By Dr Lawrence Wilson, MD

© June 2014, The Center For Development





“Coffee enemas have long been in use. In a case report in the Pacific Medical and Surgical Journal in December 1866, M.A. Cachot, MD, described successful use of a coffee enema to treat a child dying from an accidental poisoning. (5)

Articles from the late 1800s reported that coffee enemas were helpful in post-operative care; (6) at a medical meeting in 1896, Dr. W.J. Mayo, one of the founders of the Mayo Clinic mentioned coffee enemas as a routine part of care for patients after abdominal surgery. (7) Coffee enemas were listed as a stimulant and as a treatment for shock in medical and nursing textbooks in the early 1900s. (1;8)

In an extensive 1941 article in Uruguayan Medical, Surgical and Specialization Archives, Dr. Carlos Stajano described immediate improvement in near-terminal patients after coffee enemas, including a patient with cocaine intoxication and a patient with post-operative shock. (9) He elaborated on his extensive experience with coffee enemas in post-operative management and made a plea for their continued use.” – Helping The Body Detoxify by Linda L. Isaacs, M.D.




Definitions.  Technically, a coffee enema should be described as:

  1. Hydrotherapy. This means the therapeutic use of water for healing the body in some way. In this case, water is used to wash out the colon and deliver a coffee solution to the body through the rectum.  Its effect is very different from drinking coffee, as explained later in this article.
  2. A coffee implant. This means that one implants or applies the coffee herb into the colon.
  3. A retention enema. The procedure is to retain the coffee mixture for 15 minutes, or perhaps a little longer. Retaining the coffee solution is necessary for its proper absorption and effects.
  4. Dialysis. Dialysis, in this context, means a forced or artificial method to enhance detoxification.




We live in a toxic world.  Never has planet earth been as polluted as it is today.  The levels of some toxic metals are over a thousand times greater than ever before in history.  These metals include lead, mercury, cadmium, arsenic, aluminum and nickel.  However, there are others commonly found in our food air and water such as uranium, beryllium, bismuth, antimony, zirconium, gadolinium, tin and others, as well.

In addition, the earth is contaminated with over 100,000 toxic chemicals, with more produced every day!  For example, the laws of most nations permit the addition of over 3000 chemicals in our food.  Pesticides and herbicides are another group of toxic chemicals that are found in our water supplies and in many foods.

The widespread and often overuse of medical prescriptions and over-the-counter drugs adds over a thousand more toxic chemicals to our bodies, especially in the Western world.  These include surgical anesthetics, dental anesthetics such as novacaine, vaccine preservatives and stray viruses, and many other poisons used routinely today in the medical profession.

The use of recreational drugs such as cigarettes, heroin, cocaine, Ecstacy, methamphetamines and the cadmium-containing drug, marijuana, just adds much more toxicity to our already-burdened bodies.

Drug residues often remain in the body for decades.  I know this to be true because our clients report tasting, smelling, and experiencing the effects of these drugs many years after taking them, during what are called purification reactions or retracings.

The cumulative and combined effects of this toxic assault on our bodies has not been studied sufficiently, at all.  However, their presence is associated with ALL major diseases of the 21st century.  According the United States Environmental Protection Agency, toxic chemicals and toxic metals constitute a great threat to our health.  Fortunately, great progress has been made in the past 50 years or so to limit them in America.  However, much more needs to be done.  To say that this is the century of toxicity is no exaggeration.  The coffee enema is one method, and a powerful one, to help with this problem.

In addition to removing toxins from the body, coffee enemas can:


  • Clean and heal the colon
  • Detoxify the liver and colon and help rebuild the liver.
  • Reduce many types of pain.
  • Help eliminate many parasites.
  • Reduce and get rid of many symptoms of general toxicity. Since toxicity is the cause of dozens of common symptoms from arthritis to cancer, coffee enemas help with many, if not most diseases and conditions.
  • Help with depression, confusion, and general nervous tension.
  • Increase mental clarity, improve energy levels, increase joy and happiness, improve digestion, and reduce anger.
  • Enable clients to get through difficult healing and purification reactions.
  • At least three dozen clients have confided to me “coffee enemas saved my life”.

I have recommended coffee retention enemas to more than thirty thousand people.  I have yet to hear about horrible side effects of any kind, although the procedure is somewhat inconvenient, especially at first.  Most people get used to it quickly.  The coffee retention enema is really quite simple, very safe when done properly, highly effective and inexpensive.




Ancient history of enemas and coffee. Healers have recommended enemas for thousands of years. The coffee bean and plant have been part of herbal medicine, folk medicine and shamanic healing for years.  According to some historians, coffee originally came from Ethiopia.  Then it was introduced into the Middle East, then to Europe, and it was introduced into the Americas in the 18th century.

It was known as a potent liver remedy, and given particularly to the elderly and to those who were infirm or ill in the liver.  This is important because today almost everyone has a toxic liver.  The reason is the proliferation of toxic metals and toxic chemicals throughout the planet due mainly to industrialization and burning of fossil fuels.

