INTEGRATING AYURVEDIC AND DERMATOLOGICAL APPROACHES: PRACCHANA KARMA AND MICRONEEDLING IN KHALITYA

Introduction: Khalitya, a disorder characterized by increasing hair loss, is attributed to vitiated Pitta and Vata Dosha, according to Ayurvedic literature. Traditionally, Raktamokshana uses Pracchana Karma that involves several carefully regulated skin incisions, to remove vitiated blood and promote local healing. There are more and more similarities to Pracchana Karma as contemporary dermatology develops methods like microneedling for the treatment of Khalitya. Pracchana Karma's applicability as a traditional technique in Khalitya and its mechanical parallels to modern microneedling are examined in this study. Method: A comprehensive review of classical Ayurvedic texts was conducted to elucidate the theoretical foundations and clinical applications of Pracchana Karma in Khalitya. In parallel, a thorough analysis of existing clinical research and dermatological trials evaluating the effectiveness of microneedling for alopecia was conducted. This holistic approach emphasizes how modern dermatological therapies and traditional therapeutic ideas may coexist. Result: Microchannels that are created in the skin by Pracchana Karma and microneedling promote cellular healing, inflammatory mediators and local blood circulation. According to Ayurvedic literature, Dosha removal and tissue rejuvenation following Pracchana result in enhanced hair regrowth. In the treatment of Khalitya, microneedling also improves the absorption of growth hormones and drugs. Discussion: Pracchana Karma and microneedling's combination in the treatment of Khalitya highlights the applicability of conventional Ayurvedic knowledge in contemporary dermatology. To improve cellular healing processes, promote local blood circulation and faster hair regrowth, both methods rely on carefully planned skin incisions or microtrauma. The two functions of Ayurvedic Pracchana Karma—removing vitiated blood and reviving scalp tissues—are closely related to microneedling's capacity to improve medication absorption and encourage follicular renewal. Conclusion: Pracchana Karma is an ancient Ayurvedic Para surgical therapy that has many mechanical similarities with modern microneedling methods for treating Khalitya. To combine conventional and evidence-based methods for managing hair loss, future studies should examine clinical results, improve techniques and create a uniform procedure.