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Chapter 2
The Basic Therapy

     The present writer could find the full Gerson program, clearly presented, only in the middle and back of the two Gerson books. Yet people with cancer are frequently too weary to search through all those pages to find the complete program.

     Therefore a distillation of this data has been gathered here. This may be the only place the entire program is available in a single location. Doubtless, the Gerson Institute will eventually publish a book with all of the following information in one place.

     Our sources are as follows:

     Max Gerson, A Cancer Therapy, pp. 187-248, 391-422, and scattered portions of pp. 3-185.

     The Gerson Institute, The Gerson Primer, pp. 3-18, 36-46, 101-102.

     Charlotte Gerson, several explanatory lectures and demonstration videos.

2.0.1  How to begin

     If you decide to go on the Gerson program, it is best that you make an appointment and go to the Gerson Institute. (Gerson Institute 888-4-GERSON (888-443-7766) / 619-267-1150 / P.O. Box 430, Bonita, CA 92002.)

     Life is short enough, and you are in a crisis. Time could be very short. You and your helper will learn what to do, and your special needs will be ascertained. The costs are nothing compared with what you would pay for an equivalent amount of time in a regular hospital. However, if you cannot do this, the folk at Gerson are very willing for you to care for yourself at home.

     For more pre-preparation ideas, read Initial House Preparation, under Schedules, near the back of this book.

2.0.2  Do this first

     If you plan to go to the Gerson Institute, it would be well to first read this section very carefully. If you plan to go on the program at home, you will find here a brief overview of all aspects of the therapy.

1. Thoughtfully read through the following formula. Keep in mind that every part is important, and that it is the result of 70 years of research, field testing on human beings (not rats), multiplied thousands of healings, with continual modifications and improvements in formula.
2. Order the mail-order supplies (flax oil, potassium, etc.). They are listed at the back.
3. Purchase several-days worth of local supplies (carrots, apples, etc.)
4. Borrow or purchase a Norwalk juicer. It will combine the pulping and pressing operations. Or obtain a lower-cost juicer (such as a Champion), which will make the pulp, and a separate manual press. (Norwalk juicers have electrically operated presses, which are very nice!)
5. Begin taking the juices and enemas while you wait for the other supplies.
6. Add on the other features of the program as additional supplies arrive.

     It is vital that you keep in mind that there is danger in not remaining on the program. The Gerson Institute finds that some drop out when, several months later, they begin feeling so much better. Yet the underlying problem has not yet been corrected. Later, when they experience a relapse, a return to the therapy is frequently not as successfully made.

     Therefore it is urgent that you stay with the program for a year and a half to two years.

2.0.3  Special needs

     Here are two very special needs, which could be overlooked:

     Rest: A cancer patient needs a lot of rest. Do not try to do much exercise or work in the early stages of the program. Do not overdo. As energy returns, you can start on some very mild exercise, such as a five-minute walk - but not in extreme heat or cold. This can later be extended to 8-10 minute walks. When tired, stop, and return to shorter walks. Do not do strenuous exercise (tennis, etc.) for a year or two. Avoid swimming pools, which are chlorinated. Ocean water is too salty. Only swim in a clear mountain stream or lake, with no pollutant runoff into it or above it.

     Danger of infections: Beware of taking cold and getting sick! Cancer patients have greatly weakened immune systems. Be very careful in this respect.

2.1  Forbidden foods

     Read the labels of everything you put in your body or on your body.

     Junk foods: Do not use sharp spices (fresh or dried herbs are permitted), tea, coffee, instant coffee, cocoa, chocolate, tobacco, alcohol, refined sugar, white flour, refined flour, candies, ice cream, cream, or cake.

     More junk foods: Do not use foods that are bottled, canned, frozen, preserved, refined, salted, smoked, or sulphured. Do not use commercial beverages.

     Heavy foods: Do not use nuts, mushrooms, soy beans and soy products, pickles, cucumbers.

     Oil, meat, dairy products: Do not use fats, oils, or grease. Do not use meat, fish, eggs, milk, butter, cream, cheese. Do not use avocados or nuts (too much fatty acid).

     Lecithin: Because of its fat content, lecithin should not be used while on the program.

     Question: "Soy products and soy beans are forbidden. But is lecithin forbidden, which is made from soy-beans?"

     Answer: "Since soy beans contain fats, I had to forbid them. Cancer patients are not able for a long time to digest fats to the end product. When some intermediate substances are left in the body, they work as carcinogenic substances. Therefore we had to cut out fats, oils, and goods containing them  ..."

Max Gerson, A Cancer Therapy, p. 414.¹

     Certain fruits: Do not use berries or pineapple. Their aromatic acids cause unfavorable reactions. (Red currents are all right.) Do not use sulphured dried fruits.

     Question: "Why are all berries prohibited?"

     Answer: "Some of the patients are hypersensitive, especially in the beginning, against berries which are a little difficult to digest. Therefore I cut them out."

Max Gerson, A Cancer Therapy, p. 414.

     Salt products: Do not use salt products, such as table salt, sodium bicarbonate, soda, and all salt substitutes. Salt is now added to many different types of food.

     Spices: Do not use spices (paprika, all types of pepper).

     Alfalfa seeds and sprouts: Never use alfalfa seeds and sprouts. They contain canavanine, which may cause flare-ups (reactions) in rheumatoid conditions.

     Certain leaves: Do not use leaves of carrots, radishes and mustard greens.

     Water: While on the full program, drink no water. The full capacity of the stomach is needed for juices and soup. (However, do not imagine that this applies if you are not fully on the program. If you are only taking, say, 4 cups a juices a day, and do not want to bother making more - you had better drink additional water! Of course, if you are not on the full program, you are far less likely to solve your cancer problem.)

     Fasting: In most cases, fasting is also forbidden. Cancer is a chronic disease and serious nutritional deficiencies exist. Good food is urgently needed.

     Question: "What is your conception of a prolonged [food] fast or periodical three-day fast?"

     Answer: "You can't let the cancer patient fast. In the cancer patient the body is so depleted if you let them fast they go downhill terribly."

Max Gerson, A Cancer Therapy, p. 417.

     Vitamin and mineral supplements: Here is what Dr. Gerson had to say about taking supplementary vitamins and minerals while on the Gerson therapy:

     Question: "Are vitamin and mineral supplements okay [when a person has cancer]?"

     Answer: "No, they are wrong because calcium and many other minerals cannot be added so easily. They bring the system out of harmony. With calcium you can produce cancer  ...  No calcium, no magnesium, no other minerals. I tried it  ...  One should not change the mineral metabolism, especially in cancer. Only the two most important minerals potassium and sodium must be balanced. This is the need of the cancer patient."

Max Gerson, A Cancer Therapy, p. 415.

     "On the basis of my treatment  ...  hormones, some vitamins [A, D, and E named], calcium phosphate compositions and caridin [a type of synthetic iodine] had a carcinogenic effect."

Max Gerson, A Cancer Therapy, p. 220.

     Dr. Gerson accidently overlooked the above question on vitamins; so additional questions were later asked about them:

     Question: "Is folic acid treatment contraindicated during treatment of cancer?"

     Answer: "Yes, folic acid did damage."

Max Gerson, A Cancer Therapy, p. 417.

     Question: "What vitamins are okay to take with your treatment?"

     Answer: "With the vitamins we have a similar situation as we saw with the hormones. It damaged patients with vitamin A, vitamin E, vitamin B and B₆. Patients get really damaged. Vitamin A and D is picked up by the cancer cells immediately. Niacin we can use."

Max Gerson, A Cancer Therapy, p. 418
(more about niacin on page 209.)

     "Several times I observed that vitamins in good combinations, with or without minerals, produced a regrowth of cancer or new spreadings in a few days. The patient felt better for a shorter or longer period through what may be regarded as the stimulation of the entire metabolism. However, the cancer regrew, caused by what some other authors explained as the greater attraction power of the cancerous tissue."

Max Gerson, A Cancer Therapy, p. 210.

     [In young boys and girls] Ten to fourteen days after the administration of calcium compound, the cancers started a rapid regrowth and were beyond cure. I had the impression that calcium-composition worked in the cancer body like Na. [sodium].

Max Gerson, A Cancer Therapy, p. 210.

     "Other failures [in saving cancer patients] resulted from a substitution of so-called caridin for Lugol's and thyroid, as well as from the application of some other harmones and vitamins, ovarian substance, vitamin E, A, D, etc. ...  I administered calcium and phosphate compositions in a number of cases where the X-rays showed far advanced decalcification and in three cases of hemophilia, complicated by osteosarcoma tumors. The bleedings had been stopped with this medication, but the tumors started to grow immensely. Several of these cases were lost."

Max Gerson, A Cancer Therapy, p. 220.