Modern history of coffee enemas. Some of the following was extracted from an article in Healing Newsletter, NL#13, May-June, 1986. By Gar Hildenbrand:

“The coffee enema may have been first used in modern Western nations as a pain reliever. During World War I nurses kept coffee pots on the stove all day long.  Battle surgeons and others drank it to stay awake while working horrendously long hours.  Enema bags hung around as some patients needed help moving their bowels.

Pain medications were in short supply.  Doctors were forced to save the pain drugs for surgical procedures, with little or none for follow-up after surgery.  When surgical patients woke up from operations without the benefit of further morphine injections, they would scream in pain and agony from the surgery.  They were also constipated from the anesthesia drugs.

As the story goes, one day a nurse was preparing an enema for constipation.  Instead of fetching water for the enema, she accidentally dumped some cool coffee into the patient’s enema bag, undid the release clamp, and into the patient it flowed.  “I’m not in so much pain,” the poor soldier said.  The nurse took notice, and thus began the use of coffee enemas to help control pain.”

Indeed, until about 1984, the coffee enema procedure was listed in the famous Merck Manual, which is used as a handbook by physicians the world over.




Drs. Gerson and Kelley.  The man who popularized coffee enemas more than any other in modern times was Max Gerson, MD, author of A Cancer Therapy – Results of 50 Cases (1958).  Dr. Gerson pioneered nutritional therapy for cancer and other diseases with amazing results.  His therapy combined coffee enemas with a special diet, juices and a few other nutritional supplements.  The enemas were an integral part of the therapy.  He found that to heal his patients of cancer, he had to stop their pain medication, as it damaged their already weak livers.  Coffee enemas, up to 6 per day, would stop the pain without a need for drugs.  They also enabled the body to absorb and digest tumor tissue and eliminate it safely, an important stumbling block in natural cancer therapies.  Dr. Gerson’s method is offered today at several clinics, most of which are in Mexico.

          William Donald Kelley, DDS. In 1968 Dr. Kelley, was diagnosed with pancreatic cancer.  He carefully researched natural cancer therapies, and evolved a very effective natural approach that used coffee enemas.  He wrote about their benefits and importance in a small book entitled One Answer To Cancer (1969, 1999).

Harold Manner, PhD.  Dr. Manner was another pioneer in natural cancer therapy who highly recommended the use of the coffee enema as part of his therapy for cancer.


Nicholas Gonzales, MD. Dr. Gonzales studied under Dr. Kelley and offers the Kelley metabolic cancer therapy.  It includes the use of coffee enemas, and it is quite successful in many cases.




“In general, coffee enemas are an important tool for physicians who try to detoxify the body. Coffee enemas are serious business: their potential should be explored by good research – not mined for cheap shots at alternative medicine or derisively dismissed as yet another crackpot fad.” – Ralph Moss, PhD.


          Coffee enemas are helpful to heal most health conditions.  This occurs because of the many health benefits of this procedure.  Not only are the following effects extremely beneficial, but the combination of these effects is even more powerful.

Coffee applied rectally has the following properties.  There is some overlap among these effects:


  1. An astringent. This is an herbal property that means it peels the top layer of skin or mucous membrane. This is helpful for some healing, as the top layer of skin or mucous membrane is often ready to come off anyway, and is loaded with toxins.  So it is like cleaning the surface layer of the mucous membrane of the colon and perhaps the liver, as well.
  2. Mechanical cleansing. The enema mechanically washes out the colon, removing toxic substances, and often nests of parasites, bacteria, yeast colonies, and other debris.

Enemas also stimulate the colon slightly by dilating it a little, and often by altering its temperature somewhat – either making it a little hotter or a little colder.

Another mechanical effect is to increase peristalsis and cause the colon to become active, emptying its contents more completely.

Repeated enemas, especially accompanied by colon massage, helps remove impacted feces and food residues, which is common. Certain food items, especially white, refined flour, can turn hard in the colon and stick to its walls.

Repeat enemas also help clean out so-called ‘pockets’ or diverticuli in the colon.  These are slight expansions or dilations in the wall of the colon of most adults that trap food particles, bacteria and often harbor parasitic organisms such as worms, yeasts and others.

Many clients report that upon beginning coffee enemas, they notice either crawling or dead creatures that show up in the toilet when they release their coffee enemas.

Our clients also report that their colonoscopies, after using daily coffee enemas for a few years, revealed amazingly clean and healthy-looking colons.  One client, age 79, was told by his doctor that his colon was so clean he never needed to return for another colonoscopy.


Dr. Peter Lechner, who conducted a trial of the Gerson cancer therapy in the post-surgical treatment of metastasized colorectal cancers under the aegis of the Landeskrankenhaus of Graz, Austria, reported in 1984, “Coffee enemas have a definite effect on the colon which can be observed with an endoscope.”


