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Peat Bath Hyperthermia Treatments: How to take a peat bath

Posted Oct 25 2008 4:48pm 1 Comment

Balneo Peat Series Bathing Instructions:

The Balneo Peat Bath is a therapeutic full body treatment. When properly prescribed and performed, patient safety is met and beneficial outcomes result.


  • Musculoskeletal pain (perhaps useful for acute or chronic – evaluate)
  • Post-workout soreness (perform after exercise or workout within 0-6 hours for optimum effect)
  • Infertility (collaborative care ensuring cooperative treatment)
  • Chronic inflammation (after 72 hours post-injury)
  • Circulatory Insufficiency (CHF, cold hands/feet, varicosities)
  • Hypertonic or spastic muscles (use with 1-2 pounds Epsom salt)
  • Chemical Sensitivity (mild treatments to start and increase in strength)
  • Decreased range of motion (use with traction, MES and ROM during bath)
  • Skin disorders: rashes, eczema, acne, psoriasis (may worsen before improvement)
  • Anxiety (keep bathing temperature at 104 F maximum)

Patient Instructions Day BeforeBath(Pre-PeatBathProtocol):

    1. No caffeinated beverages:
      • Caffeine causes vasoconstriction decreasing effective treatment time during and post-bath. Adaptive hyperthermia effect is not obtained well when using caffeine nor is proper circulation.
    2. Drink minimum 10 glasses of filtered water:
      • Water ensures proper hydration of all cells allowing transfer of toxins/metabolites to liver, kidney, skin and out of the body. Low water intake circulates metabolites and toxins around the body as they cannot be flushed. Chlorinated water with pesticides, herbicides et al defeats the treatment outcome – use filtered water.
    3. Eat protein, whole grains and vegetables attempting to avoid sugar, refined carbohydrates and saturated fats:
      • Balanced blood sugar during a hyperthermic treatment is necessary for safety and therapeutic outcome. High circulating glucose in the blood stream is pro-inflammatory and also may cause a reactive hypoglycemia – defeating patient safety and desired treatment outcome.
    4. Eat balanced snack 20 minutes before bath – not a large meal:
      • Hyperthermia decreases blood to the digestive tract so a large meal will not be digested well. A low protein, complex carb snack bar will be just right.
    5. Take antioxidant supplements or vitamin C – to help bind and metabolize increased circulating toxic burden – preventing post-bath headache

Physician Instructions Evaluating Patient:

  • Evaluate and screen: hypertension, pregnancy, renal disorders, clotting disorders, medications, epilepsy, diabetes, cancer, cardiovascular irregularities, chemical sensitivity, acute autoimmune diseases, liver failure, respiratory distress
  • Perform physical exam: cardiovascular, respiratory, neurological, eyes
    1. Rule out blood pressure over 150/80, erratic heart rhythms, pulse over 80, respirations above 20 breaths/minute, moderate tremors, decreased skin sensations or absent (make sure to evaluate temperature sensation in diabetics), orthostatic hypotension, menstruation, pregnancy, DVT, acute rheumatic conditions, aversion to heat
    2. 12 hour diet recall – including drug and beverage use.

Bathing Instructions (for in-office hyperthermia treatment):


