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Chapter 33
Combined Dietary Regime


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
33  Combined Dietary Regime
    33.1  Necessary food
    33.2  Forbidden foods & substances
    33.3  Utensils
    33.4  Directions for necessary food
    33.5  Preparation of juices
    33.6  Preparation of vegetables
    33.7  Salads
    33.8  Special soup
    33.9  Potatoes
    33.10  Oatmeal
    33.11  Bread, flour, etc.
    33.12  Sugar and sweetening
    33.13  Peppermint tea
    33.14  Sample menu

     The treatment requires guidance from a physician as there are often complications of "flare-ups" and activation of chronic infections or other bodily weaknesses which need special medical attention.

     To know this prescription booklet thoroughly, read it over again and again.

33.1  Necessary food

     This diet is quite different from the usual nutrition. It consists mainly of:

All Freshly Prepared and Saltless
* * *

     The dietary regime is the basis of the treatment. The main task is to detoxify the entire system to restore the functions of the liver and the metabolism: digestive changes of food from intake to output.

     Neither dietary regime alone nor medication alone is effective. The combination is essential for success.

     This food is easily and quickly digested; the body needs larger portions and more frequent servings. Eat and drink as much as you can, even during the night when awake.

33.2  Forbidden foods & substances

FORBIDDEN FOODS & SUBSTANCES
bottled refined
canned salted
frozen smoked
preserved sulphured
alcohol flour (white)
avocados Fluoride in toothpaste, gargle*
berries hair dying and permanents
beverages (commercial) ice cream
bicarbonate of soda in food, mushrooms
toothpaste, gargle nicotine
candy nuts
cake oil
chocolate pineapples
cocoa salt & salt substitutes
coffee, incl. instant spices (pepper, paprika)
cream soy beans and products
cucumbers sugar (white)
epsom salts tea
fat water, drinking
TEMPORARILY FORBIDDEN (UNTIL FURTHER NOTICE)
butter fish
cheese meat
eggs milk

     * Fluoridated water is prohibited for internal use. (Notes in 4th Edition)

33.3  Utensils

     USE: Stainless steel, glass, enamel, earthenware, cast iron and tin.

     DO NOT USE: Microwave ovens, pressure cookers or any aluminum pots or utensils.

     UTENSILS FOR THE PREPARATION OF JUICES

     USE: A separate grinder and a separate press.

     DO NOT USE: One-unit machines such as liquifiers, centrifuges, juice mixers or masters, etc.

33.4  Directions for necessary food

     FRUIT (NO CANS)

     Fresh fruit in large quantities should be used:

Apples Mangoes
Apricots Melons
Bananas Oranges
Cherries Peaches
Currants Pears
Grapes Plums
Grapefruit Tangerines, etc.

FORBIDDEN180 (see list)
JUICES (daily)

     ALWAYS FRESHLY PREPARED (8oz. glass)

     DAILY PORTION (not canned)

     A: __________ Glasses of orange juice

     B: __________ Glasses of apple and carrot juice

     C: __________ Glasses of green leaf juice

     D: __________ Glasses of grape juice

     E: __________ Glasses of grapefruit juice

     F: __________ Glasses of apple juice

     Add to each glass: ___________________________________

     FRESH CALF'S LIVER JUICE FOR ONE GLASS181

     Cut 1/2 lb. fresh unwashed, NOT FROZEN, young calf's liver into 1" strips, (weight of entire liver 2 1/2 to 4 lbs.) Add 3/4 lb. of whole fresh carrots (not those in plastic bags182) and one small apple.

     Take alternate portions of liver and carrots and grind twice183, mix well.

     FOR PRESSING - put 2 white paper napkins184, each folded in half, crosswise on moistened cloth. Place 2 tablespoons of mixture in center of napkin. Fold 4 sides of napkin over mixture, then fold cloth in the same way and press. Repeat process until all is pressed, each time taking new paper napkins. Drink IMMEDIATELY and take some orange juice after. Use nylon cloth 12" square.

     If you cannot get fresh liver daily185, buy double the amount. Use half at once and save the other half unwashed in a tightly covered glass jar in refrigerator, above freezing - 36oF. (DO NOT FREEZE) for the next day.

