Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 1 Enemas By Liz O’Sullivan RGN RM Dip.FP MACH Enema (N) Pl. Enemata or Enemas A quantity of fluid infused into the rectum through a tube passed into the anus (Oxford Dictionary definition) Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 2 CONTENTS Introduction ...........................................................................................3 The Colon ..............................................................................................3 History of Enemas and Colonic Hydrotherapy ...........................................4 An Ancient Enema..................................................................................5 Brief History of the Coffee Enema ...........................................................7 Coffee Enemas in Orthodox Medicine.......................................................8 About the Coffee Enema.........................................................................8 Why Take a Coffee Enema?...................................................................10 How to Make a Coffee Enema ...............................................................11 The Chamomile Enema .........................................................................12 The Castor Oil Enema ...........................................................................13 Preparing to Take an Enema .................................................................14 What you Need for your Enema ............................................................16 Taking an Enema..................................................................................16 How Many Enemas Should you Have?....................................................17 Enema Techniques: Intestinal Spasms and Clamping ..............................18 Contra-Indications ................................................................................20 Other Types of Enemas.........................................................................21 The Differencies between Enemas and Colonic Hydrotherapy ..................24 2 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 3 INTRODUCTION Cleansing the colon is not something that was invented recently. All ancient cultures and civilizations knew of the necessity to keep the colon clean. Plenty of useful cleansing formulas still exist that were handed down through the generations, either by ancestral education or by traditional healers. Although the exact mechanisms of these time-tested cleansing procedures were not as well understood then as they are today (through methods of scientific understanding and investigation), they are no less valid, scientific, and effective than any newly-proven therapy. Medical science has yet to come to terms with the fact that numerous useful methods of healing have worked for millions of people throughout the ages and can make all the difference in the treatment of the most threatening diseases that plague modern societies. Colon problems can be associated with modern-day diseases such as: • • • • • • • Obesity; Diabetes; Cardiovascular disease; Chronic fatigue; Excessive inflammation; Auto-immune diseases; and Digestive complaints. THE COLON The colon, large intestine or bowel is situated in the abdomen and is the end portion of the human digestive tract. An extremely important organ in its own right, it is approximately 1.5 metres (5ft) long, 65mm (2½”) in diameter and has deep corrugations. Its major functions are to eliminate waste, to conserve water and synthesise certain nutrients such as vitamin K and portions of vitamin B complex. The colon is a major part of the excretory system, and is responsible for eliminating food and other body wastes, as well as protecting us from infection and disease. 3 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 4 In a normally-functioning colon, all this is achieved with the help of billions of friendly bacteria which inhabit the colon and make up some 70% of the dry weight of our faecal waste. However, the delicate balance of this internal ecosystem can very easily be disturbed by a number of factors including stress, pollution, poor food and drink choices, certain drugs, smoking and exposure to toxic substances. The healthy transit time of food through our bodies is less than 24 hours. On average in the UK it is now 60 hours for men and 70 hours for women. Waste material, especially that retained in the colon for some time, (i.e. impacted faeces, dead cellular tissue, accumulated mucous, parasites, worms, etc.), poses several problems. Firstly this material is quite toxic (poisonous). These poisons can re-enter and circulate in the blood stream making us feel ill, tired or weak. Secondly, impacted materials impair the colon's ability to assimilate minerals and bacteria-produced vitamins. Finally, a build-up of material on the colon wall can inhibit muscular action, causing sluggish bowel movements and constipation, and the result of these is disorders. The United Kingdom is one of the most constipated nations in the world and has the highest incidence of bowel cancer in the world with 20,000 new cases per year. Bowel disorders such as Irritable Bowel Syndrome (IBS), Colitis, Crohn's Disease, Diverticulitis and yeast infections (Candida) are now widespread. The repercussions of a toxic bowel may be seen throughout the body in a wide range of health problems. HISTORY OF ENEMAS AND COLONIC HYDROTHERAPY The history of cleansing ones intestines goes back as far as the ancient Egyptian Pharaohs to Hypocrites, ancient Yogis and Essenes. Imhotep, Chief Vizier to the Pharaoh Zover (circa 27th century BC) became hallowed as the Physician God of Egyptian medicine. He was associated with healing shrines, incubation cures and colonic hydrotherapy. His job title was “Keeper of the Royal Rectum” and he was required to administer colonic irrigation to the Pharaoh and staff on a regular basis as required. 