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Kempner's Rice Diet
20 Sep 2021
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Dr Kempner from Duke University treated about 18,000 severely ill patients with his "rice and fruit diet" [white rice, juices, fruits and white sugar]. To his own surprise, patients with severe hypertension and advanced diabetes actually reversed their disease! In particular, something extraordinary was observed: the reversal of 'diabetic retinopathy' (blindness caused by diabetes). This video by Dr Greger below narrates the sensation caused by Dr Kempner's publications.

What was Dr Kempner's reasoning that led him to devise his diet? In this video, Dr Greger explains:

"He [Dr Kempner] figured that if a low-salt diet helped with blood pressure, a low-protein diet helped with kidney function, and a low-fat and low-cholesterol diet helped the heart, why not take it to its logical conclusion and design a no-salt, no-cholesterol diet of almost pure carbohydrate. So he designed a diet with less sodium than any low-sodium diet, less protein than any low-protein diet, and less cholesterol and fat than any other low-fat diet."

Note: Kempner's Rice n Fruit Diet was reserved for the severely ill, to be followed under medical supervision. In this video, Dr Greger explains:

"Well, the rice diet is pretty drastic. Definitely don't try this at home. The rice diet is dangerous. It's so restrictive that it "may may cause serious electrolyte imbalances, unless the patient is carefully medically supervised with frequent blood and urine lab testing." Dangerous, says who? Said the world's #1 advocate for the rice diet — Dr Kempner himself.

When patients recovered after following the Rice Diet, they were advised to incorporate non-leguminous veggies, potatoes, lean meat and fish (everything prepared without salt or fat). If these changes made our condition worse, then these changes were to be dropped. More details are in Dr McDougall's article on Walter Kempner.

Dr Kempner's food system was an early attempt to carve out what we today call WFPB. And it was reserved for the severely sick, not advocated as a lifestyle for prevention.

Over time, science has progressed and we have WFPB guidelines in place today! Does anybody use Kempner's Rice Diet today? In his article (see below), Dr McDougall says that he puts seriously ill patients ("on the verge of complete heart or kidney failure") on Dr Kempner's Rice Diet. For all others, we have WFPB.

A couple of books recounting Walter Kempner's Rice Diet:

(2011) Walter Kempner and the Rice Diet

by Barbara Newborg, with Florence Nash (274 pages, AmazonGoodReads)

A book of historical interest. It narrates the biography of Walter Kempner with details of medical histories of some of his patients showing remarkable reversal of chronic conditions.

(2001) Fat Like Us

by Jean Renfro Anspaugh (272 pages, AmazonGoodReads)

A book of historical interest. Written by somebody who had first hand experience with Kempner's Rice Diet in his clinic at Durham, North Carolina. Recommneded by Dr Peter Rogers in one of his videos on Walter Kempner. This book takes us back in time and helps us understand how patients felt at Walter Kempner's facility.

Articles & Papers

Dr Kempner's Rice Diet from 1940s and 1950s is an example of an early attempt in Western medicine at carving out a plant-based intervention for severe chronic illnesses. And it was surprisingly successful!

Videos by Dr Greger
(2015) Can Diabetic Retinopaty Be Reversed

(5 mins) Transcript. This video showcases Dr Kempner's early studies from 1940s and 1950s demonstrating reversal of diabetic retinopathy (blindness caused by diabetes), which surprised the medical community.

Companion blog article: Reversing Diabetic Blindness with Diet (2017).

(2014) Kempner Rice Diet: Whipping Us Into Shape

(5 mins) Transcript. A history of Dr Kempner's Rice Diet from 1940s and 1950s.

(2015) High Blood Pressure May Be A Choice

(6 mins) Transcript. Mentions Dr Kempner's rice and fruit diet which was salt-free.

(2015) Drugs & Demise of the Rice Diet

(7 mins) Transcript. Dr Greger explains: "Beginning in the late 1950s, drugs became available that effectively reduced blood pressure and hypertension, leading to a decreased demand for the rice diet. What conclusions can we draw from this all but forgotten therapy for hypertension? Not only was it the first effective therapy for high blood pressure; it may be equal to or more effective than our current multi-drug treatments."

(2021) Can Morbid Obesity Be Reversed Through Diet?

(6 mins) Transcript. In this video, Dr Greger compares Dr Kempner's strange 'Rice Diet' (which Dr Kempner himself could be dangerous and should be attempted only under medical supervision) with other medical alternatives for obesity: drugs and surgical procedures.

(2016) Diabetes Reversal: Is It the Calories or the Food?

(6 mins) Transcript. Dr Greger's summary: "Even when study subjects were required to eat so much that they didn't lose any weight, a plant-based diet could still reverse type 2 diabetes in a matter of weeks."

Dr Peter Rogers

In one of his videos, Dr Peter Rogers mentions that Walter Kempner's "Rice Diet" had specific foods, carefully chosen so that the final macro ratios of carbohydrates : proteins : fats was 93:4:3. That's a super high percentage of carbohydrates, and super low percentage of proteins and fats! The diet was used for severely sick patients.

(13 mins, 2022) Walter Kempner: Nutrition Hero
(27 mins, 2022) Walter Kempner Revisited & Fat Like Us by Jean Renfro Anspaugh
(39 mins, 2022) Sodium, Hypertension, Richard Moore & Walter Kempner
Dr McDougall

Is Kempner's Rice Diet used today? In this article, Dr McDougall explains:

"I find myself recommending the Rice Diet several times a year to the few patients I see who are on the verge of complete heart or kidney failure. Otherwise, I recommend the McDougall Diet (a starch-based diet with fruits and non-starchy-vegetables along with some salt and sugar for flavorings) to almost all of my patients."

(32 mins, 2022) Frank Neelon on the Kempner Rice Diet
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