     In summary, when malignant tumor growth is occurring, do not take single vitamins, with the exception of the above-mentioned niacin, vitamin C and B₁₂. Be guarded about taking calcium.

2.1.1  Forbidden non-food substances

     Do not take hormones, especially opposite-sex hormones! For more on this, see Gerson's A Cancer Therapy, p. 210. Do not take raw liver juice, because it may be infected with bacteria (see pp. 421-422 in the 5th edition of A Cancer Therapy.) The Gerson Institute now uses desiccated liver tablets.

     Skin: Do not use cosmetics. They clog the pores, and keep the skin from breathing and eliminating toxins. While on any intensive therapy, use no skin lotions, creams, etc. of any kind, nor nail polish. Do not use lipstick.

     Deodorants: Do not use any deodorant or antiperspirant. They are harmful, block lymph passages, and are absorbed and poison the system. To block the lymph passages is to force the toxins back into the body. Do not use perfumes or perfumed substances.

     Salt products: Do not use salt products, such as sodium bicarbonate (in food, toothpaste, gargles, etc.), soda, epsom salts, and all salt substitutes. Do not brush your teeth with baking soda. Do not gargle with it. Do not use toothpaste which has it. Salt is now added to many different types of food.

     Fluorine: Do not use fluoridated toothpaste. Do not use fluorine gargle, hair dying, and permanents. Do not use any other hair dyes.

     Hair: Do not use hair sprays, including lacquers. Do not use hair dyes or permanents.

     Sprays: Get all aerosol sprays, air fresheners, perfumed items, insecticides, paint fumes, and similar materials out of the house.

     TV: Avoid television radiation.

     Other toxic substances: Eliminate from your home the following: asbestos, cigarette smoke, pesticides and herbicides, fluoride in the water, new carpeting, urea formaldehyde insulation (insulation boards). Also get rid of synthetic materials in rugs, draperies, bedding, and clothing.

     Teeth: It is best that you care for all dental root problems. It is possible for tooth infections to not be noticed, yet be gradually sending poison throughout the body. Solve dental root canal and abscess problems.

     Tooth fillings: Mercury (amalgam) dental fillings are another source of poisoning. Mercury is a highly toxic heavy metal. However, removing amalgam fillings can cause temporary mercury poisoning. So it is best not to eliminate those filings until 6-12 months after going on the program. Beware of gold crowns, which have been placed on top of amalgam fillings! Have them removed later.

     Sunscreens: Do not use sunscreens. When exposed to the sunlight, it is now known that the sunscreen becomes a carcinogen!

     Sunlight: Do not take too much sunlight.

2.2  Foods

     The Gerson diet is remarkably different than that given to cancer patients in the hospitals of the land. For example, medical experts advise that cancer patients can eat most anything and do just fine - as long as they have the operation and/or take the chemotherapy.

     [Some medical experts commit the fail of allow the pacients to eat most anything after operation and/or chemotherapy. For example, ...] "once the patient has survived the operation and the convalescence has followed, the diet is very liberal and practically without restrictions. Patients who have suffered partial resections of the stomach can manage practically the same diet as normal persons."

Dietotherapy Clinical Application of Modern Nutrition,
quoted in Max Gerson, A Cancer Therapy, p. 57.

     [...  This ignorance can kill the cancer's patients. There are someones that even recommended an acidifying and poisoning diet. For example, ...] Auler (1937-1941) recommended [for cancer] a non-sparing diet, rich in salt and spices, raw meat several times weekly  ...  Bruenings, Frankfurt a/Main (1930s) recommended a diet poor in carbohydrates and rich in proteins, aided by insulin; he believed in improvement by an acidifying effect.

Max Gerson, A Cancer Therapy, p. 55.

2.2.1  Foods to use

     The Gerson diet is filled with good food!

     Larger amounts: Because the Gerson diet has fewer calories and digests better, therefore larger and more frequent meals must be served. Cancer has starved the body, and additional food is needed in order for proper rebuilding to occur. Some even eat at night.

     The primary objective of this diet is to detoxify the entire system, and restore the functions of the liver and the metabolism. In the beginning, some patients may find it difficult to consume all the prescribed food and juices. But, in about 2 weeks, after a good detoxification is beginning to take effect, the metabolism should improve and the appetite increase.

     Individually adapted: So the treatment has to be adapted to how far advanced the malignancy, the flare-ups, and other complications and interferences are.

     Limited diet: The Gerson diet is limited to certain things. The primary foods are these:

• Fresh juices: Juices of fruits, leaves, and vegetables.
• Raw fruit and vegetables: Large quantities either in their natural form, finely grated, or salads of fresh leaves and vegetables.
• Stewed fruits and vegetables: Vegetables stewed in their own juice, stewed fruit, potatoes and oatmeal, the special (Hippocrate's) soup, saltless rye bread, oatmeal.

     Saltless: All must be prepared fresh and without added salt.

     After the first 6-12 weeks, some who feel they need it may wish to add the following dairy products: cottage cheese (saltless and creamless), yogurt from skimmed milk, buttermilk. (Charlotte Gerson says it is now extremely difficult to find cottage cheese, yogurt, and buttermilk which does not have added salt; foods with added salt must not be used.)

     [Our note: Although the above paragraph contains the recommendation of the Gerson Institute, the reader should be reminded of the danger of returning to cancer-causing dairy products.]

     The restricted Gerson diet provides fresh, natural foods, with no sodium and the highest amount of potassium. It stimulates the elimination of toxic substances from the body.

2.2.2  More on foods to use

     Here is additional information on the foods to be used while on the Gerson program:

     Fresh fruit: Fresh (never canned) apples, grapes, cherries, mangoes, peaches, oranges, apricots, grapefruit, bananas, tangerines, pears, plums, melons, papayas, persimmons, etc.

     Stewed fruit: Pears and plums are more easily digested when stewed. Other freshly stewed fruit may also be used.

     Dried fruit: All types of dried fruit (apricots, peaches, raisins, prunes, mixed fruit) are acceptable - but never sulphured! Wash, soak, and then stew dried fruit before eating it.

     Flax Oil: Flaxseed oil is very beneficial. - But you must not use any other kind of oil!

     Flavorings: To vary the flavors, you may also use very small quantities of the following (but no others!):

     Allspice, anise, bay leaves, coriander, dill, fennel, mace, marjoram, rosemary, sage, saffron, tarragon, thyme, sorrel, summer savory.

     Spices must be used sparingly, since they may counteract the healing reaction.

     In larger amounts, chives, onions, garlic and parsley can be used. They often help flavor the food.

     Raw vegetables: The following raw vegetables may be included in salads. They can be chopped, mixed, finely grated, or eaten separately:

     Mix raw into salads: apples with carrots, lettuce, chicory, tomatoes, escarole, cauliflower, romaine, radishes, scallions, endive, knob celery, chives, green peppers.

     Tomatoes are acceptable.

     Question: "Are tomatoes okay?"

     Answer: "Tomatoes are okay."

Max Gerson, A Cancer Therapy, p. 414.

     Salad dressing: Here is an optional salad dressing: Mix 2 tablespoons lemon juice, 2 tablespoons water, 1 tablespoon brown sugar, a little diced onion, grated horseradish (not bottled).

     You will find 35 pages of recipes at the back of the Gerson Primer, published by the Gerson Institute.

     Organic foods: Max Gerson and the Gerson Institute urge that all fruits and vegetables be organic.

     "Cancer is not a local but a general disease, caused chiefly by the poisoning of foodstuffs prepared by modern farming and food industry."

Max Gerson, A Cancer Therapy, p. 199.

     "Have vegetables and fruit for the diet and juices been organically grown? Nutrient content of organic produce is often several times that of non-organic produce. Insecticides can stop healing."

Norman Fritz, added note in 3rd ed.,
A Cancer Therapy, p. 218, item 13 of check list.

2.2.3  Foods to eat each day

     Fruit and vegetable juices: Fruit and vegetable juices (in their raw form and in the soups) must be eaten each day - at least in the quantities ordered by the physician. Sometimes doing so may present some difficulties during the reaction period.

     When reactions occur: When these reactions occur, the patients sometimes ask for raw, uncooked foods or apple juice and raw, grated apples without peel, mixed with finely mashed bananas (whipped with a fork into a light puree).

     Because of the hypersensitivity of the intestinal tract, even the raw juices must sometimes be mixed with a thin, filtered oatmeal - sometimes mixed half and half. Later, only 2 tablespoons of the liquid oatmeal should be added, until the reaction period is overcome.

     Apples: Raw, grated apples should be taken in large quantities. When eaten raw, it is best to peel them to ease digestion and reduce gas formation. Apples should be eaten in every form: raw, finely grated, baked, apple sauce, or stewed with raisins.

