Role of Pracchanna Karma (bloodletting) followed by Shamana Chikitsa in the Management of Indralupta (Alopecia Areata): A Case Report
DOI:
https://doi.org/10.70066/jahm.v14i6.2801Keywords:
Alopecia areata, Case report, Gharshana, Indralupta, Lepa, PracchannaAbstract
Background: Indralupta a condition characterized by localized patchy hair loss mainly occurs due to Rakta Dushti. As per symptoms we can correlate it with Alopecia areata. Depending on the pattern of hair loss, alopecia can take many different forms. It can affect all hair-bearing sites and range from loss in distinct patches to diffuse or complete hair loss. Although not life-threatening, but the cosmetic disfigurement associated with this condition causes emotional and psychological distress and affects an individual’s quality of life. Clinical Findings: A 36-year-old female patient presented with chief complaints of patchy hair loss over the posterior region of scalp assessed by ALODEX score. Based on clinical examination and relevant findings, she was diagnosed with Indralupta (alopecia areata). Intervention: Patient was treated with Pracchanna Karma and Gharshana with fresh Parijata leaves over the affected area as a Shodhana Chikitsa, followed by application of Indralupta Masi Lepa along with internal medications which includes Bhringraja Ghanvati, Aamalaki Vati and Avipattikara Churna as Shamana Chikitsa for a duration of 60 days, with follow-up assessments conducted at two-week intervals. Outcome: There is a significant clinical improvement was observed, evidenced by gradual reduction in ALODEX grading (E1D10 to E0D1) indicating reduction in patch size and visible complete hair regrowth. Conclusion: This case suggests that Indralupta can be effectively managed through Ayurveda treatment over a duration of 60 days, highlighting the potential role of Panchakarma procedures in the management of alopecia areata.
References
Kaviraj Ambikadatta Shastri (editor). Commentary: Ayurveda Tatva Sandipika on Sushruta Samhita of Sushruta, Nidansthan, chapter 13, verse no.32-33. 14th edition, Varanasi Chaukhambha Sanskrit Sansthan, 2003;368
Hari Sadasiva Sastri Paradakara, (editor). Commentaries: Sarvangasundara of Arundatta and Ayurveda Rasayana of Hemadri on Ashtanga Hridaya, Uttarasthan, Chapter 23, verses no.24-25. Reprint edition, Varanasi: Chaukhamba Orientalia; 2010;1053.
Kashinath S, Gorakhnath C, (editors). Commentary: Charak Samhita of Charaka, ChikitsaSthan, Chapter 26, verses no.133. Varanasi; Chaukhamba Bharati Academy; 2012;744.
K.R. Shrikanthamurthy, (editor). Commentary: Astanga Samgraha of Vagbhata Uttarasthan, chapter 27, verse no.26-27. Edition reprint, Varanasi, Chaukhambha Krishnadas Acadamy, 2011;242.
Yadavaji Trikamji, (editor). Commentary: Ayurveda Dipika of Chakrapanidatta on Charaka Samhita of Charaka, VimanaSthana, chapter 1, verse no.17-19. Edition reprint, Varanasi Chaukhamba Sanskrit Sansthana; 2004;672.
Yadavaji Trikamji, (editor). Commentary: Ayurveda Dipika of Chakrapanidatta on Charaka Samhita of Charaka, Chikitshasthana, chapter 15, verse no.19. Edition reprint, Varanasi Chaukhamba Sanskrit Sansthana; 2009;456.
Lu H, Li J, Ma K, Li L, Wang S, Wang T, Zhang B. Global, Regional, and National Burden of Alopecia Areata in Children and Adolescents Aged 0-19 years from 1990 to 2021 and Projection to 2040. Clin Cosmet Investig Dermatol. 2026;19:582775
https://doi.org/10.2147/CCID.S582775
Ma T, Zhang T, Miao F, Liu J, Zhu Q, Chen Z, Tai Z, He Z. Alopecia Areata: Pathogenesis, Diagnosis, and Therapies. MedComm (2020). 2025 Apr 21;6(5):e70182. doi: 10.1002/mco2.70182. PMID: 40260013; PMCID: PMC12010142. https://pubmed.ncbi.nlm.nih.gov/40260013/
K. R. Shrikanthamurthy (editor) Commentary: Astanga Hridayam of Vagbhata. Uttarssthana, chapter 24, verse no.28. 12th edition, Varanasi Chowkhamba Krishnadas Academy; 2021;229
Olsen, Elise A et al. “Objective outcome measures: Collecting meaningful data on alopecia areata.” Journal of the American Academy of Dermatology vol. 79,3 (2018): 470-478.e3. https://doi.org/10.1016/j.jaad.2017.10.048
Kaviraj Ambikadatta Shastri (editor). Commentary: Ayurveda Tatva Sandipika of Sushruta Samhita of Sushruta Sutrasthan, chapter 24, verse no.11. 14th edition, Varanasi Chaukhambha Sanskrit Sansthan 2003;132.
Kaviraj Ambikadatta Shastri (editor). Commentary: Ayurveda Tatva Sandipika on Sushruta Samhita, Sutrasthan, chapter 25, verse no.15 14th edition, Varanasi Chaukhambha Sanskrit Sansthan 2003;134.
Kaviraj Ambikadatta Shastri (editor). Commentary: Ayurveda Tatva Sandipika on Sushruta Samhita Sutrasthan, chapter 14, verse no.25. 14th edition, Varanasi Chaukhambha Sanskrit Sansthan 2003;70.
Latha L U, Vishvanath. Ayurvedic management of Indralupta – A case report. J of Ayurveda and Hol Med (JAHM);2022;10(6):102-107 [cited 2026Jun.21] https://jahm.co.in/index.php/jahm/article/view/582/509
Dhananjay Kumar Jaiswal . Indralupta (Alopecia areata): A Case Successfully Treated with Jalauka Karma (Leech Therapy). Jour of Clin Cas Rep, Med Imag and Heal Sci 6(3)-2023. https://jmedcasereportsimages.org/articles/JCRMHS-1262.pdf
Londhe SP, Dharkar NS, Londhe SP. Prachhanna Karma with Lepa and Shirodhara – An Effective Treatment of Indralupta – A Case Study. Asian Pac. J. Health Sci., 2022;9(4):223-226. https://doi.org/10.21276/apjhs.2022.9.4.44
Vidyadhar Shukla, Ravi Dutta Tripathi (editors). Commentary: Vaidyamanorama Hindi on Charaka Samhita of Charaka, Sutrasthana, chapter 11, verse no.55. Reprint edition, Delhi Chaukhamba Sanskrit Pratishthan; 2013;179.
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