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Therapeutic fasting according to Nikolaev at home
Last reviewed: 03.07.2025

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Therapeutic fasting is fundamentally different from newfangled diets - both in theoretical justification and in its benefits, repeatedly proven in practice. There are many methods of therapeutic and unloading diets, fasting according to Nikolaev is one of the most popular.
Indications
Therapeutic fasting according to Nikolaev is recommended for the following diseases:
- hypertension;
- ischemic disease;
- angina pectoris;
- pulmonary sarcoidosis;
- obesity;
- adenoma;
- resistance to drug therapy.
Indications for use in chronic pathologies:
- gastritis with secretory insufficiency;
- obstructive bronchitis and asthma;
- skin allergies;
- cholecystitis and pancreatitis;
- drug allergy;
- neuroses, depression, schizophrenia;
- problems of the musculoskeletal system.
General information of the Nikolaev fast
Various methods of fasting are used in medical practice. The Nikolaev fasting method is classical, it is carried out in hospital conditions, under the supervision of doctors and with the sympathetic help of nurses. Features of Nikolaev fasting:
- the constant presence of the fasting person in the company of like-minded people;
- psychological and physical preparation for the procedure;
- preliminary thorough examination;
- additional procedures that enhance the effectiveness of the technique.
All this allows for positive results to be achieved in various diseases during the average fasting period. The author considers maximum meaningfulness and the absence of fear in a person before fasting to be a very important factor. Several stages can be distinguished in the method.
- A detailed examination of the patient by a number of specialists before admission for treatment. Tests, ECG, encephalogram, measurement of weight, blood pressure, pulse, etc.
- Interview with the doctor, joint determination of the term, which also depends on the age and condition of the patient. Usually, hunger therapy lasts 25-30, occasionally 35-40 days.
- Physical preparation consists of cleansing the intestines with Epsom salts, after which food intake and medication are stopped.
Enemas are given daily and, strangely enough, some residues are constantly leaving the body. Which causes understandable amazement of patients. Doctors explain it simply. It turns out that with the cessation of external nutrition, the body begins to assimilate internal resources, as a result of which, during fasting, secretions are formed similar to the original feces of infants.
- The next procedures are a bath and a special, pressing massage. This is followed by "breakfast", consisting of a glass of rosehip decoction. After a short rest, the fasting people go out into the fresh air, where they walk until lunch. In cold weather, you should dress so as not to freeze. During walks, it is recommended to do breathing exercises.
"Lunch" is a glass of liquid of your choice: rose hips, clean water, mineral Borjomi. In the hot season, people walk with a filled bottle in their pocket to quench their thirst with a sip of water. Its quantity is not limited, but, as practice shows, people drink up to 2 liters per day.
- Depending on the indications, the doctor prescribes additional physiotherapeutic procedures: Charcot shower, UHF, pearl baths. Frequency - every other day.
Free time is provided to patients – in the sense that they do their favorite things: read, embroider, play board games. Most spend their evenings in front of the TV, young people are given conditions for more active leisure, for example, dancing.
In the evening, everyone can expect the same rosehip decoction plus the usual hygiene procedures. Special attention in the Nikolaev fasting method is given to oral hygiene.
The bed should be warm and cozy, and the room should have enough fresh air. As the feeling of chilliness that accompanies the treatment with hunger increases, the bed is warmed at night with hot-water bottles.
What do those fasting during such a regime feel? In the first 3-5 days, appetite and desire to eat disappear, people are not excited by kitchen aromas and the sight of food. In order for fasting not to be painful, it is important for patients not to remember food, past feasts and various delicious things. And here the first assistant is professional staff, morally supporting the patient's intentions and his trust in doctors.
Clinically, the end of health fasting is considered to be the moment of return of appetite, freshness of the skin of the face, absence of feces after a cleansing enema, plaque on the tongue and heavy odor from the mouth. The recovery period begins, which is no less important and is also carried out under the supervision of a doctor.