     Carrots: Carrots should be used raw, finely grated (best with the same amount of raw grated apple). They should also be cooked, lightly baked, and sprinkled with honey or bread crumbs.

     Potatoes: Potatoes should be baked in the oven, with their skins on, until they are soft or mashed. The baked potatoes can also be put in a potato salad, with celery salad and lemon juice dressing. They may be eaten with apple sauce or yogurt (when it is all right to eat yogurt).

     Potato salad: Peel; slice; and, while hot, add dressing to freshly baked potatoes.

     Sweet Potatoes: Sweet potatoes are permitted once a week (no color added).

     Oatmeal: Oatmeal is a very good food, and a large portion can be eaten daily. Use old-fashioned oats: Scotch, Irish, or plain Quaker Oats. Use [1/2] cup oatmeal to 1 cup water. Cook slowly in water until done (about 5 minutes).

     Eat oatmeal (no milk) with any of following: raw grated apples, brown sugar or honey, blackstrap molasses, stewed prunes, apricots, bananas, apple sauce, raisins, peaches, etc.

     Bread and flour products: Use some saltless rye bread each day. The following can occasionally be used: brown or wild rice, potato flour, corn starch, barley, lentils, bread crumbs (grate unsalted pumpernickel leftovers).

     Sugar and sweetening: raw sugar, brown sugar (be careful: not the kind which is white sugar plus added molasses), maple sugar, syrup, light honey, unsulphured molasses.

2.2.4  Sample menu

     Here is a sample one-day menu. You may wish to adapt it to your personal prescription:

• 1 glass juice
• Large portion oatmeal
• Bread, dark rye, toasted or plain, with prescribed honey or stewed fruit (no preservatives)

• Salad (raw food)
• 1 glass warm soup
• 1 glass juice
• Large baked potato
• Vegetables, cooked
• Dessert: fruit, stewed or raw

• Salad (raw food)
• 1 glass warm soup
• 1 glass juice
• Large baked potato
• 2 vegetables, cooked
• Dessert: fruit, stewed or raw

2.2.5  Sodium-potassium ratios

     There is a sodium-potassium chart in Gerson's book (A Cancer Therapy, pp. 225-229) which is worth studying. You will discover that the good food has more potassium than sodium and all the junk food has more sodium than potassium! It is quite obvious that God's plan was that we eat more potassium than sodium.

     Here are but a few at the top of the list (from A to C), which are low in sodium and high in potassium. Each of them is a natural product from the garden:

     ^*Note: All units are given in miligrams of the element per 100 grams of the substance being tested.

     Here are a few at the top of the list, which are high in sodium. They all are processed in some way:

     ^*Note: All units are given in miligrams of the element per 100 grams of the substance being tested.

     Here are a few other samples of processed foods. You may have thought that some of them were safe:

     ^*Note: All units are given in miligrams of the element per 100 grams of the substance being tested.

     For your information, table salt (pure NaCl) is 39,342s, and baking soda (pure NaHCO₃) is 27,373s. As with the entire chart, these figures are based on mg./100 gm. (milligram of the element per 100 grams of the substance being tested).

     It is of interest that processed breakfast cereals are very high in sodium. Yet people value them; no preparation, pour on the sugar, add some milk, swallow them down quick, rush off to work.

     "Throughout the survey, it was noted that variations in sodium content were much wider than in potassium content. This was true not only for different products, but for different samples of the same product."

Max Gerson, A Cancer Therapy, p. 229.

     So sodium content of junk foods can be much higher than indicated on the food charts! It is easy at the processing plant to dump in more salt - and sell more of the product. The consumers love it.

2.2.6  Medications

     The following special substances (called "medications" by the Gerson Institute) are taken to help the nourishing, cleansing, and healing process. (Medications - 2 is to be found on pages 27-28.)

     Flax oil: Dosage: During the first month of therapy, take 2 tablespoons a day; thereafter take 1 tablespoon.

     Store the Barlean's Flax Oil bottle in the freezer. When taking it out, set it on the table for about 20 minutes. Then shake it, and pour off about 1 cupful into a 1 pint wide-mouth glass jar. Put the Barlean's bottle back in the freezer, and keep the pint jar in the refrigerator until it is used up.

     Make sure your source of supply keeps their flaxseed oil refrigerated. If necessary, order it by mail.

     Barlean's Flax Oil is the best brand, and is cold-pressed (address given later in Gerson Supply Sources.) It is the very best dietary oil there is, and is sometimes referred to as linseed oil. However, the linseed oil available in a paint store is not what you want to eat! (Although made from flax seed, it is a crude, dirty, oxidized product, with added poisonous chemicals.) Flaxseed oil is the best source of lenolenic acid, and helps the body lower cholesterol and utilize vitamin A.

     Potassium: This is a 10% solution of potassium. Dosage: First 3-4 weeks: 4 tsp. solution in each of 10 orange, carrot/apple, and green-juice cups daily. (10 x 4 tsp. daily [=10 times a day, 2 tsp. each time]).

     Thereafter: 10 x 2 tsp. for 20 weeks, then 8 x 2 for 12 weeks; then 6 x 2 for the duration of treatment.

     Here is how to work with it at home: Place one 100-gm. container of potassium compound salts into a one-quart glass jar, and fill to the top with distilled water. Store the bottle in a dark place. It does not need refrigeration.

     Patients with chronic illnesses showed a marked decrease of potassium, one of the substances important in muscle contraction. Gerson found that increasing the potassium in the body was extremely important in dissolving tumors. Those who are seriously ill need many months, sometimes as much as two years, to restore normal potassium content to the vital organs. For more on this, see Gerson's. Cancer Therapy, pp. 207-208.

     "Then we gave the patients large amounts of potassium. It took about 300 experiments until I found the right potassium combination. It is a 10% solution of potassium gluconate, potassium phosphate (monobasic), and potassium acetate. From that solution the patient is given four teaspoons 10 times a day in juices. That large amount of potassium is introduced into the body."

Max Gerson, A Cancer Therapy, p. 409.

     Niacin: Dosage: 50 mg. at least 6 times daily for 6 months. In advanced cases, Gerson used 50 mg. every hour around the clock.

     It is very important that niacin be taken from the beginning in sufficient amounts, without too much interruption, and only slowly diminished (not before 5-6 months). It helps restore glycogen into the liver cells, aids protein metabolism, and opens small arteries and capillaries. It also increases the electrical potentials in the cells.

     This is a B vitamin, and very important in the elimination of cancer. Do not substitute niacinamide for it! Niacinamide does not accomplish the needed results. Reactions (flushing, hot, red skin for a couple minutes, caused by the niacin) are temporary and harmless. Possible minor bleeding is no cause for concern, - but it should be discontinued during menses or in case of hemorrhage. (To avoid heat reactions, dissolve the tablet on the tongue after a meal or take in a glass of juice.)

     "The results can be further improved by adding niacin which dilates the capillaries and in that way is helpful in the exchange between serum and cells. Niacin is also necessary for the function of the oxidation system."

Max Gerson, A Cancer Therapy, p. 32.

     Vitamin C (ascorbic acid): This is used in the Gerson therapy during infections. A crystalline (powdered) form such as Bronson's is preferred. Supplemental vitamin C should not normally be necessary, since there is so much in the Gerson diet. A daily dose of 1 to 1 [1/2] grams are permissible.

     Royal Jelly: This is optional. Dosage: 100 mg. in capsules or honey, [1/2] hour before breakfast. Do not take with hot food.

     Bee Pollen: Initial dosage: [1/2] tsp. per day. This can be used in treating cancer from about the 10th to 12th week. Non-cancer patients may start earlier. Some may have allergies to bee pollen.

2.2.7  Foods temporarily forbidden

     According to the Gerson Institute, the following should be forbidden before the 6th to 8th week of full treatment: milk, cheese, butter, fish, meat, eggs.

     [Our comment: It would be better to avoid meat and dairy products entirely, since livestock and chickens frequently have cancerous masses in their bodies. As he concurred in the above view about animal proteins, in his lengthy research work, Max Gerson recognized that meat and dairy products can intensify and even cause a regrowth of cancer. Consider these three statements:]

     "As for nutrition, it is necessary to keep away all substances from the sick body which can produce allergic and other biologically stronger reactions (such as fats, animal proteins, hormones and vitamins - except vitamin C and niacin), because they counteract the normal allergic healing reaction which is so necessary in the beginning to kill the tumor tissue."

Max Gerson, A Cancer Therapy, pp. 136-137.

     "Further experiments showed that cod liver oil and other oils and fats, including egg yolks and cream also had a carcinogenic capacity - in these advanced cases."

Max Gerson, A Cancer Therapy, p. 220.