4 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 5 Imhotep - Keeper of the Royal Rectum AN ANCIENT ENEMA The following is an excerpt taken from The Essene Gospel of Peace, translated from a third Century Aramaic manuscript and Old Slavonic texts by Edmond Bordeaux Szekeiy. ''Think not that it is sufficient that the angel of water embrace you outwards only. I tell you truly, the uncleanlyness (sic) within is greater by much than the uncleanlyness without and he who cleanses himself without, but within remains unclean, is like to tombs that outwards are painted fair, but are within full of all manner of horrible uncleanlynesses (sic) and abominations. So I tell you truly, suffer the angel of water to 5 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 6 baptise you also within, that you may become free from all your past sins, and that within likewise you may become as pure as the river's foam sporting in the sunlight. Seek, therefore, a large trailing gourd, having a stalk the length of a man; take out its innards and fill it with water from the river which the sun has warmed. Hang it upon the branch of a tree, and kneel upon the ground before the angel of water, and suffer the end of the stalk of the trailing gourd to enter your hinder parts, that the water may flow through all your bowels. Afterwards rest kneeling on the ground before the angel of water and pray to the living God that he will forgive you all your past sins, and pray to the angel of water that he will free your body from every uncleanlyness and disease. Then let the water run out from your body, that it may carry away from within it all the unclean and evil-smelling things of Satan and you shall see with your eyes and smell with your nose all the abominations and uncleanlynesses which defiled the temple of your body, even all the sins which abode in your body, tormenting you with all manner of pains. l tell you truly, baptism with water frees you from all these. Renew your baptising with water on every day of your fast, till the day when you see that the water which flows out of you is as pure as the river's foam.” 6 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 7 A The ENEMA/DOUCHE BAG: A strong, collapsible, 2-litre capacity plastic bag with a reinforced top for mounting on a wall hook. It is easily cleaned inside. B Tube Lock C Vaginal Nozzle D Rectal Nozzle E Enema Tube BRIEF HISTORY OF THE COFFEE ENEMA During World War 1, Germany was blockaded by the Allies, and towards the end of the war the country experienced many shortages, including painkillers such as morphine. The surgeons had a very difficult time at the front when train-loads of injured soldiers arrived, needing surgery and patching up. The surgeons only had enough morphine to help their patients through the surgery but had nothing to give them against postoperative pain. Many of these soldiers were prescribed water enemas for constipation. However there was one thing that was always on hand, and that was coffee for the surgeons and doctors who often had to work around the clock for 24-36 hours and could only keep awake by drinking coffee. Sometimes there was coffee left over in the pot, and the nurses, desperate to help the patients with their pain after surgery, decided to use the coffee 7 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 8 for the enemas that they were being given anyway. They reasoned, ''Since the coffee is doing the doctors good, perhaps it will help the patients too'' and, indeed, the patients reported that they were getting pain relief from the coffee enemas. After the war, intrigued by the nurses' experience, two German professors at the University of Göttingen investigated the effects of introducing caffeine into the rectum of laboratory animals. They found that the caffeine entered the liver via the portal system and caused an increased flow of bile. This bile, in turn, allowed accumulated poisons and toxins to be released and evacuated from the body. COFFEE ENEMAS IN ORTHODOX MEDICINE These days many people find the idea of coffee enemas unusual and bizarre. However, it is interesting to note that for a considerable part of the 20th century, several references to coffee enemas can be found in orthodox medical literature. For instance, coffee enemas were frequently recommended for various conditions in medical articles on nursing practices. The Merck Manual of Diagnosis and Therapy, the world's most widely-read textbook of medicine, recommended coffee enemas as a stimulant continuously in all its editions from 1898 until 1977 - a period of nearly 80 years. Coffee enemas were also widely prescribed for a wide range of conditions during the 1920s and 30s. Studies exploring the physiological effect of coffee enemas have shown that the rectal instillation of the fluid stimulated the contraction and emptying of the gallbladder. ABOUT THE COFFEE ENEMA Coffee enemas are not given to improve elimination but to stimulate the liver to release toxins. The caffeine in the enema is absorbed through the mesenteric veins, (Diagram 1). Patients are recommended to take their enemas while lying on their right side, as there is better absorption into the mesenteric veins on this side. From the mesenteric veins the caffeine is then absorbed up into the portal system, which carries the blood supply to the liver and to the gall bladder (Diagrams 1 and 2). 