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Health Benefits of the Natural Squatting Position

by Jonathan Isbit, (used with permission)


Historical Background
The Legacy
Colon Cancer
Contamination of the Small Intestine
Constipation
Hemorrhoids
General Comments
Full Squatting Versus Semi-Squatting
 

 

Historical Background

Since time immemorial man has used the squatting position for elimination. Infants of every culture instinctively adopt this posture to relieve themselves. Although it may seem unusual to someone who has spent his entire life deprived of the experience, this is the way the human body was designed to function.

The modern chair-like toilet, on the other hand, is a relatively recent innovation. It first became popular in Western Europe less than two centuries ago, largely by coincidence. Invented in England by a cabinet maker and a plumber, neither of whom had any knowledge of physiology, it was installed in the first dwellings to use indoor plumbing. The "porcelain throne" was quickly imitated, as the sitting posture seemed more dignified - more suited to aristocrats than the method used by the natives in the colonies.

Two other influences also favored the adoption of this new water closet. One was the headlong rush to modernize all existing sanitation facilities (which were in fact non-existent.) The public assumed that all the benefits of modern plumbing required the use of the seat-like toilet, since it was the only one having the proper fittings to connect to the pipes. This assumption was incorrect, since toilets with all the same flushing capabilities could be (and have since been) designed to be used in the squatting position.

Secondly, in nineteenth-century Britain, any open discussion of such a subject was considered most improper. A number of physicians privately expressed concern about using a posture for elimination which had nothing to do with human anatomy. But, just as in "The Emperor's New Clothes," no one dared express publicly the simple and obvious facts of the case. Instead, they chose to endure, with a stiff upper lip, this uncomfortable and inefficient contraption.

As partial compensation, the famous department store, Harrods of London, sold "squatting stools" which allowed one to elevate one's feet while in the sitting position to bring the knees closer to the chest -- a crude attempt to imitate squatting.

The rest of Western Europe, as well as Australia and North America, soon followed suit, installing chair-like toilets in all new structures. They didn't want their countries to appear any less civilized than Great Britain, whose vast Empire at the time made it the most powerful country on Earth. So, within a few decades, most of the industrialized world had adopted "The Emperor's New Throne."
 


The Legacy

Today, many health practitioners blame this deviation from the human body's natural mode of functioning for the high incidence of several common disorders. Compared to the "underdeveloped" world, people from westernized nations have higher rates of constipation, hernias, hemorrhoids, and twisted colon syndrome (from misalignment of the intestines).

Colon Cancer

Dr. Leonard Smith is a Florida cancer surgeon, gastro-enterologist and advocate of the squatting posture. In his experience, and that of other surgeons, 80 per cent of colon cancers develop in the cecum and the sigmoid colon, the two areas that are not fully evacuated in the sitting posture. Fecal stagnation prolongs the exposure to carcinogens, which could explain why colon cancer is the second leading cause of cancer deaths in the United States. By contrast, in traditional Asian and African cultures where squatting is the norm, the disease is much less common.

The natural squatting posture promotes more rapid and complete elimination, especially in those regions of the colon most susceptible to cancer. It can improve overall health and vitality by preventing the toxic build-up which blocks the flow of energy throughout the body.
 


Contamination of the Small Intestine

Dr. William Welles, a San Diego chiropractor, discovered that the use of the sitting position to evacuate causes contamination of the digestive system in over 70 per cent of the population. There is a valve between the small and the large intestine which is designed to prevent the backflow of wastes stored in the colon. If the valve leaks, toxic fecal bacteria (E.coli) can enter the small intestine and get absorbed into the bloodstream. This puts a strain on the liver which has to remove these toxins. Modern medicine considers this valve (called the ileocecal valve or "IC valve" for short) to be inherently flawed, since it is so often found leaking. Clear evidence of this contamination is seen routinely during intestinal surgery and barium enema exams. How could nature make such a blunder?

Two discoveries by Dr. Welles solved the mystery. First, he found that the leakage only occurs when one applies pressure to evacuate the colon. Second, he found that in the natural squatting position, the IC valve performs its function perfectly. Supported by the thighs, it forms an air-tight seal which prevents any material from escaping back into the small intestine.
 


Constipation

Restoring the effectiveness of the IC valve can also reduce constipation. With its "top" end properly sealed, the colon can be fully pressurized by the abdominal muscles, creating a natural laxative effect.

Squatting has also been found to relieve a constriction which occurs at the end of the rectum in the sitting position. A sharp 90-degree bend (known as the anorectal angle) obstructs the pathway during sitting and can aggravate constipation. The natural squatting posture eliminates this bend, aligning the rectum properly for more effortless evacuation.

As F.A. Hornibrook says in his famous book, The Culture of the Abdomen:

"Man's natural attitude during [elimination] is a squatting one, such as may be observed amongst field workers or natives. Fashion, in the guise of the ordinary water closet, forbids the emptying of the lower bowel in the way Nature intended. Now in this act of [elimination] great strains are imposed on all the internal organs…. It is no overstatement to say that the adoption of the squatting attitude would in itself help in no small measure to remedy the greatest physical vice of the white race, the constipation that has become a contentment."