     ____________ Glasses a day.

33.5  Preparation of juices

     APPLE AND CARROT JUICE: Use apples and carrots in equal portions.

     If the patient goes to work again, apple and carrot juice only may be taken and kept in a thermos no longer than 2 to 3 hours (not in refrigerator).

     GREEN LEAF JUICE186: Procure as many of the various kinds of leaves as possible mentioned below (no others).

Lettuce Endives
Red cobbage leaves (2 or 3 leaves) Romaine
Beet tops (young inner leaves) Green Pepper (1/4 of small one)
Swiss chard Watercress (1/4 bunch)
Escarole

     PRESSING PROCESS: Take 1 or 2 coarsely woven cloths, nylon - 12" square, place cupful of pulp into center of moistened cloth, fold in thirds in both directions and press. Rinse cloth after each juice preparation and boil in soap water every night, rinse thoroughly. It is most important to clean machines well. If juice retains taste of cloth, take a new cloth. Leff-overs of all pressings can be used only for compost or as animal food (chickens, cats, dogs, etc.).

33.6  Preparation of vegetables

     VEGETABLES: (All freshly prepared and saltless). Use all vegetables except mushrooms, leaves of carrots, or radishes and mustard green.

     Vegetables must be cooked without water slowly on low flame until well done. To prevent burning, place on asbestos mat187 or two under the saucepan. You may add some stock of the special soup. Spinach water is too bitter for use and should be drained off. Onions, leeks, and tomatoes have enough liquid of their own to keep them moist while cooking. (Beets should be cooked like potatoes in their jackets with water). Wash and scrub vegetables thoroughly, but DO NOT peel or scrape them. The saucepan must be tightly covered to prevent steam from escaping. Covers must be heavy or close fitting (you may place wax paper under lid). Patients must have freshly cooked foods only.

     No carrots, fruits or vegetables should be bought in plastic bags3, neither potatoes nor oranges with color added should be used.

     Sprayed insecticides (poisons) cannot be removed by washing, as they are absorbed into the plants, having been taken up by the roots from the soil.

     To vary flavors you may also use very small quantities of the following (NO OTHERS): Allspice, anise, bayleaves, coriander, dill, fennel, mace, marjoram, rosemary, sage, saffron, tarragon, thyme, sorrel, summer savory:

     Chives, onions, garlic and parsley can be used in larger amounts and can offen be helpful to improve the taste. Spices must be used sparingly as they may counteract the healing reaction.

33.7  Salads

     Very important are the following raw vegetables

     (finely grated if necessary or chopped, mixed or separate):

Apples and Carrots Tomatoes Radishes Chives
Lettuce Escarole Scallions Green Peppers
Chicory Couliflower Endives
Watercress Romaine Knob Celery

     Dressing: (Optional) Mix 2 tablespoons lemon juice or wine vinegar. 2 tablespoons water, 1 tablespoon brown sugar, a little diced onion, grated horseradish (not bottled).

AGAIN - NO OIL, FATS

33.8  Special soup

     About ____________ glasses a day.

     For 1 person use a 2-quart pot, use the following vegetables188, then cover with water:

1 medium celery knob, if not in season, 2 medium onions
substitute 3-4 stalks of branch celery little parsley only
(pascal celery is preferable) 1 1/2 lbs. tomatoes or more
1 medium parsley root 1 lb. potatoes
2 small leeks (substitute 2 small onions)

     Do NOT peel any of these vegetables; just wash and scrub them well and cut them coarsely: cook them slowly for 3 hours, then put through food mill in small portions; scarcely any fibres should be left. Vary the amount of water used for cooking according to taste and desired consistency. Let soup cool off before storing. Keep well covered in refrigerator NO LONGER than 2 days; warm up as much as needed each time.

33.9  Potatoes

     Baked potatoes ____________ a day. May be eaten with soup, applesauce, or yogurt (If prescribed).

     Potato salad: Use boiled potatoes (see above), peel, slice and while hot, add dressing (see paragraph 33.7_3).

33.10  Oatmeal

     In the morning for breakfast.