8 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 9 There are effects on both the liver and gall bladder brought about by the irritant nature of the caffeine. These effects can sometimes cause the following symptoms: • As the gall bladder is irritated, it begins to produce spasms as it attempts to get rid of this irritant. It begins to flush bile down through the bile duct to the outlet of the bile system where it empties into the duodenal loop of the small intestine (Diagram 2). The caffeine causes a dilation of an opening of the sphincter at this location, allowing a much greater amount of bile to be flushed from the body. This can sometimes cause spasms at the start of the therapy, because of irritation of the walls of the intestinal tract. Also, as the bile is going through the intestinal tract, it can cause flatulence. However, all this is a positive sign that the gall bladder is beginning to work well. Many people with chronic diseases have a gall bladder which is not functioning adequately. • Not all of the bile goes down the intestinal tract, however: on occasion, some of the bile backs up into the stomach, where it comes to rest, causing some irritation. This can happen during a healing reaction or 'flare-up', when a lack of appetite, nausea and sometimes vomiting can be experienced. Should this happen, copious amounts of peppermint tea should be drunk every 15-20 minutes, to flush the bile out of the stomach, and gruel should be used in all the juices, which will help soothe the lining of the intestinal tract. 9 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 10 WHY TAKE A COFFEE ENEMA? Enemas are used for detoxification. Detoxification of the body is of the utmost importance. It is therefore necessary to administer frequent enemas. Patients with more advanced cancer are severely toxic and the absorption of the tumour masses poisons them even more. In the beginning, Dr Gerson lost several of his patients due to coma hepaticum, since he had not realised the vital importance of frequent and continued elimination of poisonous substances from the body, with the help of juices and enemas. As Max Gerson has said, ''A patient is unlikely to die from cancer, but from the toxins accumulated in the body.” Frequent coffee enemas also largely eliminate the need for sedation, as they can help to reduce severe pain, nausea, general nervous tension and depression. They also help against spasms, precordial pain and other difficulties. However, after much heavy pain medication, coffee enemas do not work immediately and do not control the pain at once. Therefore the pain medication should continue to be used. In most cases it can soon be reduced as pain levels decrease. Frequently Asked Questions Q: A: Q: A: If coffee is so beneficial, why can't one simply drink it instead of going through the rigmarole of having an enema? Coffee taken orally goes through the stomach, causes digestive problems and affects the liver by shutting off the bile ducts. It also raises blood pressure and tends to cause capillary spasms in the extremities. Won't the normal evacuation process be stopped if one takes five or more enemas a day? No. Normal stools can be passed between enemas. Remember, the contents of the enema do not travel very far in the colon, and with the healthy, fibre-rich food, normal elimination continues smoothly. At the end of the therapy, normal elimination returns without enemas. Always consult a Registered Colonic Therapist for advice on colon care. 10 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 11 HOW TO MAKE A COFFEE ENEMA Recipe for One Enema 3 tablespoons of organic ground coffee (not instant coffee) 32 fl oz distilled water. Put the water into a pot and bring to the boil. Add the ground coffee (a little at a time, so it doesn't boil over). Boil for three minutes uncovered, to drive off the oils. Cover, lower the heat and simmer for 15 minutes. Strain (through a fine-mesh tea strainer) and allow to cool. Add extra distilled water to make up to 90ml (32 fl oz.) Use at body temperature. Recipe for Six Enemas This makes a coffee concentrate, which is then diluted to the correct strength before use. 18 rounded tablespoons of organic ground coffee. 140ml (48 fl oz) distilled water. Put the water into a pot and bring to the boil. Add the organic ground coffee (a little at a time, so it doesn't boil over). Boil for three minutes uncovered, to drive off the oils. Cover, lower heat and simmer for 20 minutes. Allow to cool and allow the grounds to settle. Strain into a 1½ litre (3 pint) jug or jar. Add distilled water to make up to 140ml (48 fl oz.) You can mark the jar for convenience with tape, Tippex or paint, indicating one cup increments, or simply measure 20ml (8 fl oz) of concentrate for each enema. This will keep in the refrigerator for up to two days. Notes: 1. The coffee can be put into cold water and brought to the boil, but be careful that it doesn't boil over. 2. It is important to use either distilled water or water treated by reverse osmosis. lf fluoride is present in the local water supply, only distilled water may be used. 3. Use a stainless steel, glass or enamel saucepan - never aluminium or copper 11 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 12 Why Organic Coffee? It is just as important to use organic coffee as to use organic fruits and vegetables. If organic coffee is not used, any toxic material in the coffee such as pesticides, herbicides, fungicides or chemical fertilisers will be readily absorbed from the rectum directly into the blood system. THE CHAMOMILE ENEMA Recipe for One Chamomile Enema 4 tablespoons (2 oz) of dried organic chamomile flowers and 90ml (32 fl oz) distilled water. Place the chamomile flowers in a glass dish and add boiling water. Cover the dish and leave to infuse in a warm place for 15 minutes. Strain and use, after cooling to body temperature. Recipe for Four Chamomile Enemas 16 tablespoons (8 oz) of dried chamomile flowers and 90ml (32 fl oz) of distilled water. Place the chamomile flowers in a glass dish and add boiling water. Cover the dish and leave to infuse in a warm place for 15 minutes. Strain and press the flowers to extract the fluid. If some water has boiled away, add distilled water to make 90ml (32 fl oz). Keep in a covered glass bottle in the refrigerator for up to two days. To use, mix 8 oz of concentrate with 24 fl oz distilled water and heat to body temperature. Notes: 1. The concentrate is prepared by using one tablespoon of chamomile flowers for every two ounces of water: 8 oz (16 tablespoons) of chamomile flowers infused in 90ml (32 fl oz) of water makes four doses. 