  1. Enemas, in general, and the coffee enema in particular, can help stimulate, balance and clear many reflex pointsthat run from the colon segments to every organ and tissue of the body. This is not well known, but is true.  Below is a diagram of the colon segments and reflexes that connect the colon with the rest of the body.  The practical application of this fact is that a problem in a particular part of the colon, such as the ascending colon, can cause a serious disorder elsewhere in the body through a type of reflex or resonance effect. This is considered controversial and strange.  However, Bernard Jensen, in his book entitled The Science And Practice Of Iridology, documents this idea with case histories, including flat-plate x-rays of the colon.


Figure 1. Colon reflex points


Effects Elsewhere


  1. Anti-oxidant effects. Singlet oxygen atoms cause oxidation in the body tissues. An example of oxidation occurs when a bite is taken from an apple and the surface turns brown.  This also occurs inside our bodies and is very damaging.

Coffee contains powerful anti-oxidant chemicals that prevent oxidation. These are particularly helpful for the liver, which is highly susceptible to oxidant damage. Unlike other antioxidants such as vitamin C, alpha lipoic acid and vitamin E, the antioxidants in coffee are far more yang in Chinese medical terminology.  This is a great advantage today because the bodies are already too yin and adding more yin antioxidants makes the problem much worse. Some day, doctors will realize this problem and will stop recommending so many anti-oxidants, perhaps recommending coffee enemas instead.

A nutritional balancing program and coffee retention enemas reduce the need for antioxidants because the program removes oxidant sources.  These include certain minerals such as iron, copper, manganese and aluminum, among others.  These are described in detail in the article entitled Iron, Manganese and Aluminum – The Amigos.


  1. Increased pH or alkalinity of the entire intestinal tract. This is due to enhanced bile flow, most likely. Increasing the alkalinity of the small intestine makes it much less hospitable for parasites.  It also helps destroy many other types of infections in the small and large intestines.  This can help improve the quality of the flora of the intestines and reduce dysbiosis or improper bugs in the intestines.
  2. Palmitic acids. In the late 1970s and early 1980s, researchers in the lab of Lee Wattenberg identified salts of palmitic acids (kahweol and cafestol palmitate) in coffee. These act as potent enhancers of glutathione S-transferase which is an important enzyme in the liver.  It is part of a major detoxification system that catalyzes the binding of many toxins from the blood stream to the sulfhydryl group of glutathione.  For this reason, the glutathione S-transferase system is an important mechanism to get rid of cancer causing chemicals.

Adding coffee beans to the diets of mice enhanced glutathione S-transferase 600% in the liver and 700% in the small bowel.  A similar stimulation by coffee of glutathione S-transferase in humans is probable.

Dr. Max Gerson, MD, a major proponent of the use of coffee enemas, wrote that:

“Heubner and Meyer of Goettingen University, Germany had shown in animal models that rectal administration of caffeine would dilate bile ducts and promote bile flow.  Theophylline and theobromine, major constituents of coffee, dilate blood vessels and counter inflammation of the gut.

The palmitates of coffee enhance glutathione S-transferase, which is responsible for the removal of many toxins from the blood.  Finally, the water in the enema stimulates peristalsis or the movement of toxic substances from the duodenum or upper intestine, through the intestine, and out through the rectum.”

  1. Caffeine effects. Caffeine is a mild central nervous stimulant, but not as toxic as most stimulants. Its effects include, dilation of the bile ducts. The editors of Physiological Chemistry and Physics stated, “caffeine enemas cause dilation of bile ducts, which facilitates excretion of toxic cancer breakdown products by the liver and dialysis of toxic products from blood across the colonic wall.”

This property of caffeine, when administered rectally, is called a cholereticA choleretic is a substance that increases bile flow.  While other agents classed as choleretics increase bile flow from the liver, most do little to enhance detoxifying enzyme systems, and they do not ensure the passage of bile from the intestines out the rectum.  Bile is normally reabsorbed up to 9 or 10 times before working its way out the intestines in feces.

The enzyme enhancing ability of the coffee enema is unique among choleretics.  Because it does not allow as much reabsorption of toxic bile by the liver across the gut wall, it is a powerful means of detoxifying the blood stream through existing enzyme systems in the liver and small bowel.  Because clinical practice has shown coffee enemas to be well tolerated by patients when used as frequently as every four hours, the coffee enema may be viewed as one of the most effective and interesting choleretics in the medical literature.

  1. A wonderful “kick starter” for the entire digestive tract.This is a somewhat esoteric concept. However, some remedies and procedures are able to cause a yang or contracting effect that activates an area of the body while causing few adverse effects, when done in moderation.  Coffee in the rectum is one of the best procedures to kick start or “crank” the digestive system, in particular.  (This is like cranking a gasoline engine, which one does every time one starts an automobile).

Other “crankers” or yang stimulants include supplements and herbs such as trimethylglycine, turmeric, garlic, cayenne and ginseng.  I do not recommend ginseng because all of it is toxic today.