  • Filter bathing water with chlorine filter as chlorine is more volatile with heat and may irritate patient especially if asthmatic or chemically sensitive.
  • Water temperature should never exceed 104 F for first time bathers.
  • Always keep lights on in bathing room to reduce parasympathetic response (fainting may occur)
  • Have ice water bowl set up next to bathing tub with large washcloth or hand towel inside. Apply to patients head dripping wet if patient is getting too hot too fast.
  • Have massage table set up within 1 meter of bathing tub so patient can get out of tub and lay down immediately after bath. (Never leave patient unattended)
  • No ‘mood relaxing music’
  • Have dry towels and preferably non-skid mats on floor near bathing tub to avoid slipping on getting out of tub
  • Have wide stable stool next to bath for patients who need it.
  • Monitor pulse and if pulse reaches 120 beats per minute, patient must be assisted out of bath and lay down on prepared post-bath treatment table.
  • Monitor temperature and if temperature reaches 103.6 F, patient must be assisted out of bath and lay down on prepared post-bath treatment table.
  • Have warm filtered water next to patient and have them drink often. Do not offer cold water – may cause colic.
  • Have electrolytes next to patient: BioPlasma cell salts, Balanced Electrolytes or other forms – no caffeine.
  • Instruct patient to inform attendant when:
    • The patient feels ‘odd’, getting a headache, dizzy, lightheaded, sleepy, not right. Patient likely will say they do not understand what ‘odd’ means but ensure them they will when the ‘odd feeling’ arrives.
    • When patient informs attendant the above symptoms, have patient assisted out of the tub quickly and onto the post-bath treatment table.

In Office Bathing Equipment:

  • Bathing tank or tub deep enough for a full body immersion
  • Non-skid mat on floor
  • Wide stable foot stool
  • Oral thermometer
  • Blood pressure equipment
  • Clock with second hand
  • Massage table or cot equipped with flannel/cotton sheets and wool blankets
  • Gown
  • Filtered warm water
  • Electrolytes
  • (optional but nice) Shower with chlorine filter– no soap in shower
  • Towels
  • Cold water bowl with hand towel

First Time Bathers:

· Tell them the ‘day before’ peat bath rules – as stated above

· Bath water temperature no hotter than 104 F

· No more than 20 minutes in the bath

· Do not use more than 1/3 rd liter balneo peat

· Fully explain to them not to ‘tough it out’ – if they get any of the feelings of: dizzy, lightheaded, odd feeling, sleepy, not quite right, eyes glazing over – they must tell you and get immediately out of the tub.

o Note: not many patients can last a full 20 minutes their first bath – usually last around 12-15 minutes)

· Tell them someone must be with them to help them out of the tub before and after bath (if in-office) and if at home, have someone help them out.

o Note: have patient sign a waiver understanding that they must have an assistant if using the balneo peat at home (sample below- edit as needed)

Balneo PeatBathProtocol:

  • Never exceed patient-in-bath statistics of: 103.6 F oral temperature, 120 heart rate, 108 F bath water, 20 minutes bathing time
    • Balneo peat bathing is an adaptogenic therapy requiring a series of increasing intensity treatments providing lasting therapeutic effects.
    • The patient’s physiology adapts to the hyperthermia treatment requiring increased bath water temperature and increased amount of balneo peat over time.
    • Bathing must be done 2x/week for 8 weeks for optimum long-term results.
    • Shorter series of baths may be done but long-term benefit may not occur.
  • First Bath:
    • Bath water: 104 F and use 1/3 rd liter of balneo peat
  • Second Bath
    • Bath water: 104 F and use 1/3 rd liter of balneo peat
    • If patient had no improvement with First Bath and lasted a full 2o minutes, use 105 F bath water and ½ liter of balneo peat.
  • Third Bath and Ongoing:
    • If patient is improving using ½ liter of balneo peat and 105 F, stay on this level of therapy until patient is not improving further or is tolerating this level easily.
    • When patient is no longer improving or easily tolerating ½ liter of balneo peat and bath water temperature of 105 F, increase bathing temperature to 106 F and use ¾ liter of balneo peat to stimulate more improvement.
    • Increase balneo peat by adding ¼ liter if improvement is not occurring and increase the bath water temperature by one degree F.
    • Stop at a maximum of 2 liters of peat per bath. Increased balneo peat in the bath water increases the insulation of the heat thereby increasing the intensity of the treatment. Increased temperature and increased balneo peat is needed as body is adapting to the hyperthermic effects. This is a positive sign.
    • Note: I have never seen a patient last in a bath for 20 minutes, use more than 1 liter of peat in a bath water temperature of 108 F. A duration of 20 minutes bathing time is more effective than a short burst of hyperthermia – remember, you are aiming for the adaptogenic long-term effect. Get your patients to bathe for 20 minutes before you increase the bath water temperature or increase the amount of balneo peat. Once the patient can bathe easily for 20 minutes, then step up the intensity by raising the bath water temperature and increasing the amount of balneo peat.