     "She had cancer of the breast which regrew. Every time the family insisted that she was `so much down' [in weight]. She weighed only 78 pounds. She was skin and bones and they wanted me to give her egg yolks. I gave her small amounts of egg yolks - the cancer regrew. Then they insisted that I give her meat, raw chopped meat. I gave her this and the cancer regrew. The third time, they wanted me to give her some oil. I gave her the oil and the third time the cancer regrew. But, anyway, three times I could eliminate the cancer again and cure."

Max Gerson, A Cancer Therapy, p. 405.

2.3  Food preparation

2.3.1  Purchase of food

     Do not buy carrots, fruits, or vegetables which are in plastic bags. Food-grade plastics often have added preservative chemicals to keep the food "looking fresher." You will find this in items in plastic that are prepacked in small quantities. Do not buy potatoes or oranges to which color has been added.

     Try to buy "organic" produce. Sprayed insecticides (poisons) cannot be removed by washing, as they have been taken up by the roots, from the soil, and absorbed into the plant and fruit.

2.3.2  Kitchen equipment to use

     Stainless steel, glass, enamel, earthenware, cast iron, and tinware is acceptable.

     Use the Norwalk juicer or two other machines which do the same task: a grinder (triturator) which grinds the vegetables and fruit, and a press (preferably stainless steel) which presses juice from the ground pulp. (A detailed list of sources will be found later under Gerson Supply Sources.)

2.3.3  Kitchen equipment not to use

     Do not use pressure cookers or steam cookers, aluminum pots or pans. Avoid anything else made of aluminum.

     Do not use a centrifugal juicer (the kind which whirl in a circle, throwing the juice outward). Do not use one-piece juicers such as liquifiers, centrifuges, juice mixers, or juice masters. These cause the juice to be oxidized, and render it unfit for the remedial treatment of cancer. (But centrifugal juicers are permitted by Gerson Institute for non-cancerous conditions.)

     "They had to drink orange juice, grapefruit juice, and apple and carrot juice. This had to be produced in a special machine - a grinder and a separate press - because I found that in centrifugal juicers or liquefiers, I couldn't obtain the kind of juice which cured patients."

Max Gerson, A Cancer Therapy, pp. 405-406.

     "At first, I had thought that liquefiers would be the most wonderful thing. All the material was there, nothing was lost. But it didn't work. Then I found out through a physicist that in the liquefier, in the center, there is positive electricity and in the fluid there is negative electricity. This electricity kills the oxidizing enzymes. And that is also true for the centrifugal juicer and the other apparatus. The juice must therefore be made by a grinder and a separate press - if possible, made of stainless steel."

Op. cit., p. 406.

     "Centrifugal machines in which air has insufficient access to the grinding process, cannot be used. When the grinding wheel rotates against a resistance with insufficient access of air, positive electricity is produced and induces negative electricity on the surrounding wall. The exchange of the positive and negative electricity kills the oxidizing enzymes and renders the juice deficient."

Max Gerson, A Cancer Therapy, p. 217.

2.3.4  Juices

     Juices must be prepared fresh. It is best if they are drunk the same day. If not drunk immediately, the juices must be quickly refrigerated. Place the refrigerated juices in 8-oz. screw-on glasses. This reduces oxidation to the minimum. Start with smaller amounts of juices, and gradually increase the quantity.

     Here are the types of juices which can be used, and always in 8-oz. servings: Apple and carrot / green leaf / orange / grape / grapefruit / tomato / apple. Never place Lugol's solution in green leaf juice.

     How fresh must the juice be? Some Gerson sources say it can be stored in the refrigerator in pint jars for three days. However, for terminal cases which are being treated, the situation is far different:

     "We often find that patients are helped by persons who have to leave the house to go to work at a certain time and, therefore, prepare most of the day's juice supply in advance and the evening supply upon their return home. This renders the juices largely ineffective, for the following reasons:"

     (1) "Juices consist of living matter with active ferments, fast neutralizing oxidizing enzymes, which are most necessary for the sick body."

     (2) "The body needs an equilibrium of active oxidizing enzymes, supplied throughout the day. These cannot be maintained active except by freshly pressed juices, given at hourly intervals."

Max Gerson, A Cancer Therapy, p. 216.

2.3.5  Preparation of carrot and apple juice

     Use apples and carrots in equal portions. Wash apples, without peeling them. Cut and remove core with seeds. Wash carrots, but do not scrape them.

     Then run them through a grinder and, after that, through the press.

     If the patient has to go back to work, apple and carrot juice only may be taken and kept in a thermos no longer than 2 to 3 hours (when the juice cannot be kept in a refrigerator).

     Certain types of apples juice better and produce better results:

     "Tart apples (McIntosh, pippin, Granny Smith, winesap, etc.) [should be] used for juices when possible, rather than `delicious' apples."

Norman Fritz, 3rd ed., A Cancer Therapy, p. 218, last item of check list.

2.3.6  Norwalk instructions

     SUPPLIES -

     In addition to Norwalk equipment: 2 or 3 1 qt pyrex cups (1 for pulp and 1-2 for juice [if not working rapidly at multiple duties, will only need 2 cups, total]), baking tray to lay cloths in, carrot tray, wet rag or two for spills, washed vegetables (assuming here only carrots), juice jars, 2 zip-lock bags

     ASSEMBLY (pp 6-8) -

1. Install and arrange everything
   • Install grid on top and push to back of grid slide
2. Plug in / Turn on switch

     PULPING -

1. Fill 1 qt (4-cup) pyrex cup with pulp (will make about 3 cups of juice). As push carrots through:
   • Keep top covered with hand or pusher (especially on first item in!)
   • Do not push too fast
   • Push only halfway down (otherwise next item pushed in will splash out)

     When done, leave pusher in tube. Keep top covered till motor is turned off! (Can also place plastic shower cap over tube top)

     PRESSING (pp 9-16) -

• Put pulp into cloth (much easier to work with than bag, although bag provides better protection from aeration)
• Put 1 cupful of pulp from pyrex cup into center of 1 cloth (It is equivalent to 2 large carrots, 2 apples, or 6 celery stalks)
  1. Open two clean cloths in clean baking tray, one on top of the other
  2. Pour in about 1 cupful pulp, from pyrex cup, into center section of cloth
  3. Fold over left third
  4. Fold over right third
  5. Fold up bottom third
  6. Fold down top third
  7. Turn folded cloth upside down: Flip back and over (Flip front edge up and back)
  8. Place folded cloth on press base ("press plate").
  Figure 2.1: Enfold in cloth, pulp to make juice
• Always press two cloths at a time (not 1 or 3)
• Lay cloths in center of press base (on bottom press plate), never to the side (or base plate will jam tight to top)
• Pour second cupful into second cloth
• Press both cloths
  1. Lift up press lever (machine must be turned on to do this) Pressing begins
  2. Count to 10 seconds (never more than 10 seconds!)
  3. Lower lever a couple inches
  4. Raise it second time, count, lower partway
  5. Remove cloths from press, open them and lay in tray
  6. If planning to store juice: Immediately pour 1 qt pyrex cup of juice into small 8-oz jars (each equals one serving). For cancer patients, not over 2 hours. For non-patient use: refrigerate for up to 3 days (not over 2 days better) or put into freezer for several months (leave ample room at top for expansion)
• Repeat folding and pressing of two more cloths
• Repeat till juicing and pressing is finished, and have desired amount of juice

     CLEAN UP (pp 21-23) -

1. Turn off motor! Then unplug machine
2. Top priority is to clean pusher, cloths, and cutter first (If work rapidly, can clean anything first)
   1. Remove pusher, rinse rather quickly in COOL water, dry it immediately (Do not leave it in water!)
   2. Empty, rinse cloths, then put in hot (not boiling) water, add little soap, place cloths in and let soak for 30-60 minutes
3. Then clean machine parts
   1. Remove parts:
      • Remove juice tray, feed pan, grid holder, and grid
      • Loosen wing nuts and remove housing
      • Remove cutter by grasping firmly with cloth
   2. Clean parts (p. 21) with hot water and soap
      • Clean cutter first, thoroughly inside and out
      • Wash other parts and machine
   3. Conclude with cold or warm water rinse
4. Store parts
   • Cutter in zip-lock bag
   • Grid and holder in zip-lock bag
   • Put rest onto machine (or store some loose parts elsewhere)

     The procedure is finished

     OILING PUSHER -

     Every week or so (or whenever it feels dry), oil the wooden pusher:

1. Place 2 tbsps. olive oil into bowl (Olive oil is best because less likely to later become rancid on pusher)
2. With fingers, place oil all over pusher.
3. Set pusher upright in bowl, and leave for a day or two (oil will soak into pusher)
4. Wipe oil off bottom, and store pusher

     To return a swollen pusher to normal size: Contact Norwalk

     CUTTER ADJUSTMENT -

     Use [1/4] inch hex (allen) key wrench (clockwise to tighten)

     Oil inside if difficult to remove

2.3.7  Preparation of citrus juices

     Only use a reamer type juicer of glass, plastic, porcelain, or an electric machine to squeeze juice. Do not use any juicer into which the half orange is inserted with the skin. This is because the skin is also pressed out, it emits harmful fatty acids and aromatic substances from its surface. Do not use an aluminum juicer.

