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If dandruff is the only thing standing between you and a closet full of basic black, you're not alone. Many people have this chronic scalp disorder, which is marked by itching and excessive flaking of the scalp. Although dandruff isn't contagious and is rarely serious, it can be embarrassing and surprisingly persistent.

The good news is that dandruff can usually be controlled. Mild cases of dandruff may need nothing more than daily shampooing with a gentle cleanser. And stubborn flakes often respond to medicated shampoos. What's more, researchers have identified a yeast-like fungus that may cause or aggravate dandruff, a discovery that may lead to better treatments
For most people, the signs and symptoms of dandruff are unmistakable: white, oily looking flakes of dead skin that dot your hair and shoulders and an itchy, scaling scalp. But it's not quite that simple — many conditions cause excessive skin scaling, including:
Dry skin. Simple dry skin — the kind you get in winter when the air is cold and rooms are overheated — is by far the most common cause of itchy, flaking skin. But flakes from dry skin are generally smaller and less oily than those caused by dandruff.
Seborrheic dermatitis. This condition, a frequent cause of dandruff, is marked by red, greasy skin covered with flaky white or yellow scales. Seborrheic dermatitis affects not only your scalp but also other areas rich in oil glands, such as your eyebrows, the sides of your nose and the backs of your ears, your breastbone, your groin area, and sometimes your armpits.
Psoriasis. This skin disorder causes an accumulation of dead skin cells that form thick silvery scales. Psoriasis commonly occurs on your knees, elbows and trunk, but it can also affect your scalp.
Cradle cap (seborrheic dermatitis of the scalp). This disorder, which causes a scaling, crusty scalp, is most common in newborns, but it can occur anytime during infancy. Although it can be alarming for parents, cradle cap isn't dangerous and usually clears up on its own by the time a baby is a year old.
When the hair is combed or brushed, or when the scalp is scratched, the scales from the scalp fall like snowflakes and settle on the eye brows, shoulders, and clothes. These scales sometimes appear as lumps or crusts on the scalp.
Often there is itching as well and the scalp may become red from scratching.
At one time or another, dandruff causes have been attributed to dry skin, oily skin, shampooing too often or not often enough, a poor diet, stress, and the use of too many fancy styling products. Although some of these factors may exacerbate or contribute to scalp flaking, the real culprit may be a fat-eating, yeast-like fungus called malassezia, formerly known as pityrosporum.
Malassezia lives on the scalps of most healthy adults without causing problems. But sometimes it grows out of control, feeding on the oils secreted by your hair follicles and causing irritation that leads to increased cell turnover. The result is a large number of dead skin cells. As the cells fall off, they tend to clump together with oil from your hair and scalp, making them appear white, flaky and all too visible.
Exactly what causes an overgrowth of these organisms isn't known, although increased oil production; hormonal fluctuations; stress; illness; neurological disorders, such as Parkinson's disease; a suppressed immune system; infrequent shampooing and extra sensitivity to the malassezia fungus may contribute to the development of dandruff.
The main causes of dandruff are impairment of general health, development of a toxic condition mainly due to taking of wrong foods, constipation, and a low vitality due to infectious diseases.
Other factors contributing to this disorder are emotional tension, harsh shampoos, exposure to cold, and general exhaustion.
The use of fenugreek seeds is one of the most important remedies in the treatment of dandruff. Two tablespoons of these seeds should be soaked overnight in water and ground into a fine paste in the morning. This paste should be applied all over the scalp and left for half an hour. The hair should then be washed thoroughly with soap-nut (ritha) solution or shikakai.
The use of a teaspoon of fresh lime juice for the last rinse, while washing the hair, is another useful remedy. This not only leaves the hair glowing but also removes stickiness and prevents dandruff.
A valuable prescription for removal of dandruff is the use of green gram powder. The hair should be washed twice a week with two tablespoons of this powder mixed with half a cup of curd.
Beets have been found useful in dandruff. Both tops and roots should be boiled in water and this water should be massaged into the scalp with the finger tips every night. White beet is better for this purpose.
The juice of snake gourd has been found beneficial in the prevention and treatment of dandruff. The juice should be rubbed over the scalp for this purpose.
Dandruff can be removed by massaging the hair for half an hour with curd which has been kept in the open for three days, or with a few drops of lime juice mixed with amla juice every night, before going to bed. Another measure which helps to counteract dandruff is to dilute cider vinegar with an equal quantity of water and dab this on to the hair with cotton wool inbetween shampooing. Cider vinegar added to the final rinsing water after shampooing also helps to disperse dandruff.
Diet plays an important role in the treatment of dandruff. To begin with, the patient should resort to an all-fruit diet for about five days and take three meals a day of juicy fruits.
Citrus fruits, bananas, dried, stewed, or tinned fruits should not be taken.
After the all-fruit diet, the patient can gradually adopt a well-balanced diet, with emphasis on raw foods, especially fresh fruits and vegetables. Further short periods of an all-fruit diet for three days or so may be necessary at monthly intervals till the skin's condition improves.
Meats, sugar, white flour, strong tea or coffee, condiments, pickles, refined and processed foods should all be avoided.
The foremost consideration in the treatment of this disorder is to keep the hair and scalp clean so as to minimise the accumulation of dead cells.
The hair should be brushed daily to improve the circulation and remove any flakiness. The most effective way to brush the hair is to bend forward from the waist with the head down towards the ground, and brush from the nape of the neck towards the top of the head. The scalp should also be thoroughly massaged everyday, using one's finger tips and working systematically over the head. This should be done just before or after brushing the hair. Like brushing, this stimulates the circulation, dislodges dirt and dandruff, and encourages hair growth. Exposure of the head to the rays of the sun is also a useful measure in the treatment of dandruff.
During the first five days of the treatment when the patient takes an all-fruit diet, a warm-water enema should be taken daily to cleanse the bowels. Simultaneously, an attempt should be made to keep the body in good health.