EFFECT OF JALUAKAVACHARAN IN MANAGEMENT OF INDRALUPTA WITH SPECIAL REFERENCE TO ALOPECIA AREATA-A CASE STUDY

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Date of Acceptance : 26 Jun 2025

Date of Publication : 29 Jun 2025

Article ID : SD-IJAY_135

How to cite this article : http://doi.org/10.55552/SDNJAY.2025.3204

Abstract

Hair is the crown mark of a mortal being. Humans have roughly five million hair follicles, which offer protection from cold and UV radiation, produce sebum and can have a significant cerebral impact when growth or structure is unstable.                                                                

Alopecia areata is an autoimmune complaint that attacks your body’s hair follicles, causing patchy hair loss. Specifics and curatives can help your hair regrow, though severe cases may not respond to treatment. According to contemporary lores, the main treatment for alopecia areata is the use of corticosteroid injectables, which show dangerous side effects and aren't recommended for long-term use. Alopecia areata is a burning hair loss problem in all age groups, having a frequency rate of 0.7 in India. Alopecia areata can be identified with the Indralupta complaint mentioned in Ayurveda. Indralupta is mentioned as Kshudra roga by Acharya Vagbhata, Madhavnidan, and Yog Ratnakar. Acharya Sushruta. In Ayurveda, both Shaman and Shodhan treatment modalities are mentioned for Indralupta.

KEY WORDS:-  Jalaukavacharan, Indralupta, Alopecia areata, Shaman chikitsa.

Introduction

Hair is an element of the integumentary system and extends over into the dermal subcaste, Hair is an element of the integumentary system and extends over into the dermal subcaste, where it sits in the hair follicle. Humans have roughly five million hair follicles, which offer protection from cold and UV radiation, produce sebum, and can have a significant cerebral impact when growth or structure is unstable. At a bitsy position, each hair's variety in length, colour, periphery, and cross-sectional shape creates the characteristic biographies seen across ethnic groups and individuals. duals...⁽¹⁾ Alopecia areata is an autoimmune complaint that attacks your body’s hair follicles, causing patchy hair loss. Specifics and curatives can help your hair regrow, though severe cases may not respond to treatment. Alopecia areata is an autoimmune complaint that causes patchy hair loss anywhere on your body, but it most generally affects the hair on the skin that covers your head (crown). “Alopecia” is a medical term for hair loss or baldness, and “areata” means that it occurs in small, arbitrary areas. Alopecia areata is common. Nearly 7 million people in the United States have alopecia areata, and roughly 20% of cases involve children. Of people who have alopecia areata, 5 have alopecia areata totalis, and 1 has alopecia areata universalis. It’s the second-most common form of hair loss, behind womanish pattern baldness and baldness. manly pattern baldness. baldness. baldness....⁽²⁾ Alopecia areata can be identified with the Indralupta complaint mentioned in Ayurveda⁽³⁾ Indralupa is mentioned as Kshroga by Vagbhata, MadMadhavnidan, and Ratnakar.^{(4, 5)} Acharya Sushruta. In Ayurveda, both Shaman and Shodhan treatment modalities are mentioned for Indralupta. Indralupta is presented as patchy hbody ss anywherbody oubody is concerned then with the head. Due to vitiated pitta dosha and osdosha, there is hair fall all and also laton. According to Ashray-Ashrayee Bhava, Raktadhatu, u, along with Kapha, causes inhibition to the hair roots and so restricts hair growth. Raktamokshan is indicated in Raktaj vyadhi and plays an important part in Indralupta.⁽⁶⁾ Then there's a case of a manly case suffering from Indralupta who was successfully treated with nidanparivarjan and Jalaukavacharan.

Discussion

This study was designed according to the principles of management by Indralupta, i.e., H. Raktamokshan. Indrapta is shown as having uneven hair removal all over her body, but I'm interested in the head here. For Witketten Pitta Dosha, there are hair stalls, and then, according to Ashry-Ashryee Bhava, Rakta Dhatu, along with Kapha, causes constipation of the hair and therefore limits the growth of the hair. Raktamokshan is on display at Raktaj Vyadhi and plays an important role in Indralupta.Raktamokshan is mentioned by various techniques such as Acharyas and Shrunga, Alabu, Jalauka, Siravedha, and Prachhana. Raktamokshan is a treatment for Indorapa and is performed by Siravedha or Pracchana

Karma. Siaravedha is at risk of blood loss, and Prachhana is painful karma. Jalaukavacharan is one of the safe steps that can be carried out under Raktamokshan. Jalaukavacharan helps Kapha with the removal of Ratka, which causes hair roots.

According to modern science, saliva contains hirudin's blood cells and certain bioactive substances, such as anticoagulants, vasodilators and other anti-inflammatory compounds. During blood feeding, these substances are released into the bloodstream, improving blood flow to the affected area and reducing symptoms.^[7] According to modern science, unwanted hair loss is called alopecia. This is a widespread disease that occurs in many patterns and affects both genders that are divided into nonscarring and cicatricial subtypes. Alopecia is usually a scalp-stained hair loss, often short and broken, with a distinctive exclamation point that looks like a floating exclamation point. Alopecia Totalis and Universalis are the most severe forms of alopecia. Alopecia total removes all terminal scalp hair alopecia.^[8] Visible hair is the final product of skin attachment cells called hair follicles. The hair follicles pass continuously through three phase cycles: anagen, caten, and telogen. Anagen growth is the active stage in which the hair follicles take on the shape of an onion and produce hair fibres. The catagen phase begins at the end of the anagen phase and is characterised by a transition. A telogen or static stage of the hair cycle where the hair follicles rest and no hair growth occurs.

The alopecia area will not disappear. Medications and other treatments can help you manage your hair loss, but you will not heal the illness. The total aromatic area and alopecia areata universalis are more serious and less likely to respond to treatment. Treatment options in modern science include corticosteroids, minoxidil, phototherapy, tile-rich plasma, and topical immunotherapy ^[9]

Conclusion

Thus, in the present study, a patient suffering from alopecia areata (Indralupta) was successfully treated with Jalaukavacharan. There were not any adverse effects found. Nidanparivarjan is also an important part of the treatment.

References

1. Buffoli B, Rinaldi F, Labanca M, Sorbellini E, Trink A, Guanziroli E, Rezzani R, Rodella LF. The human hair: from anatomy to physiology. Int J Dermatol. 2014 Mar;53(3):331-41. [PubMed]
2. (https://my.clevelandclinic.org/health/diseases/12423-alopecia-areata)
3. JAMS_201733_02.pdf
4. Vd.Laxmipati shashtri Yog Ratnakar, Chaukhamba Sanskrit sansthan, 7^th edition, Uttarardha, Kshudrarognidan, Verse no: 28-29, Page 275
5. Madhavnidan, Kshudrarognidan, 28^th Adhyaya, Verse no:29
6. Acharya Yadavji Trikamji, Charaka Samhita, Choukhamba Orientalia, Varanasi, Reprint edition-2004, 24^th Adhyaya, verse no:18
7. Waghmare GA. Medicinal Leech Therapy in alopecia areata (Khalitya)- A case report.Int.J.AYUSH CaRe.2019;3(3):206-211
8. Al Aboud AM, Syed HA, Zito PM. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Feb 26, 2024. Alopecia. [PubMed]
9. American Academy of Dermatology Association. Alopecia-Areata (https://www.aad.org/public/diseases/hair-loss/types/alopecia)