Managing Oily Scalp and Hair Loss: Traditional Chinese Medicine Solutions

Oily scalp... prone to hair loss... body tends to feel hot?

Hello Dr.
Lin, I have an oily scalp and I'm not sure if this is related to my thinning hair on the top of my head.
However, I don't think it's male pattern baldness since I don't have an M-shaped receding hairline.
I use hair spray and hair wax, so I wash my hair twice a day, once in the morning and once at night.
Could the hair loss be due to washing my hair too frequently? Is there a way to reduce hair loss? Sometimes my scalp feels itchy.
What should I do?
Also, could you please advise on how patients with keratosis pilaris should care for their skin? Can traditional Chinese medicine help improve this condition? I tend to feel hot, have trouble sitting still, and experience sweaty palms, and I dislike heat.
Is the sweet wheat and jujube soup my mother gives me effective? What traditional Chinese medicine should I take to alleviate these symptoms? Thank you, and Happy New Year!

Zac, 20~29 year old female. Ask Date: 2008/02/13

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Dear Zac,
Hello.

1.
There are many causes of hair loss, such as:
1.
Hair loss due to medications; for example, chemotherapy agents used in cancer treatment or radiation therapy to the head can lead to significant hair loss.

2.
Nutritional deficiencies can cause hair loss, such as a lack of protein or vitamins, which can result in severe hair shedding.

3.
Women often experience substantial hair loss postpartum.

4.
Hair loss can occur after fever, infections, hospitalization, or surgery.

5.
Androgenetic alopecia is the most common cause of hair loss and can have a hereditary component.
It can even occur at a young age; other causes include alopecia areata, tinea capitis, thyroid disorders, and lupus erythematosus.

2.
Improper hair care practices, such as the inappropriate use of hair dyes and perms, can potentially damage the scalp and hair, leading to hair loss.
Dry and brittle hair, excessive shampooing, blow-drying, and combing can also contribute to hair loss.
Based on your description, your scalp tends to be oily, and the use of hair sprays and waxes, along with washing your hair twice a day, may be contributing factors to your hair loss.
It is advisable to avoid hair wax and maintain a fresh scalp by reducing the frequency of hair washing.

3.
"Glycyrrhiza and Jujube Decoction" in Traditional Chinese Medicine is used to treat women's internal dryness (anxiety, mental disorders, etc.).
The decoction provided by your mother may not be effective.
You can consult a Traditional Chinese Medicine clinic for pulse diagnosis to assess your constitution and receive a different herbal prescription to improve your symptoms.

Finally, I wish you well.

Sincerely,
Dr.
Lin Ching-Chung, Assistant Professor, Department of Traditional Chinese Medicine, Fengyuan Hospital

Reply Date: 2008/02/13

More Info

Managing oily scalp and hair loss can be a challenging issue, especially when considering the various factors that contribute to these conditions. Traditional Chinese Medicine (TCM) offers a holistic approach that may help alleviate symptoms and improve overall scalp health.

Understanding Oily Scalp and Hair Loss
An oily scalp can be caused by several factors, including hormonal imbalances, excessive sebum production, and improper hair care practices. Frequent washing, especially with harsh shampoos, can strip the scalp of natural oils, leading to a cycle of overproduction of sebum. This can result in an oily scalp and potentially contribute to hair loss. Additionally, the use of hair styling products like gels and sprays can build up on the scalp, exacerbating oiliness and irritation.

Hair loss can occur for various reasons, including genetic predisposition (androgenetic alopecia), stress, nutritional deficiencies, and scalp conditions such as seborrheic dermatitis. It's essential to identify the underlying cause to determine the most effective treatment.

TCM Approaches to Managing Oily Scalp and Hair Loss
1. Dietary Adjustments: TCM emphasizes the importance of diet in maintaining health. For oily scalp and hair loss, it is advisable to reduce the intake of greasy, spicy, and overly processed foods, which can contribute to internal heat and dampness. Instead, focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Foods that nourish the liver and kidneys, such as black sesame seeds, walnuts, and goji berries, can be beneficial for hair health.

2. Herbal Remedies: Certain herbs in TCM are known to help with oily scalp and hair loss. For instance:
- He Shou Wu (Fo-Ti): Traditionally used to promote hair growth and prevent premature graying.

- Dang Gui (Angelica Sinensis): Known for nourishing the blood and improving circulation, which can support hair follicles.

- Bai Zhu (Atractylodes): Helps to strengthen the spleen and reduce dampness, which may alleviate oily scalp conditions.

A TCM practitioner can tailor a herbal formula based on your specific symptoms and constitution.

3. Scalp Treatments: Regular scalp massages with herbal oils can stimulate blood circulation and promote relaxation. Essential oils like tea tree oil or lavender can help manage oiliness and soothe irritation. However, it’s crucial to dilute essential oils properly before application.

4. Lifestyle Modifications: Stress management is vital, as stress can exacerbate both oily scalp and hair loss. Practices such as meditation, yoga, and regular exercise can help reduce stress levels. Additionally, ensure you maintain a consistent sleep schedule, as poor sleep can impact hormonal balance and overall health.

5. Avoiding Over-Washing: Washing your hair too frequently can lead to an imbalance in the scalp's natural oils. Instead of washing twice a day, consider reducing it to once every other day or using a gentle, sulfate-free shampoo designed for oily hair. This can help maintain a healthier scalp environment.

6. Skin Care for Keratosis: For individuals with keratosis pilaris or similar skin conditions, gentle exfoliation and moisturizing are essential. Using a mild exfoliating scrub or a chemical exfoliant containing alpha-hydroxy acids (AHAs) can help remove dead skin cells. Additionally, moisturizing with non-comedogenic products can prevent dryness and irritation.

7. Consultation with a TCM Practitioner: Given the complexity of your symptoms, consulting with a qualified TCM practitioner can provide personalized insights and treatment options. They can assess your overall health, identify any imbalances, and recommend appropriate herbal remedies and lifestyle changes.

Conclusion
Managing an oily scalp and hair loss requires a multifaceted approach that includes dietary changes, herbal remedies, proper hair care practices, and lifestyle modifications. Traditional Chinese Medicine offers valuable insights and treatments that can help restore balance and promote healthier hair and scalp conditions. Always consult with a healthcare provider or TCM practitioner before starting any new treatment regimen to ensure it aligns with your individual health needs.

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