2.3.8  Preparation of green leaf juice

     Obtain as many of the various kinds of green leaves, listed below, as possible. But do not use any other types.

     Lettuce, red cabbage leaves (2-3 leaves), beet tops (young inner leaves), swiss chard, escarole, endive, romaine, green pepper ([1/4] of small one). [Our note: Beet greens and swiss chard have a lot of oxalic acid, whereas kale and collards are both very nutritious - have less oxalic acid. For some reason, unknown to us, the Gerson Institute favors the first two and not the second two. Kale and collards are especially nutritious garden greens.]

     When grinding, add 1 medium apple for each glass of green juice.

     The grinding process: Grind twice (unless grinder has a fine grind, able to grind fine and almost liquify the pulp), press, and drink immediately. (The Norwalk has the correct grid, so grinding needs be done only once.)

     The pressing process: Take 1 or 2 coarsely woven cloths-nylon, about 12 inch square. Place a cupful of pulp into center of the moistened cloth and fold in thirds in both directions; then turn it upside down, lay in press, and let it squeeze out the juice.

     Rinse the cloths after each juice preparation. Each night boil the cloths in soapy water, and rinse thoroughly. Keep the machine clean.

     On paragraph 2.3.6, the present writer, who has a Norwalk juicer and regularly uses it, presents his own findings on how to use this valuable machine. Even better: Contact the Gerson Institute and purchase their video (by Charlotte Gerson) on how, in the kitchen, to prepare the vegetables and make salad, special soup, and the juices in a Norwalk.

2.3.9  Preparation of cooked vegetables

     Vegetables must be cooked slowly, over an open flame, and without the addition of water. This slow cooking process is important. It preserves the most nutrients and flavors, and makes them more digestible. Fast cooking bursts the cells and causes the minerals to leave their colloidal composition and become more difficult for the intestines to absorb.

     A steel mat may be placed over the fire to reduce the heat still more, and prevent the pan from burning. (Asbestos mats are toxic and are best not used.)

     If more fluid is needed in the pan, add a little of the special Hippocrates' soup, tomatoes, or apple slices. Do not use spinach water, for it has too much oxalic acid. Stew tomatoes, leeks, and onions in their own juices because they have so much residual fluid. Cook potatoes in their jackets in water; do the same with red beets.

     Carefully wash and clean all vegetables. [And considering they are organic,] Do not peel or scrap them, for important mineral salts are just beneath the surface.

     The cooking pot must not be aluminum, must close tightly, have heavy, well-fitting lids, and be tightly covered - to prevent the escape of steam.

     When raw fruit or vegetables are shredded or finely grated, they must be used fresh and as quickly as possible. Do not store raw food after it has had any kind of preparation done to it.

     Patients should only have freshly cooked foods. (But we are also told that, if the food has been cooked (soup and fruit), it may be kept in the refrigerator for up to 48 hours.)

     "Cooked vegetables must be prepared in an appetizing manner. It must be borne in mind that a complete change in the accustomed taste is involved; therefore, vegetables must be prepared with much care and imagination. It is not possible just to omit water, salt, fat, condiments, etc. Vegetables can be made tasty by means of fresh and dried herbs and different fruits."

Max Gerson, A Cancer Therapy, p. 217.

2.3.10  Preparation of special soup (Hippocrates' soup)

     For one person, use a 2-quart pot and the following vegetables, then cover with water:

• 1 medium celery knob (If not in season, use 3-4 stalks of branch celery; pascal celery is preferable.)
• 1 medium parsley root
• 2 small leeks (substitute 2 small onions)
• 2 medium onions
• Little parsley
• 1[1/2] lbs. tomatoes or more
• 1 lb. potatoes

     Garlic may be used at liberty for cooking or squeezed fresh into hot soup.

     Do not peel any of these vegetables, but wash and scrub them well, cut them coarsely, cook slowly for 3 hours, then put through a food mill in small portions; scarcely any fibers should be left. Vary the amount of water used for cooking according to taste and desired consistency.

     Let the soup cool before storing. Keep it well-covered in the refrigerator for no longer than 2 days. Warm up as much as needed each time.

     "Hippocrates  ...  gave these patients a special soup. I should like to tell you, we use that soup at the present time! That soup from that book, out of the practice of Hippocrates - 550 years before Christ! ...  He [Hippocrates] had the idea that the patient has to be detoxified with the soup and with some enemas and so on."

Max Gerson, A Cancer Therapy, p. 404.

     The Gerson Institute recommends purchasing a Foley Food Mill, obtainable from the houseware department at a store, for making the special soup.

2.3.11  Preparation of peppermint tea

     Add one tablespoon dried peppermint leaves to 2 cups (1 pint) boiling water. Let it boil for 5 minutes, then strain. Add brown sugar or honey and/or a little lemon juice, to taste.

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

2.3.12  Medications

     Here are the other special substances (called "medications" by the Gerson Institute) which are taken to help the nourishing, cleansing, and healing process. (Medications - 1 is listed on pages 22-23.)

     Lugol's Solution: Dosage: First 3-4 weeks only: 3 drops in each of 6 orange and carrot/apple juices (6 x 3 daily). Never put Lugol in green juice!

     This is the way that an additional intake of iodine is obtained by the body. Lugol's is always used in half-strength, and only during the first weeks of therapy. Lugol's solution contains 5% iodine and 10% potassium iodide in water.

     In order to fight cancer, it is vital that both iodine and potassium be increased in the body. Iodine (its chemical name is "I") is part of the positive minerals traveling to the negative pole, or negative tissues, while potassium (K) is the leading mineral of the negative group traveling to the positive pole or tissues. To help the cells function, the minerals must be activated or ionized.

     In the Gerson therapy, iodine is administered in two forms: Lugol's solution and thyroid. A larger dose (as described above) of Lugol's is favorable in inhibiting any excessive cancer growth. For more information on this, see pp. 205-206 of Cancer Therapy, by Gerson.

     Read this remarkable testimony:

     "At the same time [we gave] 5 times [a day] of one grain of thyroid and 6 times three drops of Lugol's solution, [1/2] strength. That's 18 drops of Lugol's which is a large dose. Nobody was observed to develop heart palpitations from that, even if some patients told me that they could previously not take thyroid because they would develop heart palpitation. And all allergies disappeared! Some patients claimed that they could previously not take one teaspoonful of lemon juice or orange juice - they were allergic. But when they are well detoxified and have plenty of potassium, they are not allergic. Allergies and other hypersensitivities are eliminated."

Max Gerson, A Cancer Therapy, p. 409.

     "Since 1938, after several setbacks, I have been able to develop a more successful therapy by adding  ...  iodine medication, first in organic form as thyroid, and later also in inorganic mineral, in Lugol's solution  ...  Iodine is a decisive factor in the normal diferentiation of cells, and can be used in order to counteract the decrease of cell differentiation as seen in the cancerous tissues."

Max Gerson, A Cancer Therapy, p. 32.

     Thyroid: Dosage: First 3-4 weeks only: 5 x 1 grain daily [5 times a day, 1 grain each time]. Dosage is best adjusted by physician. It is generally reduced downward, often frequently. Tachycardia [pulse over 120] may indicate overdosage. Discontinue temporarily during menses.

     "When introduced into the system, thyroid and Lugol's solution go immediately into the cancer mass. These ripe [cancer] cells take it up fast and they perhaps grow a little faster but they soak in more with great greed - as much as they can - together with a little bit of sodium, probably. But there isn't much sodium left. So then these cells pick up potassium and the oxidizing enzymes and die by themselves. You have to realize that cancer cells live essentially on fermentation, but potassium and oxidizing enzymes introduce oxidation. And that is the point at which we can kill cancer cells, because we take away the conditions which they need to continue to live."

Max Gerson, A Cancer Therapy, p. 409.

     Acidol Pepsin: If you find that you need this, take it before meals, not during or after! These capsules provide supplemental hydrochloric acid, which is needed to help your stomach break down protein foods.

     Pancreatin: Dosage: 3 tablets 4 times daily or according to need. This amount is later reduced. Some do not tolerate pancreatin well, but most benefit with less digestive trouble, gas spasms, and less difficulty regaining weight and strength.