2. You can use chamomile tea bags instead of loose flowers. Use two tea bags per enema. 3. It is important to use either distilled water or water treated by reverse osmosis. lf fluoride is present in the local water supply, only distilled water should be used. 12 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 13 Chamomile can be mixed with coffee and taken as an enema to help soothe the bowel or on its own for the same purpose. THE CASTOR OIL ENEMA CAUTION: If you have had chemotherapy - please read “Contra Indications”. At the beginning of the therapy, two tablespoons of castor oil are taken by mouth every other day, followed by a cup of black coffee, sweetened with raw brown sugar. Five hours later, a castor oil enema is administered, instead of one of the coffee enemas. Needed for Castor Oil Enema: • • • • • • Pure, unperfumed soap - now available as organic liquid soap Second enema bucket just for castor oil One tablespoon to measure the castor oil One tablespoon to take castor oil orally One teaspoon to measure the ox-bile One wooden spoon to stir solution or a hand or electric whisk. . At 5.30am take two tablespoons of castor oil, followed immediately by a cup of black coffee with raw brown sugar – following, if you wish, with a piece of juicy fruit such as a peach or a pear. The coffee serves to stimulate the musculature of the stomach to empty the castor oil into the intestine, thus lessening the discomfort of the castor oil. At about 10.30am, five hours after the castor oil by mouth, take a castor oil enema as follows: • Into the enema bucket put 8 fl oz of coffee concentrate and add a further 8 fl oz of very hot water. • Make a soapy solution as follows: take the bar of soap and immerse your hands with the bar of soap into the warm water and rub the bar of soap for a moment, or use about 3 or 4 drops of organic liquid soap. Don't use too much soap or it will irritate and inflame the colon. • Add three to four tablespoons of castor oil and one teaspoon of oxbile powder. • Add 16 oz of cold, distilled water and stir until it becomes an emulsion. • To save effort, an electric whisk or hand-held blender is useful. Failing such devices, a wooden spoon can be used. The castor oil 13 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 14 enema must be stirred while it is taken, otherwise the oil floats on top of the liquid and remains in the container. • Heat the enema tube by immersing the outside in warm water (to help the castor oil flow through more easily) and quickly lie down. Insert the tube in the rectum and open the clamp. Now take your enema, stirring the mixture gently with a wooden spoon. The castor oil enema can be retained for a short time, but this is not necessary. You will probably need to evacuate almost immediately. This is acceptable. Later on take the usual coffee enemas, but the castor oil enema will take the place of one coffee enema. To avoid stuffiness and cramping with castor oil by mouth, eat frequently. Alternative Times to take a Castor Oil Enema Castor oil may be taken orally at 10.15am, 15 minutes after the juice. The castor oil enema will then be taken at 3pm. Coffee enemas are taken at the normal times. Some people don't tolerate castor oil after breakfast. An alternative is to take the castor oil at 7.00am and a coffee enema at 7.05am, a small piece of soft fruit at 7.30am and breakfast and juice at 8.00am. Until the castor oil enema at 12 noon, at least one small piece of soft fruit should be eaten every half hour to prevent cramping. Juices are taken at regular intervals and a coffee enema at 11.00am. PREPARING TO TAKE AN ENEMA Depending on what you find most comfortable, enemas can be taken lying on the floor with padding and a waterproof cover, or on an enema couch. This should be a comfortable height from the floor – 45cm-60cm (18-24 inches), plastic-covered or washable. An inexpensive folding camp bed with its own mattress also serves the purpose well. Do whatever you need to do to be comfortable. Aim to make enema time as pleasant as possible. Some people use plastic-covered exercise mats and cover them with a towel. A thick towel folded in half, with a sheet of plastic on top and another thick towel on top of this which can be frequently washed is adequate. A colourfully printed piece of plastic mat bought from Mothercare or Boots baby section (for use under high chairs to catch any food dropped on the floor) can also be used. lt's nice and 14 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 15 large and useful for those days when things just don't go right! Be sure you are covered and warm. A thick pillow is a must. It can be doubled over, to raise your head - useful when reading. Enema buckets can be hung from an improvised stand, or can be stood on a stool. You can invent things for yourself using hooks, 'G' clamps, 'S' hooks, whatever. Do whatever is suitable for you. The personal enema bucket is very sturdy and rigid and can be stood on a surface quite easily. However, travelling enema bags