CRITICAL ANALYSIS AND TREATMENT PROTOCOL FOR MANAGEMENT OF CHILDHOOD
CRITICAL ANALYSIS AND TREATMENT PROTOCOL FOR MANAGEMENT OF
CHILDHOOD PREMATURE GRAYING HAIR (CANITIES) W.S.R. TO PALITYA (A REVIEW)
Dr. Shrinidhi K. Acharya
National Institute of Ayurveda , Jaipur
Skin and hair has got a lot of concern for interest of
Hair length, color, and style play an important role in
physical appearance and self-perception.
The term premature graying is applied, when
abnormal graying will be found in young population
and also in children.
The color of human hair depends on melanogenesis,
through a process of synthesis of melanin and its
subsequent distribution from the melanocyte to
The human hair follicles contain two types of melanin-
The black-brown pigment eumelanins mainly present in black
and brown hair.
The yellow or red pheomelanins in red and blonde hair. (
Ayurveda, the richest heritage of India long back highlighted
this burning problem and categorized the same under the
heading of Palitya.
The disease Palitya is mentioned under the heading of
Kshudraroga and Shirogataroga.
The main etiology of Palitya is vitiation of Dehoshma and
Ushna Guna of Pitta which circulates to Romakoopa and
causes Paka of hair.
Aims And Objects
Review and Critical analysis of premature
graying of hair in children .
To evaluate etiopathgenesis of Palitya in
To study treatment protocol for management
of premature graying of hair (Palitya) in
childhood clinical practice.
Material and Methods
Information on premature graying of hair
(Palitya) is collected from different -
All available Ayurvedic literature
Contemporary medical text books,
Etiology Acc. To Ayurveda
According to Ayurveda the disease of Palitya,
specific Nidana are not mentioned.
But on basis of Samprapti, Pitta Prakopaka
Nidana, Rasadushti and Asthidushti Nidana
can be considered.
Nidanas of the Kshudra Roga and Shirro
Rogas can be also applied to understand
For easy understanding Nidana of Palitya
can be classified under these headings-
Unknown causes (Adibalapravrita).
The Dietary (Ahara) Nidana –
Consumption of Ushna, Tikshna, Lavana, Amla,
Vidahi, Tilataila, Kulatha, Sarshapa, Dadhi, Kanji etc
Above all causes vitiate Pitta and affect Rasa Dhatu
Rasa Dhatu and Asthi Dhatu Dushti is the Nidana of
Environmental (Vihara) Nidana –
Like ratrijagarana, atapasevana, dhumasevana,
dushitajalasnana, ativyayama and upavasa are
Above all causes accounts for improper nourishment
of scalp and hair follicles leading to premature graying
Psychological (Manasika) Nidana – like Krodha,
Sokha, Adhikachinta and Manasikashrama are
considered to be both Pitta and Vata Prakopa Nidanas
responsible for Akalajpalitya.
Unknown causes (Adibalapravrita) Nidana -
Development of premature graying of hairs in Pitta
Etiology Acc. To Contemporary Science
The change in hair colour occurs when
melanin ceases to be produced in the hair
root and new hairs grow without pigment.
Stress has been considered as major cause of
the induce achromotrichia.
Nutritional deficiencies like vitamin B12
deficiency, severe iron deficiency, chronic
protein loss, copper deficiency, low serum
ferritin, and low serum calcium and vitamin D3
levels are often found associated with
premature graying of hairs.
Smoking results in generation of huge
amount of reactive oxygen, species leading to
increase oxidative stress culminating into
damage to melanin producing cells melanocyte.
Symptomatology of Palitya (Roopa)
The symptomatolgy of Palitya has been
attributed to Tridosha pradhanta by Ashtang
Vata pradhana Palitya-
Shyava (black in colour),
Jwalataprabham (watery) are commonly seen.
Pitta pradhana Palitya-
Dahayukta (burning sensation),
Pita (yellow colour) will be evidenced.
Kapha pradhana Palitya-
Shukla (white) will be seen.
Sarva Dosha Lakshana Yukta (Mixed features of all the
dosas) will be seen.
• Acharya Yogaratnakara also mentioned the same.
Madhava Nidana explains-
Kalaj Palitya in which graying of hair occurs after
certain age due to vitiation of Tridosha.
Akalaj Palitya occurring due to vitiation of
Shariroushma and Pitta Dosha in an early age.
Current Treatment Trends
Topical antiaging compounds.
Oral supplementation with l-cystine and l-
methionine, and topical melatonin.
Large doses of P-aminobenzoic acid (PABA).
Prostaglandins (stimulators of melanocyte
growth and melanogenesis)
Temporary hair colorants are used worldwide.
The basic treatment principle of Palitya -
Avoidance of causative factors like Pittavardhak Ahara
Purification therapies (Samshodhana Chikitsa)
Nasal medication (Nasya Karma)
Anointing the face and head (Vaktra-siro Abhyanga)
Application of pastes (Lepa) and
In Akalaj-Palitya the Navana and Pratimarsha Nasya is
Yogas for Nasya Karma- These Yogas for Nasya karma
mentioned in different classics have been given below.
Nimba beejadi Taila
1. Lohachurna + Bhringaraja + Haritaki + Vibhitaki + Amalaki +
black soil are taken in equal quantity powdered and mixed
with sugar cane juice. This mixture is kept for 1month and
that juice is applied over hair.
2. Two Amalaki fruits, two Haritaki and two Vibhitaki, 5 karsha
Amra majja; 1 karsha lohachurna are mixed well and kept in
Iron jar. This is kept for whole night and applied.
3. Triphala + Loha churna + Bhringaraja swaras - Kept in
matured coconut for month. This is applied over scalp.
4. Kashmaryadi Taila.
Palitya is a disease which does not have satisfactory
treatment till date. The reason behind that may be
improper execution of treatment.
In Ayurveda the first line of treatment seems
Shodhana expels vitiated Doshas from body.
Basic pathogenesis of Palitya is based on either
Margavarodha or Dhatu Kshaya/Dushti or
After proper Shodhana any treatment works
better as clean cloth can be coloured better
than a dirty cloth.
Amongst Shodhana, though Vamana and
Virechana are best but Nasya seems treatment
of choice in Palitya because of its action on
Uttamanga and it can act as both Shodhana
If we go through the mechanism of Nasya the drug
absorbed by three process in nasal mucosa.
1. The olfactory neurons
2. second by supporting cells and surrounding
3. The third way by cerebro-spinal fluid (CSF).
Shiroabhyanga, Sirodhara, Sirolepa are other
external treatments which can be used
Many oils and Lepas are only Krishnikarna in nature
act as a stimulant or nutrient for the hair follicles
Nimba Beeja Taila
Lepa of Karveer Moola Swarasa and Dugdhika Swaras
After reviewing the literature we can conclude that
Palitya is a disease which has Srotorodha along with
From the above discussion we can say that the
Panchkarma plays important role in Chikitsa of
Acharya Charaka and Vagbhatta mentioned
Samshodhana therapy causes expulsion of vitiated
Dosha and thus breaks the Samprapti of Palitya.
Vamana expels Apakva Pitta and Kapha Dosha from
Virechana expels Pitta Dosha from Adhomarga.
After the Samshodhana karma, if we use Samana
Chikitsa with yukti Praman, we can find better results
in premature graying of hair.