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== Anatomical aspects related to stanya ==
 
== Anatomical aspects related to stanya ==
<p style="text-align:justify;">Breas milk (stanya) is formed in the mammary glands (stanyavahi sira) in breasts (stana). Stanyashaya (site of breast milk) is also termed as ‘ksheerashya’ or a part of 'strotas’ comprising of stanyavaha sira present exclusively in females. [Su. Sa. Shareera Sthana 5/10] Blood vessels in chest (vakshagata sira) representing the rakta dhatu are also present in the stana comprising of stanamoola sira, which are two in number. [Su. Sa. Shareera Sthana 5/37, Su. Sa. Shareera Sthana 7/22] It is the abode of two mansa- marma namely ‘Stana-Rohita’ and ‘Stana-Moola’ injury to which can lead to number of complications. [Su. Sa. Shareera Sthana 6/35] <br/>Structural part of stana mainly comprises of mansa dhatu and consists of about 10 peshi (muscles), which are absent in males and undergo physiological hypertrophy during  youth. [Su. Sa. Shareera Sthana 5/39] Two dhamani are present in stana of female according to Sushruta. [Su. Sa. Shareera Sthana 9/5] Charak has described normal anatomical positioning, shape and size of stana. [Cha. Sa. Shareera Sthana 8/14]  Normal characteristics of stana sampat are not too highly positioned (na-atiurdhwa), not too elongated (na-ati lamba), not much emaciated (anati krisha), not overly nourished (anati peenau), nipples of appropriate size (yukta pippalikau) and nipples not retracted and easy for suckling (sukha prapannau). The description of stana is identical to that given by the modern science. Nipples situated at upper side of breasts (urdhwastana) can lead to visual abnormalities in child. While nipples at elongated side of breasts (lambastana) leads to covering of face of child, which might lead to suffocation. [Su. Sa. Shareera Sthana 10/25, Cha. Sa. Shareera Sthana 8/33] Thus the prenatal and antenatal examination of breast is important to avoid such complications. </p>
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<p style="text-align:justify;"><span style="color:red">Breas milk (stanya) is formed in the mammary glands (stanyavahi sira) in breasts (stana).</span> Stanyashaya (site of breast milk) is also termed as ‘ksheerashya’ or a part of 'strotas’ comprising of stanyavaha sira present exclusively in females. [Su. Sa. Shareera Sthana 5/10] Blood vessels in chest (vakshagata sira) representing the rakta dhatu are also present in the stana comprising of stanamoola sira, which are two in number. [Su. Sa. Shareera Sthana 5/37, Su. Sa. Shareera Sthana 7/22] It is the abode of two mansa- marma namely ‘Stana-Rohita’ and ‘Stana-Moola’ injury to which can lead to number of complications. [Su. Sa. Shareera Sthana 6/35] <br/>Structural part of stana mainly comprises of mansa dhatu and consists of about 10 peshi (muscles), which are absent in males and undergo physiological hypertrophy during  youth. [Su. Sa. Shareera Sthana 5/39] Two dhamani are present in stana of female according to Sushruta. [Su. Sa. Shareera Sthana 9/5] Charak has described normal anatomical positioning, shape and size of stana. [Cha. Sa. Shareera Sthana 8/14]  Normal characteristics of stana sampat are not too highly positioned (na-atiurdhwa), not too elongated (na-ati lamba), not much emaciated (anati krisha), not overly nourished (anati peenau), nipples of appropriate size (yukta pippalikau) and nipples not retracted and easy for suckling (sukha prapannau). The description of stana is identical to that given by the modern science. Nipples situated at upper side of breasts (urdhwastana) can lead to visual abnormalities in child. While nipples at elongated side of breasts (lambastana) leads to covering of face of child, which might lead to suffocation. [Su. Sa. Shareera Sthana 10/25, Cha. Sa. Shareera Sthana 8/33] Thus the prenatal and antenatal examination of breast is important to avoid such complications. </p>
    
