Combine Effect of Tribal Black Tablet and Tribal Black Hair Oil in the Management of Khalitya (Hair Fall) open level Randomized Clinical Trial

Every strand of hair on head has a lifespan about 3 to 5 years. Hair follicles have a cycle of active growth, transition, and rest. Hair loss occurs when hair‘s growth cycle is disrupted. Hair loss is most commonly genetical and becomes more common in men and women with age. This condition occurs when more of hair enters the rest cycle, during which it falls out. Hair loss is a common and distressing symptom. There is neither any specific treatment available for diffuse hair loss, or full understanding of the patho-physiology of this common disorder but dandruff is said to be the common cause of it. According to Ayurveda, hair fall occurs due to vitiation of Vata Dosha along with Pitta Dosha in the body. Shaaririk and Mansik Nidanas include, consumption of Ushna, Tikshna, Ruksha, Katu, Amla, Lavana Rasa in diet ignites Khalitya where as Mansik Bhavas like Krodha, Shok, Bhaya aggravate Vata and Pitta further adding to exacerbation of Khalitya. It has also been observed while enrolling the patients that they were regular users of harsh chemical shampoos, hair styling tools etc. Also it was observed that females were more afflicted than males in case of hair fall. As Ayurveda has numerous magical herbs for correcting this disorder. The use of chemotherapeutic agents also cause hair fall.1 Management of hair fall is extremely complex. Although no sweeping cure exists for hair loss, a number of treatments are available to depending on their unique reasons for experiencing hair loss. The aim of present study was to evaluate etiological factors responsible for hair fall and the assessment of efficacy of Tribal Black Tablet and Tribal Black Hair Oil. The oral medication Tribal Black Tablet is a combination of various herbs like Triphala, Bhringaraaj, Brahmi which are Rasayan, Jatharagni Corrector and provides mental relaxation, improvement in quality and quantity of hair by affecting and rejuvenating body‘s cells. Massage with Tribal black Hair Oil, will work on scalp and hair

MATERIALS AND METHODS (STUDY DESIGN)

Patients presenting with signs and symptoms Khalitya, were selected from the OPD and IPD of Shubhdeep Ayurved Medical College and Hospital (P.G Institute) Indore (M.P.)

A minimum of 30 patients fulfilling the diagnostic and inclusion criteria of either sex were selected for the study.

The patients were diagnosed on bases of the following clinical features. ● Hair fall ● Roughness of hair ● Splitting of hair ends ● Dandruff

● Patients between age group of 18-50 years. ● Patients fulfilling diagnostic criteria selected, irrespective of sex.

● Patients below the age of 18 and above the age of 50 years. ● Patient suffering from any systemic illness like HIV, diabetic mellitus etc. ● Patients on chemotherapy or radiation therapy.

• Tribal black tablet

• Tribal black hair Oil

• 307 Atulya IT Park Indore

• Manufactured: Mangal Murti Herbals Indore

● Men:-Apply 5-6 ml of Tribal Black Hair Oil on scalp and massage gently for 1-2 minutes daily. ● Women:-Apply 8-10 ml of Tribal Black Hair Oil on scalp and massage gently for 1-2 minutes thrice a week. ● Study duration: 30 days ● Follow up: On 15thand 30th day.

Detail proforma adopted standard methods of scoring subjective and objective parameters were analyzed statistically.

● Hair fall ● Roughness of hair ● Splitting of hair ends ● Dandruff

KOH, CBC, Sr. Creatinine, S. Bilirubin, SGOT, SGPT, ESR were carried out before and after the treatment to rule out any other pathological condition or safety of tribal black tab.

A detailed proforma according to disease was prepared and all the subjective and objective values recorded and result was generated. Assessment was also done according to the observations made by the P.I and experiences of the patients while following the one month treatment protocol.