  1. Nutritional effects – selenium. Coffee contains a very desirable form of selenium needed by almost everyone today. Few foods contain this particularly necessary compound, which is not well-absorbed by mouth, but is better absorbed through the rectum.  This is a primary reason for the enzymatic activity of coffee upon liver detoxification pathways.  This needs to be researched further, as I do not have more confirmation of this fact other than our observations.
  2. Nutritional effects – zinc. Coffee also contains a small amount of an important zinc compound. Once again, it is very needed today, and is not well absorbed by mouth, but is better absorbed rectally.  This needs to be researched further, as I do not have more confirmation of this fact other than our observations.
  3. Coffee antidotes or neutralizes many harmful vibrations or frequencies of illness in the body. This unusual trait of coffee, not shared by other herbs or remedies, is very well known in the science of homeopathy. Patients are often told by homeopathic doctors never to drink coffee. The coffee can negate the effects of many vibrational remedies, including homeopathic remedies.
    This is a very important reason for using coffee enemas.  The coffee seems able to clear a wide range of harmful subtle energies in the human system in a way that no other plant or animal substance can do.  Repeated use of the coffee implant clears these vibrational frequencies at deeper and deeper levels each time the procedure is used.  These energies definitely affect our health, although they are quite subtle.  For more information about some problems of vibrational frequencies on the body, please read Psychotronics on this website.


  1. In acupunctureterms, coffee enemas enhance the liver meridian and balance the large intestine meridian. In the science of acupuncture, restoring health depends upon balancing about a dozen energy channels or meridians that run up and down the body.  Introducing water and coffee into the colon weakens or inhibits the large intestine meridian somewhat.  This tends to enhance the liver meridian, according to acupuncture theory.

Commonly, the liver is weak and the large intestine meridian is over stimulated or overactive due to the presence of toxins in the large bowel.  Even if it is not overactive, the effect of the coffee enema, in terms of acupuncture meridians, is to enhance the energy of the liver/gall bladder meridian to some degree.


  1. Protection against toxins in coffee. Coffee contains some toxic metals such as leadand cadmium, and some toxic alkaloids.  Also, ground coffee may be somewhat rancid, as it contains polyunsaturated oils that can quickly become rancid.  However, from our experience, when taken by rectum, these toxins are not absorbed nearly as much as when the coffee is taken orally.
    This occurs because the colon is designed to absorb nutrients, while filtering out and leaving behind toxic substances inside the colon.  In fact, a healthy colon is quite amazing in its ability to absorb nutrients while protecting the body from a wide variety of toxic substances.  This is the reason why drinking coffee is somewhat toxic, but coffee used in an enema is much less so.  In fact, we have seen very little toxicity from repeated coffee retention enemas, while those who drink coffee regularly exhibit some toxicity from the beverage.


  1. Promotes downward motion. Retaining this enema for 15 minutes or so forces one’s attention downward. Two reasons for this are 1) the presence of a significant amount of water in the colon, and 2) the need to keep the anal sphincter shut tightly.

Moving energy downward toward the pelvic floor and feet is extremely therapeutic.  It assists with grounding and centering, but it does much more than this.  It is a powerful healing method all by itself.  This is a complex topic.  For more information please read Downward-Moving Energy And Healing on this site.


  1. Yang effect. Most people’s bodies today are too yin, in Chinese medical terms, especially those who are old or sick. Yin means cold, expanded and today it also means ill.  A problem with most medicines and natural remedies such as vitamins and herbs is that they make the body even more yin.
    In contrast, coffee is a more yang substance, even though it grows in tropical climates.  It becomes much more yang when roasted thoroughly and boiled for 12-13 minutes only.  This also gets rid of some of the caffeine, a yin substance (although some caffeine is necessary for the desired effects).  The yang quality of coffee is a great advantage of this procedure over other herbal, natural and medical methods for cleansing the liver and colon.

The yang effect is due to a combination of the nutritional factors in coffee, and its ability to remove yin toxins from the body such as toxic metals and toxic chemicals. To learn more about this vital subject, please read Yin and Yang Healing and Yin Disease on this website.



  1. Sympathetic nervous systemrelaxation. Coffee enemas help relax the sympathetic or fight-or-flight nervous system.  Many people report this.  This may seem odd, since coffee contains caffeine, which is a stimulant.

Possible reasons for relaxation of the sympathetic nervous system include: 1) stimulation of two important parasympathetic organs, the liver and the large intestine, 2) nutrients in the coffee, 3) removal of irritating toxins from the body rapidly and thoroughly, and 4) the relaxing downward motion of energy.  To learn more about the sympathetic nervous system and its importance, please read Autonomic Nervous System Balancing on this website.


  1. Improved hydration. While it may seem minor, this can be a major benefit of coffee retention enemas. Many people are quite dehydrated today. Common reasons for dehydration are 1) not drinking enough water, 2) drinking incorrect types of water such as reverse osmosis water, which does not appear to hydrate the body well, and 3) ingesting substances that tend to dehydrate the body.  These include all sugars, all fruit, caffeine and alcohol.