Fractional fasting according to Nikolaev
Health fasting is considered a leader among therapeutic methods that increase the body's resistance to many diseases. Yu. Nikolaev created a whole school for training specialists in his own method, many doctors successfully use it in their practice, using the author's books on this topic. Fasting according to Nikolaev is also called unloading-dietary therapy, since after temporary abstinence from food, the fasting person must continue to follow a healthy diet.
Fractional fasting according to Nikolaev is used with the consent and conscious desire of the patient, subject to the following conditions:
- Beforehand, all participants undergo a full examination, the results of which will tell doctors whether the patient can fast and for how long.
- The period is determined depending on the state of the examination indicators, age and nature of the disease.
- The standard course is 25 days, can be extended up to 35 days.
- The doctor prescribes additional procedures, daily routine and exit from fasting to each person individually.
Ending the fast according to Nikolaev
For the correct exit from fasting according to Nikolaev, a special scheme has been developed, to which, if necessary, individual adjustments are made. The recovery period lasts as long as the fasting period according to Nikolaev lasted. The daily routine remains active, as before, including work therapy.
- At first, some patients feel weak, want to stay in bed longer, and are subject to mood swings. Then they return to active pastime.
On the first day, the fasting people drink juices diluted half with water, on the next day - undiluted. These are carrot, grape, apple products. The juices are drunk delicately, savoring and enjoying their taste.
On the 4th-5th day, you can have mashed carrots and fruits, in the following two days - rolled oats, buckwheat, rice, millet porridge, which must be chewed very thoroughly. The diet can be varied from the 10th day up to the 30th, with a predominance of dairy and plant products - fortified and rich in minerals. Animal proteins are introduced into the diet from the second week. The exit from therapeutic fasting also includes a daily long stay in the fresh air.
- An exception to the general scheme is people with certain problems. Thus, in case of ulcer disease, instead of juice, oatmeal decoction is prescribed, gradually increasing the viscosity of the drink. In some cases, lactic acid whey is recommended - for diabetes, asthma, eczema.
Salt is contraindicated during this period because it provokes swelling. You also have to forget about mushrooms, heavy meat, coffee, alcohol, cigarettes. Fried and similar dishes are prohibited, the harmfulness of which increases several times in the first months after fasting.
People who decide to do therapeutic fasting must show patience and endurance, including when coming out of it. It is important to eat fractionally, chew food as much as possible and gradually increase its quantity. After all, the body gradually switches to external nutrition, without ceasing to independently synthesize the nutrients that were necessary during fasting. They are absorbed as actively as it happens with a young, growing organism. This explains the effect of rejuvenation and a surge of strength after fasting.
Exit from 7-day fasting according to Nikolaev
The method of exiting fasting according to Nikolaev depends on the duration of the process. The seven-day therapeutic and unloading diet is the "favorite" period of many who want to fast for a short time, but effectively. Exiting a 7-day fast according to Nikolaev is a competent and physiologically justified cessation of internal nutrition of the body. The recovery period of fasting on juices lasts the same amount of time, in days:
- Juice in equal parts with water, within the range of 0.7 to 1.2 liters. Between meals, drinking pure water is allowed, and the concentration of juice increases towards evening.
- Before lunch, 2-3 servings of undiluted juice; in the afternoon, grated fruits or vegetables.
- The same food plus porridge without milk, bread, dried fruits.
- Boiled plant foods, soups without meat with vegetable oil.
- Fermented milk drinks with a small dose of butter.
- Cheese, sour cream, salt if necessary.
- Sour milk cheese, egg.
After a week, proteins are allowed, starting with fish and legumes, then chicken and other lean meats.
With other fasting options, the diet may differ. In all cases, it is necessary to follow the doctor's recommendations and take responsibility for your own health in order to strengthen it, and not to reduce to zero the overall efforts and benefits provided by therapeutic nutrition.
Benefits
Stopping eating leads to changes in the body that are pleasing and pleasantly surprising. As a result of fasting according to Nikolaev, the body gets the opportunity to self-recovery. Its own reserves are actively broken down, including altered tissues and formations, and a lot of oxygen, nitrogen and carbon from the air are spent on their processing.
