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→Understanding the clinical features of stanya dushti
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<p style="text-align:justify;">Sushruta has stated that breast feeding is contraindicated in mother who is kshudhita (hungry), shokarta (depressed), shranta (exhausted), pradushta dhatu (having dosha and dhatu vitiation), garbhini (pregnant), atiksheena (excessively weak), atisthula (obese), vidagdha bhakta (one consuming spicy food), viruddha ahara (consuming incompatible diet). [Su. Sa. Shareera Sthana 10/31] <br/>Charak explains 8 types of abnormalities in breast milk (ksheera dosha) based on the dosha prominence. [Cha. Sa. Sutra Sthana 19/4/1] The dosha accumulate in mammary glands and ducts (ksheeravaha sira) leading to abnormalities in breast milk. [Cha. Sa. Chikits Sthana 30/236] <br/>The clinical features along with the treatment protocol of these stanya dosha can be summarized as below: [Cha. Sa. Chikitsa Sthana 30/232-235] Treatment of stanya dushti according to Ashtang Hridaya (A.H. Uttar Tantra 2/9-14) is also explained (Table No. 4 treatment of breast milk abnormalities as per Charaka Samhita and Ashtang Hridaya)- </p>
<p style="text-align:justify;">Sushruta has stated that breast feeding is contraindicated in mother who is kshudhita (hungry), shokarta (depressed), shranta (exhausted), pradushta dhatu (having dosha and dhatu vitiation), garbhini (pregnant), atiksheena (excessively weak), atisthula (obese), vidagdha bhakta (one consuming spicy food), viruddha ahara (consuming incompatible diet). [Su. Sa. Shareera Sthana 10/31] <br/>Charak explains 8 types of abnormalities in breast milk (ksheera dosha) based on the dosha prominence. [Cha. Sa. Sutra Sthana 19/4/1] The dosha accumulate in mammary glands and ducts (ksheeravaha sira) leading to abnormalities in breast milk. [Cha. Sa. Chikits Sthana 30/236] <br/>The clinical features along with the treatment protocol of these stanya dosha can be summarized as below: [Cha. Sa. Chikitsa Sthana 30/232-235] Treatment of stanya dushti according to Ashtang Hridaya (A.H. Uttar Tantra 2/9-14) is also explained (Table No. 4 treatment of breast milk abnormalities as per Charaka Samhita and Ashtang Hridaya)- </p>
{| class="wikitable"
|+'''Table No. 4- Treatment of breast milk abnormalities as per Charak Samhita and Ashtang Hridaya'''
!'''Type of stanya dushti'''
!'''Clinical features'''
!'''Treatment as per Charak Samhita'''
!'''Chikitsa of Stanya Dushti as per Ashtang Hridaya'''
|-
! colspan="4" |'''Vataja Stanya Dushti'''
|-
|'''Vairasya'''
|· Karshya (emaciation) in child,
· Swadate na- Stanya breast milk does not taste good, aversion towards breast milk
· Kruchhrena Vardhate – The growth of child is delayed.
|· Draksha (vitis vinifera), Madhuka (Madhuka indica), Sariva Siddha Ksheera (medicated milk).
· Lepa of Panchakola over the Stana region of mother.
| rowspan="3" |· Dashamoola kwatha – 3 times a day
· Decoction of Chitraka (Plumbago zeylanica), Patha, Katuka, Kushtha, Deepyaka (Trachyspermum ammi)
· Bharangi (Clerodendron Serratum), Devdaru, Saral, Vrishchikali, Pippali (Piper longum)
· Ghritapana with Ghrita mentioned in Vaatavyadhi
· Accha Surapana
· Mridu Virechana
· Basti
· Swedana
· Rasnadi Ghrita
|-
|'''Phena-Sanghata'''
|Kricchra Pravartana (difficulty in expression of breast milk) , Kshamaswarata (dull voice) , Purisha-Mutra Graha (retention of faeces and urine) ,causes Vataja Shiroroga (headache) , peenasa (sinusitis)
|· Administration of decoction of Patha (Cissampelos pareira), Shunthi (Zingiber officinale), Murva
· Lepa of Anjana (collyrium), Shunthi (dry ginger), Devadaru (cedrus deodara), Bilvamoola (aegle marmelos), Priyangu over the stana region.
