~ 63 ~ International Journal of Unani and Integrative Medicine 2023; 7(3): 63-69 E-ISSN: 2616-4558 P-ISSN: 2616-454X https://www.unanijournal.com IJUIM 2023; 7(3): 63-69 Impact Factor (RJIF): 6.3 Peer Reviewed Journal Received: 03-10-2023 Accepted: 06-11-2023 Iqra Hashmi Assistant Professor, Department of Physiology, Mohammadia Tibbia College and Assayer Hospital, Malegaon, Maharashtra, India Saman Siddiqui Assistant Professor, Department of Physiology, Markaz Unani Medical College and Hospital, Kozhikode. Kerala, India Yusuf Jamal Professor, Department of Physiology, A and U Tibbia College, Karol Bagh, New Delhi, India Corresponding Author: Iqra Hashmi Assistant Professor, Department of Physiology, Mohammadia Tibbia College and Assayer Hospital, Malegaon, Maharashtra, India Study of Hairfall through Cohen hair loss index with reference to different Mizaj Iqra Hashmi, Saman Siddiqui and Yusuf Jamal DOI: https://doi.org/10.33545/2616454X.2023.v7.i3a.250 Abstract Every person aspires to beauty to admire themselves. Not only is beauty a source of joy, but it can also inspire pride and confidence to some extent. Since hair reveals a person's outward look, it is the most crucial factor in determining beauty. Mizaj (Temperament) is one of the basic concepts of the Unani system of medicine. Every individual has a unique temperament. The aim of this study is conducted to assess the correlation between Mizaj-dependent quality with hair loss patterns. If a meaningful relationship is found, shaar (hair) loss can be introduced as one of the practical indices for designing and validating the diagnostic scales of Mizaj and the clinical applications of Mizaj identification. The need of the study is to validate the determination of mizaj of a person with the help of scalp hair conditions and the clinical significance of mizaj assessment in the treatment of hair fall problems. The sample of the present study was drawn from Ayurvedic and Unani tibbia Skin O.P.D., both gender. In the present study, mizaj was assessed by using a mizaj assessment questionnaire based on ten classical parameters described in the Unani classical literature category, and the Hair loss pattern was assessed by the Cohen hair loss classification system. Analysis of data in the current study was done by calculating the median and IQR (Interquartile Range), as data did not follow a normal distribution. The difference among mizaj was established by Kruskal-Wallis after that an additional post hoc test Dunn's test to compare each group and determine which are significantly different from each other. The alpha value was analyzed at the significance of less than 0.05 to minimize type I error. It is observed that Cohen Index (C.I), the Median CI score was highest in the damvi group (Md=79.00) followed by safravi Mizaj (Md=78.00) in comparison to balghami (Md=70.00) and lowest in saudavi (Md=48.00) group and it is in concordance with the experimental hypothesis of this research work. From this study, it is clear that a possible correlation between hair loss patterns and Mizaj certainly does exist. After that, hair loss patterns could be considered one of the diagnostic indices of temperament. Keywords: Cohen index, mizaj, Cohen hair loss classification, damvi, baghami, safravi, saudavi 1. Introduction Unani medicine, tracing its roots back to ancient Greece, stands as one of the world's most ancient treatment methodologies. Within this system, there exists a delineation of seven fundamental constituents of the human body, collectively termed as Umoor-E-tabiya. These constituents encompass the Arkan or elemental entities, encompassing earth, water, air, and fire, delineated as diverse states of matter and the foundational constituents of all entities within the cosmos. Accompanying these are the Mizaj (Temperament), Akhlat (Humors), Aza (Organs), Arwaah (Life, spirit, or vital breath), Quwa (Energy), and Afaal (action). Central to this framework lies the concept of Mizaj (Temperament) and Akhlat (Humors). Through the Unani system, profound insights into human personalities emerge, categorized into four distinct mizaj (Temperaments), influenced by the dominance of bodily fluid humours [1] . Hippocrates (460-370BC) established the foundational principles of the theory of four elements, which outlines the origin of life as arising from the amalgamation of the four elemental components: Air, soil, fire, and water [2-3] . As per Unani medicine, the intricate balance between actions and reactions of opposing attributes within these four elements, coupled with their interactions, facilitated by their inherent powers (Qualities) in varying proportions, gives rise to the distinct Mizaj (Temperament) of each individual [4] . Each person possesses a unique Mizaj rooted in the interplay of the warmth of fire, the coldness of soil, the moisture of water, and the aridity of air [5-6] . The configurations of these elements are generally classified into categories such as Sanguine Mizaj (Warm and moist), Choleric (Warm and dry), Phlegmatic (Cold and moist), Sanguine Mizaj, and Melancholic Mizaj (Cold and dry) [5-10] .