Holistic medicine

Rejection procedure

Rejection procedure

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Rejection procedures, also called Aschner procedures or rejection procedures, have their origin in humoral pathology. This was the basis and basic idea of ​​Hippocrates, according to which illness was described as an imbalance of the four juices (black bile, mucus, blood, yellow bile). The juices and thus the vital force should be brought back into equilibrium by means of diversion processes. These procedures include, for example, bloody cupping, bloodletting or leech therapy.

Although the four-juice teaching no longer has a place in modern medicine, many of the ancient methods of elimination are still relevant today. For some of them, for example cupping or leech therapy, there is also a scientifically proven health benefit: cupping stimulates blood circulation in the treated area, for example, and various medicinally highly effective substances have been discovered in the leech saliva, which are mainly pain relieving, circulation and anti-inflammatory.

Note: Rejection procedures are complementary or alternative medical methods and should only be used after consultation with the doctor treating them.

Rejection procedure: a brief overview

Here you will find a brief overview of the rejection procedures.

  • description: Rejection procedures, also called Aschner procedures or rejection procedures, have their origin in humoral pathology. Thereafter, illness is considered an imbalance of the four juices (black bile, mucus, blood, yellow bile). Nowadays, the possible effects are explained differently and most of the diversion procedures are mainly used for detoxification.
  • What are the procedures?: The rejection procedures include, for example, bloodletting, cupping blood, leech therapy, Baunscheidt animals, in a broader sense also detoxification methods such as fasting cures or an enema.
  • application areas: The areas of application vary depending on the method.
  • Note: Rejection procedures should only be used after prior consultation with the treating doctor.

Humoral pathology - the four-juice teaching

In humoral pathology, an imbalance of the four body juices is called "dyscrasia". Black bile is assigned to the element earth, corresponds to the spleen and the type of the melancholic. Slime belongs to the element of water and the temperament of the phlegmatic. The associated organ is the brain; it stands for growth and the autonomic nervous system. Blood corresponds to the air, represents the heart, symbolizes the type of sanguine and stands for sensations and the soul-alive. The yellow bile belongs to the liver and to the element fire, corresponds to the temperament of the choleric and reflects the metabolic process.

The rejection procedures are there to create a balance between the four juices by redirecting or rejecting substances. The following quote from Paracelsus makes the basic idea of ​​this process easier to understand: “Where nature creates pain, it has accumulated harmful substances and wants to empty it. If nature is unable to carry out this resolution itself, the doctor has to make an artificial opening directly at the sick spot and heal pain and illness quickly. ”

What has a draining effect

The processes that create an artificial opening have a draining effect. At least that's the original definition. These include bloody cupping, cantharid plasters, bloodletting and Baunscheidt therapy. From the point of view of humoral pathology, all of the above-mentioned methods should help to ensure that "bad juices" can drain off and that the body regains its balance.

Nowadays, diversion is seen as "more generous". So these are not just therapies that require the skin to be opened, but forms of treatment that encourage the body to naturally “release” slags and toxins. This includes, for example, the removal of amalgam. This is done very differently, depending on the therapist. The basis is a detachment of the toxin, a catching and buffering and an elimination. This is done with different plant mixtures.

The bloody cupping

Bloody cupping is an ancient stimulus therapy, but is still used in many naturopathic practices today. This rejection process is used when the body is in a “full state”. However, if there is a lack of energy, the bloody cupping remains absolutely contraindicated.

The skin is disinfected, slightly scratched and then a cupping glass is put on. The vacuum in the glass draws the blood out of the body. As a rule, the cupping glass is removed when it is a third full of blood, of course earlier in the event of complaints or discomfort. With this method, “slags” can leave the body. It should be noted that there is no “slag” from a conventional medical point of view and therefore no need to discharge it.

Cantharid plasters

The cantharid patch was already used at Hippocrates. This elimination process does not work via the blood, but according to the theory, lymphatic fluid is supposed to be stimulated to be excreted.

The active ingredient cantharidin is made from the Spanish fly and has a strong skin-irritating effect. The effect of a cantharid patch can cause symptoms of an artificially produced second-degree burn. Therefore, its use is highly controversial and may, if at all, only be carried out after consultation with the doctor treating you and only under the supervision of a specialist.
Tissue fluid is conducted through the cantharidin to the surface of the body. From the point of view of humoral pathology, this secretion contains “slags” and poisons. The resulting inflammation activates the defense mechanisms, which has a positive side effect on the immune system.

Important note: A cantharid plaster may only be used under professional supervision and after consulting a doctor! Possible side effects include burn reactions, poorly healing wounds, scarring and pigment shifts. With a strong overdose, symptoms of poisoning can occur, which in the worst case can be fatal.


Bloodletting is one of the oldest drainage procedures. Hippocrates already used it regularly. Unfortunately, this form of therapy was often carried out too excessively, which made this procedure a bad name in the Middle Ages. A blood draw of 500 milliliters per month was the norm. Today, this form of treatment is used again in many naturopathic practices, but bloodletting is carried out much more gently and the amount of blood is significantly lower.

The main indications for use are "fullness", such as high blood pressure (hypertension). Other areas of application are rheumatism, circulatory disorders, gout and fat metabolism disorders. However, it must be checked carefully whether the person concerned is really physically and mentally suitable for bloodletting. If the patient is weak, has low blood pressure (hypotension) or another “empty state”, this procedure is not suitable.

The Baunscheidtieren

The Baunscheidtieren is a rejection process, in which the skin is rejected. Carl Baunscheidt, a mechanic, came across this method on his own experiment. The disinfected skin is scratched with a so-called alarm clock, an instrument that has 33 small steel needles. Then a special oil is applied, to which the skin reacts with pimples and redness.

This diversion procedure is designed to boost blood circulation, stimulate lymphatic flow, remove toxins and pain mediators. In addition, the immune system should benefit from the artificially created inflammation. This method should be helpful for massive tension in the back area.

Rejection proceedings today

Today's rejection procedures are no longer limited to rejection using an artificially created body opening. Instead, draining is often equated with the term detoxification, which means that various agents from phytotherapy, Schüßler salt therapy or orthomolecular medicine are administered to stimulate the body to detoxify.

Note: Evidence-based medicine (“conventional medicine”) questions the necessity or possibility of detoxification or detoxification as well as the methods used for this.

Discharge of heavy metals

Mercury, cadmium, lead, nickel and many other substances contaminated by heavy metals are detrimental to our health. The liver, kidneys, intestines and immune system have to struggle with it. The discharge of heavy metals should always be undertaken together with an experienced therapist. If these pollutants are released and not properly bound and excreted, this can trigger massive complaints. It is therefore very important to activate the detoxification organs, such as the liver and kidneys, before the elimination therapy. This happens, for example, with goldenrod, nettle and milk thistle.

When exposed to heavy metals, selenium is often used. It is a powerful antioxidant. For the discharge of heavy metals, it is important that they are bound in the body first so that they can then be excreted. Nowadays, zeolite, a volcanic rock, is often used for this. This has a high binding capacity for heavy metals and other pollutants in the body.

Nature has a wide variety of plants ready, which from a naturopathic point of view also serve for detoxification. These include, for example, dandelions, wild garlic and coriander. Chlorella pyrenoidosa, a freshwater algae, is also often administered, since it is said to bind the heavy metals in the intestine.

Note: Please seek medical advice before using elimination therapy.

Oil pulling - draining poisons from the mouth

The so-called "oil pulling" is also one of the modern rejection processes. This is best done in the morning. A small amount of oil, ideally sesame or sunflower oil, is moved back and forth in the mouth, chewed and for as long as possible. The oil is said to have the ability to bind pathogens and toxins. Therefore, the oil must be spit out completely afterwards and must not be swallowed.

Note: A positive effect on the body has not been scientifically proven for oil pulling and is only based on observation and experience.

Drain - detoxify

Environmental influences, medication, mold, chemicals, alcohol, nicotine, stress - all of these can have negative effects on us. From a naturopathic perspective, detoxification can help alleviate or remedy the consequences. Many naturopaths recommend detoxification twice a year, in spring and autumn.

However, this requires that there is enough energy. A person who is emaciated and weak, possibly with a massive illness, should not detoxify. Here, energy must first be added. In naturopathy, for example, the spleen is strengthened with suitable agents and the immune system and resilience are supported with electutherococcus (taiga root). Ferrum sidereum, a remedy from anthroposophic medicine, helps with exhaustion and is administered in the convalescence phase.

According to the supporters of this theory, spring and autumn are particularly suitable for applying rejection procedures.

Appropriate measures are to be taken to support the kidney, liver and lymph in releasing more toxins and “slag” and bringing them outside. Dandelion and nettle are said to support the kidneys in their function, milk thistle and artichoke are to detoxify the liver and stork's beak and stone clover herb are to stimulate the lymph.

According to this theory, an adequate hydration is important to excrete the solutes. A diversion cure also includes a healthy diet that is low in animal and rich in fresh vegetables and fruits. Regular exercise in the fresh air, saunas, brush massages, alkaline baths and adequate sleep are also recommended. If symptoms such as headache, fatigue and bad mood occur during the detoxification phase, the amount of drinking should be increased and medical advice should be sought. (sw)

Author and source information

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.

Susanne Waschke, Barbara Schindewolf-Lensch


  • Bierbach, Elvira (ed.): Naturopathic practice today. Textbook and atlas. Elsevier GmbH, Urban & Fischer Verlag, Munich, 4th edition 2009.
  • Lowe, Duane: Cupping therapy: An analysis of the effects of suction on skin and the possible influence on human health; in: Complementary Therapies in Clinical Practice, 2017, ResearchGate
  • Deutsches Aerzteblatt international: What Leech Therapy Does (accessed September 28, 2019), Deutsches Aerzteblatt international
  • Bryan, Charles S .: New observations support William Osler's rationale for systemic bloodletting; in: Proceedings (Baylor University. Medical Center) Vol. 32, Issue 3, pages 372-376, 2019, Taylor & Francis Online
  • Fey, Stefan: The Baunscheidt process. Nonspecific irritation therapy as a combination of mechanical and chemical skin stimuli - proven especially in respiratory diseases; in: Journal of Complementary Medicine (published online March 4, 2014), ThiemeConnect

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