Likely Patient Post-Bath Remarks:

  • My pee stinks: due to increased lipolysis allowing the fat-soluble toxins to become mobilized and metabolized along with water soluble toxins and metabolites being excreted. A positive sign of detoxification.
  • I’ve a mild headache all day: due to increased toxic burden circulating in the bloodstream – increase antioxidants, filtered water and minerals pre and post bath – such as NAC, MSM, selenium, magnesium, vitamins a, c, e, d, whole plant taraxacum, silymarin, medicago sativa, urtica dioica, allium Do not increase water bath temperature or amount of balneo peat until patient is without headaches post bath
  • I’m constipated: increase water intake overall
  • I couldn’t sleep all night: perform peat bath earlier in the day or decrease bath water temperature as heat is a sympathetic stimulator. Or also consider having the patient do the post-bath sweating for an hour and follow it up with a neutral temperature shower to calm the nervous system. Consider nervines for sleep: passiflora, avena, biochemic phosphate cell salts, pinch of salt on the tongue before sleep, hops filled pillow, melatonin, meditation, protein snack 30 minutes before bed.
  • I’m tired: likely due to the amount of circulating toxins. Prolong treatment at current bath water temperature and at current amount of balneo peat. Do not increase water bath temperature or amount of balneo peat until patient is feeling more energetic.
  • My skin is breaking out in pimples and rashes: evaluate current medications, make sure chlorine bath filter is being used, inquire what additives are in bath as peat itself is not allergic or sensitizing, may be a good sign of detoxification as skin is the largest detox organ. Consider adding liver support nutrients and herbs.
  • My joint pain is much less: treatment is working – advise patient not to over do it as they will. If they over do it with exercise or increase of daily activities, they may aggravate their condition – advise them allow the treatment to progress slowly while you increase your daily activities slowly. I’ve seen many patients able to finally do more and be so excited they over do it and get back to square one.
  • I am more flexible: treatment is working – keep stretching, do yoga to speed treatment. Consider increasing bath water temperature and amount of balneo peat if patient is handling current amount and remaining in the bath easily for 20 minutes.
  • The treatment didn’t do anything: be specific in your questions – did you increase your daily activities? You notice more flexibility? Your pee stink? Your head less cloudy or more cloudy? Do you notice an increase in appetite? Some patients want to show you that the treatment doesn’t work. Try increasing the bath water temperature and increasing the amount of balneo peat if they were able to stay in the bath water easily for 20 minutes during the last bath treatment. They may need more temperature or peat. However, if their first bath was less than 20 minutes and they had to get out quickly, try the treatment again and ensuring the patient is adhering to the pre-peat bath protocol.
  • I feel worse – my joints ache even more: Balneo peat baths and hyperthermia increase the immune function and circulating antibodies which may cause autoimmune diseases to flare up and aggravate the patient. Stop peat baths and evaluate diet, remove allergic/intolerant foods – do IgE/IgG food panel or elimination diet, restore gut health first before peat baths .