     Liver Extract (crude) and B₁₂: This is given by injection. Dosage: 3 cc liver and [1/10] cc B₁₂ combined in a single syringe, injected into gluteous medius daily, for 4-6 months or more. [Our note: It is best that a professional teach you how to do this. A person needs to know where to inject into the buttocks, because a vein or the sciatic nerve might be penetrated! See "Instructions for Giving Injections," later in this section. Those who go to the Gerson Institute are carefully taught how to do this, before they leave for home.]

     Vitamin B₁₂ helps amino acids combine to form proteins, a function which is not working properly in people with cancer.

     Liver was added to the formula because of the continually lowered quality of fresh fruits and vegetables. (Our note: So liver is not needed to save the lives of terminal patients, if good quality products can be obtained.)

     "Dr. Max Gerson added raw liver juice to his dietary therapy in 1950 to compensate against a downturn in nutritional qualities of fresh fruits and vegetables, on which his therapy had relied since its introduction in the early part of the century. Modern fertilization and pest control techniques have resulted in foods toxic and inferior to those grown by more intelligent methods."

Appendix III, A Cancer Therapy, p. 421.

     Special note: In October 1989, the Gerson Institute stopped using raw liver because it was so contaminated with bacteria. Desiccated liver tablets now replace it, taken with carrot juice.

     "Carrot juice replaces liver juice in all U.S. patient schedules, each glass supplemented by two 500 mg. desiccated liver tablets and two tablets of spirulina."

Appendix III, A Cancer Therapy, p. 421.

     Coffee enemas: Dosage: first six weeks minimum: every 4 hours. While lying on right side, retain for 12-15 minutes. For limited periods of time, where there is pain, these enemas may be used as often as every two hours. However, physician should monitor serum electrolytes frequently. (See three sections below: Coffee Enemas, Preparing the Enema Mixture, and Taking the Enema.)

     Castor oil: Dosage: Every other day, take 2 tbsp. by mouth, and five hours later a castor oil and soap enema. Later, as necessary or as prescribed. (See Taking the Castor Oil Enema, below.)

     Other Gerson-prescribed medications: There are three other items which Gerson physicians may prescribe, in order to assist the patient in absorbing food nutrients, or cleansing the tissues. These include Acidol (hydrochloric acid), ox bile (a liver aid), and Ion Min (a clay powder). These Gerson medicines are used to aid the body in absorbing nutrients and expelling toxins. Because they are medicines, later they will no longer be needed. People who are well do not take medicine.

     Lab tests: Blood chemistry, Complete blood count, T3, T4 [T3 and T4 are thyroxin tests], Urinalysis. All tests should be taken before beginning treatment and at 4-6 week intervals for at least the first 6 months. Test results may be affected by healing reactions and flare-ups.

     If you are a Gerson Institute patient, mail or fax copies of all blood works to them. Details are explained in the Gerson Primer.

     Medications prescribed by other physicians: You may be taking medications prescribed by regular physicians. It is recommended that you not abruptly discontinue any medications you were taking prior to using the Gerson therapy. In certain cases, Gerson-trained physicians will advise gradual discontinuance.

2.4  Detoxification

2.4.1  Physiology of coffee enemas

     Preparing and taking a coffee enema will be discussed just after this section. Here is the physiological effect of a coffee enema:

     "The effect is an increased production of bile, an opening of the bile ducts and greater flow of bile. At the start of the treatment and during flareups, the bile contains poisons, produces spasms in the duodenum and small intestines, and causes some overflow into the stomach, with resultant feelings of nausea or even vomiting of bile. In these cases, great amounts of peppermint tea are necessary to wash out bile from the stomach. Thereafter patients feel better and more comfortable."

Max Gerson, A Cancer Therapy.
(A Cancer Therapy, p. 191.)

     It is an interesting fact that coffee, when drunk by mouth, has a totally different physiological effect on the body, - one which is quite negative.

     "A cup of coffee taken by mouth has an entirely different effect  ...  It heightens the reflex response, lowers the blood pressure, increases heart rate, perspiration, causes insomnia and heart palpitation."

Max Gerson, A Cancer Therapy, p. 191.

     Max Gerson has found that a diluted coffee solution, taken in the form of a low enema, produces none of the negative physiological effects, named above - which drinking coffee by mouth always does. In connection with this, please note that Gerson and the Gerson Institute always give low enemas, never high colonics, which fill the entire bowel, and only for 12-15 minutes at a time.

     "High colonics cannot be administered, because too much of the sodium from the mucous membrane in the colon is washed out."

Max Gerson, A Cancer Therapy, p. 194.

     Cleaning out the accumulated poisons in the system is extremely important.

     "In the beginning, the most important part of the therapy is an intensive detoxification of the entire body."

Max Gerson, A Cancer Therapy, p. 193.

     "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 detoxification and of reactivation of the oxidizing enzymes. For that reason, it is necessary to help the liver 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 are still unripe cancer tissues in the body."

Max Gerson, A Cancer Therapy, p. 196.

     In practice, Gerson found that the enemas were indispensable, if he wanted to clean out the tumor and totally rid it from the body, while, at the same time, protecting the integrity of the very important liver.

     "I lost several patients by coma hepaticum [unconsciousness induced by a poisoned liver], since I did not know, and therefore neglected, the vital importance of frequent and regularly continued elimination of poisonous substances, with the help of juices, enemas, etc."

Max Gerson, A Cancer Therapy, p. 191.

     The pain-relieving effect of coffee enemas is astounding. The enema removes the poisons from the liver so it, the liver, can better clean the blood (all the blood passes through it every three minutes). It is the accumulated poisons in the system which cause the generalized pain of cancer!

     "Difficult as this may be to believe, experience has proved that frequent enemas completely eliminate the need for sedation."

Max Gerson, A Cancer Therapy, p. 191.

2.4.2  Preparing the enema mixture

     It is very important for all fluids which are placed in the rectum to be sterile. Use only boiled, distilled water in making the coffee and for the enema water.

     Make sure it is cooled to body temperature before using.

     1 - Here is the Gerson preferred coffee enema recipe: This recipe is to be used total strength! Do not dilute it!

     Take 3 tablespoons of ground (drip) coffee (not instant!) to 1 quart distilled water. Boil it for 5 minutes, with the lid off. (This drives off oils from the coffee.) Then cover the pan, lower the heat, and simmer an additional 15 minutes. Strain and allow to cool. Add enough distilled water to make a full quart. Use at body temperature.

     2 - Alternate coffee recipe: Instead of a freshly made mixture, this formula uses a coffee concentrate. It is recommended that it only be used as an alternative to the above recipe for convenience when traveling.

     Three rounded tablespoons of coffee are to be used per 1 quart enema. A concentrate of correct proportion is prepared in this manner:

1. Place 1 cup (12 rounded tablespoons) fine or drip ground coffee into a sauce pan.
2. Add 1 quart distilled water.
3. Boil 5 minutes, uncovered.
4. Cover, lower heat and simmer 20 minutes or more.
5. Strain into a one-quart jar, allowing the grounds to drain well.
6. Add distilled water, to make a full quart.
7. Mark the jar for convenience with tape or paint, indicating one cup increments.

     (Home canning jars have markings.)

     This is enough concentrate for 4 enemas (one cup concentrate plus 3 cups boiled, distilled per enema). Multiply recipe to prepare additional concentrate at one time. This will keep up to 2 days in the refrigerator.

     Using the coffee concentrate:

     1. Put the following into the bucket:

• 1 Cup (8 oz.) coffee concentrate
• 3 Cups (24 oz.) distilled water

     The fluid should be warm enough to make solution body temperature.

     Apply the enema, following instructions given just below.

     Be sure to boil all fluids before placing them in the rectum. The fluid should be given at body temperature.

2.4.3  Taking the enema

     Here are several brief instructions on the actual taking of the enema and its frequency:

     "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."

Max Gerson, A Cancer Therapy, p. 193.

     "Always keep the pot with the distilled water on the warmer. It will not boil and will always be ready."

     "If your bucket's plastic hose becomes kinked, run a small amount of hot water through it to soften it."

1. The coffee solution should be body temperature.
2. Run a little of the solution through the tube into the toilet to warm the tube; close the stopcock.
3. Lubricate, about 2 inches of, rectal end of enema tube with petroleum jelly [Vasoline].
4. Hang enema bucket not over 2 feet above you.
5. Laying on the right side, draw both legs close to the abdomen, relax and breathe deeply.
6. Insert tube into rectum 5-8 inches. Open stopcock and allow fluid to run in very slowly to avoid cramping. Retain solution 12-15 minutes.
7. Do not place tube back into bucket until you have thoroughly cleaned it (using biodegradable food-use detergent, then rinsing well). Rinse daily, or as often as needed, with hydrogen peroxide 3%. The bucket and tube are very good growing grounds for bacteria."

