An Ayurvedic Diagnostic Approach to Understanding Trichoscopic Findings in Hair Loss: A Conceptual Review

Abstract

Introduction: Alopecia (hair loss) is a prevalent condition influenced by both genetic and environmental factors. With an increase in early onset of hair loss and greying, trends show profound effects on the psyche, personality of an individual and his social interactions, highlighting the need for effective strategies to promptly diagnose and treat the condition. In dermatological practice, use of trichoscopic images in the diagnosis of hair loss have been documented profusely and algorithms have been framed to aptly diagnose the condition in modern science based on the findings, but it is not being widely used in ayurvedic trichology. Materials and Methods: This review utilises detailed visualisation of the hair and scalp of individuals with hair loss using trichoscopy and the images captured served as aid in interpretation of lakshanas (signs) thereby aiding in the diagnosis of the condition. The trichoscopic images were recorded and analysed based upon ayurveda and modern parameters and inferences were drawn. Observation & Results: Based upon the trichoscopic analysis, the images assessed showed varied clinical findings mentioned in ayurvedic texts and revealed the parameters of hair density, distribution, follicular units, hair characteristics, vascular patterns and signs of alopecia. Conclusion: The ayurvedic lakshanas (signs) and the trichoscopic findings matched well which pave a way for sound scientific basis of diagnostics and management of hair loss and other conditions pertaining to hair and scalp.