can be used if this is easier. Some people insert the plastic hose itself into the rectum, others use a red rubber catheter tube (essential for those with haemorrhoids.) EQUIPMENT • • • • • • • • • • • A pillow for your head. A clock to check on the 12-15 minutes’ time lapse. Kitchen roll or thick tissues. Chickweed cream or petroleum-free jelly. Enema bucket or bag. Red catheter tube (optional - useful for those with haemorrhoids, etc). A rug or blanket to keep you warm. A thermometer to measure the temperature of the enema solution. A stool or chair on which to stand the enema bucket 40cm-50cm (16-20 inches) high - NO MORE, if you're lying on the floor. If you're on a couch, then 40cm-50cm (16-20 inches) above the top of the couch. A kettle. The enema mixture can be made up in the kitchen and carried to the bathroom. Depending on the layout of your home, you may find it convenient to have an electric kettle close to your bathroom to heat the water for the enema. A wooden spoon, whisk or electric hand-held whisk or blender. When making up the castor oil enema, it is easier and preferable to make the mixture blend (emulsify) completely. To save effort, an electric whisk or hand-held blender is useful. Failing such devices, a wooden spoon can be used. 15 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 16 WHAT YOU NEED FOR YOUR ENEMA • • • • • Medium or light roast organic coffee. Organic dried chamomile flowers for making the chamomile enema solution. Either distilled water, or water treated by reverse osmosis. If fluoride is present in the local water supply, only distilled water may be used. Biodegradable detergent, such as Ecover washing up liquid, for cleaning equipment. Milton sterilising tablets. TAKING AN ENEMA Put 225ml (8 fl oz) of coffee concentrate into the enema bucket. Add a further 225ml (8 fl oz) of very hot water. Bring up to 900ml (32 fl oz) with cool, distilled water - to just body temperature. Eat a small piece of fruit before the first enema of the day or whenever some time has elapsed since the last meal, juice or snack. This activates the upper digestive tract and restores blood sugar levels. Nourish first then detoxify. The coffee solution should be at body temperature. Run a little of the solution through the tube into the toilet to get rid of air bubbles. Close the plastic tube. Place the enema bucket about 45-60cm (18-24 inches) above you (whether lying on a couch or on the floor), NO MORE. Lubricate your anus and about 5-7cm (2-3 inches) of the tube or the red enema catheter, with a little chickweed cream or petroleum-free jelly. Lie down on your right side and draw your knees close to your abdomen. Breathe deeply. Insert the tube about 12-20cm (5-8 inches) into your rectum, but NEVER more than 20cm (8 inches). Open the plastic clamp and allow the fluid to run very slowly to avoid cramping. Relax and breathe deeply, in order to suck the greatest amount of fluid into the colon. If you can, retain the solution for 12-15 minutes. Experiments have shown that after 10-12 minutes almost all the caffeine is absorbed from the fluid. The blood circulates through the liver about once every three minutes: therefore in 15 minutes the blood will have filtered through the liver five times. lf you have trouble retaining or taking in the full 900ml (32 fl oz.) bucket, lower the bucket. If you feel spasms, lower the bucket to the floor to allow 16 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 17 the flow to back up a bit to relieve the pressure. After 10-20 seconds, slowly start raising the bucket toward the original level. You can also control the flow by pinching the tube with your fingers or adjusting the plastic clamp to a partially closed position. You will quickly learn what works best for you. To stop the 'bearing down' feeling and to keep the enema in, try singing or humming loudly, breathing quickly, panting (as in childbirth), turning your feet in circles at the ankle in both directions, raising and lowering a leg or squeezing the buttocks together. This keeps fluid in and lets gas out. KEEPING YOUR EQUIPMENT CLEAN Do not place the tube back into the bucket until after you have thoroughly cleaned both the bucket and the tube. The bucket and the tube are very good growing grounds for bacteria. The working end of the tube must be cleaned thoroughly with soap and hot water. After use, rinse and sterilise with Milton in accordance with manufacturer’s instructions or with a teaspoonful of 6% hydrogen peroxide in a little distilled water. HOW MANY ENEMAS SHOULD YOU HAVE? Enemas should be taken every four hours at the start of the therapy, and even more frequently for severe pain, nausea, general nervous tension and depression, as recommended by your colonic hydrotherapist. Exceptions: • Those who have had chemotherapy should only take three enemas a day, and more frequently during a flare-up. • Colostomy patients, only two coffee enemas a day with less volume - only 55-70ml (20-24 fl oz), mixed with chamomile tea. • Those on the less intensive therapy should take two or three coffee enemas daily, after meals. A further coffee enema should be taken immediately if in pain or discomfort of any kind. It is usually recommended that the enemas be taken at 6am, 10am, 2pm, 6pm and 10pm. During the first two to three days, patients sometimes have difficulty going to sleep at night, and in this case it is recommended that the last enema, at ten o'clock at night, should be a chamomile enema 17 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 18 instead of coffee. In a few days, coffee can slowly be added to the chamomile and soon increased to the full amount. At the first sign of a healing reaction (flare-up) the frequency of the enemas should be