For many of us, our hair can feel like an outward expression of our identity, and we may struggle emotionally and socially when it is compromised. According to the National Alopecia Areata Foundation, an estimated 6.7 million Americans suffer or have suffered from alopecia areata (AA), an autoimmune disease resulting in hair loss on the scalp, face and other parts of the body. Whether AA manifests as bald patches or complete hair loss, the conventional coursesof action may involve oral prescription medication, over-the-counter topical products and oral or injected steroids that are often unsuccessful and may come with side effects.

There is evidence that stress and anxiety can play a role in AA, as can certain underlying health conditions such as thyroid disease, celiac disease and lupus. Hormonal imbalances and vitamin and mineral deficiencies can also be key factors. Although AA can be a stubborn condition, alternative approaches such as centuries-old Ayurveda and Traditional Chinese Medicine (TCM), including acupuncture, can offer hope.

Ayurvedic Techniques

According to allopathic medicine, AA may be caused by hormonal imbalances or an excessive immune response that attacks the hair follicles, but from the perspective of Eastern medicine, the issue is more complex. Ayurveda, India’s 5,000-year-old holistic-health system, approaches AA and other health conditions from the concept of individual constitution. Energetic forces called doshas are believed to be inherent in all cells and organ systems and embody five natural elements: earth, air, fire, water and ether.

“Our doshic makeup is very unique, with the ratios between the three doshas (vata, pitta and kapha) being different for each one of us. In alopecia, it is most commonly seen as a pitta condition when the metabolic fires within us are excessive and too hot, causing inflammation,” says Virender Sodhi, an Ayurvedic and naturopathic physician, in Redmond, Washington. He adds that for alopecia cases caused by thyroid disorders, in which the hair becomes dry and brittle before falling out, he would look into the health of a person’s vata, the dosha that corresponds to the element of air.

A 2022 case study of an individual AA patient published in Journal of Ayurveda and Integrative Medicine reported that the patient saw improvement within 15 days of an Ayurvedic treatment plan that included a combination of cleansing, detoxification, blood purification and naturally derived medications. The researchers recommended further study of these techniques. Another study published in the same journal a year later noted the effectiveness of certain Ayurvedic medicines comprised of natural elements, combined with cupping, in which heated cups are placed on the back, stomach, arms, legs or other parts of the body, forming a vacuum or suction force.

Traditional Chinese Medicine

From the approach of 3,000-year-old TCM, imbalances and illnesses are attributed to obstructions within the body’s subtle energetic system. “This is the concept of the life force, or the energy of our body as it takes care of itself,” explains Brian Keenan, a naturopathic doctor and licensed acupuncturist at Sagelight Integrative Wellness Center, in Columbia, Maryland. “In Chinese medicine, qi is the energy of the body, and it flows along a set pattern similar to a well-connected network of roads and highways. Meridians are the names of the major highways an acupuncturist will use to influence the qi flowing through them.”

In cases of alopecia, Keenan would dive deeply to find the origin of the pathology. “The specifics of your symptoms will help an acupuncturist figure out where exactly the problem is coming from, since there can be several issues at once,” he explains. “This is why your acupuncturist may spend a great deal of time asking you detailed questions about every nuance of not just your symptoms but also your whole body’s health.”

A 2022 review of eight studies published in Frontiers of Medicine found that acupuncture or moxibustion (the burning of dried mugwort on or near the body during acupuncture), used by themselves or in combination with other treatment modalities, may be effective in treating hair loss.

Vitamin Fortification

Clinical findings published in the Indian Journal of Dermatology in 2017 report that systemic vitamin D levels are lower in people with AA, and improvement might result from supplementation. Recent research also shows that zinc deficiency was noted in sufferers and adding the mineral to the diet might be helpful. Mount Sinai Health System, in New York City, suggests that biotin and trace minerals might foster hair growth and recommends including beneficial foods such as carrots, tomatoes, chard and romaine lettuce.

Lifestyle Changes

Practitioners of both Ayurveda and TCM attest to the value of eliminating processed foods as a way to support the liver in its role of minimizing systemic inflammation. They also recommended streamlining busy schedules and employing meditative practices to reduce stressors.

For best results, commitment is key. Regarding TCM, Keenan suggests an eight-week treatment plan of herbs and acupuncture. “Is it possible to see results sooner? Absolutely. But from my experience as a practitioner, it’s better to set realistic expectations, and if we get there sooner, then that’s all the better.”

Zak Logan is a freelance health writer dedicated to holistic living.

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