bath, stress, usage of harmful
shampoos, allergic manifestations reduced body
resistance, poor hygiene, and hormonal imbalance
could be considered as etiological factor of hair loss
(Alopecia). In Ayurveda, hair problem described
under the broad heading of kshudra Rogas,[1]Except
Vagbhata who has mentioned it under kapala
Rogas[2] as Khalitya, Palitya, Indralupta.
G
A
R
V
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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]
Volume : 02
Copyright @ : - Dr.Vishwajit Rajput Inter. J.Digno. and Research IJDRMSID00066 |ISSN :2584-2757
180
Indralupta is loss of hair in form of patches in
somescalp area due to vitiation of tridosha and
Raktadhatu. Pitta associated with vata gets localized
in the romakupa and causes the hair fall, later on
Kapha dosha associated with Rakta Causes the
obstruction to the hair roots and restricts their re-
growth. Acharya Charak described that due to
vitiation of Asthidhatu Khalitya occurs as the mala of
Asthidhatu keshya (hair). [3] The Ayurveda suggest
many preventive and curative measures for
Indralupta. Shiroabhyanga, Lepa, Rasayana and
Nasya are described [4]. Also Sastra karma like
Prachchhana and Siravedha has been adopted for the
management of Indralupta.Prachchhana helps in
draining the vitiated Rakta in which multiple small
incisions are made in wide area to irrigate the impure
blood.[5] Prachchhana plays an important role in
Sampraptivighatana of Indralupta.
Aims and Objectives :
To evaluate the efficiency of Prachchhana along
with internal and external medications in the
management of Indralupta (Androgenic Alopecia).
Case Report :
A 27 year old male patient came in our hospital for
Ayurvedic treatment with following complaints.
Chief Complaints :
Falling of hairs from scalp since 2 years.
He noticed thinning of hair, especially on
fronto-parietal portion of the head.
Associated complain poor appetite.
History of present illness :
Falling of hairs from fronto parietal area of scalp.
He noticed thinning of hair and very few hairs on
scalp. Patient consulted Allopathic Doctors, but did
not get improvement and he came to our Ananya
Ayurved College, Kalol
Family History : No relevant history.
Table No. 1 –:Details of personal History
S.NO
Parameter
assessed
Observation
1
Diet
Mixed, Veg & Non-Veg
2
Appetite
Poor
3
Bowel habit
2 times/day & clear
4
Urine
5-6 times/day
5
Sleep
Not good
6
Habits
Tea
Table No. 2 : General Examination
S.NO
Parameter
assessed
Observation
1
Pulse
74/Min
2
BP
130/78 mmHg
3
Respiratory Rate
18/Min, Normal
4
CVS
S1S2 normal
5
CNS
Well Conscious
Oriented
6
Tongue
Uncoated
7
Eyes
Not pallor
Table No. 3 : Local Examination of Scalp
S.NO
Parameter assessed
Observation
1
Site of involvement
Scalp
Fronto-parietal
region
2
Shape
Oval shape
3
Rashes
Absent
4
Discharge
Absent
5
Sensation
Present
6
Texture of hair
Generalized
thinning of hair
7
Dandruff
Present
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Investigations :
Routine blood investigation as complete blood count
Hb%, TLC, DLC, ESR, BT, CT, HIV, HBsAg,
Blood sugar,
F/R.Finding of these investigations were found
within normal limit.
Material and Methods :
Treatment protocol followed was Prachchhana and
included both external and internal medications.
Para-Surgical protocol :
Materials Needed – Disposable gloves, Cotton,
Betadine solution, Spirit, Derma-roller.
Purva Karma :
Procedure is explained to the patient and
takes consent.
Patient was advised for taken yavagu or light
liquid diet before Prachchhana procedure.
Position of patient was sitting.
Local swedana carried out on the affected
area of Scalp.
Local area is cleaned with Betadine and
spirit.
