Dandruff and Homoeopathy

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The passage discusses the origin, definition, pathogenesis, types and causes of dandruff as well as its clinical presentation and homoeopathic treatment options.

There are three main types of dandruff - oil-related, yeast-related and disease-related.

The causes of dandruff discussed are sebum overproduction, fungal infection by Malassezia furfur, underlying skin conditions like psoriasis and eczema, and extreme temperature fluctuations.

DANDRUFF AND HOMOEOPATHY

Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy) Dr. Reena Rawat B.H.M.S. Dr. Nancy Rastogi B.P.T., M.I.A.P. Homoeo Cure & Research Centre P. Ltd. NH 74, Moradabad Road, Kashipur (Uttaranchal) INDIA, Pin- 244713 Ph. 05947- 260327, 9897618594 [email protected], [email protected]

ORIGIN OF WORD

The word dandruff is derived from dand (origin unknown) and hurf, meaning "scab". This is probably linked to the Old Norse word hrufa, meaning "scab". The Old High German word hruf means "scurf".
DEFINITION

Dandruff is the presence, in varying amounts, of white or gray scales in the hair of the scalp, due to excessive or normal branny exfoliation of the epidermis as a consequence of the common, asymptomatic, fluffy, clinical expression of seborrheic dermatitis of the scalp and has been referred to as Pityriasis sicca, scurf or Pityriasis simplex capillitii.
PATHOGENESIS

The disease is characterized by scaling (Psora/ Sycosis) on an erythematous base (Psora). The scale often has a yellow, greasy appearance. Itching may be severe (Psora). Dandruff causes flakes of skin to appear (Psora/ Sycosis). When the skin cells on our scalp are renewed the old ones are pushed to the surface and out of the scalp. With dandruff, the renewal of skin is faster; more dead skin is shed, making the dandruff more noticeable.
TYPES

Dandruff can be chronic or the result of certain triggers (Causa occasionalis). Erythema paranasale, more common in young women than men, may be part of this disease spectrum. There are three main types of dandruff.
1- OIL-RELATED DANDRUFF

It occurs from bad hygiene practices. Sebum, if left, can combine with dead skin and dirt to form dandruff.
2- YEAST-RELATED DANDRUFF

It is formed due to the presence of a fungus Malassezia furfur; present on most everyone's scalps without causing problems with dandruff (Pseudopsora). Whenever excess skin oil is present on the scalp (Psora/ Sycosis), the oil provides enough food for the fungus to grow out of control. It causes the skin to become irritated and form additional skin cells on the scalp.
3- DISEASE-RELATED DANDRUFF

It forms as a secondary side effect of scalp conditions, e.g. psoriasis (Psora/ Sycosis/ Syphilis). As the additional skin cells shed, they can combine with sebum oil into dandruff. In eczema (Psora/ Pseudopsora), dry flaky skin on the scalp can fund to dandruff formation.
CAUSES

Its aetiology is unknown. Involvement of sebum is supported by clinical observations of people with Parkinson disease, who typically show increased sebum production secondary to dopamine deficiency and have a markedly increased incidence of seborrhoeic dermatitis. Dandruff can occur if the scalp is frequently exposed to extreme temperatures. Excessive flaking may be caused by an underlying illness or condition, such as psoriasis, Malassezia furfur infection, seborrheic dermatitis, or even head lice.
CLINICAL PICTURE

There are white flakes of skin on the scalp, and hair. Flakes may be oily looking Head may feel tight and itchy Head may feel tingly Head may feel sore Red, flaky, greasy patches of skin (adults, Seborrheic dermatitis of the scalp in adults) Crusting and scaling rash on scalp (babies with Seborrheic dermatitis, or cradle cap) It classically involves regions of rich in of sebaceous glands, such as the scalp, forehead, especially the glabella, external auditory canal, retroauricular area, nasolabial folds, and the presternal area. In infants, seborrheic dermatitis presents as cradle cap. Here it can also be part of Leiner disease, in which the condition is generalized and associated with diarrhea and failure to thrive. A severe form of seborrheic dermatitis that is difficult to treat is seen in many HIV infected individuals with low CD4 counts. DANDRUFF AND HOMOEOPATHY agar. all-s. aloe alum. AM-M. anac. ARS. ars-br. asim. aur. bad. BAR-C. bran. bros-au. BRY. bufo CALC. calc-p. CALC-S. CANTH. CARBN-S. carc. cean. chinin-s. choc. cic. citl-g. coch. CROT-H. DULC. dys. fl-ac. germ-met. granit-m. GRAPH. grat. hep. hera. HYDR. hydrog. ictod. iod. jab. KALI-BR. KALI-C. kali-chl. kali-m. kali-p. KALI-S. kola kreos. lac-. Lach. led. LYC. MAG-C. mag-p. maland. MED. merc. MEZ. NAT-M. nicc. OLND. oncor-. par. petr. PHOS. porc-m. positr. propr. PSOR. quill. rad-br. Rhus-t. rosm. ruta sanic. saroth. SEP. sil. stann. STAPH. sul-i. SULPH. term-c. THUJ. tritic-vg. tub. uran-met. URT-U. vanil.