|-
|'''Raukshya'''
|Balahrasa (Weakness)
|· Use of Siddha Ghrita or Ksheera prepared using Virechanopaga Dravya (herbs used for purpose of virechana)
· Use of Jeevaniya Panchamoola Lepa.
|-
! colspan="4" |'''Pittaja Stanya Dushti'''
|-
|'''Vaivarnya'''
|Discolouration of Stanya , Gatravaivarnaya (discolouration of body parts) , Swedana-Adhikya (excessive perspiration) , Trishna-Adhikya (excessive thirst)
|· Use of Kalka infused with Yashtimadhu (Glycerrhiza glabra), Mrudwika, Payasya (Fritillaria roylei Hook.) etc.
· Lepa of Draksha, Madhuka Kalka over the Stana region.
| rowspan="2" |· Amrita (guduchi), Abhiru (shatavari), Patoli (Stereospermum colais (Dillwyn) Mabb.), Nimba (Azadirachta indica), Chandan (Santalum album), Sariva Kwath
· Triphaladi Kwath
· Sarivadi, Patoladi, Padmakadi Gana Dravya Siddha Kwath
· Pittaghna Ghrita Paana
· Virechana
|-
|'''Vaigandhya'''
|Occurrence of Pandu and Kamala in the child.
|· Use of Vishanika (Aristolochia bracteolata), Triphala (polyherbal medicine consisting of Haritaki, Bibhitka, Amalaki), Rajani (Turmeric/Haridra) Siddha Ksheera.
· Lehana of Abhaya (Terminalia chebula) choorna along with Trikatu and Madhu.
· Lepa of Sariva, Ushira etc. Dravya over the Stana region.
|-
! colspan="4" |'''Kaphaja Sthanya Dushti'''
|-
|'''Sneha'''
|Chardana (vomitus), Kunthana (discomfort or pain), Lalastrava (excessive salivation), Strotas Rodha (obstruction of body channels), Nidra (sleepiness), Klama (lethargy).
|· Consumption of decoction infused with Devdaru , Musta , Patha etc.
| rowspan="2" |· Yashti- Saindhava / Pippali-Saindhava Siddha Ghrita
· Madanphala Pushpa (Randia dumetorum) – Lepa over stana
· Vamana
· Mustadi , Tagaradi , Ativishadi Gana Siddha Kwatha Sevana
|-
|'''Paichillya'''
|Lalastrava , Vaktra-Shotha (Inflammation in the buccal cavity)
|· Consumption of decoction infused with Abhaya, Vacha (Acorus calamus), Musta, Shunthi, Patha.
· Use of Takra-Arishta (Cha. Sa. Chikitsa Sthana 15)
· Lepa of Vidari, Pueraria tuberosa (Roxb. ex Willd.) Bilwa (Aeges Marmelos), Madhuka etc. over Stana region.
|-
|'''Gaurava'''
|Hridroga (Heart disorders)
|· Consumption of Panchakola decoction.
· Lepa of Bala (Sida cordifolia), Shunthi, Murva etc. Dravya over the Stana region.
|
|-
! colspan="4" |'''Tridoshaja Stanya Dushti'''
|-
|'''Tridoshaja'''
|
|· Can be treated depending on the presence of any of the Stanya Dushti as above.
|· Pathadi Kwath (consisting of Patha, Shunthi, Guduchi, Kiratatikta, Katuka, Deodar, Sariva, Moorva, Indrayava)
· Murvadi Kwath (Moorva , Vyosha , Vara , Kola (Jijiphus Jujuba) , Jambu (Syzygium cumini) , Darvi (Beberis aristata) ,Sarshapa (Brassica juncea (Linn.)), Patha with Madhu
|}