Seeking Advice for Alopecia Areata and Lichen Planopilaris - #36959

Amlaki rasayana 1-0-1 tsp with warm water Neem capsule 1-0-1 Gandhak rasayana 1-0-1 Arogyavardini vati 1-0-1 Manjisthadi kwath 15-0-15 ml with water Kuntalakanti taila - scalp massage weekly two times Avoid sour salty spicy foods

Avoid addiction if any. Avoid oily, spicy and processed foods. Regular exercise and Shirsasan if possible. Increase intake of raw vegetables and fruits. Tab. Bhringraj 2-0-2 Tab. Protekt 2-0-2 Massage on scalp with Dhaturpatradi oil twice a week. Follow up after 4weeks

Bhringraj Taila or Neelibhringadi Taila – massage gently 3 times a week (lukewarm oil).

Keshya Taila (containing Yashtimadhu, Amalaki, and Jatamansi) – if the scalp is very dry or itchy.

Aloe vera gel (fresh) – cooling, soothing; can apply overnight once or twice a week.

Avoid harsh shampoos; use mild herbal shampoos (like hibiscus, amla, or reetha-based).

🧘‍♀️ 3. LIFESTYLE & DIET

LPP strongly links with stress, sleep, and inflammation.

✅ DO’s

Eat cooling foods: ghee, coconut, amla, bottle gourd, cucumber, coriander, and soaked almonds.

Drink Aloe vera juice (30 ml daily) or amla juice for internal cooling.

Practice Shirodhara or Nasya therapy (with Anu taila) under guidance — both help calm the nervous system and scalp inflammation.

Yoga: Sheetali pranayama, Anulom Vilom, Meditation – daily.

🚫 AVOID

Spicy, oily, fried, sour, and fermented foods.

Excess tea, coffee, alcohol, or late-night sleep.

Chemical hair treatments, dyes, and tight hairstyles.

Treatment for alopecia areta:-

AMLAKI RASAYAN POWDER=100gm JATAMANSHI POWDER 50GM BHRINGRAJ POWDER 50GM BLACK SESAME SEEDS POWDER 50GM SAPTAMRTH LAUH 20GM MUKTA SHUKTI BHSMA 10GM… MIX ALL POWDERS IN A JAR TAND TAKE 1/1 TSP EMPTY STOMACH TWICE DAILY WITH WATER…

DIVYA IMMUNOGHRIT TAB PUNARNAWADI MANDOOR=2-2 TAB AFTER MEAL TWICE DAILY

KARANG OIL + DHATURPATRADI OIL=MIX BOTH OIL AND APPLY ON SCALP AT NIGHT TIME AND WASH IN EARLY MORNING…

DO ANULOMAVILOM/BHRAMRI PRANAYAMA =10 MIN EACH DAILY…

AVOID SPICY/OILY AND JUNK FOOD…

CONSULT AFTER 1 MONTH

U can start with Kaishora Guggulu Tab 2 bd after food Mahamanjishtadi kwatham 20 ml twice a day before food Arogyavardhini vati tab 1-0-1 after food Kuntalakanthi tailam application over scalp Coming to diet Take more of protein rich food like eggs, paneer, soya, meat soup, Freshly prepared food articles like Pongal gruel porridges of red rice More of green leafy vegetables

1.Gandhak rasayan 2 tab twice daily with water after meals 2.Arogyavardhini vati 2 tab twice daily with water after meals 3.Neem oil + tankan bhasma + suddh gandhak-mix all together and apply on the scalp once daily after proper cleansing of the area 4.Neem ghana vati 2 tab twice daily with water after meals

Supportive Therapies - Panchakarma (if feasible): Virechana (purgation) and Raktamokshana (bloodletting) under supervision. - Diet: Favor bitter, cooling foods—karela, neem, turmeric, old rice, barley. Avoid spicy, sour, fermented, and oily foods. - Stress Management: Emotional triggers often worsen autoimmune conditions. Ashwagandha or Brahmi may help. - Sleep & Routine: Early bedtime, regular meals, and gentle yoga (especially Shitali and Bhramari pranayama).