Gerson Primer, 3rd ed., p. 3.

     "At the same time [that the coffee enemas are given], a castor oil treatment is applied every other day, consisting of two tablespoons of castor oil  ...  and five hours later a castor oil enema."

Max Gerson, A Cancer Therapy, pp. 193-194.

     The next two sections deal with castor oil.

2.4.4  Taking castor oil by mouth

     Here is the formula for this:

     "Every other day, 2 tablespoons of castor oil are given by mouth at about 5:30 a.m."

Gerson Primer, 3rd ed., p. 3.

     Gerson Institute recommends that a cup of black coffee (coffee without cream or sugar) with raw sugar in it, be drunk immediately afterward. It is said that this will stimulate the stomach to empty the castor oil quickly into the intestine. [Our note: There are those who are quite successful in taking the castor oil without following it with a drink of coffee. Notice that, in the following statement, Gerson calls drinking coffee a possible alternate procedure.]

     "Some patients do not tolerate castor oil well after breakfast. An alternate protocol is as follows: 7 a.m. - 2 large tablespoons castor oil, 1 cup coffee with brown sugar - 7:05 a.m., coffee enema."

Max Gerson, A Cancer Therapy, p. 247.

     [Our note: Keep in mind that coffee taken by mouth produces significant physiological harm.]

     "A cup of coffee taken by mouth has an entirely different effect  ...  It heightens the reflex response, lowers the blood pressure, increases heart rate, perspiration, causes insomnia and heart palpitation."

Max Gerson, A Cancer Therapy, p. 191.

2.4.5  Taking castor oil by enema

     This procedure is done 5 hours after taking the castor oil:

     "At about 10:30 a.m., 5 hours after your castor oil by mouth, the castor oil enema  ... [is taken]. The castor oil should be poured down the enema tube first. Insert and instill the castor oil until no more remains in the bucket. Close the plastic ring. Add the 8 oz. of coffee concentrate and 16 oz. of distilled water at body temperature. As the warmed solution flows though the tube, it will wash the balance of the castor oil into the intestinal tract. You may retain this for a short time, but it is not required."

Gerson Primer, 3rd ed., p. 3.

     For optimum results, swish a bar of non-detergent soap in the bucket, This will help the castor oil mix with the water better.

2.5  Dealing with pain

     In the later stages of cancer, there is much pain. There is likely to also be pain in the first few weeks on the Gerson program. Max Gerson discovered that this was caused by the high volume of poisons in the system. He found - quite consistently! - that coffee enemas and castor oil not only helped the liver, but also greatly reduced the pain.

2.5.1  Pain triad

     However, in the first few weeks of treatment, the pain can become severe since the tumor is breaking down and so many toxic substances are circulating through the body. When needed, the Gerson specialists give three substances, which they call the "pain triad."

     "For cancer patients, even in advanced stages, pain relief was promptly obtained by the use of coffee enemas, given every two hours in some cases. In the first few days of the therapy, it was sometimes necessary to add `pain relief.' In these cases, Dr. Gerson allowed the use of the following, used together: one tablet of aspirin (5 gr.), one vitamin C (100 mg.) and one niacin (50 mg.) up to four times in the course of 24 hours. [You will note below, that the Gerson Institute has changed this dosage somewhat.] These `three pills' also produced restful sleep. Their action is surprisingly effective once spasms and edema are eliminated through large doses of potassium given immediately at the start of the treatment with detoxification. The relief obtained through the use of the constantly given coffee enemas is quickly noted by the patients and they often voluntarily take more than the number prescribed."

Charlotte Gerson, Appendix I,
A Cancer Therapy, p. 397.

     Several years later, the Gerson Institute published its Gerson Primer, in which the triad formula was slightly changed, by increasing the vitamin C dosage:

     "Pain triad. The triad should be used sparingly. Do not exceed 6 dosages in a 24-hour period unless prescribed by your physician:"

     "50 mg. niacin / 500 mg. ascorbic acid / 5 gr. aspirin."

     "The pain triad becomes progressively more effective as the body undergoes detoxification [elimination of poisons through enemas]. It can be used at bedtime to assist in going to sleep for those patients with substantial pain."

Gerson Primer, 3rd ed., p. 11.

2.5.2  Castor oil pack for pain

     Another Gerson aid in counteracting pain is the castor oil pack. This is used during severe flare-ups involving liver pain, spasms in the bile system, or strong pain elsewhere. This treatment can also be used by arthritic patients who have swollen, painful joints. Although messy, when used on the hands and feet, it is still very effective.

1. Soak 3 pieces of white flannel with castor oil. Squeeze out excess castor oil.
2. Place flannel over liver or other affected area.
3. Place slightly larger sheet of plastic over the flannel.
4. Use medium temperature heating pad over area. Do not let the pack get cold or uncomfortably hot.
5. Keep it on for 1 to 1[1/2] hours. Apply it every four hours. You can reuse the castor oil pack."

Gerson Primer, 3rd ed., p. 11.

2.5.3  Hydrotherapy for pain

     Another Gerson treatment for pain is water therapy. This can be in the form of a hot tub bath or hot fomentations (hot, damp cloths) laid over the painful area. Hydro-therapy treatments are excellent for dulling and calming the pain. They also assist in improving blood and lymphatic circulation. But patients with nervous system disease (such as multiple sclerosis) should not receive high temperatures. Cool compresses are better for them.

     (For detailed instructions on hydrotherapy treatments, see the present writer's 294-page book, The Water Therapy Manual; $9.95+$1.50.)

2.5.4  Heat above the abdomen for upset intestinal tract

     A heating pad can be placed over the abdomen. This tends to calm the irritated, hyperactive intestinal tract.

2.5.5  Chamomile tea enema for upset intestinal tract

     Place 4 tbsp. dried chamomile flowers in 1 quart water. Boil 5 minutes and simmer for 10 minutes. Strain. Use it when it has cooled to body temperature. Use full strength, and give just before a regularly scheduled coffee enema. Retain the tea for about 5 minutes. Upon releasing it, start the coffee enema. In severe cases, chamomile concentrate can be added to all coffee enemas.

     Here is how to make chamomile concentrate:

     Mix 1 cup dried chamomile flowers in 2 cups (1 pint) distilled water. Simmer 30 minutes in covered saucepan. Strain and press the flowers to extract all the liquid. Add enough distilled water to bring the total again to 1 pint. Keep in closed glass jar not longer than 3 days. To use it: Pour 4 oz. concentrate into enema bucket; then fill with distilled water.

2.5.6  Potassium added to enema water

     Another helpful tip is to add 2 tbs. potassium compound to each enema bucket. This will help relieve spasms and help promote bile flow. But it should be discontinued after 10 to 14 days.

2.5.7  Flare-ups and reactions

     The dissolving of the tumor causes a toxic buildup. As efforts are made to detoxify the body, reactions occur. Sudden, stronger reactions - known as flare-ups - may occur. It is encouraging to know, when these happen, that they are signals that the body is gradually throwing off the poisons. Here is a description of some of them:

     Aches, pains, sore muscles and joints, nausea, and sometimes vomiting. There may be diarrhea, pain, chills, fever, foul odors, depression, and/or jaundice.

     Here are a few suggestions; more are to be found in The Gerson Primer, pp. 14-15, and A Cancer Therapy, pp. 201-203. (If a person is serious about going on the Gerson program, he should either go to the Gerson Institute and/or consider purchasing those two books. At the back of the Primer are 35 pages of recipes.)

     Aches, pains, sore muscles and joints: Use clay packs, castor oil packs, hydrotherapy, the pain triad, and bed rest. Usually not over 24-48 hours.

     Nausea: Increase intake of peppermint tea and oatmeal. Possibly reduce the intake of other solid foods or exchange them for grated and mashed food. May last several days.

     Vomiting: Greatly increase peppermint tea intake to as much as a gallon or more. Substitute oatmeal for regular meals. Generally less than 24 hours.

     Diarrhea: Potassium gluconate ([1/8] tsp. in tea every 2-4 hours), and clay ([1/4] tsp. in tea every 3-6 hours). Usually not over 24-48 hours.

     Pain: Increase the number of enemas. Use the other pain suggestions mentioned earlier in this section. May signal a flare-up, starting 48-72 hours beforehand; lasting up to 72 hours afterward.

     Chills and fever: Bed rest for both. Warm baths for chills; cool water rubdown and damp cloth on forehead for fever. If the fever continues to rise, use chamomile enemas, pain triad. Do not let the fever go above 103o F. A partial fever actually helps burn out - kill - the cancer; but, of course, it does not eliminate the toxic remains. May last 24-48 hours.