- Energy and nutritional ingredients are formed in the cells themselves and are used as economically as possible. Experts compare the benefits of fasting according to Nikolaev with a major overhaul and general cleaning of the entire body.
During fasting, the necessary substances of the highest quality are synthesized. The building material is used in turn, and a competent doctor knows when a crisis occurs in order to especially support the patient at this time if his condition worsens. After complete cleansing from everything unnecessary, the body shows messages about the desire to eat normally again.
Not everyone decides to fast for a long time. Shorter courses are used more often. But in any case, the therapeutic diet leads to cleansing, increased immunity, rejuvenation, freshness of the face, and increased energy. This is manifested in the fact that people do not weaken, do not strive to stay in bed longer, and by the end of the period they become more cheerful and active than at the beginning. And many begin to feel the real taste of food and truly enjoy life after the course of health improvement.
Contraindications
Some authors believe that there are no contraindications for fasting at all. Every person, regardless of the disease, can benefit, the main thing is to prepare properly and responsibly cooperate with the doctor. In severe cases, it is recommended that the patient stay in a special clinic or sanatorium during fasting.
Fasting according to Nikolaev is strictly contraindicated in cases of malignant tumors, tuberculosis, type 1 diabetes, heart disease, kidney disease, liver disease, systemic blood disorders, thrombophlebitis, and weight deficiency.
Fasting is relatively contraindicated for pregnant and lactating women, children and the elderly, those with hypotension, type 2 diabetes, ulcers, kidney and gallstones, and gout.
Possible risks
All risks associated with fasting according to Nikolaev may arise due to illiterate preparation, ignoring certain procedures, poor health or individual characteristics of the patient.
However, even with ideal preparation and implementation of fasting according to Nikolaev, it is unlikely that you will be able to completely avoid unpleasant sensations. After all, eating is one of the natural pleasures of a person, and refusing it is already stress. But such symptoms are absolutely harmless, it is enough to simply know what to do when unpleasant feelings and thoughts arise. Such information is conveyed to those fasting by doctors.
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Complications
During fasting according to Nikolaev, complications and negative feelings may arise. The authors provide for possible complications both during fasting and during the period of exiting it.
The fasting patient is concerned about:
- headache or toothache;
- dizziness, even to the point of fainting;
- smokers - unhealthy excitement;
- chilliness or fever;
- convulsions;
- unpleasant odor;
- pain in muscles, joints, spine, teeth;
- sleep disturbance;
- belching, vomiting;
- palpitations and heart pain;
- renal colic;
- colds;
- angina.
With proper preparation, especially thorough cleansing, complications are quite rare. Mild symptoms are not a reason to stop treatment. If symptoms are severe, you should move on to recovery and cleansing procedures.
Complications during the exit can be provoked by the banal inability of the patient to restrain his own appetite. As a result, the following negative consequences arise:
- overeating;
- urinary retention and swelling;
- constipation;
- flatulence;
- weakness, dizziness;
- crunching in joints;
- exacerbation of the disease.
To avoid these phenomena, patients are advised to conscientiously prepare for the procedures and begin the practice with short-term fasts - from one day. And after making sure of the positive course and normal exit, next time move on to longer methods of abstinence from food. And never self-medicate.
Reviews
Most participants in Nikolaev's fast report effective and relatively painless weight loss - 8-10 kg per course.
Critics say that Nikolaev's method, strictly speaking, is not exactly fasting, since patients drink water and rosehip infusions during this period, as a result of which the gastrointestinal tract does not stop working. Therefore, the body does not completely switch to internal nutrition, and this is the key to healing pathologies. They believe that Nikolaev's method is only suitable for preventive purposes.
Fasting according to Nikolaev is one of the main methods used by doctors. On average, it lasts three weeks, but the time frame can be individual. The procedures are recommended to be carried out in a hospital setting, especially if the patient is fasting for the first time. Success depends not only on the doctor's qualifications, but also on the patient's own efforts. As a result, the body loses excess weight, improves health, and also receives a huge boost of energy.