== Characteristics and diagnostic aspects concerning Stanya ==
 
== Characteristics and diagnostic aspects concerning Stanya ==
The stanya dushti and its presentation in different neonates can be understood by the application of objective parameters like laboratory investigations and physico-chemical analysis along with the qualitative assessment. Sushruta has thus advised to examine the stanya by putting the drops of stanya in clear water. The appearance of shankha (conch) like white colour and homogeneity of mixture, absence of effervescence (phena), thread like appearance (tantumatva), does not float on the surface (no-utplavati), does not get precipitated) (na avasidati) is considered to be the features of shuddha stanya and keeps the child  healthy (aarogya), gives proper growth and development (shareeropachaya) and improves strength (bala vriddhi) in child (kumara). [Su. Sa. Shareera Sthana 10/31] <br/>The different diagnostic parameters concerning the metabolism of stanya are explained in the figure underneath (Figure no. 1)
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<p style="text-align:justify;">The stanya dushti and its presentation in different neonates can be understood by the application of objective parameters like laboratory investigations and physico-chemical analysis along with the qualitative assessment. Sushruta has thus advised to examine the stanya by putting the drops of stanya in clear water. The appearance of shankha (conch) like white colour and homogeneity of mixture, absence of effervescence (phena), thread like appearance (tantumatva), does not float on the surface (no-utplavati), does not get precipitated) (na avasidati) is considered to be the features of shuddha stanya and keeps the child  healthy (aarogya), gives proper growth and development (shareeropachaya) and improves strength (bala vriddhi) in child (kumara). [Su. Sa. Shareera Sthana 10/31] <br/>The different diagnostic parameters concerning the metabolism of stanya are explained in the figure underneath (Figure no. 1)
 
[[File:Metabolism of stanya.jpg|center|Figure No. 1- Development of diagnostic parameters with respect to Stanya]]
 
[[File:Metabolism of stanya.jpg|center|Figure No. 1- Development of diagnostic parameters with respect to Stanya]]
<center><b>Figure No. 1- Development of diagnostic parameters with respect to Stanya</b></center>
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<center><b>Figure No. 1- Development of diagnostic parameters with respect to Stanya</b></center></p>
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== Pharmacological properties of breast milk ==
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<ul style="text-align:justify;"><li>Rasa (taste):  madhura (sweet) and slight astringent (kashaya)</li>
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<li>Veerya (potency): sheeta (cold)</li>
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<li>Guna (quality): light to digest (laghu)</li>
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<li>Useful in nasya (nasal therapy), aschyotana (eye drops), as wholesome (pathya) and vitalizer (jeevana) [Su. Sa. Sutra Sthana 45/57]</li>
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<li>It shall not be boiled [Su. Sa. Sutra Sthana 45/62]</li>
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<li>Curd made out of breast milk possesses unctuous (snigdha), heavy to digest (guru), sweet(madhura) properties. It has balya (strengthening), santarpana (satiating), chakshushya (beneficial for eyes) and doshaghna properties. [Su. Sa. Sutra Sthana 45/73]</li>
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<li>Ghrita (ghee) prepared out of stanya is easy to digest, chakshushya (beneficial for eyes) and anti-toxic (vishaghna) leading to enhancement of agni and nourishing to body. </li>
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It is used in the ocular therapies (prasadana putapaaka) for purpose of rejuvenation to eyes. [A.H. Sutra Sthana 24/16] It is also used as a medium for the proper attachment of jalauka(leech) during raktamokshana. [A.H. Sutra Sthana 26/41]</ul>
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== Pathological aspects related to stanya ==
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<p style="text-align:justify;">The vitiation of stanya leads to dosha vitiation in the child causing range of diseases. Dalhana mentions that the diseases occur due to consumption of vitiated stanya by the child. [Dalhana on Su. Sutra Sthana 1/7/5] The stana roga like stana-vidradhi (abscess), stana-granthi (cyst) predominantly occur after the development of stana or mammary glands according to the Sushrut Samhita. [Su. Sa. Sutra Sthana 10/17, 26, A.H. Chikitsa Sthana 13/28]. </p>
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=== 1) Dosha vaishamya (disequilibrium of dosha) ===
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<p style="text-align:justify;"></p>
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