increased, certainly to one every three hours, and in many cases, especially with people who have problems with pain, to one every two hours but not if bile is vomited. In that case, take alternate coffee and chamomile enemas and consult your colonic hydrotherapist. Increase enemas only if patient consumes 8-10 juices daily. ENEMA TECHNIQUES: INTESTINAL SPASMS AND CLAMPING These (frequently painful) symptoms are caused by strong irritation to the intestinal tract and can lead to problems with the enemas. lt becomes difficult to instill the full 32 fl oz of coffee solution, and difficult to hold the enema for the full 12-15 minutes. On the other hand, the enema can become trapped and cannot be released. Here are some possible remedies which have helped others: Check the Enema Technique Be sure that the tip of the enema tube is inserted only 12-20cm (5-8 inches) past the anal sphincter, NEVER more than 20cm (8 inches). Do not try to force the tube. The temperature of the enema solution must be at body temperature. Do not raise the enema bucket too high. If the flow is too rapid, it can set up counter-spasms. 45-60cm (18-24 inches) is the correct bucket height. Even at this height, spasms can occur. The flow can be controlled by pinching the tube with your fingers, by adjusting the plastic clamp to a partially closed position or by lowering the bucket. lt may take some time to get the enema completely instilled, but this is acceptable. Heat over the Abdomen Heat can be applied with a warm hot-water bottle, which has a calming effect on the irritated, hyperactive intestinal tract. Chamomile Tea Enema Use full strength prior to the regularly-scheduled coffee enema. Retain the chamomile enema for about five minutes. After release, immediately start the coffee enema. In severe problems, chamomile concentrate can be added to all coffee enemas. 18 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 19 Lower the Dosage This can be accomplished by either using less coffee concentrate in each enema, or by using only part of a prepared enema. Take the Enema in Two Halves This will take twice as long, as each half must be retained for the full 1215 minutes. Start with a Smaller Volume of Fluid Lower the total amount of fluid in the enema to 45ml (16 fl oz). The amount can be gradually increased to 65ml (24 fl oz) and eventually to 90ml (32 fl oz). While lying on the floor with the enema tube inserted in the rectum, do not sit up! Be very careful not to insert the tube more than 20cm (8 inches). About 12cm (5 inches) is quite sufficient. Faecal matter can get stuck in the tube, in which case keep pinching the tube until it is released. lf, after inserting the tube in the rectum, the liquid won't move in or out, slightly move the tube in and out of the rectum. Before using an enema tube with the red catheter, make sure you cut off the end of the tube with the small hole in the side to avoid leaking. After a while the end of the enema tube which is attached to the bucket can become enlarged. Simply cut off this bit and re-attach the tube. Avoid Disaster Remember to check that the enema tube is clamped shut before filling the enema bucket with coffee concentrate and distilled water, and check that the tube at the join with the bucket is pushed firmly on. This will save a mopping up operation if the liquid seeps out of the open tube! Haemorrhoids Some people develop haemorrhoids while taking enemas. These are not caused by the enema, but are already an underlying problem. The red catheter tube should be used in this case. Various remedies can be used, such as calendula or haemorrhoidal cream. Consult your therapist. NB It is important to drink enough fluids to avoid an electrolyte imbalance. As a rule, three juices of 8fl oz should be taken for every coffee enema. 19 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 20 CONTRA-INDICATIONS CAUTION: for those who have had Chemotherapy For people who have had chemotherapy, taking castor oil by mouth and enema should be treated very cautiously. Do not take any castor oil for the first 6-9 months! The reason is that much of the chemo originally taken is stored in the body tissues. Only 40-45% is immediately evacuated by the body. The dose itself may have been very small, but the drugs are very potent. lf castor oil is given by mouth, this can immediately release the stored chemo into the bloodstream which the liver may not be able to handle, causing a potential overdose of the drugs used for chemotherapy. After 6-9 months, it may be possible to give a very small dose of castor oil (say 1-2 teaspoons), cautiously, by enema first and then possibly by mouth, but your colonic hydrotherapist should always be the judge of this as each person is different. People who have had a high dose of chemotherapy often have a reaction about six months into the therapy. This is not just a healing reaction, but a reaction to the chemotherapy as the body begins releasing it a little more intensively. This may produce the original symptoms the person had when first taking the chemotherapy. For ex-chemotherapy patients, a maximum of two or three coffee enemas a day are allowed and ten juices. The coffee can be mixed half-and-half with chamomile tea to soothe the colon. Then the chamomile can be decreased gradually, leading up to a coffee-only enema. lt is difficult to know when to increase the coffee enemas from three a day for those who have had chemotherapy. There are no hard-and-fast rules. It depends how toxic they are and if they are in a healing reaction. They may have problems with their intestinal tract, so must be more careful. It is also important to remember that a person who has had chemotherapy should only take a reduced amount of all medication. Your colonic