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Chapter 26
The Practice of the Therapy


A Cancer Therapy
Results of Fifty Cases
The Cure of Advanced Cancer by Diet Therapy
A Summary of thirty years of clinical experimentation
Max Gerson, M.D.
Original e-book
26  The Practice of the Therapy
    26.1  Enemas
    26.2  Summary for the practice of the therapy

     IF WE propose a new therapeutic approach to the scientific world, we must ask ourselves two questions: First - Are we justified in presenting that approach to the scientific world and to suffering humanity? Second - Is it ripe for discussion and serious criticism? Are there enough facts which make it worthwhile and will it be of value to present the practical aspects and show directions for future research work promising continued progress?

     The practice of the therapy consists mainly of the following components:

  1. Fast and far-reaching detoxication of the whole body is the basis of the treatment.
  2. Help the restoration of the various metabolic functions inside and outside of the digestive tract (enteral and parenteral digestion).
  3. Enable the digestion of cancer masses and cells through the purified blood stream - their absorption and elimination.
  4. Restoration of the cancer destructions and recovery of the essential organs, especially the liver.
  5. If the liver and the digestive tract are not entirely restorable, continuation of the diet is necessary partly or completely to prevent recurrences as far as possible.

     In the beginning, the most important part of the therapy is an intensive detoxication of the entire body. In practice it seems necessary to apply frequent coffee enemas, four to six times in 24 hours, in more advanced cases every four hours day and night or even more in the first two weeks. (High colonics cannot be administered, because too much of the sodium from the mucous membrane in the colon is washed out.) At the same time a castor oil treatment is applied every other day, consisting of two tablespoons of castor oil with a cup of black coffee with brown sugar by mouth, and five hours later a castor oil enema.

26.1  Enemas

     We distinguish between four types of enemas for regular use:

  1. Comomile Tea Enema with 30 caffeine drops from a ten percent solution. Use one quart of water of body temperature, add half a glass of camomile extract and the prescribed caffeine drops. To make the camomile extract, take four tablespoons of dried camomile flowers or leaves, or a mixture of both, to one quart of water. Let it boil for five minutes and then simmer for ten minutes. Strain and keep in a one-quart milk bottle, well covered, in the refrigerator. This type of enema is used only in mild cases or during the restoration period.
  2. Coffee Enema. For the preparation take three tablespoons of ground coffee to one quart of water. Let it boil for three minutes and then simmer for 20 minutes or more. Strain and use at body temperature. The daily amount can be prepared at one time.
  3. Castor Oil Treatment. For the castor oil treatment, the following is necessary: At 10 a.m., take two large tablespoons of castor oil with a cup of black coffee, sweetened with brown sugar. Five hours later a castor oil enema, as follows: Mix one quart warm water with toilet soap (no flakes). Add three to four tablespoons of castor oil and stir until it becomes an emulsion. Add 30 caffeine drops and 1/2 teaspoon of defatted ox bile powder. One quart of enema coffee may be used instead of one quart of water with 30 caffeine drops.
  4. This one is not a real enema, but rather a therapeutic process. In cancerous diseases of the colon, we use half a quart of the usual green leaf juice, as prepared for drinking, at body temperature. Let it flow in very slowly and keep as long as possible, since it is best when it is entirely absorbed by the colon. Where there is a colostomy, we use a catheter and let it flow into the diseased part, very slowly. In diseases of the vagina or cervix, or urine bladder, we let smaller quantities flow into these parts to help rid the body of odorous necrotic tissue discharges. Little bleedings are no contra-indication. This procedure is actually requested by patients as it brings them much relief from pain, discomfort and offensive odor.

     Furthermore , it is necessary for the patient to drink freshly prepared vegetable juice every hour. This consists of four glasses of the Juice of apples and carrots in equal parts and also four glasses of green leaf juice. All these juices contain plenty of active oxidation enzymes enriched by a 10 per cent solution of minerals of the potassium group (potassium gluconate, potassium acetate, and potassium phosphate, monobasic). The oxidation enzymes of these juices, once pressed out of the cells and activated, are easily destroyed by oxygen from the air as well as from changes in light and temperature. They may lose 60 per cent of their active oxidation power within half an hour. Therefore, they must be consumed immediately after pressing.