REPERTORY OF DANDRUFF Brows dandruff sanic. Dandruff itching med. Dandruff - scaly, profuse sanic. Dandruff white ars. kali-m. mez. Nat-m. Thuj. Dandruff yellow calc. Kali-s. Dandruff ars. canth. Graph. lyc. nat-m. Phos. staph. sulph. thuj. Eyebrows - lashes dandruff sanic. Eyes - ERUPTIONS, eyes - eyebrows, about the dandruff sanic. FACE - DANDRUFF Eyebrows sanic. sulph. FACE - DANDRUFF, beard chinin-s. FACE - ERUPTIONS - dandruff, eyebrows sanic. Generals - HAIR, general, head and body - falling, out, of hair - dandruff, due to am-m. kali-c. thuj. HEAD - DANDRUFF - greasy skin, with maland. HEAD - DANDRUFF horny kola HEAD - DANDRUFF itching MED. HEAD - DANDRUFF itching med. positr. propr. ruta HEAD - DANDRUFF Occiput nat-m. sep. HEAD - DANDRUFF - scaly profuse sanic. HEAD - DANDRUFF scaly sanic. term-c. HEAD - DANDRUFF - scaly, profuse sanic. HEAD - DANDRUFF - skin, with greasy maland. HEAD - DANDRUFF white alum. ars. choc. KALI-M. kola MEZ. NAT-M. olnd. PHOS. THUJ. HEAD - DANDRUFF yellow calc. KALI-S. Head - DANDRUFF, scalp - copious, falls out in clouds Phos. Head - DANDRUFF, scalp enormous canth. kali-s. Head - DANDRUFF, scalp - headache, with, in pregnancy calc. Head - DANDRUFF, scalp - herpetic - circles like ringworm, in sep. Head - DANDRUFF, scalp herpetic graph. nat-m. Head - DANDRUFF, scalp - scaly - hair comes out, skin peels off with itching and smarting staph. Head - DANDRUFF, scalp scaly canth. Kali-s. THUJ. Head - DANDRUFF, scalp - smells, badly Lyc. Psor. Head - DANDRUFF, scalp - weather, worse in change of Dulc. Head - DANDRUFF, scalp - white - flakes, in, with itching kali-m. Head - DANDRUFF, scalp - white - white and dry mez. nat-m. Head - DANDRUFF, scalp white alum. choc. Kali-chl. kali-m. Mez. NAT-M. Phos. THUJ. Head - DANDRUFF, scalp yellow KALI-S. HEAD - DRYNESS - hair - falling, and, with dandruff KALI-C. HEAD - External - dandruff - occiput, on nat-m. sep. HEAD - External dandruff alum. Ars. GRAPH. kali-c. Olnd. phos. stann. sulph. HEAD - FALLING out, hair, alopecia - dandruff, from am-m. thuj. HEAD - HAIR - affections of - falling out, alopecia - dandruff, due to am-m. thuj.

HEAD - Scalp Dandruff am-m. Ars. Bar-c. bran. bry. fl-ac. Graph. hep. hera. iod. Kali-s. lyc. nat-m. phos. sanic. Sep. sil. sul-i. sulph. thuj. Pregnancy - HEADACHES, during pregnancy - dandruff, with Calc. REFERENCES Seborrheic Dermatitis & Dandruff CURRENT Medical Dx & Tx > Chapter 6. Dermatologic Disorders > Common Dermatoses > Scaling Disorders Seborrhea Dermatology > Chapter 22. Seborrheic Dermatitis Antiseborrhea Agents Basic & Clinical Pharmacology, 12e > Chapter 61. Dermatologic Pharmacology Seborrheic Dermatitis Harrison's Online > Chapter 52. Eczema, Psoriasis, Cutaneous Infections, Acne, and Other Common Skin Disorders > Eczema and Dermatitis Seborrheic Dermatitis Tintinalli's Emergency Medicine > Chapter 134. Rashes in Infants and Children > Common Neonatal Rashes Dandruff CURRENT Diagnosis & Treatment: Pediatrics > Chapter 14. Skin > Common Skin Diseases in Infants, Children, & Adolescents > Dermatitis (Eczema) Seborrheic dermatitis has both infantile and adult forms. The infantile form is called "... Tintinalli's Emergency Medicine > Chapter 246. Disorders of the Face and Scalp > Seborrheic Dermatitis Figure 144-5. Cradle cap in an infant that also has atopic dermatitis. (Courtesy of Richard P.... The Color Atlas of Family Medicine > Chapter 144. Seborrheic Dermatitis > Diagnosis > Clinical Features Figure 144-6. Mild seborrheic dermatitis with subtle flaking around the eyebrows of a 2-month-old... The Color Atlas of Family Medicine > Chapter 144. Seborrheic Dermatitis > Diagnosis > Clinical Features Radar 10 Encyclopedia Homoeopathica

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