AYURVEDIC THERAPEUTIC INTERVENTIONS IN A CASE OF INDRALUPTA (ALOPECIA AREATA)

Hair plays a vital role in a person’s appearance and self-esteem. Hair loss, especially when sudden and patchy, can cause significant psychological and emotional distress. Indralupta, a condition described in Ayurvedic classics under Kshudraroga, is characterized by sudden, localized hair loss, often manifesting as round or oval bald patches on the scalp. In contemporary dermatology, Indralupta can be correlated with Alopecia Areata—an autoimmune disorder that causes non-scarring hair loss due to immune-mediated damage to hair follicles. Although the exact aetiology of Alopecia Areata remains unclear, factors such as genetic predisposition, stress, and immune dysfunction are commonly associated. A 32-year-old female presented with a single smooth bald patch over the occipital region, with no associated itching, scaling, or erythema. Based on Ayurvedic clinical examination and signs, the condition was diagnosed as Indralupta. The patient was treated with a comprehensive Ayurvedic regimen that included Vamana (~therapeutic emesis), Jalaukavacharana (~leech therapy), Nasya (~nasal administration) with Anu Taila, and internal use of Brahmi Vati, Amalaki Rasayana, and Gandhaka Rasayana. Neelibhringadi Taila was advised for topical application, along with strict dietary and lifestyle modifications  following Pathya-Apathya principles. The treatment outcome was assessed over two months through clinical observation of hair regrowth, patch size reduction, and recurrence status. Significant regrowth of hair was noted within the first month, with near-complete restoration by the end of two months and no adverse effects. This case demonstrates the potential effectiveness of classical Ayurvedic therapies in the successful management of Indralupta.