     Take oatmeal with: (No milk)

Raw grated apples Bananas
Brown sugar or honey Apple sauce
Blackstrap molasses Raisins
Stewed prunes Peaches, etc.
Apricots

33.11  Bread, flour, etc.

     Use saltless rye bread ____________ lb., about ____________ slices a day.

     You may occasionally use:

33.12  Sugar and sweetening

     Use raw sugar, brown sugar189, maple sugar, and syrup, light honey, unsulphured molasses, at least ____________ tablespoons a day.

     Maple Sugar Candy (100% pure) may be used.

33.13  Peppermint tea

     This should be used when food is not well tolerated, in case of indigestion, or during reaction period (flare-ups), nausea or gas.

     To prepare: Take 2 teospoons of dried peppermint leaves to 2 cups of boiling water, boil 5 minutes and strain. Add brown sugar and lemon juice if desired.

33.14  Sample menu

     Adapt menu to your personal prescription

     BREAKFAST

     LUNCHEON

     DINNER

     JUICES AND MEDICATION

     Fill in chart and adapt it according to later changes (draw your own chart).

     In the beginning some patients may find it difficult to consume all the prescribed food and juices.

     After good detoxication - in about one to two weeks - the metabolism should improve and the appetite increase.

     In that way the treatment has to be adapted to the degree of the disease, to the "flare-ups" and other complications and interferences.

DAILY MEDICATION CHART190, (see paragraph 32.4.1)
TIME OF POTASSIUM DROPS TABLETS TABLETS
JUICES POTASSIUM LUGOL NIACIN THYROID
8:30
Breakfast
9:00
10:00
11:00
11:30
Liver Juice*    NO MEDICATION
12:30
Luncheon
3:00
Liver Juice*    NO MEDICATION
4:30
Liver Juice*    NO MEDICATION
5:00
5:30
6:00
6:30
Dinner
* See Appendix III.

     The dietary regime is the basis of the treatment: it excludes most sodium-containing foods, while it helps to refill the tissues with the important potassium lost before.

     This food is easily and quickly digested, the body needs larger portions and more frequent servings. Eat and drink as much as you can, even during the night when awake. Neither the dietary regime alone nor medication alone is effective - the combination is essential for success.

     Signature of Physician

CAUTION - VERY IMPORTANT!

     NO OTHER medication (except aspirin197) should be taken without consulting your physician.

     After detoxification by this treatment the body becomes hypersensitive and the usual anesthetic dose may be dangerous. Therefore your dentist should be advised to use 0.7 cc Novocaine instead of the usual 2cc with or without adrenalin.

     No other anesthetics or drugs, including those used for dental purposes, should be taken without previous consultation with your doctor. Heavy or shock reactions may result.

     RESTORATION OF THE LIVER

     This treatment should be followed strictly, both in the clinic and later at home, for at least 18 months, according to the progressive restoration of the liver and the other organs.

     The liver is fhe main organ for the regeneration of the body's metabolism: transformation of food from intake to output.

     It is advisable not to start the treatment, if for any reason strict adherence to it is not possible.

     ENEMAS - NO HIGH COLONICS

     1. Coffee enema:

     Take 3 tablespoons of ground (drip) coffee (not Instant) to 1 quart of water, let it boil 3 minutes and then simmer 15 minutes more. Strain and use at body temperature. The daily amount can be prepared at one time (a coffee concentrate can be made, then diluted to required strength).

     2. Castor Oil Treatment:

     To do the Castor Oil Treatment, the following is required: At 5 AM, take a small piece of fruit and follow it with 2 tablespoonfuls of castor oil, orally. Drink 1/2 to 2/3 cups of regular black coffee (not enema coffee) with a teaspoonful of natural brown sugar (i.e. `Sucanat'). Then take the regularly scheduled 6 AM coffee enema.

     At 10 AM (5 hours after the oral castor oil) take a castor oil enema, as follows: In the enema bucket, place 5 tablespoonfuls of castor oil, add 1/4 teaspoonful of ox bile powder and mix thoroughly. In a separate 1 quart container, mix the regular strength enema coffee. Take a piece of regular soap (as you might use to wash your hands or face, NOT detergent such as `Dove') and rub the soap into the coffee for a few moments. Then add this soapy coffee to the castor oil in the enema bucket, stirring vigorously. You may use an electric mixer. Still, the oil tends to float back to the top - therefore a helper has to stir this coffee/castor oil mixture while it is going into the rectum. Don't attempt to hold this enema; but it is alright if you can. The castor oil enema takes the place of one of the regularly scheduled coffee enemas.