H. Aaron, in his book, Our Common Ailment, writes:

"When the thighs are pressed against the abdominal muscles in this position, the pressure within the abdomen is greatly increased, so that the rectum is more completely emptied. Our toilets are not constructed according to physiological requirements. Toilet designers can do a good deal for people if they will study a little physiology and construct seats intended for proper [elimination]."
 


Hemorrhoids

Hemorrhoids are an extremely common problem, especially in westernized countries, where surveys suggest that as much as half the population over 40 years of age may suffer some form of mild to severe discomfort from them. In underdeveloped countries, this condition is far rarer, leading again to the question of whether something unnatural in our lifestyle is bringing it on.

Dr. Berko Sikirov, an Israeli physician, decided to investigate the hypothesis that the use of the sitting position for elimination was the cause (and the squatting posture the cure.) In 1987 he conducted clinical research which was later published in the Israeli Journal of Medical Sciences (1987: 23, pp. 284-286) as well as the Townsend Letter for Doctors and Patients (Issue No. 159, October 1996, pp. 66-70).

Twenty male and female patients who had hemorrhoids of varying degrees of severity participated in the study. They had all used conventional treatments with little or no success. Two of the patients had had surgery in an attempt to alleviate their conditions.

The patients underwent a proctoscopy at the beginning of the trial. Then they were told to change their toilet habits in two ways: to wait until the urge to evacuate was strong (to avoid straining) and to use the natural squatting position for elimination. The proctoscopy was repeated after one year. Of the 20 patients, 18 reported within a few days to a few months a significant reduction or complete absence of symptoms. The two who showed less dramatic improvement had previously had surgery for hemorrhoids. Follow-up examinations, 12 and 30 months later, on the 18 other patients, revealed no recurrence of the symptoms.

Dr. Sikirov's conclusion is that hemorrhoids result from continual aggravation and injury due to excessive straining in the sitting position. When this ongoing insult to the body is removed by returning to the squatting position, the natural healing process can occur without hindrance.

A detailed account of Dr. Sikirov's research can be found in his U.S. Patent #4,819,277.
 


General Comments

Virtually every physician and physiologist who has ever troubled to write on the subject agrees that the squatting position is the most natural and physiologically sound posture to use for evacuation. This is the conclusion of Professor Alexander Kira, of Cornell University's Center for Housing and Environmental Studies, who conducted a seven-year study of the design of the modern bathroom. His 1976 book, The Bathroom, contains numerous quotations from Western scientists who have deplored the use of the sitting position for elimination.

He quotes Dr. H.L. Bockus, writing in the textbook Gastro-Enterology:

"... The ideal posture for [elimination] is the squatting position, with the thighs flexed upon the abdomen. In this way the capacity of the abdominal cavity is greatly diminished and intra-abdominal pressure is increased, thus encouraging [elimination]."

Dr. Alexander Kira cites an article in the journal American Anthropologist and draws the following conclusion:

"…We must bear in mind that while we regard the use of the water closet as natural, we represent only a relatively small percentage of the world's population, and a percentage that may be said, in an absolute sense, to be wrong, insofar as we have allowed civilization to interfere with our biological functioning."

Dr. William Welles, the chiropractor referred to above, wrote an article entitled "The Hidden Crime of the Porcelain Throne." Here is a brief excerpt:

"The design of the modern-day toilet was created with absolute disregard for the anatomy of the human body. On the conventional Western toilet, pressure is exerted inside the abdomen by pushing the diaphragm down in such a way as to push all the organs of the body downwards, causing them to sag (prolapsus), and creating dysfunction of the ileocecal valve. The abdominal muscles are left totally unsupported, as we have said, and the body suffers the consequences. Dr. Leonard Williams states that the modern toilet effectively paralyzes the abdominal muscles. 'These muscles are little enough exercised by sedentary man, but when seated on the ordinary everyday water closet, he could not exercise them even if he would.' "
 


Full Squatting Versus Semi-Squatting

In the full, natural squatting position, used throughout the world, the entire weight of the body rests on the feet. No other part of the body is in contact with any surface. Those who are aware of the benefits of natural squatting, but feel that they are incapable of adopting that position, sometimes use a footstool to raise their feet while sitting on the toilet to bring the knees closer to the chest.

In the 1996 article in the Townsend Letter for Doctors and Patients cited above, Dr. Berko Sikirov discusses this variation, which is called "semi-squatting." He expresses the opinion that it offers no advantage over the conventional sitting position. Unless the feet are firmly planted on a stable surface, the abdominal muscles designed for elimination cannot do their job efficiently. Squatting evokes an integrated physiological response which has evolved over millions of years and which can't be duplicated simply by bending at the waist.

Nature's PlatformTMis the first and only product available in North America which allows one to use a conventional toilet safely and comfortably in the natural squatting position. It has a built-in five-degree slope, allowing those unaccustomed to the squatting posture to use it more easily. Since tight calves and Achilles tendons are the main source of difficulty, the slope reduces the amount of stretching that is required. For those who need an even steeper slope, padded "wedges" can be placed under the heels to increase the angle up to 21 degrees, allowing almost anyone to use the natural squatting position comfortably.
 
 
 

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