Effectiveness of anu taila nasya combined with gokshura lepa in khalitya: An ayurvedic and contemporary review

Abstract

Khalitya (hair fall/alopecia) is a tridoshic disorder described in Ayurvedic classics, primarily involving Vāta and Pitta with secondary Kapha and Rakta imbalance. Anu Taila Nasya is a classical nasal therapy indicated for head disorders, while Gokshura (Tribulus terrestris) lepa is traditionally used for scalp nourishment. So the study is basically to critically review the classical rationale, pharmacological basis, and contemporary clinical evidence for the combined use of Anu Taila Nasya and Gokshura lepa in Khalitya. Khalitya (hair fall) is a prevalent condition with both cosmetic and psychological implications. Contemporary medicine identifies multiple aetiologies, including androgenetic alopecia, telogen effluvium, and autoimmune alopecia areata. Integrative approaches combining Ayurvedic interventions with modern scalp health principles are gaining attention. An integrative literature review is being conducted using Ayurvedic classical texts (Caraka Saṃhitā, Suśruta Saṃhitā, Aṣṭāṅga Hṛdaya) and modern databases. Both classical and modern evidence were analyzed thematically.