     Foul odors (breath, body odor, smelly enemas): No special precautions need be taken. Eat garlic, drink extra juice or tea, bathe, change clothes more often, and increase the number of enemas. This generally occurs after a reaction for up to 24-48 hours.

     Depression: Provide encouragement; pray with them. A depression may signal a flare-up, for it begins up to 72 hours ahead of the flare-up, and lasts up to 72 hours afterward.

     Jaundice: Increase juices and enemas. Generally lasts up to 48 hours after a flare-up. Greater frequency of enemas: It is important to understand that sometimes there must be a return to a strict, intensive program, as carried out during the first 3-4 weeks of the program.

2.5.8  Clay poultice

     When there is inflammation, stomach or intestinal problems, diarrhea, or toxic overload, clay poultices are helpful.

     Clay powder is similar to charcoal in its adsorptive strength; that is, its ability to pull out toxic substances and lock with them, so they can be carried away.

     Here is how to apply a clay poultice to a sore or inflamed part of the body:

     Place a needed amount of clay in just enough hot water to make a paste. To prevent cooling, quickly place it on a square of clean muslin or cotton cloth. Lay it on the problem area. Cover with plastic, and place a wool cloth over that. Pin it in place, and leave it on overnight. In the morning, remove it, rub the area with ice or a very cold, wet cloth. Repeat when needed.

2.6  Other points

2.6.1  Green leaf tea enema

     This enema is used for localized cleansing.

     "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 [dead] tissue discharges. Little bleedings are no contraindication. This procedure is actually requested by patients as it brings them much relief from pain, discomfort and offensive odor."

Max Gerson, A Cancer Therapy, pp. 194-195, item 4 of the list.

2.6.2  Massage

     To what degree should cancer patients receive massages, and should they be given over the tumor site?

     Question: "What do you think of deep manipulation?"

     Answer: "Cancer patients should not be massaged [hard; or over the cancer site]. Rubbing of the skin to open the capillaries and to help the body to stimulate the circulation is very valuable. We give the patient a rub two or three times a day before meals with a solution of [1/2] glass water with two tablespoons rubbing alcohol and two tablespoons of wine vinegar. To rub the whole body is very refreshing and helps the circulation."

Max Gerson, A Cancer Therapy, p. 418.

2.6.3  The will to live and push through

     Max Gerson said,

     "The chief concern is the patient's will to live and to be cured."

Max Gerson, A Cancer Therapy, p. 214.

     Some do not realize how serious the disease is, and either do not want to bother going on the program or are quickly satisfied when they see a few good days and go off of it. Some reject the treatments outright. Others do not want to give up their present way of life. A few feel hopeless and pessimistic. They have experienced so many disappointments in the past, they do not wish to try again. Others have family problems. This may include relatives who oppose their being on the program.

     "People go to hospitals for operations or serious illness; the family considers them recovered upon their return. It is different with cancer. Cancer is a degenerative disease, not an acute one, and the treatment can be effective only if carried out strictly in accordance with the rules for one and a half to two years."

Max Gerson, A Cancer Therapy, p. 215.

     "It is not easy to keep strictly to the treatment if a convalescent patient does not have enough help. In all cases a life is at stake. After a remarkable improvement and a renewal of faith and hope, some patients discontinue the treatment because of mistaken advice and family aversion."

Max Gerson, A Cancer Therapy, p. 217.

     We all need faith, love, and encouragement. If you cannot get it from anyone else, I assure you that you can get it from God! Cry to Him as a little child. Tell Him all your troubles. He can strengthen you to push on through to a successful conclusion.

     And, regardless of how everything ultimately turns out, being with Him and resting in His love is the most important part of all.

2.7  Instructions for giving injections

     If you go to the Gerson Institute, you will receive injections of B₁₂ and crude liver. While there, they will teach you how to give them to yourself. Upon arriving home, you will probably be administering your own injections. You have a legal right to treat yourself. If you need guidance, find a health professional in your area to help get you started. Here is additional information:

     These are the items you should have on hand.

• Alcohol
• Cotton
• Syringe
• Extra needle

     (Each needle is 25 gauge, and [5/8] inch or 1 inch length)

     Crude liver injection

     Vitamin B₁₂

     Keep the alcohol, cotton, syringe, and extra needles together on a tray in a clean place, where children cannot reach it. Either keep it on a high shelf with a clean cloth over it, or in a clean drawer which rodents cannot penetrate.

     Keep the open liver and B₁₂ ampules (bottles) in new baggies in refrigerator. Also store unopened liver bottles in refrigerator.

     1. Remove covers: Remove protective metal covers from rubber stopper on either, or both, the crude liver bottle and the vitamin B₁₂ bottle.

     2. Wipe bottle tops: Wipe the top of both bottles clean with alcohol.

     3. Keep needle and syringe sterile: Make sure the needle and syringe are kept sterile. This is very important.

     4. 3cc air into liver ampule: Draw 3cc of air into the empty syringe. Turn the crude liver bottle upside down and push needle up through center of stopper. Push 3cc of air into crude liver bottle. This will pressurize the ampule and permit easy withdrawal of fluid. Remove needle from crude liver bottle.

     5. [1/10]cc fluid from B₁₂ ampule: Turn B₁₂ bottle upside down and push syringe needle through stopper. Pull out [1/10]cc (just a few drops, to the first small line on the barrel of the syringe). Withdraw needle from B₁₂.

     6. 3cc from liver ampule: Reinsert syringe needle into inverted crude liver bottle and pull out 3cc of liver extract (pull plunger to first line below 3cc marking to allow for B₁₂).

     7. Change needles: Remove and discard needle. It is no longer sharp enough for use in injecting yourself. Screw a new needle into syringe.

     8. Prepare syringe for injection: Gently tap the side of the syringe to gather bubbles to the top of the syringe. When bubbles are gathered, press plunger until a tiny bit of fluid spurts from the needle. Syringe is now ready to be used. (Put needle cover on loosely.)

     9. Clean injection area: Clean the general injection area well with alcohol and cotton.

     10. Locate the specific injection area: How to locate the injection area: Find your waist, put your finger on your waist at the side seam, go down three finger widths, and straight back 3 finger widths, experiment by pressing in with a fingernail to find an area about the size of a nickel which has few nerve endings, and doesn't hurt - that's where the needle goes. (Each time you give an injection, alternate sides.)

     11. Spread skin, inject slowly: Spread skin and push needle in. Push plunger down slowly.

     12. Pull, alcohol, cotton: Pull needle out and rub area with alcohol for 30 seconds. If bleeding occurs, press cotton to wound. It will stop bleeding very shortly.

     13. Dispose of needles: Break needle and disassemble syringe. Keep broken needles in a small card-board box. Tape box shut when full and discard.

     14. Store alcohol, cotton, syringe, and needles: As mentioned earlier, keep these (along with unopened B₁₂ ampules) in a clean, safe place.

     15. Clean and store ampules: Clean open liver and B₁₂ bottles with alcohol and store in refrigerator. Protect with fresh baggie after each use. Store unopened liver extract bottles in refrigerator.

2.8  Why do some cancer patients do better after surgery?

     The removal of the tumor takes away a lot of poisons, and the patient may feel better for a time. But his habits have not changed, his body has not been cleansed, and he has been weakened by a deep wound. Here is Dr. Gerson's comment:

     [Following surgery] "Some patients have only temporary damage of the liver and the liver is then able to restore itself. But that is not in a majority of the cases. Sometimes if you remove, say a breast cancer, the removal of these toxins and poisons which the cancer itself generates is sufficient in some cases to relieve the temporary damage from the liver. Then the liver can recover. But these are exceptions. And it is not basic. Also some of these patients get recurrences later. Many of my patients, after an initial operation, had stayed well for three or sometimes even five years. Then the cancer recurred. They were inoperable and orthodox medicine was helpless." [Then they came to me for help.]

Max Gerson, A Cancer Therapy, p. 417.

     Charlotte Gerson acknowledges that individuals who have undergone chemotherapy or radiation are so poisoned and weakened thereby that the Gerson therapy is less likely to succeed.

2.9  How to prevent cancer

     Here is how Dr. Gerson answers this question:

     Question: "How can we prevent cancer?"

     Answer: "Cancer must be prevented by preventing damage to the liver. The basic measure of prevention is not to eat the damaged, dead, poisoned food which we bring into our bodies. Every day, day by day, we poison our bodies. The older people still have a better liver and resistance from the [better] food they had when they were young. The younger people get worse and the babies, now the second generation on canned baby foods, are still worse. They get leukemias. First of all, eat as much as you can of raw food, keep the potassium level up, and take some iodine."

Max Gerson, A Cancer Therapy, pp. 418-419.

Footnotes: