Author Julie Casper, L. Ac., is a hTMA clinician and educator, she works with patients across the U.S. and internationally. In addition, she supports health professionals who are interested in adding clinical hTMA to their practice. Contact:

Update: 17 February 2018

Enema Therapy (coffee enema)

Author: Julie Casper, L. Ac.

Coffee enema therapy is proven effective for detoxification purposes. Generally considered safe, enema therapy should not be used for more than short periods of time. Also, enema therapy may be contraindicated depending on your health status, mineral levels and ratios.


  1. Coffee Enema Benefits
  2. Benefits of Drinking Coffee
  3. Coffee Break
  4. Coffee enema therapy supports liver function.
  5. Cautions and Contraindications
  6. General Guidelines
  7. Basic Coffee Enema Instructions
  8. Enema Equipment
 coffee beans

Coffee Enema Benefits

Enema therapy has proven health benefits, and is effective for detoxification (it has been used across cultures for centuries). When done correctly, it is safe, affordable, and easy to do yourself at home. Coffee enema therapy can remove toxins from the liver and colon and relieve the unpleasant symptoms of toxicity. Please be aware that it is a powerful therapy, and while it is very effective for detoxification purposes, it can deplete essential minerals as well. Therefore overuse of coffee enema therapy can be detrimental.

Benefits of Coffee Enema Therapy

Benefits of Drinking Coffee

Drinking coffee does not have the same therapeutic effects as a coffee enema because it travels through the digestive system where stomach acids destroy some of its therapeutic properties. Although the health benefits of drinking coffee are controversial, coffee does contain beneficial antioxidants and may have other merits.

coffee pot

The benefits of drinking coffee depend on an individual's health status, the quality and quantity consumed, and the preparation method. If you drink coffee and care about your health, we recommend you use organic, bird-friendly, shade-tree grown coffee seeds. Grind your coffee fresh with each cup (stored ground coffee looses beneficial antioxidants and potency). Most experts agree that drinking too much coffee is harmful, and that it should be avoided after 2 pm. Due to its effects on sodium and potassium, drinking coffee will have different effects on a slow vs. a fast metabolizer. For individuals with a slow metabolic profile a small amount may be fine. For a fast metabolizer however, coffee may increase sodium too much. Any caffeinated beverage has a diuretic effect, and can cause adverse effects on neurochemistry and endocrine function. When you drink coffee, drink an equal amount of water to prevent dehydration.

Coffee Break (maximize and maintain the positive effects)

Most of the research finds no additional health benefit consuming more than 2-3 cups per day. And like any drug, frequent, regular caffeine use builds tolerance. You will need to take more to feel a similar effect. Some people think that they can handle stronger more frequent doses than others because they feel less affected by the drug. Biochemically however, greater consumption has a greater effect on cellular processes throughout the system (whether a user notices overt symptoms or not). Taking a break from daily routine consumption is an easy way to prevent building tolerance and habit that turns benefit into detriment. If you have difficulty stopping, it may be an indication that your natural energy producing functions are compromised and in need of restoration.

Coffee enema therapy supports liver function.

The chemicals in coffee include caffeine and palmitates. These work synergistically to stimulate and cleanse the liver and blood. Caffeine is absorbed through the bowel wall, via blood vessels, and makes its way directly to the liver without entering the digestive tract.

The caffeine exposure causes the liver's portal veins and the bile ducts to expand, which increases the release of diluted toxic bile. The enema fluid triggers peristalsis (intestinal muscle contractions) and the efficient removal of wastes from the body.

Palmitates in the coffee stimulate and increase the production of a liver enzyme called glutathione-S-transferase (GST), which removes free radicals and cancer cells from the bloodstream and facilitates detoxification of the liver. As a result of the enema, the liver becomes less congested with debris, which makes room for the filtering process of yet more bodily toxins.

Cautions and Contraindications

Anyone using any type of enema should do so carefully. Although rare, improperly administered enemas could cause rectal bleeding and injury. Enemas are not recommended for anyone with diverticulitis or Crohn's disease.

Depending on your trace mineral levels and ratios, coffee enemas may be contraindicated. While coffee enemas are effective in removing toxic metals from the liver, they also effect the removal of nutrient minerals. For example, if you are a fast metabolizer with low copper, coffee enemas are contraindicated as they would lower calcium, magnesium and copper further. If the four electrolytes calcium, magnesium, sodium and potassium are all at low levels, coffee enemas would remove these minerals along with the toxins, thus making your mineral patterns worse. If your toxic levels and ratios are within the safe reference range, coffee enema therapy is not needed. Please consult with a qualified practitioner if you have any concerns or questions.

General Guidelines

Basic Coffee Enema Instructions

  1. Gather your supplies.
    • A couple of large, old towels (coffee stains fabric).
    • An old rag or washcloth.
    • Organic oil for lubrication (almond, olive, coconut). Natural liquid soap works also.
    • One quart filtered or distilled water.
    • Fresh-ground organic coffee.
    • A clean, sterile enema kit.
    • Interesting reading material (you'll have some productive free time).
  2. Prepare coffee solution.
    • Put four (4) cups of water in a glass or stainless steel pan and bring it to a boil.
    • Add 1-4 tablespoons of coffee (add slowly, it will increase the boiling activity of the water).
    • IMPORTANT: If you have absolute or relative magnesium or potassium deficiency, coffee enemas will deplete these minerals further. Either stop the enemas or do them infrequently. Also, use a very small amount of coffee, about one to two (1-2) teaspoons.
    • Most people need to start with 1 tablespoon of coffee, and slowly increase it over the next few enemas, so their detoxifying reactions are more tolerable.
    • Lower heat and simmer 5 - 15 minutes.
    • Allow it to cool down to a comfortable temperature. (You can add ice to cool it quickly, or you can make the coffee with 2 cups of water and add 2 cups of cold water at the end to cool it down.)
    • Test temperature with your finger, it should be barely warm; body temperature is ideal.
    • Tip: Adding a small amount of aloe vera juice provides additional healing qualities and can help prevent irritation. After coffee cools, add 1 tbsp (+/–) per cup as desired.
  3. Set up your enema location.
    • Find a warm, comfortable place to perform the enema, such as a private bathroom with a sunny window or heater. There should be a place for your enema bag or bucket to sit or hang from (it should be about 2 - 3 feet above the floor).
    • Place towels on the bathroom floor to lie on.
    • Put your reading material where you can reach it after you are laying in position.
    • Assemble the enema kit according to the instructions included with the kit.
    • Be sure the tube clamp is closed (place the tip in a sink or bathtub in case it leaks).
    • Pour the prepared coffee into to your enema bucket.
  4. Performing the enema.
    • Use the oil or liquid soap to lubricate the insertion tip of the enema tube.
    • Place the nozzle over the sink and open the clamp while you fill the tube to clear the air out.
    • Let the enema solution travel through the tube until it just starts to come out of the nozzle.
    • Quickly clamp the tube to stop the flow.
    • Lie on the towels on your back, draw your knees towards your chest.
    • When you are comfortably positioned, insert the nozzle into the anus.
    • Stop if you feel any resistance and adjust the angle slightly until you can easily insert it.
    • Release the clamp to start the flow of the enema solution.
    • You can raise or angle your hips upward so gravity helps facilitate the flow.
    • Remember: You can close the clamp at any time to slow or stop the flow into the colon.
    • The key to a successful enema is to take in and retain the liquid.
    • If you experience cramping, clamp the tube and take slow, deep breaths before continuing.
    • Lightly massaging the abdomen also may help.
    • After you have taken in as much solution as you can hold (preferably the entire quart), gently remove the nozzle and continue lying on the floor.
    • Relax, breath slowly, close your eyes, read your book, listen to relaxing music.
    • Try to hold the liquid for up to 15 minutes.
    • Then move to the toilet to expel the solution. The toilet can be cleaned afterwards with a straight vinegar spray and rag (an excellent non-toxic cleaner).
  5. Thoroughly clean enema equipment (meticulous hygiene is important).
    • Fill bucket with hot soapy water and let water drain out through the tube to clean it from the inside.
    • Hang the tube up to allow it to air dry. Note: If over time the inside of the tube becomes too stained, you can fill it with food grade 35% hydrogen peroxide and let it soak for 24 hrs, then rinse thoroughly.
    • Storing the enema plug in a small bottle of rubbing alcohol between uses maintains its sterility.


Enema Equipment

A standard enema bag purchased at a pharmacy is inexpensive and will work. However, our patient's experience using this equipment has proven unsatisfactory (awkward, messy, difficult to clean and keep sterile). To avoid these problems, we recommend using a special enema kit with a 2-liter stainless steel enema bucket and a silicone colon tube.

  • Enema Kit 2 quart stainless steel bucket, 6 ft. silicone tube, plastic clamp and nozzle.
Enema Coffee

We recommend, organic whole coffee beans for enema therapy (grind the beans fresh yourself for maximum quality). Here are two options for purchasing organic, dark-roast beans online:

Digestion Self-Evaluation
  • If your digestive system isn't working properly, no matter how good your diet is, you cannot metabolize the nutrition from your food. Common symptoms of poor digestion include; intestinal gas, bloating, headache, reflux, bowel irregularity, etc. Serious gastrointestinal conditions are more obvious indicators that there is a problem. Even if you are eating a healthy diet, you may not be not getting the full benefit from the good food (and supplements) you consume. There are a number of factors that can compromise healthy digestion. How can you determine if you have suboptimal digestion? Start with a simple self-evaluation: Digestion Self-Evaluation
Find a Qualified hTMA Practitioner Back to Top ↑