TABLE NO 1

TABLE NO 2

Both male and female have been suffering from hair fall worldwide. The patients of hair fall have increased since passed few years due to increasing cases of Hormonal changes, auto-immune disorders, thyroid diseases and the leading cause of today‘s era disturbed lifestyle as well as stress are pre-cursors and catalysts for hair fall. Unhealthy packed and junk food strongly affects the hair health. According to Ayurveda, hair fall occurs due to vitiation of Vata Dosha along with Pitta Dosha in the body. Shaaririk and Mansik Nidanas include, consumption of Ushna, Tikshna, Ruksha, Katu, Amla, Lavana Rasa in diet ignites Khalitya where as Mansik Bhavas like Krodha, Shok, Bhaya aggravate Vata and Pitta further adding to exacerbation of Khalitya. Acharya Charak mentions that the Tejas with the help of the Vatadi Doshas scorches the scalp rapidly so as to cause Khalati to a person. In Khalitya, Bhrajaka Pitta4 sites in skin and Roma Kupa (opening of hair follicle) get vitiated and enter in skin through Roma Kupa with vitiated Vata Dosha due to which hair fall occurs, after that vitiated Rakta and Kapha Dosha blocks the opening of hair follicle due to which production of new hair stop. Overall in Khalitya, hair fall occurs and new hair does not appear that leads to baldness. Khalitya is Pitta Pradhana Tridoshaja Vyadhi i.e. Vata, Pitta, Kapha with Rakta Dosha. All Doshas are vitiated but have predominance of Pitta and Rakta Dosha mainly. Acharya Sushruta considering it as Kshudra Roga5 says that the Pitta provocated by its own factors penetrates into the Roma Koopa and there it unites with the Vata to shatter the hair. Out of total 30 patients 40% were male and 60% of patients were female. As females opt for more hair styling chemicals and tools as compared to males, it might be a reason for more hair fall. Out of total 30 patients enrolled 83.34% were suffering from anxiety and mental stress while 16.66% were stable mentally. As mental stress leads to vitiation of Vata and Pitta Dosha which is a triggering factor for hair fall therefore 83.34% more patients of stress suffer from hair fall. Out of total 30 patients enrolled 13.34% patients were from rural habitat and 86.66 % were from Urban Habitat. As people receding in urban area are more exposed to pollution, chemicals and hair styling tools which leads to comparatively more hair fall. Out of total 30 patients enrolled 33.30 % were of upper class, 16.70 % patients were of middle class, and 70% were of poor

It has also been observed while enrolling the patients that they were regular users of harsh chemical shampoos, hair styling tools etc. Also it was observed that females were more afflicted than males in case of hair fall.

Tribal Black Tablet is a herbo-mineral combination prepared exclusively for hair health and regeneration of hair follicles. The ingredients of the tablet overall promotes hair growth, fights dandruff, nourishment of scalp and improves hair quality. Triphala is a well-known poly herbal formulation. Triphala is considered as a Rasayana drug due to it‘s nutritive and regenerative properties.. Triphala is one among the Ayurvedic medicinal herbal formulation mostly preferred by medical practitioners for curing a wide spectrum of diseases3. As Amla is good for hair health, Haritaki and Vibhitaki is good for Gut health, hence improves hair health from in and out. Bhringaraaj is also known as Kesharaj which means ―Ruler of the hair‖. It is rich in proteins, vitamins and antioxidants which help protect the body against certain infections. Lauha Bhasma strengthens the body and improves the production of RBCs. The person who suffers from low hemoglobin level suffers from the consequences like pale skin, hair fall, loss of memory, fatigue etc. Being Rasayan Aushadhi it helps in enhancing the hair cells and reduces hair fall. This potent mineral formulation is blessed with the ability of pacifying the Tridoshas, i.e. Vata, Pitta and Kapha. Being a powerful Rasayani Dravya or ingredient, Abhraka Bhasma not only provides adequate energy to carry out various activities but also has a calming effect on both the mind and body. Over all the ingredients of Tribal Black Tablet enhances the Jatharagni, Pacifies and balances Tridoshas, increases the hair growth and improves quality of hair hence reducing the hair fall.

The ingredients like Ashwagandha, Amla, Musli, Kali Haldi being Rasayan in nature helps to nurture scalp

Bhringaraaj that provide nourishment to the hair scalp. Brahmi and Jatamansi are also helpful in promoting sleep and reduce stress. Gudahal helps to fight grey hair. Neem, Tulsi helps to fight the infections and dandruff present on scalp. Pyaz extract promotes hair growth. Thus the combination of Tribal Black Tablet and Tribal Black Hair Oil has proved itself to be excellent in treating the cases of hair fall. All the ingredients help to fight the hair problems like hair fall, dandruff, dryness of hair and splitting hair. Massage with Tribal Black Hair Oil has been proved to be reasonably effective and safe in patients as per their experience and Investigator‘s Observations.

1. Ranganathan S and Shobana S. Evaluation of a herbal hair oil in reducing hair fall in human volunteers. Indian Drugs 2008; 45(6):451-455. 2. Govindarajan R, Vijaykumar M, Pushpangadan P. Antioxidant approach to disease management and the role of Rasayan herbs of Ayurveda; Journal of Ethno pharmacology. 2005; 99:165-178.3. 3. 3. The Ayurvedic Formulary of India, Part –II, Department of Indian System of Medicine and Homeopathy, New Delhi. 2002. 3. Charaka Samhita Revised by Charaka and Dridhabala, Vidyotini Hindi commentry by Pt. Kashi Nath Shastri and Dr. Gorakh Nath 4. Sushruta Samhita with Ayurvedtatva sandipika Hindi commentary Hindi commentary by Kaviraj Ambika Dutt Shastri, 5th Edition, 1982, Chaukhamba Sanskrit Series, Varanasi. Nidana sthana. 13/32-33

Vice Principal and HOD Shubhdeep Ayurved Medical College and Hopital, PG Institute Indore