I had to smile as I read your questions, as the topic of coffee enemas is pretty hard to explain in a short time. I'll give it a go however, and try to give you a relatively brief overview.
Coffee enemas were apparently used extensively during World War I by German medics. They usually administered water enemas prior to surgery, but when they didn't have access to safe, clean water, they used coffee that was already heated and at least somewhat sanitized. They soon discovered that surgical outcomes were much better using CEs, and patients experienced much less pain afterwards for up to several hours. -- (They were chronically short of morphine during the war.)
After the war, researchers in the U.S.--intrigued by these accounts--began to research CEs. In at least one published study in the 1922 New England Journal of Medicine, they reported a statistically significant improvement in depression for many who participated. Why would that be? A number of factors likely play into that.
CEs greatly increase the levels of glutathione (by up to 5x-6x), which is
the body's primary detoxification enzyme. So levels of toxicity in the body--AND THE BRAIN--can decrease significantly. It's easy to see how this can help reduce tinnitus, which seems to be so sensitive to various tings that can exacerbate it.
Also, the vagus nerve runs from the base of the brain all the way to the colon. Enemas stimulate the vagus nerve, and thus stimulate every place in the body where the vagus nerve (VN) traverses. Interestingly, it traverses through the heart (amongst many other places), and some people are unable to do enemas because it can actually create minor heart arrhythmias.
The VN is also the primary mechanism that creates a parasympathic response in the body--which I think can have huge implications for some people with tinnitus who can't seem to get out of fight or flight mode. Fight or flight is a MAJOR sympathetic response of the nervous system--a parasympathetic response is going back into relaxation mode, which people who sleep well seem to be able to do very well. AND, kitties it would seem.
In the earlier part of the 20th century, a number of alternative cancer clinics began operations, based on using a primarily nutritional approach for therapy. In the beginning, they were successful in killing cancer cells, but it often happened so rapidly, that the body would quickly become extremely toxic from the cancer dieoff. Many apparently died as a result.
Eventually, Max Gerson (founder of the Gerson cancer clinics) discovered the detoxification capabilities of CEs. When he incorporated them into his therapies, people were much better able to handle the cancer dieoff, and
people quit dying. In the initial days of treatment, some patients had to do as many as a half dozen CEs, just to keep up with the dieoff. -- Some people with cancer who find out about doing the CEs decide it's just too bizarre for them. They'll do the whole program EXCEPT the CEs. They are turned away. Just too dangerous.
Enemas are done at body temperature. Depending on the person, the equivalent strength (I make a concentrate) of anywhere from 1 to 4 cups of coffee are used. People who do them regularly do it first thing in the morning AFTER they have a normal bowel movement. Then as little as a cup of coffee solution can be inserted. There's lots of directions online which describe how to set yourself up in the bathroom floor, or bathtub, etc. All ridiculous!
Just insert the solution, go about your normal morning routine, and come back and expel it after about 15 minutes. Perhaps in the beginning it might not be that easy, but the more a person does one, the more the body gets used to it, and less of a need to expel it immediately. If there is a great need to expel, then of course do it. No need to torture yourself until you get more used to it.
I do my CEs lying down in bed. I do those energy and polarity exercises I mentioned, all the while my vagus nerve is being stimulated, and my body's detoxification is ramped up. It's the most relaxing time of my day, and keeps me from staying in a chronic state of PTSD, which I think many with tinnitus suffer from.
And as I mentioned earlier, with the ear massage I do, I'm usually able to enjoy as much as a 50% reduction in my tinnitus volume, and an even greater reduction in my tinnitus intensity for up to an hour or more afterwards. I think the cumulative benefits of doing this daily regimen will eventually take me out of major intrusive tinnitus. Perhaps similar to what Julian Cowan Hill claims can be accomplished by some with cranial sacral work--or even Qi Gong.
I'm sure there are other ways to achieve some of the same results I get w/o doing the same regimen I use. So if people are uncomfortable with doing CEs, they could maybe try to find some other way to naturally initiate a parasympathic response and/or increase detoxification. I'm not sure what they would be, because it took me years of trial and error before I found what worked really well for me.
Hope that helps!