  • I feel worse – I’m even more sensitive to smells: Evaluate if you were increasing the bath water temperature too fast or adding too much balneo peat. Proper balneo peat immersion treatments are not a race and must be done slowly to patient tolerance. If you were going too fast, back the water temperature down to 104 F and use 1/3 rd liter of peat. Evaluate patient. If still worse, then discontinue peat baths as the patient’s toxic load is too high. The overall toxic burden must be decreased first prior to balneo peat baths. Stop balneo peat baths and evaluate patient’s surrounding environment and remove obstacles to cure. Add air filters to their home, remove mold in home, remove carpets, carbon filter masks while driving to reduce CO exposure, mild liver support, colonics for sure, constitutional hydrotherapy, consider ordering urinary toxic metal panel, increase fiber and healthy monounsaturated oils to stabilize cell membranes. Consider ordering genetic liver functional enzyme tests to see if patient can in fact detox at all.
  • I stink more: the treatment is working well. The patient’s body is releasing more toxins via the skin. Continue treatment and add dry skin brushing before bath. Add a quality chlorophyll liquid supplement to help with binding toxins and remove body odor. Instruct patient to remove dairy, saturated fats and refined sugars from diet – this is a strong moment to ask as you will have great compliance. Dairy and sat fats make the patient’s body odor worse. Tell patient not to use antiperspirant as they contain aluminum and also stop the body’s natural pathway of detoxification. Consider colonics or enemas to speed detoxification along – or constitutional hydrotherapy or a wet sheet pack.

Additional Supportive Treatments while performing the Balneo PeatBathSeries:

  • Constitutional hydrotherapy
  • Colonics and/or enemas
  • Yoga
  • Traction, muscle energy work, spinal adjustments
  • Supportive detoxification protocol
  • Dietary improvements – remove dairy, saturated fats, refined sugars, stimulants
  • Wet sheet packs
  • Dry skin brushing

Healthy Forms of Electrolytes:

  • Green tea (low caffeinated forms)
  • Seaweed tea
  • BioPlasma cell salts
  • Emergen’C packets
  • Balanced Electrolytes

Contraindications of Balneo Peat Baths:

Depends on the physician and their comfort level.

Absolute contraindications: renal failure, severe hypertension, DIC, cachexia, pregnancy, breastfeeding, fever, open wounds, respiratory difficulty, uncontrolled diabetes

Possible contraindications (balneo peat may help or may harm):

Acute autoimmune flare-ups, moderate hypertension, anxiety, epilepsy, tremors, profound chemical sensitivity, congestive heart failure, cancer

Disclaimer: Physicians must follow their own comfort level in treating patients. Author assumes no liability as information provided is not intended to treat, diagnose or prescribe.

Sample Waiver:

Therapeutic Home Peat Bath

I, _________________________ (patient) of _________________ (clinic or doctor), have been properly informed and understand the risks of at-home peat bathing. The doctor has explained that I must:

o have an assistant to help me in and out of the bath

o have a light complex carbohydrate snack before the bath

o have healthy balanced meals 12 hours before the bath

o have avoided caffeine, refined sugars and recreational drugs before the bath

o have a non-slip mat on the bathroom floor

o have the temperature of the bath water no hotter than 104 F

o have a light on for the duration of the bath

o have no relaxing music playing while in the bath

o have an ice-water bowl with cold hand towel to place on my head or chest

o have a bed or table to lay on post-bath near the bathing area

o have warm water with electrolytes in the bathroom and drink often

o have a thermometer and use it every 2 minutes and get out of the tub if my oral temperature reaches 103 F

o have a means to measure my pulse and get out of the bath if my pulse reaches 120 beats per minute

o have the notion to get out of the bath at 20 minutes maximum duration and earlier if feelings of dizziness, light-headedness, headache, tiredness, irregular heart rhythm or other related symptoms occur.

o have long sleeve cotton shirt and pants to put on post bath and lay down on a bed for at least one hour post-bath covered with warm blankets.

o have windows closed to avoid cold drafts

o have ample warm filtered water with electrolytes to drink during the post-bath sweat.

o have a telephone nearby should I need to get in contact with anyone for medical assistance.

I hereby release all liability from the doctor and clinic with regards to the Therapeutic Home Peat Bath. I abide by the requirements listed by the above bullets.

____________________________________ ____________

Patient Name Date


Patient Signature

Comments (1)
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Shower typically manual, a shower baths will provide a shower head sets the standard to a sliding rail. The shower head can easily detach the roof pocket to enable the shower, which may be in addition to an overhead rain shower.

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