The addition of several cups of water in the enema improves this serious, but sometimes difficult to identify situation.  Improved dehydration also greatly enhances detoxification of the body and overall health.


  1. Reduced autointoxication. Autointoxicationis the production of toxins within the body, usually due to the action of bacteria and yeasts upon partially digested food.  Most is the result of fermentation or rotting (putrefaction) and a lot of it occurs in people’s large intestines.  This can cause gas, bloating and foul smelling stools.  However, even if it causes no symptoms, it damages health significantly, in some cases.

By cleaning the colon of yeasts, parasites and other pathogenic organisms, and by increasing the bile flow, coffee enemas greatly reduce autointoxication.


  1. Assisting the lymphatic system. Coffee enemas can greatly assist lymphatic drainagethat occurs in the Peyer’s patches.  These are extremely important lymph glands located along certain areas of the small intestine.  The coffee enema appears to assist the Peyer’s patches due to reflex effects described later in this article.


  1. Reduced congestion of the internal organs. An effect of the caffeine and the astringent action of the coffee appear to help reduce congestionin the liver and elsewhere.


  1. Reducing the density of the body. Toxic metals in excess and other poisons in the body actually increase its density. Removing toxic metals and some toxic chemicals decreases the density of the body.  This is helpful for healing.


  1. Yeastand other parasiteelimination from the colon.  This may require repeated enemas and perhaps more water.  This is a wonderful benefit for some people whose colons are full of yeast.  For this to occur, one must do several coffee enemas back to back, putting in a total of about 2 quarts of water into the colon.  It helps to rub the colon area of the abdomen vigorously to get the water to penetrate into the pockets of the colon to dislodge the yeast organisms.  Adding some crushed garlic to the enema water may help this a little by a chemical mechanism.  For more on this important topic, please read Candida Albicans on this site.


  1. Improving the skin. The body must eliminate poisons somehow. If the colon is not working well, the body must use alternative elimination channels.  One of these is the skin.  This causes skin eruptions including dermatitis, acne, eczema, psoriasis and perhaps other types of skin eruptions.  The skin must compensate for inadequate elimination through the liver and colon.  Coffee enemas assist the skin by restoring elimination through the liver and colon.


  1. A form of quiet disciplineand a concentration exercise. This may seem odd, but just lying down and holding the anal sphincter closed for 15 or so minutes is a form of concentration exercise that teaches discipline, relaxation, coordination and other mental traits that are helpful for most people.


Different from drinking coffee. The intestine has two circulatory systems attached to it.  One system supplies the intestines with blood for maintenance of the intestinal tissues.  The other system is called the portal system.  It is a critical body system that draws all of the absorbed nutrients from the intestines and sends them directly to the liver.

In other words, when you eat food, it does not go into the bloodstream, as everyone thinks.  Only a tiny part of it does, which is the nutrients that are absorbed in the mouth, esophagus and stomach.  All the rest of the nutrients go into the portal system and go to the liver, not the general bloodstream.  Here, the nutrients are further processed by the liver before entering the main blood stream.

So when coffee is introduced into the colon, it is absorbed directly into the liver through the colon wall.  Coffee has a special affinity for the liver, and moving it there from the colon is very different than sending it to the liver by drinking it.  When coffee is ingested by mouth, many of its herbal properties are destroyed.

Coffee taken by mouth acts mainly as a stimulant, laxative, and perhaps a smooth muscle relaxant.  One cup of regular coffee daily is okay for most people, but not recommended, and more is harmful.


“Doctors at the University of Minnesota showed that coffee administered rectally stimulates an enzyme system in the liver called glutathione S-transferase by 600%-700% above normal activity levels. This enzyme reacts  with  free  radicals  (which  cause  cell  damage)  in  the  bloodstream  and  makes  them  inert.  These  neutralized  substances become dissolved in the bile, are released through the bile flow from the liver and gallbladder, and are excreted through the intestinal tract.” – Scientific Basis of Coffee Enemas, The Gerson Institute.




“A 1982 study by the National Research Council (NRC) showed that coffee enemas have the power to reduce systemic toxicity by up to 700 percent. This is because caffeine and other beneficial compounds found in coffee — when not consumed by mouth and therefore diluted by the digestive tract — work together to stimulate the liver directly to increase production of glutathione S-transferase (GST), a powerful detoxifying enzyme that binds with, and flushes out, toxins in the body.” – Angela Doss




Anal strictures.  Coffee enemas are excellent provided the coffee will flow into the colon.

Appendicitis.  I do not suggest coffee enemas if a person has lower right quadrant abdominal pain.

Babies.  I do not have experience administering coffee enemas to babies.  However, Max Gerson, MD describes a case of cancer in an 8-month-old baby who underwent his entire treatment, including coffee enemas.  There was no problem with the enemas in the baby.

Breastfeeding.  Coffee enemas while breastfeeding appears to be perfectly safe.

Colitis and Crohn’s Disease.  This is not a contraindication for coffee enemas.

