Akal Khalitya (premature hair loss) is a rising concern in younger populations, with significant psychological and cosmetic impacts. In Ayurveda, Khalitya is classified under Shiroroga and is associated with doshic imbalances affecting scalp health and hair follicle function. Nasya Karma, a therapeutic nasal administration, is a classical treatment for head-related disorders, promoting dosha balance and hair regrowth. Nilibhringadi Taila, a classical herbal formulation, is known for its keshya (hair-promoting) properties. Modern dermatology increasingly uses microneedling via Derma Roller to enhance scalp circulation and stimulate hair follicles, usually paired with chemical agents like minoxidil, which often cause side effects.

This study explores a holistic, side-effect-free approach by combining Nasya Karma with Nilibhringadi Taila and Derma Roller System to manage Akal Khalitya. It aims to assess their synergistic effect on promoting hair regrowth, improving scalp health, and offering a safer alternative to conventional treatments. The study addresses existing gaps in research comparing different forms of Nasya and evaluates the efficacy of external therapies when integrated with classical Ayurvedic interventions.