     From the beginning, I felt that the tumor had to be killed while some scientists were satisfied to arrest the growths for as long a time as possible. In one of my articles I enumerated eleven points of difference between normal and cancer cells. The most important points are: cancer cells have more Na (ionised), live on fermentation (not on the normal oxidation), are negatively charged electrically, do not have the normal exchange with blood and serum, and grow and spread uncontrolled. Studying these I felt there must be a way to prevent the fermentation, that is, to eliminate the basic facts upon which fermentation is built and can function. The fermentation is vital for the life of the cancer cell. That is the object upon which we could base further tests and explorations. How could it be done? The most Na-free diet has to be applied to extract Na from cancer cells through the blood and lymph stream. Instead of Na, potassium and the oxidizing enzymes have to be brought in with the help of an allergic inflammation. This reactivated power of the detoxified body had to be perfected to the highest degree as the cancer cells with their highly negative electrical potentials have the power to repulse forcefully whatever is counteracting their life process, maintained by fermentation.

     The details have been explained elsewhere. We will concentrate on the parenteral digestion - the most important part for the practice of the cancer treatment.

     In the last six years, during which a further deterioration of fruits and vegetables was noticed, two to three glasses of fresh calf's liver juice were added. The fresh calf's liver juice contains the highest amount of oxidizing enzymes, most of the minerals of the potassium group, especially a high content of iron, copper and cobalt, as well as hormones and vitamins in the best activated composition. The liver juice is prepared from equal parts of fresh (not frozen) young calf's liver and carrots. Do not add any medication to liver juice in order not to change the pH.

     To describe the preparation of food and juices, the different reactions and the various complications, especially in the more advanced cases, I would have to go into too much detail.

     In more advanced cases it takes a long time, about one to one and a half years, to restore the liver as near as possible to normal. For the first few weeks or months, the liver has to be considered as weak and unable to resume its normal functions, especially that of detoxication and of reactivation of the oxidizing enzymes (R. Schoenheimer). For that reason it is necessary to help the liver in that regard with the continuation of coffee enemas and castor oil treatments in a slowly diminishing degree, according to the advanced condition of the disease. We have to bear in mind that there still are some unripe cancer tissues in the body, or hidden cells in glands or lymph vessels or necrotic tissues, after the large tumor masses have been absorbed and are no longer palpable or seen clinically outside. These immature cells do not respond as fast as the ripe cancer cells, for, according to my clinical observations, there is a common rule which follows: the more malignant the cells (the more apart from normal cells) the quicker they respond. Immature cells are seemingly not yet developed enough in the abnormal direction to respond so fast. This is the reason why benign tumors, scars, adhesions, etc., also do not respond as rapidly as the ripe, fully developed cancer cells. The restoration of the destroyed parts is a similar procedure as the formation of granulation tissue in chronic ulcers or cavities of lung tuberculosis. This new tissue shrinks finally and brings about scar formation which remains for a while but can be partly absorbed later. Von Bergmannm167 believed that a cancer patient could not produce a healing inflammation; he saw in that fact the reason why cancer is incurable and would remain so, since just cancer metabolism sets in where the body is incapable of producing such metabolic reaction as is necessary for healing inflammation. We see, on the contrary, that a cancer patient is able to produce an inflammation with active hyperemia, little temperature and slight red swelling, after an intensive general detoxication had taken place and had continued for a while in more advanced cases. The same cancer patient earlier presented more degenerative signs of edema, cyanosis and induration in all different forms and combinations, but after his circulation was restored with the detoxication the cyanosis disappeared and the edema was no longer present. Fischer-Wasels was one of the first authors who tried to find the hidden link behind the cancer problem as a kind of a general intoxication. But his assistant assumed that the intoxication had been caused by a specific substance which he thought he had detected much later. That substance, however, could not be confirmed by other researchers. In that way, the first attempt in the right direction was lightly pushed aside, as it turned out to be something not specific. Unfortunately, physicians are trained in that manner - a cause of a disease and medication must be something "specific".