Pradhan Karma :
2% Lignocaine spray applied on local area.
Prachchhana is done with the help of derma-
roller.
The vitiated blood letter out.
Pashchata Karma :
Patient has to be relaxed.
After Prachchhana, part should be cleaned
with the warm water.
This therapy has been done every week for one
month. (4 times a month)
Table No. 4: Details of internal and external
medicines given:
S.No.
Medicine
Dose
Annupana
Duration
1
Arogyavardhan
i vati
1BD with
Water after
food
1month
2
Asthiposhak
vati
1BD with
Milk after
food
1month
3
Amlaki churna
+ Kala tila
3gm (BD)
with Water
after food
1month
4
Kalatila churna
3gm (BD)
with Water
after food
1month
5
Bhringaraja
Oil
Q.S FOR L.A.
1 month
Advice after Treatment :
Avoid Junk and Spicy food, Pollution, exposure to
Sunlight, Day sleep etc.
Table No. 5: Local Examination after Treatment:
S.No
Site of Involvement
Scalp
Result
1
Shape Patch
Absent
2
Rashes
Absent
3
Discharge
Absent
4
Inflammation
Absent
5
Sensation
Present
6
Texture of hair
Density
increases, patches
covered with hairs
Before Treatment & After Treatment
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Results :
Prachchhana is best alternative therapy which can
be used to treat Indralupta along with oral
medication and oil for local application or
Shiroabhayanga.
Discussion :
Indralupta is a Raktajavikara. So
Raktamokshana is choice of treatment.
Prachchhana helps in removes the local impure
blood and increases the blood flows. It
stimulates the hair follicles for new hair growth.
The application of Taila (Bhringaraja taila) on
the Scalp with finger tips leads to increase the
local blood circulation and promotes the
absorption of the drugs.
Patient was complaining loss of appetite which
indicates Agnimandya causing low digestion,
indirectly affected the hair growth causing loss
of hair. Arogyavardhani vati having
carminative and digestive properties.
Indralupta is strotorodhajanya vikara. So due
to Rasayana (Amlaki churna + Kala tila)
sevana the Agni is increased which leads to
Ama pachana and opens all the blockage of
srotasa and gives good nutrition to the Kesha
(hair).
All combination effects of this drugs and
Prachchhana help to break Sampraptivighatana
of Indralupta results as improvement in hair
loss condition.
Conclusion :
The present case study confirmed effectiveness of
Prachchhana along with internal and external
medications applied in Indralupta. Prachchhana and
drugs helped in regrowth of hairs and improving the
blood circulation. No adverse or side effects reported
during or after treatment.
References –
1. Sushrut samhita, Nidana sthana 13/33-
34 translated by Prof. G.D. Singhal &
Colleagues, Chaukhamba Sanskrit
pratisthana, Delhi second Edition 2007
page-595.
2. Astanga hrdayam, uttarsthanam 24/28-
30 (Shirorogapratishedha adhyay),
Chaukhamba Sanskrit pratisthana, Delhi
Reprint-2012, page – 1060.
3. Charaka samhita, Sutrasthana 28/16 Pt.
Kashinath Pandey, Chaukhambha
bharati Academy Reprint-2014, Page
572.
4. Sushrut samhita, Chikitsa sthana 20
(Kshudraroga chikitsa) translated by
Prof. G.D. Singhal & Colleagues,
Chaukhamba Sanskrit pratisthana, Delhi
second Edition 2007.
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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]
Volume : 02
Copyright @ : - Dr.Vishwajit Rajput Inter. J.Digno. and Research IJDRMSID00066 |ISSN :2584-2757
183
5. Sushrut samhita, Sutra sthana 14/25-26
translated by G.D. Singhal &
Colleagues, Chaukhamba Sanskrit
pratisthana, Delhi second Edition 2007.
ISSN: 2584-2757
DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 6 0 9 9942
Dr.Vishwajit Rajput Inter. J.Digno. and Research
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