Colon or rectal cancer.  Caution is required in case the colon is damaged, which could cause perforation.  However, coffee enemas are extremely helpful for cancer.  I suggest two to four coffee enemas daily for cancer.

Constipation.  Coffee enemas are excellent to help clean out the colon.  However, the cause of constipation should also be addressed.  Common causes are not drinking enough water, drinking the wrong type of water, and improper diet.

Danger signals during a coffee enema.  Expel the coffee at once if the pressure to release the enema becomes severe.

Dangers of mineral imbalances.  In my experience, these do not occur.  To be sure drink spring water only before and after your enema and take 3 to 6 600 mg capsules of kelp daily.

Diarrhea.  Coffee enemas can be done when one has diarrhea, and may help correct it, depending on the cause.

Diverticulosis and diverticulitis.  Coffee enemas are excellent to help clean out diverticuli.

Fecal incontinence.  Coffee enemas are excellent.  However, to retain the enema one must place a washcloth over the anal area or use a larger enema tip.

Fissures and fistulas. These are best resolved before doing coffee enemas.

Food poisoning.  Coffee enemas are excellent to help relieve food poisoning.

Gas and bloating.  Coffee enemas are fine, and often helpful.

Gastritis and ulcers.  Coffee enemas are fine.

Gastrointestinal bleeding.  This depends on the cause.  However, the enemas are usually safe if done carefully.

Hemorrhoids.  Mild hemorrhoids usually do not interfere with coffee enemas.  More severe hemorrhoids can bleed and be painful, and may make coffee enemas difficult to do.

Irritable bowel syndrome.  Coffee enemas can be done when one has irritable bowel syndrome.

Malabsorption syndromes including celiac disease.  Coffee enemas are almost always helpful.

Meals.  I suggest waiting at least one hour after a meal before doing a coffee enema.  After an enema, one can eat a meal immediately.

Medications.  Interactions with medical drugs are rare.  Consult your doctor if you are unsure.

Menstruation.  This should not interfere with coffee enemas in any way.

Nausea and vomiting.  Coffee enemas are often excellent to reduce nausea and vomiting.

Overdoing coffee enemas.  It is possible to overdo on coffee enemas.  Do a maximum of 4 enemas per day.  Coffee enemas are a powerful detoxification procedure. Always use common sense.

Parasites and yeast.  Coffee enemas are excellent and can help expel parasites.

          Pregnancy. Coffee enemas appear to be completely safe during pregnancy if you follow the procedure in the previous chapter.

Rectal Abscess.  In general coffee enemas are very good.

Rectal prolapse.  I suggest avoiding coffee enemas until the prolapse is corrected.

The elderly.  So far, I have seen no problems administering coffee enemas to people in their 80s or even 90s.




“In fact, there is hardly a region of the world where people did not discover or adapt the enema. It is more ubiquitous than the wheel.  Enemas are found in world literature from Aristophanes to Shakespeare, Gulliver Travels to Peyton Place.”  – Ralph W. Moss, PhD


MYTH #1. COFFEE DAMAGES THE FLORA IN THE COLON.  No.  In my experience of over 33 years, daily coffee enemas, even several per day, does not affect the flora in the colon in a negative way.  It does not wash out the flora because the enema does not involve that much water.  In fact, as mentioned earlier in this book, coffee enemas often improve the intestinal flora and help get rid of intestinal dysbiosis.


MYTH #2.  COFFEE ENEMAS WASH MINERALS OUT OF THE BODY.  No.  In fact coffee enemas add minerals to the body.  Coffee contains many minerals, including zinc, selenium, potassium and others.


MYTH #3.  COFFEE ENEMAS CAUSE CONSTIPATION (FLACCID BOWEL).  No.   If one stops coffee enemas, it may take the body a few days to readjust.  However, I have not seen coffee enemas cause constipation.  In fact, by helping to heal the colon, coffee enemas can reduce constipation.


MYTH #4.  COFFEE ENEMAS CAUSE ADDICTION.  Very rarely.  I have only seen one case in which a person developed an addiction to coffee by mouth and enemas.  More often, a person enjoys the coffee enemas, and wants to continue them.  This is not an addiction, however.


MYTH #5.  COFFEE ENEMAS CAN PERFORATE THE COLON.  I have never heard of this occurring.


MYTH #6.  COFFEE ENEMAS CAN CAUSE INFECTIONS.  While this is conceivable, I have never heard of it happening.  Just be sure the enema bag and tubing are clean.


MYTH #7.  THE CAFFEINE IS HARMFUL. Taking a coffee enema causes a slight buzz in most people, but not an extreme reaction.  The colon seems to protect the body from some of the effects of caffeine.  The caffeine from the enema is easily removed from the body after the enema is completed. Roasting the coffee bean and boiling the coffee for 10-12 minutes somewhat reduces its caffeine content.  Decaffeinated coffee does not work well in coffee enemas.






The colon is also called the large intestine.  It is located in the lower abdomen.  The colon is a tube about 5 feet long that is shaped like an upside down U, as shown in the diagram below.  It is built in segments that look something like little pouches.