     The very early morning hour for taking the castor oil is important in order for the oil to clear the stomach by the time meals and juices arrive. If taken later, the patient runs the risk of being nouseated all day and not able to consume the juices and meals. The coffee with a little sugar helps to activate the stomach so that the patient is not nauseated with the oil remaining in the stomach. Only in cases of diabetes or hypoglycemia, omit the sugar. Ox bile is NOT to be used orally.

     3. Camomile tea enema:

     Take one level cup of dried Camomile flowers: simmer in one pint of water for 30 minutes in covered soucepan. Strain and keep in covered glass bottle not longer than 3 days. Take one quart of water at body temperature, add half a glass of camomile extract and 30 caffeine drops.

     TAKE ALL ENEMAS LYING DOWN ON THE RIGHT SIDE WITH THE KNEES PULLED UP TOWARDS THE CHIN.

     TO START YOUR TREATMENT the following should be procured:

     To know this prescription booklet thoroughly, read it over again and again. This prescription booklet is required for every visit.

     SPECIAL NOTES TO PHYSICIAN (Revised for the 4th Edition)

     The Gerson Therapy is an immune enhancing, combined medical regime resting on salt & water management, therapeutic nutrition, detoxication, and regulation of the rate of metabolism. Because the Gerson Therapy relies on the stability of normal tissues, organs, bone marrow, blood vessels, and G.I. tract, its positive effects may be compromised by:

  1. Extensive pretreatment with chemotherapy
  2. Long term steroid usage, eg: prednisone
  3. Removal of pituitary, adrenals, pancreas, more than 2/3 of stomach, colon (with ileostomy)
  4. Multiple tappings of lungs or abdomen
  5. Extreme liver damage (pg. 199)
  6. Transplanted organs which require immune suppressing cyclophosphamide management

Footnotes:

180 Recent clinical observations and laboratory animal experiments suggest that an amino acid, canavanine, in ALFALFA SEEDS AND SPROUTS may cause flare-ups or rheumatoid diseases (SLE, RA) in both monkeys and humans. BOTH ARE FORBIDDEN
181 See Appendix III on chapter 34, section 3.
182 USE ORGANICALLY GROWN PRODUCE. Food grade plastics have improved, but items pre-packaged in small quantities often contain preservatives to prolong "fresh" appearance.
183 It is not necessary to grind twice if grinder has fine grid which produces very well ground (almost liquefied) pulp.
184 Use food grade "microwave approved" white paper towel.
185 Liver should be bagged, airtight, and immersed in ICE water IMMEDIATELY after slaughter. Once chilled (80-60 minutes) liver should be kept in a tray of ice in a refrigerator (NOT in freezer - DO NOT FREEZE). With this procedure, liver may be viable as long as 96 hours.
186 DO NOT add Lugol's Solution to green leaf juice.
187 Asbestos has been found to be a toxic substance. Mats of other materials - such as steel - are suggested.
188 Garlic may be used at liberty for cooking, or squeezed fresh into hot soup.
189 Brown sugar should be as little refined as possible. "Brown sugar" is often white sugar with molasses added.
190 The above schedule reflects the workday hours of Gerson's Nanuet clinic. Patients were instructed to adopt an hourly schedule on returning home. A more conservative clinical schedule was created by physicians of the Gerson Therapy Center of Mexico (See paragraph 32.4.1).
191 100 grams (equal parts of each salt) dissolved in approx. 1 quart water.
192 Lilly #352 discontinued. Both Lilly and Rugby have acceptable material.
193 NO MEDICATIONS in this juice. Ask butcher for "bob veal liver". (See Appendix III).
194 For current supplier, See paragraph 32.4.1, #2.
195 NO longer available. See paragraph 28_28.
196 Added 2nd edition, see paragraph 34.1_30.
197 See paragraph 34.1_38.