     We should keep in mind that a precancerous development does not mean the pre-stage of any kind of skin cancer, but it does mean a gradual intoxication with a loss of the normal content of the potassium group and the iodine from the tissues of vital organs. That chronic loss opens the door for the invasion of sodium, chloride and water into the cells, producing a kind of edema. In my opinion it must be assumed, as a rule, that sodium and iodine favor undifferentiated, quicker growth, seen in embryos and cancer; while potassium and iodine assure a more differentiated slower growth with normal cell division. Here sodium and potassium are the exponents of two mineral groups with opposite electrical potentials, keeping the body in a controlled equilibrium, of course, with the help of the visceral nervous system, hormones, vitamins, enzymes, etc. All of these are mostly deranged very slowly by chronic intoxication with the ensuing edema.

     Gudenath's tadpole experiment has suggested that iodine is necessary for higher differentiation and increased oxidation and could be used for that reason against cancer development, but not alone.

     In former periods when there was not enough detoxication in my treatment, after the tumor was killed, the patient did not die of cancer but of a serious intoxication with "coma hepaticum" caused by absorption of necrotic cancer tissue, as several autopsies have shown. The solution is that all these former failures can no longer occur if there is an intensive detoxication maintained long enough and a potassium plus iodine predominance kept present. Finally, it is the task of the therapy to reactivate the functions of the whole body which means all its healing factors too: the visceral nervous system, the reticular system, the recticulo-endothelial system and the liver as the most important organ for elimination and restoration. Only a detoxified body has both power of resistance and healing.

     To prove that my favorable results are obtained in the above mentioned way, the following three experiments are in progress:

  1. Examination made of potassium content in serum and tissue particles which show that the healing is based partly on the restoration of potassium predominance in tissues.
  2. Liver punctures do not show for a long time the damage of the liver microscopically, but show biochemical changes in mineral and enzyme content.
  3. A cancerous rat is connected surgically with a healthy one to prove that the healthy metabolism of the normal rat is able to cure the cancerous growth of the companion.

26.2  Summary for the practice of the therapy

     These brief instructions on the diet (without going into necessary medication) provide directives for the medical care. Physicians must become thoroughly familiar with the handling and application of these "dietary tools".

     This therapy requires intensive knowledge on the part of the physician in this new and thus far neglected special field. The clinical appearance of cancer is foggy and unclear in the beginning; the nucleus is hidden and hard to focus; it is my opinion that the liver only shows precise and decisive symptoms after it has used up all reserves and is near a break-down. Although leading specialists endeavor to describe decisive symptoms of cancer in the various organs,168 I feel that early cancer detection will remain a difficult problem for quite some time.

     It should be remembered that a successful therapy requires harmony of the physical and psychological functions, in order to achieve a restoration of the body in its entirety.

     After more than 25 years of cancer work I can draw the following conclusions:

  1. Cancer is not a local but a general disease, caused chiefly by the poisoning of foodstuffs prepared by modern farming and food industry. Medicine must be able to adapt its therapeutic methods to the damages of the processes of our modern civilization.
  2. A method is elaborated to detoxify the body, kill the tumor masses and to absorb and eliminate them. (Restoration of the healing power.)
  3. A way has been found to restore the liver if not too far destroyed and repair the destruction caused by the tumor masses.
  4. To prove the return of the allergic reaction (healing power) cantharidin plasters are applied on the skin at weekly or longer intervals.

Footnotes:

167 Von Bergmann, Pathologische Physiologie in der Klinik.
168 See Abstract of New York Academy of Medicine and reprint of the New York City Cancer Committee in the book, Cancer Alerts, 1957.