The colon has a number of layers beginning with an inner mucosal lining.  Outside of this is a layer of muscles that contract in a sequential or orderly fashion, one segment after the other, to move the food and feces along its length.  This process is called peristalisis.

There is also an outer covering on the colon, and the entire structure is suspended in the abdomen by various ligaments.  It has a rich blood supply, and blood vessels from the colon go directly to the liver, and not into the general blood circulation.

The colon also has some lymphatic tissue that drains certain poisons from the colon.


Functions of the colon.  These are:

  1. It removes water and nutrients from the chyme, which is the semi-liquid mass of partially digested food that enters the colon.
  2. It absorbs thiamine (B1), riboflavin (B2), cobalamin (B12), vitamin K and other vitamins that are made by the bacteria that live in the colon.
  3. The colon is also a complex eliminative organ that prepares the non-nutritive part of the chyme for elimination.
  4. The colon also protects the body from deadly poisons that may be produced in the intestines.




The colon is one of the most diseased organs of the body in many people today.  Everyone needs to pay attention to this.  The reasons are quite simple, and include:

  1. Eating sweets, including all sugars, fruits and juices. These often feed yeasts and other pathological organisms.
  2. Eating poor quality food, low in fiber and foods containing additives, preservatives, pesticides, and other chemicals that damage the intestines.
  3. Improper eating habits such as eating on the run or too fast, eating in the car or not chewing thoroughly.
  4. Low levels of digestive enzymes in the upper intestines. These cause partially digested proteins and starches to end up in the colon, where they either rot or ferment. This causes the production of extremely toxic chemicals such as skatol, indol, cadaverine and others.  Most people know about these from their foul odors, gas and bloating, all of which is harmful.
  5. Any use of antibiotics. These damage and often destroy the normal flora in the colon.
  6. Use of many other medical drugs and over-the-counter remedies. Most of them are toxic to the intestinal tract to some degree.
  7. Ignoring the call of nature to empty the bowels.
  8. Hurried lifestyles, with fear and nervous tension. These negative emotions often affect the functioning of the colon.
  9. Infections in the colon. Common ones include yeasts, parasites, bacteria and viruses.
  10. Fruit-eating and sugar-eating are among the most important causes of colon problems today because it allows and encourages the growth of yeasts in the intestines. Also, fruit is extremely yin and this tends to expand the colon and slows its activity.



  1. Colitis. This means inflammation of the colon. There are many kinds such as ulcerative colitis, Crohn’s disease, and mucus colitis. Diet and having the correct flora in the intestines are important to heal this condition.  Drugs and surgery are not necessary if one follows a nutritional balancing program.
  2. Irritable bowel syndrome. In this condition a person experiences alternating constipation and diarrhea. Pain or tenderness in the colon is also common.  Correcting the diet and lifestyle usually takes care of this condition.
  3. Diverticulitis. This is an inflammation and perhaps infection in one or more pockets that form in the large intestine. It usually goes away as the colon heals.
  4. Bowel Obstruction. This is a very serious condition that usually requires surgery to remove the obstruction. It may be caused by a tumor or twisting of the intestine. 
  1. Prolapsed colon. In this condition, the transverse colon elongates and hangs down. This often is associated with constipation and other problems such as yeast or parasites in the colon. 
  1. Constipation. This is the most common problem in the colon and one of the most common conditions in the world. I find that correcting the diet and drinking enough pure spring water usually ends this problem.  Adults generally need about 2 to 3 quarts of pure water daily.
  2. Diarrhea. This occurs when food moves through the colon too fast. It is a common condition with a number of causes.  One cause is an intestinal infection.  Amazingly, many cases of chronic and long-standing, diarrhea clears up when a person eliminates all wheat, fruit, and all sweets from the diet.  One must also eat at least 3 cups of cooked, not raw, vegetables each day. 
  1. Cancer of the colon. This is a common form of cancer. I believe that most of it is easy to prevent by improving the diet and by using coffee enemas regularly.
  2. Fissures and fistulas. Fissures are small tears in the skin or mucosa in the anal area. An infection in the area is usually present.  These are fairly common and make taking coffee enemas difficult.  They can usually be healed by a daily sitz bath with hot water and several cups of Epson salts.

Fistulas are less common and are openings between the colon and usually the vagina or some other structure such as the bladder.  They may heal themselves, or may require a surgical repair.

  1. Strictures. This is a narrowing of a part of the colon, often due to adhesions, scarring or copper toxicity. Strictures may interfere with bowel movements, and with coffee enemas.
  2. Hemorrhoids. These are dilated blood vessels that surround the anal area. They are very common and may bleed during bowel movements.  If they are small, a nutritional balancing program will usually cause them to heal.  If they are very large, doing coffee enemas is difficult.  In these cases, laser surgery or galvanic treatment may be very helpful.