WARM REGARDS DR.ANJALI SEHRAWAT

Take amalaki rasayana 1tab bd,tankanabashma+lemon juice apply on affected area , pancha tikta ghrita Guggulu 1tab bd,neeli bhrignamalkam external application enough

Both alopecia areata and Lichen Planopilaris are complex conditions requiring a strategic Ayurvedic approach tailored to your unique dosha balance. The crux of Ayurveda lies in balancing the body’s doshas and reviving the scalp’s health. First, a comprehensive assessment of your prakriti (constitution) and vikriti (current imbalance) is crucial.

Focus on pacifying Vata and balancing Pitta doshas, often implicated in such conditions. Incorporate an anti-Vata and anti-Pitta diet by favoring warm, cooked foods. Avoid cold foods, caffeine, spicy, spicy, and fermented foods. Increase intake of naturally sweet fruits, ghee, and cooling herbs, like fennel. Hydrate regularly with lukewarm water throughout the day, which helps maintain agni (digestive fire).

For scalp health, massage the scalp with Brahmi or Bhringraj oil thrice a week. Gently warm the oil and leave it overnight allowing the oil to nourish the hair follicles. Additionally, Triphala churna is effective in detoxing and balancing the doshas - take one teaspoon with warm water before bed.

Incorporate stress-relieving techniques like Yoga and Meditation. They support mental well-being and help with emotional stress known to exacerbate hair loss. Practicing pranayama, particularly deep breathing exercises focused on calming Vata, could also be helpful.

Consultation with an experienced Ayurvedic practitioner is critical. Personalized Panchakarma treatments might be recommended to cleanse the bodily systems and restore balance. Procedures like Virechana (therapeutic purgation) and Shirodhara (oil flow on forehead) may be valuable for these conditions.

Also, track improvements over few months, as Ayurvedic treatments are gradual in nature. If there persists pain, discomfort, or accelerated hair loss, do not delay further, seek immediate advice from healthcare provider. Balancing modern medicine with Ayurveda often yield best outcomes for chronic conditions.

Start with 1. Manjisthaadi kashayam 20ml-0-20ml with 20ml water before food 2. Arogyavardhini Vati 250mg 1-0-1 after food 3. Bhringraj churna 1tsp-0-1tsp with warm water before food 4. Tab Punarnava Mandoor 1-0-1 after food 5. Nasya with Anu Taila 2-2 drops twicea day in each nostril for 3 week 6. Castor Oil 2tsp at Night in warm milk , twice in a week 7. Malyatadi Tail for local application at patches twice

Follow this for 1 month.

Regards Dr Gursimran Jeet Singh MD Panchakarma

HELLO KARTHICK,

Alopecia areata is a rare autoimmune condition where your immune system mistakenly attacks the hair follicles , especially in the scalp. The inflammation destroys the hair follicle permanently- leading to scarring and irreversible hair loss.

KEY FEATURES -patchy hair loss with redness, itching, burning or pain - follicular plugging- scalp looks like small dots or bumps -shiny patches of scalp with no hair follicles- sign of permanent scarring

In Ayurveda, alopecia aerate is viewed as a complex disease involving -vitiation of pitta and vata doshas - involvement of Rakta dhatu (blood tissue) and Mamsa dhatu (muscle tissue) -A condition called Khalitya + Raktadushti + Darunaka + Indralupta aspects

It is chronic and Tridoshaja , especially dominated by Pitta (Inflammation) and Vata (Destruction, dryness, degeneration)

SYMPTOMS YOU ARE EXPERIENCING -patchy hair loss on scalp - redness or inflamed areas -burning or painful sensation in scalp - itchy or tender scalp - no regrowth in some areas

INVESTIGATIONS NEEDED -Scalp biopsy= most important to confirms LPP diagnosis -Trichoscopy(dermoscopy)- magnified look at scalp -Blood test -ANA (anti-nuclear antibodies) -ESR, CRP (inflammation markers) - Thyroid profile (autoimmune thyroiditis) - Vitamin D, B12 - Iron studies

