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Homeopathy and Diseases of Hair


Homeopathic Journal :: Volume: 3, Issue: 10, Aug, 2010 (General Theme)   -   from Homeorizon.com
Author : Dr. Tejal Parmar, BHMS
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Article Updated: Aug 22, 2010


The presence or absence of hair is a matter of beauty. Loss of hair is termed as ALOPECIA. Excess of hair is termed as HYPERTRICHOSIS; it is named HIRSUTISM when growth follows patterns of adult male. Another problem with which patients come to us is abnormalities of hair shafts.

ALOPECIA

CAUSES:

  • Localised:
    • non scarring:
      • alopecia areata
      • male pattern alopecia
      • traction alopecia
      • ring worm
      • hair shaft abnormalities
    • scarring:
      • congenital
      • inflammatory
      • malignancy
  • Generalised:
    • congenital(ectodermal dysplasias)
    • immunological(alopecia universalis)
  1. ALOPECIA AREATA :
    • Etiology:
      1. immunological-association of thyroid diseses,vitiligo,atopy.
      2. genetic inheritence
      3. emotional trauma

    • Clinical features:-
      • Common in both sexes, starts at any age.
      • Lesion-circular patch of alopecia.
      • No scaling, no inflammation.
      • Presence of exclamation mark hair at the edge of the lesion is pathognomonic. (It is the hair which is broken off about 2-3mm from the scalp due to constriction in the shaft. The broken hair is paler and narrower than normal hair.)
      • Site: scalp, beard, sometimes-eye lashes, eye brows.
      • Single lesion-recover within few months, regrowth begins usually at the
      • centre.
      • Some patients lose all the hair from the scalp- ALOPECIA TOTALIS.
      • Few patients lose the hair from whole body- ALOPECIA UNIVERSALIS

    • Differential diagnosis:
      1. Tinea Capitis:
        • fungal infection
        • scaling present
        • hair can be plucked easily & painlessly from the lesion.
        • no exclamation mark hair.
      2. Cicatricial Alopecia:
        • alopecia preceeded by papules & pustules.
        • pigmentation & scaling.
        • evidence of primary disease like DLE, lichen planus

  2. ANDROGENIC ALOPECIA(MALE PATTERN ALOPECIA:
    Occurs because of progressive transformation of terminal hair follicles of scalp into vellus follicles
    • Etiology:
      • Genetic- familial
      • Hormonal-androgen dependent
      • Associations -anxiety
        • monosymptomatic hypochondriasis
        • hyperandrogenism(in women)
        hair loss is relentless with the tendency to follow the pattern in the family.

    • Diagnosis:
      • MALE - typical presentations
      • FEMALE - androgenic alopecia should be diffrentiated from the other causes of diffuse hair loss like telogen effluvium,& hair loss in endocrine disorders.

  3. TRACTION ALOPECIA :
    • Etiology:
      • any constant traction can lead to alopecia.
      • Hot combing (straightening of hair)
      • Tight hair styles

    • Clinical features: Incidences-frequent in girls & Sikh males

    • Presentation:
      • frontal area
      • margin of scalp
      It starts with short broken hair, folliculitis &occasional scarring.

    • Progress: reversible-in early stages

    • Diagnosis:
      • Pattern of hair loss
      • tight hair styles
      • absence of exclamation mark hairs &scaling
      • presence of folliculitis.

  4. TELOGEN EFFLUVIUM :
    Diffuse hair loss.
    • Cause:
      • fever
      • prolonged birth
      • surgical trauma
      • haemorrhage
      • emotional stress

    • Clinical features:
      • Diffuse hair loss occurring 2-3months after the precipitating stimulus
      • varying degree of hair loss
      • regrowth of hair in 2-3months
      • anemia-associated disease.

  5. PATCHY HAIR LOSS DUE TO SKIN DISEASE:
    • BACTERIAL FOLLICULITIS - small area of non-scarring alopecia.
    • FUNGAL INFECTIONS - non-cicatricial alopecia.
    • PSORIASIS(RARE) - reversible
    • LICHEN PLANUS - scarring alopecia
    • DISCOID LUPUS ERYTHEMATOSUS - cicatricial alopecia.

 

HIRSUTISM

It is the presence of terminal hair in women, exhibiting male pattern.

  • Etiology:
    • racial
    • familial
    • hormonal- PCOD, menopause, cushing syndrome, hyperprolactinaemia
    • idiopathic

  • Clinical features:
    • Excess growth of terminal hair in beard, chest, shoulder, periareolar & infraumbilical region.
    • begins at puberty & progresses with age.
    • psychological overtones.

  • Investigation: Gynecological evaluations, sonography, hormonal study.

HYPERTRICHOSIS

It is an excess growth of terminal hair but one which does not follow an androgen induced pattern.

  • Causes:
    • Localised
      • spina bifida
      • melanocytic naevi
      • post inflammatory

    • Generalised
      • hypertrichosis lanugiosa
      • drugs
      • hepatic porphysis

 

Homoeopathic medicines for disease of hair

DANDRUFF :

Nat.mur - white dandruff, alternating with cattarh or loss of smell.

Phosphorus - copious dandruff, falling off of hair in bunches. Itching of scalp.

Graphites - dandruff with eczema or other eruptions. Falling of hair. Burning on vertex.

Sepia - dandruff in circles, like ring-worm. Moist scalp. Pimples on forehead near hair. Loosing of hair after chronic headache.

Sanicula - scaly dandruff over the scalp, eye-brows and other hairy parts.

 

FALLING OF HAIR/ALOPECIA:

Sepia - falling of hair during menopause and pregnancy.

Sulphur - very unruly hair, sandy, harsh, lustreless- growing in every direction.

Ustilago m - baldness due to syphilis. hair will fall and will not grow.

Wiesbaden - by the use of this remedy the hair will grow rapidly and become darker. Give in 200 dilution.

Vinca minor - bald spots with itching of the skin, oozing moisture, matted hair, irresistible desire to scratch.

Graphites - bald spots on the sides of the hair. Important remedy for alopecia areata.

Ars.alb.- bald spots near the forhead. Dry scales on scalp.

Carbo veg - loss of hair from occiput.

Phos - loss of hair from forehead.

Fluoric acid - baldness in spots.

Kali carb - loss of hair from eyebrows.

 

PREMATURE GREYING OF HAIR:

Natrum mur - Grey hair due to exhausting ailments.

Thyroidin - Given in 30 dilution for one month thrice daily and there after in 200 dilution every week for one month.


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