Severe Hair Fall, Management of 'Low' Blood Pressure related Dizziness, Chin Acne - #27246
Dear Doctors, Thank you very much for taking time out to help people with their ailments. We truly appreciate it. I am a 45 years old female. I have listed below common questions that doctors ask/advice about and problems. Would greatly appreciate assistance regarding the same. Hormones/Surgery: My Uterus, Fallopian tubes and Right ovary were removed a few years ago (My left ovary is intact) Diet: I am a Vegetarian. I eat a reasonably good diet of vegetables, fruits, pulses, grains & dairy. I generally avoid white sugar and take healthier forms such as Jaggery, Panagarkandu or honey. I drink 2.5 cups of coffee & tea a day. I feel very dull and tired if I do not take it. I catch a headache too. I discontinued it for 3 years, but found no improvement in my overall health, so, added it back into my diet. Hair Oils: Both Coconut oil & Sesame Oil cause my body to cool down a lot and I therefore get severe migraines often on hair wash days along with experiencing a lot of tiredness. I catch cold too in winters when I use these oils. Hair wash: I use Meera Shikakai powder to wash my hair after oiling once a week (I wash after 20-30 minutes). Vitamin C intake: My body cools down and I catch migraines and cold if I take citrus (Vitamin C) fruits in the forms of fruits as such or juice such as Lemon juice, Kiwis, Amla juice, orange juice, etc. But, I instead try to include some of them in other ways such as pickles or lemon rice, etc. This does not affect me. Problems: 1) I have been suffering from severe hair fall for a few years now and my hair volume has reduced drastically. I have tried AVP Durdurakera tailam (coconut oil base) for a year as recommended by an ayurveda doctor and then followed with AVP Chemparathuyadi tailam (coconut oil base) for another year. No improvement and infact, hair fall is worse now. I have been using betel leaves and small onions infused in coconut oil for 2-3weeks now, but that is also causing a lot of hair to fall. 2) I also get acne and white heads on my chin now and then and the chin feels bumpy always. It is slightly better with using 'clean and clear' face wash once a day. 3) My blood pressure falls down often and I become very dizzy. I use salt and/or jaggery to feel normal again along with resting. My pressure also falls post having meals after ekadashi fasting (I take coffee/tea/milk alone during fasting days). Kindly suggest easily doable and practical remedies for the above problems as too many complicated medications just makes it difficult to comprehend/follow. Thank You very much once again for your time. Regards
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Doctors’ responses
Start with Amalaki rasayan 1-0-1 after food with water Ashwagandha tablet 0-0-1 after food with water Laghu suthshekhar ras 1-0-1 after food with water Kishore guggul 1-0-1 after food with water Avoid spicy fried foods. Light massage on scalp twice weekly with Brahmi amla oil keep overnight and wash with herbal mild Anti hairfall shampoo. Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice
Thank you very much doctor for your kind response.
1) Since my body cools down after oiling and hair wash and I am prone to migraines, is it okay to use Brahmi and Amla oil overnight as they are both considered to be cooling to the body and scalp? 2) Can I take the above medicines for two months? 3) Could you please recommend one or two herbal anti hairfall shampoo brands from your experience please?
Thanks & Regards
Yes you can use Brahmi and amla all overnight Yes you need to take the medicine for atleast 3 months and the follow up with results Himalaya antihairfall shampoo.sesa anti hairfall shampoo. Take care
Hello Lakshmi ji, After analysing your detailed history, I recommend the following treatment. The condition of hair and skin are indicators of our overall health. Changes in hair texture, appearance, or growth rate, as well as skin’s color, texture, and presence of rashes or lesions, can reflect underlying health issues. So, internal medicine and external treatment both are needed. Treatment - 1. Neem ghanvati 1-0-1 after meal 2. Mahamanjisthadi kwath 30ml with 30 ml water twice a day after meal 3. Amalaki rasayan+ Black sesame seed powder - 1 tsp with water twice a day before meal 4. Rogan Badam oil -2-2 drops in each nostril either in the morning empty stomach or at bedtime. 5. Apply Aloe vera gel after cleaning the face with rosewater 6. Apply kumkumadi tel before bedtime 7. Ashwagandha capsule -1capsule at bedtime. Follow these - 1. Adequate amount of water 2. Eat antioxidant rich food like amla, beans, green tea, spinach etc 3. Clean your towel and pillowcase every week 4. Avoid using makeup or some chemical product especially before sleeping. 5. Boil 1 spoon of triphla powder in 2 glasses of water,let it cool then use this for hairwash once a week. 6. Stress management -Through meditation, walking Yoga- Anulomvilom, Vajrasana,uttapadasana.