TREATMENT GOAL -stops or slow down progression of scarring -control inflammation-reduce burning, itching, redness - purify blood and reduce autoimmune response - promote regrowth in non scarred areas - rejuvinate and nourish scalp tissues - prevent recurrence

DETOX THERAPY- if feasible go for panchakarma= best results in cases like yours

-VIRECHANA= purgation =clears excess pitta from liver ,blood and skin. very effective for LPP

-BASTI= especially effective for chronic autoimmune conditions. vata- pacifying basis rejuvinate scalp tissues

-RAKTAMOKSHANA(leech therapy)= useful in active, inflamed patches, reduces burning , pain, and promotes healing

INTERNAL MEDICINES= to be taken for at least 3-6 months

1) KAISHOR GUGGULU= 2 tabs twice daily after meals with warm water =reduces inflammation, purifies blood

2) AROGYAVARDHINI VATI= 1 tab twice daily after meals with water = supports liver detox and skin health

3) MAHAMANJISTHADI KASHAYA= 20 ml twice daily with warm water before meals = excellent blood purifier, acts on skin and scalp inflammation

4) GUDUCHI CAPSULES= 1 cap. twice daily after meals =immunomodulatory, helps correct autoimmunity

5) BRINGARAJ CAPSULES= 1 cap twice daily in morning and at night = hair tonic, supports regrowth in early stages

6) TRIPHALA= 1 tsp with warm water at bedtime =gentle detox, and digestive support

7) BRAHMI VATI= 1 tab at bedtime = reduces stress, calms autoimmune flare ups

EXTERNAL APPLICATIONS

-NEELIBRINGADI TAILA= apply warm oil to scalp, leave for 1 hour then wash = 3 times/week= use for long term

-DURVADI TAILA= good for active inflammation, alternate days until redness reduces

-KUMKUMADI TAILA= for pigmentation, inflammation only at night, few drops to patches

HERBAL HAIR WASH

BOIL AND COOL -AMLA+ REETHA+SHIKAKAI powder(1 tsp each in 1-2 cups water) -strian and use as a mild cleanser

ALSO= ALOEVERA GEL + NEEM WATER RINSE

LEPA -Manjistha+ neem + sandalwood with cow milk or rose water =leave for 45 min then wash use 2-3 times/week

-JATYADI LEPA= for inflamed skin, ulcerated patches

-SIDDHA TAILA + RASOTHAMADI LEPA= once in 10 days

DIET TO BE FOLLOWED -fresh fruits=pomegranate , sweet grapes, amla - Vegetables= bottle gourd, ridge gourd, ash gourd, leafy greens - mung dal -light and etoxifying - rice, whole wheat - cow ghee-small amount, especially medicated ghee - coconut water - turmeric, coriander, fennel, cumin in cooking

AVOID -spicy, sour, fermented foods- pickles , vinegar - deep fired, oily, heavy-to-digest food - over consumption of salt - tea, coffee, alcohol, smoking - excess curd, cheese, panner - non veg food (esp red meat), at least during treatment

LIFESTYLE + YOGA + PRANAYAM

YOGA( 5-20 minutes daily) helps regulate immunity and nervous system. focus on gentle, cooling, and anti stress practices -balasana -shashankasana -viparita karani - supta baddha konasana

PRANAYAM -nadi sodhana -sheetali/sheetakari -bhramari

AVOID -over exertion - over heating - excessive sun exposure - irregular sleep

LONG TERM MANAGEMENT

-BE PATIENT= hair loss is often irreversible in scarred areas. but progression can be slowed and some regrowth is possible in early, non scarred follicles

-Early intervention is crucial

-Stress is a major trigger-managing it is as important as medications

DO FOLLOW CONSISTENTLY

THANK YOU

HOPE THIS MIGHT BE HELPFUL

DR. MAITRI ACHARYA