Acupuncture and herbs outperform a well-liked hair loss drug for sufferers with seborrheic alopecia. Heilongjiang College of Conventional Chinese language Drugs Second Affiliated Hospital researchers in contrast leads to a medical trial. Drug remedy produced an 82.5% complete efficient price. Acupuncture and Chinese language natural medication produced an 87.5% complete efficient price. The researchers conclude that the applying of acupuncture and herbs “is an efficient methodology in treating seborrheic alopecia.” 
This sort of hair loss is because of a pores and skin situation (seborrheic dermatitis) whereby there may be an extra manufacturing of sebum on the scalp, sometimes accompanied by itching, ache, and flaking dandruff. The protocolized investigation by Kong et al. in contrast sufferers receiving finasteride with sufferers receiving acupuncture and natural medication.
Finasteride is a 5-alpha reductase inhibitor that’s used for the remedy of hair loss. The drug blocks the motion of 5-alpha-reductase, an enzyme accountable for changing testosterone into dihydrotestosterone. The 2 generally out there 5-alpha-reductase inhibitor medicines out there, finasteride and dutasteride, enhance testosterone ranges whereas concurrently lowering ranges of dihydrotestosterone.
That is important as a result of males with elevated ranges of dihydrotestosterone might endure from androgenetic alopecia, a situation generally known as male sample baldness. Accepted makes use of of 5-alpha reductase inhibitors embody the remedy of androgenic alopecia and benign prostatic hyperplasia. Sufferers receiving solely finasteride tablets had an 82.5% complete efficient price. Sufferers receiving commonplace acupuncture and Chinese language natural medication had an 87.5% complete efficient price.
Inclusion standards consisted of the Conventional Chinese language Medicinal (TCM) differential diagnostic sample of damp-heat steaming the higher physique. In TCM, damp-heat might result in instability of pores and skin interstices, obstruction of meridians, and inhibited era of essence and blood. For that reason, seborrheic alopecia sufferers with this diagnostic sample sometimes have hair loss as a result of free hair roots and inhibited development of latest hair.
TCM indicators embody free hair with an oily and peeling scalp, profuse sweating, bitter style within the mouth, and dry stools. The tongue is purple with a yellow and greasy coating. The heartbeat string-like (wiry) and speedy or is skinny and speedy. The zang-fu organ associated to this kind of alopecia is the spleen. The remedy in TCM focuses on strengthening the spleen, clearing damp-heat, and bettering regrowth of hair.
A number of subjective and goal devices have been used to measure affected person outcomes. The diploma of hair loss and development was measured. Symptom scores have been recorded (scalp itchiness, greasiness, peeling, and many others.). Serum ranges of testosterone (T) and estradiol (E2) have been noticed. The researchers word that acupuncture and natural medication considerably stimulated hair development, relieved signs, and improved serum T and E2 ranges.
The acupuncture plus herbs group acquired commonplace acupuncture and a model of a conventional Chinese language natural medication method known as Yin Chen Wu Ling powder. The drug group acquired oral administration of finasteride tablets (1 mg per day), for a complete of 12 weeks. For normal acupuncture, the first acupoints have been the next:
- ST36 (Zusanli)
- SP6 (Sanyinjiao)
- SP9 (Yinlingquan)
- ST44 (Neiting)
- ST40 (Fenglong)
Remedy commenced with sufferers in a supine place. After disinfection of the acupoint websites, a 0.35 mm x 40 mm disposable filiform needle was inserted into every acupoint, reaching a depth of 1–1.5 cm. Handbook acupuncture stimulation strategies for reaching a deqi sensation included lifting, thrusting, and rotating. As soon as a deqi sensation was obtained, the needles have been retained for half-hour. The remedy was performed as soon as day by day, 7 occasions per week, for a complete of 12 weeks. The normal natural decoction included the next elements:
- Yin Chen Hao 20 g
- Fu Ling 30 g
- Bai Zhu 15 g
- Ze Xie 6 g
- Zhu Ling 10 g
- Dan Shen 15 g
- Shan Zha 20 g
- Hu Zhang 10 g
- Ce Bai Ye 15 g
- Jue Ming Zi 10 g
- Xian He Cao 15 g
- He Ye 10 g
- Shi Chang Pu 10 g
- Xi Lian Cao 10 g
The prescribed dosage was one decoction day by day. The above elements have been brewed with water to acquire a 300 ml decoction, which was break up into 2 servings, taken after breakfast and dinner respectively. The remedy was administered day by day for 12 weeks. All through the remedy interval, sufferers have been suggested to have an excellent temper and satisfactory sleep and to keep away from spicy and different exacerbating meals. Remedy efficacy was evaluated and categorized into 1 of 4 tiers:
- Restoration: Hair loss stopped. Absence of itchy, greasy, and peeling scalp. ≥90% hair regrowth in lesion areas.
- Considerably Efficient: Hair loss stopped. Important enchancment of itchy, greasy, and peeling scalp. ≥60% hair regrowth in lesion areas.
- Efficient: Hair loss stopped. Important enchancment of itchy, greasy, and peeling scalp. ≥30% hair regrowth in lesion areas.
- Ineffective: Hair loss not stopped. No enchancment of itchy, greasy, and peeling scalp. No hair regrowth in lesion areas.
The analysis of Kong et al. signifies that acupuncture and natural medication therapies produce important constructive affected person outcomes for sufferers with seborrheic alopecia as a result of damp-heat steaming the higher physique. Acupuncture and herbs produced an 87.5% complete efficient price. Finasteride produced an 82.5% complete efficient price.
1. Kong Y, Wang ZW, Wang C, Liu P. Statement on the Efficacy of Acupuncture plus Treatment in Treating Male Seborrheic Alopecia Because of Damp-heat Steaming [J]. Shanghai Journal of Acupuncture and Moxibustion, 2019, 04:436-440.