Dear Doctor, Thank you very much for your kind response.
1) Can I take the prescribed medicines for 2 months? 2) Should I massage the inside of nostrils with badam rogan oil or should I just drop the oil and let it pass down? 3) You have suggested triphala decoction hair wash. Should I just rinse my hair with it after oiling and follow by shampooing? I am afraid of letting my hair stay wet for long with the decoction as I could catch a cold/migraine… 4) Could you also recommend a pre-wash as well as daily use hair oil please ?
Thank you very much once again.
Thanks & Regards.
Regarding the hair fall, it seems there could be a deeper imbalance at play. In Ayurveda, hair health is closely related to Prakriti (body type), Raktadhatu (blood tissue), and Pitta dosha balance. Given your experiences with oils causing migraines and cooling effects, this suggests an elevated Vata-Pitta imbalance. For reducing hair fall, focus on internal nourishment and cooling, balancing Pitta without exacerbating Vata. Consider incorporating a teaspoon of Amla powder with lukewarm water daily; it’s supportive for hair growth, balancing Pitta, without being overly cooling when taken with warm water. Anageen bhasma can also be an option under guidance, it’s been useful in similar cases.
For external application, switch from coconut and sesame oils to warm Bhringraj oil. Apply it gently on the scalp and leave it on for about 2-3 hours, washing it off with a mild herbal shampoo. The cooling nature of Bhringraj, ingested internally might be a problem, so washing well is crucial. Also, avoid wet hair in cold conditions to prevent migraines.
The chin acne and whiteheads are typically indicative of a Pitta imbalance. Avoid excessively spicy or fermented foods, and support your skin with neem paste or sandalwood powder mixed with a little rose water applied to the affected area twice a week.
For low blood pressure dizziness, consider a stable, grounding routine. Integrate Ashwagandha or Shatavari powder in warm milk nightly; both of which stabilize energy levels, calm Vata, and support steady blood pressure. Including adequate fiber and hydration, especially post-fasting, can prevent postprandial hypotension. Remember while the dietary inclusions like salt jaggery work short-term, a holistic diet focusing on staying hydrated and steady energy release is key. Reducing caffeine gradually might help stabilized mood and energy without the crashes you’re experiencing now.
My Questions: Dear Doctor, Thank you very much for your very detailed response. I very much appreciate the time you have taken to provide this. I will definitely try to incorporate your suggestions and also add Amla and Ashwagandha in particular into my diet that other Doctors here have advised as well. I just needed one quick clarification.
Interestingly, I was using Bhringraj infused in coconut oil for my hair all the while growing up and I had really very thick and great hair back then - All thanks to my mother’s efforts in preparing this at home from fresh leaves! I didn’t recognise it by this name but by its regional name.
My question to you is: You have suggested I switch from coconut and sesame oils to this one – but, what should the base oil be then if not these? Also, many oils contain a mix of herbs with Bringraj such as Amla, etc – Would that be okay? Since, I cannot make my own oil at the moment, could you recommend a few brands that I can consider?
Once again, thank you very much for your time to help out with my issues.
Thanks & Regards
For your hair fall, it seems like a Pitta imbalance may be contributing, especially with the sensitivity to coconut-based oils. Consider switching to Brahmi oil, which is more cooling and soothing without aggravating doshas. Apply it gently to the scalp once or twice a week and leave it on for about 30 minutes before washing. Alternatively, try a mix of aloe vera gel with hibiscus leaf and flower paste—a more balanced, non-oil alternative, suitable for sensitive scalps.
Regarding your chin acne, it’s often linked to excess heat and internal toxins. Look into neem or turmeric paste applied locally to help balance Pitta and reduce inflammation. Also, favor lukewarm water and mild, natural face masks like sandalwood once a week.
For fluctuating blood pressure and dizziness, focus on grounding practices. Weak Kapha or imbalanced Vata can play a role here. Maintain hydrated with room-temperature water, avoiding extremes. Consider consuming warm spiced milk with ginger and a pinch of turmeric at night to stabilize. Post-fasting meals can be made smoother with a small, slowly digested meal, like moong dal khichdi, to help your system balance out. Avoid heavy caffeine on an empty stomach as it can aggravate Vata and Pitta, escalating issues.
Finally, integrate Triphala—a traditional herbal formula beneficial for digestion and internal cleansing. Try one teaspoon at bedtime with warm water to help regulate everything holistically. Remember, if symptoms persist or worsen, aligned modern medical guidance must follow suit.

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