Hair falling out with tugging may be related to physiological factors, and may also be related to androgenetic alopecia, baldness and other diseases, which can be improved through general treatment, medication and other ways. 1. Physiological factors: people can have 70~100 hairs fall off every day, which is a normal phenomenon, and these hairs that fall off may fall off with their own pulling. 2. Androgenetic alopecia: hair pulling to consider androgenetic alopecia related, male patients can follow the doctor’s prescription oral finasteride, female patients need to follow the doctor’s prescription oral spironolactone. Combined topical minoxidil tincture and other drugs, under the guidance of the doctor to choose the appropriate concentration. 3. Patch baldness: patch baldness may cause hair to fall out when pulled, can be prescribed topical minoxidil tincture, can also be prescribed topical Hasinide solution, dexamethasone ointment and other glucocorticosteroid drugs, with the regulation of local immunity, anti-inflammatory and other efficacy. There are many reasons why hair falls out when pulled, after excluding physiological factors, it is recommended that patients seek medical examination to clarify the cause of the disease, and cooperate with the doctor for standardized treatment.