hydrotherapist will advise you on this. CAUTION: When it is time to begin taking castor oil, start with very small doses and build up gradually, so that the body can detoxify very slowly. It may take longer to heal, but will save a lot of suffering and discomfort in the long run. 20 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 21 If you have ulcerative colitis or diarrhoea, do not use coffee enemas, only chamomile enemas. Colostomy patients: Only two coffee enemas per day, with less volume: only 55-70ml (20-24 fl oz) mixed with chamomile. OTHER TYPES OF ENEMAS (in alphabetic order) ALOE VERA: The virtues of aloe vera are endless, but a little added to your enema water before insertion can be a great anti-inflammatory as well as providing the right pH balance within the bowel and therefore assisting in the promotion of positive bacteria. Aloe vera is also very rehydrating, thus cleansing and being supportive to the system as a whole. BURDOCK ROOT: Excellent for the blood, kidney, bladder, skin and hair. (Nettle also has a similar effect, helping to gently break down excess calcium deposits). CAPSICUM: Bit of a babe when it comes to chronic heart and circulatory problems. It is highly stimulatory and helps stop bleeding (as does flaxseed). CATNIP: Soothes the body and is good for relieving fever, gas, flu etc. and useful for children. CHOLINE BITARTRATE: Choline bitartrate actually opens up the liver cells, allowing nasty fats etc. to move out. Choline can be found primarily as a constituent of lecithin combined with a phospholipid – allowing fat emulsification. DO NOT mix it in a coffee enema as this is far too aggressive and not a good plan physically speaking. 1-2 level tablespoons per 2 pints is ample in your enema water. It is particularly good for those with a blocked reproductive system as well as nausea. 21 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 22 DANDELION: Very similar to that of chamomile. FENNEL: Very calming, especially for the nervous system. Helps disperse gas and worms as well as improving digestion and waste removal. GARLIC AND CHLOROPHYLL ENEMAS: Do this once daily for 1 month. It kills all undesirable viruses, parasites, bacteria and fungus in the lower bowel. lt is best to clean out the lower colon area with a pint of warm water before retaining the garlic and chlorophyll enema. Add 2-3 cloves of garlic to 500 ml (20 fl oz) of water in a blender and 2 tbsp. of liquid chlorophyll (2 teaspoons of colloidal silver is another option which helps quite a bit). Beat until completely blended (about 2 minutes). Pour into the enema bag and use either early in the morning or late at night once a day. Try to retain the mixture in your colon for at least 5 minutes before releasing it. Adding 2 or 3 capsules of black walnut may make this mixture more effective in killing parasites. Using a “colema board” is the easiest way to do this. But if no board is available, suspend the enema bag 24” above your body while lying down. NB: See previous notes re height. Lying on your left side, insert the lubricated tube. Allow the water to fill the colon until it feels full, then lie on your back and continue to allow more fluid into the colon until it feels full again. Shut off the water flow with a finger control valve. Use a pillow to prop up your buttocks. This will cause the enema solution to move deeper into the colon. Retain for as long as possible or for up to 5 minutes before releasing. Note: enemas should not be taken just after eating, but about 4 hours after your meal. Use enemas once a day for the first month, then 2 or 3 times a week after that, as needed. It is best not to use tap water for this – distilled water is best. GARLIC (AND ONION): Garlic (and onion) is good for getting rid of worms and general bowel nasties. Very replenishing and cleansing, it also helps the liver by breaking down, thus combating cholesterol (four crushed cloves per pint). GINGER: The use of (preferably fresh) organic root ginger in your enema water can be very soothing and anti-inflammatory as well as good for congestion, headaches and circulation. It helps to disperse gas and support the liver, therefore adding it to a coffee enema can be of a great advantage to the nervous system and digestive tract. Simply slice the fresh root into the 22 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 23 fluid before boiling and then, when the enema fluid is ready, infuse it so there are no remaining particles in your enema. LINSEED OIL: The use of linseed oil in an enema can be very interesting. Linseed oil is anti-inflammatory and a very good sodium releaser. 250-500ml can be used rectally (then topped up with warm water) in order to relieve pressure and promote cellular activity as well as bowel and liver function. Holding a small (1 pint) oil enema for one hour – releasing and then repeating the process – is a really good precursor to cleansing, especially for those whose energies are low, as the cellular energy connection over the following three days is lovely. MAGNESIUM CITRATE: The addition of one or two opened capsules of magnesium citrate to a simple water enema is very cleansing, rehydrating and relaxing. Magnesium and potassium are very relaxing where sodium and calcium are contracting, thus the use of magnesium citrate (the most absorbable form of magnesium as the citrate is what the body converts it into) helps to calm the system as well as alkalise the blood/body. POTASSIUM: The use of mixed potassium salts in enemas (and orally) really moves onto a deep cellular and molecular level and is often used in deep cleanses. One should seek the advice of a trained and experienced practitioner and should not be considered for those suffering from kidney complaints of any kind. RED RASPBERRY: This is a big 'woman' herb as it assists all reproduction primarily due to its naturally absorbable potassium, magnesium, iron, zinc and silica content. SLIPPERY ELM: Very soothing, softening and also helps to absorb and remove bowel nasties. COMBINATION: Astringent - witch hazel, bayberry or white oak bark. This is useful in cases of severe diarrhoea – but a simple water enema is probably more efficient and practical. 