Itchy head accompanied by severe hair loss may be due to seborrheic alopecia, tinea capitis, folliculitis and other factors, and is usually treated with general treatment, medication and surgery to relieve symptoms. 1. Seborrheic dermatitis: also known as androgenetic alopecia, will also have the symptom of itchy top of the head with serious hair loss. At this time, you need to apply topical minoxidil tincture, oral finasteride, spironolactone and other drugs. If the effect of the above methods is not good, you can also use hair follicle transplantation. 2. Tinea capitis: due to fungal infection of the scalp and hair, it can also cause itchy hair loss on the top of the head. At this time you need antifungal treatment, such as external bifonazole ointment, clotrimazole ointment, oral itraconazole, terbinafine and other drugs. At the same time, you can shave the diseased hair, wash your hair with ketoconazole lotion, and the towels and hats used by the patients need to be thoroughly sterilized. 3. Folliculitis: The hair follicles in the scalp area of the patient may be infected by Staphylococcus aureus, which may cause hair loosening and itchy scalp, after diagnosis, you can cooperate with the doctor to choose anti-infective drugs such as cefixime and amoxicillin for treatment. It is recommended that patients with itchy head, accompanied by serious symptoms of hair loss, should cooperate with the doctor as soon as possible to clarify the cause, and then do targeted treatment, not blindly use drugs. The above drugs need to be used in accordance with medical advice.