Ayurvedic Management of Indralupta (Alopecia Areata) through Jalaukavacharana and Internal Medications: A Case Report

Abstract

Indralupta is a tridoshaja Kshudra Roga involving sudden localized hair loss. loss caused by the vitiation of Vata and Pitta dosha that uproot hair from follicles, while Kapha and Rakta obstruct hair regrowth. It is clinically comparable to alopecia areata, an autoimmune condition in modern medicine where T-cells target hair follicles, resulting in patchy baldness. Conventional management involves the use of topical or systemic corticosteroids, immunosuppressants, and minoxidil, which may yield temporary relief but often lead to recurrence, side effects, or resistance. There is a need for safer and more sustainable therapeutic alternatives, especially in pediatric cases. This case presents the successful Ayurvedic treatment of a 16-year-old female diagnosed with Indralupta using Jalaukavacharana (leech therapy), Rasayana, and Raktashodhaka medicines for three months. This approach yielded complete hair regrowth with no recurrence, emphasizing the effectiveness of Ayurvedic principles in managing alopecia areata.