23 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 24 WATER: A simple yet effective way of cleaning the bowel, especially in times of intense cleansing eliminatory pressure. It delivers an essential rehydration message throughout the bowel, and thus the whole body. Drinking lots of good, clean water (at least 2 litres daily) helps the body remove most toxins and poisons. You can imagine how dirty your clothes would look if you tried to wash them with just half the water you normally use. People with low rates of metabolism and low body temperature do not crave water and this causes the toxins to build up in the blood and in the cells. Increasing body temperature increases thirst for liquids. This urge should be satisfied as water (but definitely not soft drinks) is necessary for the kidneys to function in removing toxins from the blood. Freshly squeezed carrot, celery and parsley juice will increase energy levels quickly when taken at levels of 2-4 glasses daily). Practicing at least 30 minutes of meditation daily helps to clean out the mind of stress and anxieties. THE DIFFERENCES BETWEEN ENEMAS AND COLONIC HYDROTHERAPY (IRRIGATION) Colonic Hydrotherapy (also called Colonic Irrigation) should be performed by a qualified and experienced Colonic Hydrotherapist who should be a member of The Association of Registered Colonic Hydrotherapists (“ARCH”), preferably using the gravity method. Enemas are usually self-administered and need practice. The coffee enema stimulates the production of bile, which enables the liver to discharge toxins. Enemas also remove some faecal matter from the rectum, but that is not their main purpose. Colonic hydrotherapy is the best method to cleanse the whole colon and usually takes about 45 minutes: however, it usually takes more than one treatment to release old, impacted faeces from the deep corrugations of the colon, which is over 5ft long. Colonic hydrotherapy is a gentle internal bath using body-temperature purified water which is flushed gently into the colon and helps to eliminate stored faecal matter, gas, mucous and toxic substances from the colon. Often the deep corrugations of the colon become impacted with faecal matter, which can be retained for decades. Colonics have a much broader effect than simply cleansing the colon. Additional benefits can be observed throughout the body in the form of clearer skin, enhanced energy levels, 24 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 25 improved mental clarity, fewer headaches and weight problems and improvements to the immune system. It exercises and reshapes the colon and stimulates reflex points. Working with an experienced Colonic Therapist, you will learn to expand your awareness of your body’s functions including signals from your abdomen, skin, breath and eliminations. You will be able to spot the beginnings of developing adverse conditions such as constipation, IBS etc. before they become more serious. REFERENCES R Porter “The Greatest benefit to mankind – a Medical history of Humanity from antiquity to the present” Andreas Moritz “The Amazing Liver and Gall bladder Flush.” Sonia Rowley “Enemas” McClain ME: Scientific Principles in Nursing. St. Louis. CV Mosby Company 1950 p.168. The Merck Manual of Diagnosis and Therapy, “Enemas'' 12th ed, pages 1760-1761. 1972-1977. Bastedo WA.”Colonic Irrigations'' NEJM 199(18). 865-866. 1928. Bastedo WA: ”Colonic Irrigations'' JAMA 98(9) 734-36. 1932. Fiedenwald J. Morrison. S:”Value, indications, limitations and technique of colonic irrigation”, ''Med Clin of N.Am, p 1611-1629, 1935. Marshall JK. Thompson CE: “Colon Irrigation in the treatment of mental disease.'' NEJM 207(10), 454- 457, 1932. Snyder RG: “The Value of Colonic irrigation in counteracting autointoxication of intestinal Origin”, Med Clin N Am. p 781-88, 1939. Garble AL. Jacobi HG: “Secretion of bile in response to rectal installations.” - Arch Int Med 44, 455-462. 1929. 25 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 26 ABOUT LIZ O’SULLIVAN dot colon colonic hydrotherapy Liz O'Sullivan RGN RM Dip.FP MACH Colonic Hydrotherapist Liz O'Sullivan was brought up and educated at Balloonagh Convent of Mercy, Tralee in County Kerry, Eire. She trained as a Nurse at Greenwich District Hospital, London and subsequently as a state Registered Midwife at the world-famous St. Thomas' Hospital, London. She then spent 3 years working as a part of the commissioning team for the then new AI Zahara Hospital in Dubai, during which period she obtained experience in all specialities including paediatrics. She began to suffer with a long-standing bowel problem (aggravated by the stress of divorce) and began to have colonic hydrotherapy herself, which resolved the problem. Realising the benefits of colonics, she proceeded to train as a Colonic Hydrotherapist under Dr. Milo Siewert, the American doctor who first introduced colonics to the UK over 40 years ago. With over 14 years’ experience practicing as a Colonic Hydrotherapist, Liz has practices at Tettenhall, Wolverhampton and Powick, Worcestershire. Contact details: Tel 07976 839193 Website: www.dotcolon.co.uk 26 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 27 27 Enema Booklet - Liz OSullivan_Layout 1 08/08/2014 15:58 Page 28 *5060202182268* 5060202182268 Enemas - Liz O’Sullivan