Coffee enemas directly assist detoxification of the body in the following ways:

  1. Mechanical cleansing of the colon. This not only can remove toxins, yeasts and parasites from the colon. It also reduces autointoxication of the body due to fermentation and putrefaction of partially digested food.
  2. Increasing bile flow from the liver. It also increases detoxification by increasing the flow of pancreatic juice from the pancreas.
  3. Cleansing of all the organs and tissues via the colon reflex system.
  4. The oils in coffee, particularly when taken in an enema, are able to antidote or neutralize a wide variety of harmful vibrations. This unusual quality is well known in the field of homeopathy.  The mechanism is not well understood.  Coffee can neutralize not only physically-related toxins, but also toxins related to mental, emotional, and spiritual functioning.

This is a very powerful property of coffee that in not shared by other herbs or plants.  It makes the coffee enema one of the most unique procedures available to us.

  1. Holding a coffee enema tends to move energy downward through the body. This movement of energy tends to improve cellular detoxification and lymph drainage everywhere in the body.
  2. Coffee seems to assist the activity of the Peyer’s patches. These are a very important part of the lymph system of the body that can drain toxins directly into the small intestine, bypassing the liver and kidneys.  This is critical to remove certain toxins from the body that cannot easily be eliminated through the liver or kidneys.
  3. Sympathetic nervous system activity inhibits detoxification. Coffee enemas also have a powerful calming effect on the sympathetic nervous system.  This effect enhances detoxification significantly.
  4. Many people are dehydrated, to some degree. Coffee enemas can help rehydrate a person, which in turn improves detoxification.
  5. By helping to remove poisons from the liver, colon, and the lymph system, coffee enemas reduce the toxic load on the kidneys.
  6. By enhancing bile flow, coffee enemas can significantly improve digestion and bowel function. This helps to reduce the production of harmful chemicals during the digestive process.  In more technical terms, by improving digestion, coffee enemas reduce autointoxication.
  7. Coffee is a very special herb. Not only can it neutralize a wide range of subtle toxins. It also has within it souls who are able to assist with a wide variety of healing tasks.
  8. Caffeine and some alkaloids in coffee powerfully stimulate the movement of subtle energy in the body.
  9. Coffee causes a yang contraction in the body that assists detoxification.




Coffee enemas, used in the Gerson, Kelley, and Gonzalez cancer therapies, produce physiological effects that aid liver function and detoxification. The coffee enema, a common medical treatment during the early 20th century, was included in The Merck Manual, a standard medical reference book, from 1899 to 1977.  Like other enemas, this one induces peristalsis and promotes evacuation of the intestine; but compounds in coffee have additional effects.

Caffeine stimulates bile production in the liver and dilates the bile ducts. (Bile breaks down dietary fat and is a means by which the liver removes toxins.)  The compounds kahweol and cafestol enhance glutathione S-transferase action.  This detoxification system neutralizes a large variety of toxic compounds.

When mice eat green coffee beans as part of their diet, their glutathione S-transferase activity increases 600% in the liver and 700% in the small intestine, according to the National Research Council (Diet, Nutrition, and Cancer. National Academy Press; 1982:15-7,15-8).  Roasted coffee has about 50% less glutathione-S-transferase-stimulating effect than green coffee, according to research by Lam, Sparnins and Wattenberg (Cancer Res. 1982;42:1193-1198).

So why not just drink lots of coffee? Drinking coffee is, after all, associated with reduced hepatic injury and cirrhosis in humans.  Coffee enemas appear to be a more efficient way to get the benefits without getting a caffeine buzz.  Most people, even those who tend to get jittery from drinking coffee, report relaxation after a coffee enema.

Chemical compounds in the gut enter the blood, which then goes directly to the liver via the portal vein.  Gar Hildenbrand, of Gerson Research Organization (San Diego, CAl, says: “Because the stimulating enema is retained for 15 minutes, and because all the blood in the body passes through the liver nearly every three minutes, these enemas represent a form of dialysis of blood across the gut wall.”

Dr. Max Gerson viewed the coffee enema’s detoxification activity as the reason that this treatment eases pain in many cancer patients.  A clinical study performed by Dr. Peter Lechner and colleagues showed that coffee enemas, performed twice a day, “reduced the need for pain medications by 71.3%, 59%, and 22%- respectively in cancer patients with WHO cancer pain level 1 (n = 91, P < 0.001), level 2 (n = 68, P < 0.05) and level 3 (n= 19 not significant due to small sample).”

Anecdotal cases also suggest that coffee enemas can relieve migraine headaches. Doctors who recommend coffee enemas to their cancer patients view the enemas as an important part of their protocols. None of them, however, claim that coffee enemas cure cancer.

People who choose to use coffee enemas to enhance liver detoxification and/or reduce pain should take the same precautions as in any enema: use an enema bag with appropriate lubricated nozzle to avoid damaging the rectum or bowel; thoroughly clean the equipment after each enema to avoid reintroducing pathogens to the colon; and do not perform too many enemas within a short time. (Wait at least 4 hours between enemas.)



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