Queen Afua is a holistic health consultant, colon therapist, lay midwife, and Nubian Khamitic (ancient Nile Valley) Priestess who founded the Heal Thyself Center. Khamitic refers to the ancient Nubian Nile Valley spiritual-cultural tradition, and Queen Afua draws on over 25 years of what she calls Natural Living, a regimen of diet, purification, prayer, and daily discipline rooted in Afrakan (African-derived) spiritual traditions. The book opens with composite phone calls to her center from women facing devastating womb diagnoses, including dead ovaries, recurring fibroids, and relentless premenstrual symptoms. These calls represent an epidemic that anchors her argument that women's womb health has reached a crisis, particularly among African American women, who are 25 percent more likely to undergo hysterectomy than white women of the same age and face higher rates of complications and death.
Queen Afua frames the womb as far more than a reproductive organ. She argues it is the spiritual center of a woman's being, a storehouse of every emotion and experience, and a barometer of the planet's condition. The path to healing requires a total lifestyle transformation: positive thoughts, prayer, wholesome food, purification of the body, and reconnection with ancestral wisdom. Her stated mission is to guide women from a wounded state to a sacred one, from confusion to serenity, and from disease to wellness.
The philosophical foundation rests on Khamitic Nubian spirituality, the tradition of the ancient Nile Valley civilizations that predated and gave rise to what is commonly called Egyptian culture. Queen Afua defines Khamit as the original Nubian Maatian culture, centered on Maat, the principle of truth, balance, and cosmic order. She clarifies that the Khamitic people viewed NTR (the Creator) not as multiple gods but as an undifferentiated One from which all life emanates. The NTRU are divine attributes of this singular source, including Ast or Isis (the Great Mother and healer), Het-Hru or Hathor (divine love and beauty), Sekhmet (the lion-headed patroness of healers), Tehuti or Thoth (divine intelligence), and Nefer Atum (the Sacred Lotus, representing highest spiritual ascension). Queen Afua presents the Forty-two Laws of Maat as a system of personal responsibility distinct from the Ten Commandments in that it inspires accountability to one's own indwelling divinity rather than obedience to an exterior power. She describes the ancient Khamitic diet as primarily vegetarian and their society as spiritually directed. A historical essay by her husband, Hru Ankh Ra Semahj, traces the origins of this civilization to central equatorial African sources.
The book is structured as a three-degree training system. First-Degree Training centers on Gateway 0, the Sacred Womb, a foundational program of womb purification lasting 21 days to four months. Second-Degree Training allows women to explore individual Gateways as seven-day courses tailored to specific needs. Third-Degree Training is an intensive 56-day journey through all Nine Gateways in sequence, culminating in the Nefer Atum Sacred Lotus Initiation.
Gateway 0 introduces the Sacred Womb Circle, a gathering of four to eight women who meet weekly to heal their wombs collectively through meditation, prayer, journaling, and sharing of herbal knowledge. Queen Afua provides detailed instructions for 16 daily spiritual observances, including a dawn bath with Epsom salts and frankincense oil, altar work with objects representing the five elements, Fire Breath exercises (rapid breathing through the nostrils), guided womb meditations, herbal tonics, and a Natural Living diet. She also introduces the Senab Freedom Shawl or Quilt, a ritual sewing project spanning all Gateways in which women stitch together pieces of cloth in Gateway-specific colors; senab is the Khamitic word for health.
The Spirit of the Womb section presents the Sacred Womb Journal as a tool for women to dialogue with their wombs. Queen Afua shares an intimate story in which her husband held a pretend microphone to her womb and asked it to speak, triggering memories of a traumatic hospital birth experience. She provides extensive journal questions and includes testimonies from women in her Sacred Womb Circle who describe their own journeys of womb disconnection and rediscovery. A collective healing ritual titled "I Cry a River of Tears That Heal" addresses generations of womb trauma, from stolen wombs in Trinidad to the rapes of enslaved African women to the systematic sexual violence of wartime camps.
The Care of the Womb chapter presents comprehensive natural healing protocols. Queen Afua identifies flesh foods, dairy, and white-flour products as primary enemies of the womb and details a Womb Wellness Cleansing Food Plan emphasizing raw salads, vegetarian proteins, and green vegetable juices. She explains the colon-womb connection, arguing that a constipated colon presses on the womb and causes poor circulation and susceptibility to growths. Twenty-five Natural Living Womb Rejuvenation Techniques span healing drinks, baths, internal cleansing, clay packs, castor oil packs, massage, and rest. The Sacred Woman's Womb Scroll maps the womb's spiritual journey across 10 zones, each governed by a specific female NTRU with corresponding therapeutic actions and healing foods.
The Nine Gateways of Initiation form the book's central structure. Gateway 1, Sacred Words, guided by Tehuti, teaches women to transform their language, replacing toxic speech with healing words and practicing sacred silence through daily talk fasts. Gateway 2, Sacred Foods, guided by Ta-Urt (Great Earth Mother), introduces the Kitchen Healing Laboratory concept, provides dietary charts connecting specific foods to emotional and physical states, and includes the Sacred Woman Seven-Day Fast. Gateway 3, Sacred Movement, guided by Bes, a guardian of music, dance, household joy, and childbirth, presents the Dance of the Womb, 25 sacred movements designed for womb rejuvenation. Gateway 4, Sacred Beauty, guided by Het-Hru, reclaims ancient Afrakan aesthetics, advocating for natural hair, Cosmic Dress coordinated with planetary influences, natural skin care, and a critique of European beauty standards.
Gateway 5, Sacred Space, guided by Nebt-Het (Lady of the House), addresses the purification of home and work environments through spiritual housekeeping and cleansing rituals. Gateway 6, Sacred Healing, guided by Sekhmet, develops the reader's capacity as a healer through breathwork, laying on of hands, healing with sacred stones aligned to the seven aritu (energy centers), and intuitive arts including pendulum reading and dream work. This Gateway also addresses healing from violence, connecting the legacy of slavery to contemporary disease.
Gateway 7, Sacred Relationships, guided by Maat, addresses bonds with mothers, sisters, and community. Queen Afua teaches a Heart Healing Meditation using the ancient Khamitic prayer "Ab-a en mut-a," which translates to "My heart, my mother" (300). She discusses Sacred Motherhood through her own experience raising three children and presents an extended analysis of what she terms "Bitch Possession" as a product of slavery's psychospiritual damage, offering 14 steps for purging it through fasting, forgiveness, and meditation.
Gateway 8, Sacred Union, guided by Ast, focuses on divine partnership. Queen Afua argues against uncommitted sexual relationships, urging celibacy and self-purification as preparation for a sacred mate. She contends that a partner's toxic diet can affect a woman's womb health and provides a 21-day regeneration regimen for men. She retells the myth of Ast restoring and resurrecting Asar, her slain divine partner, and conceiving the divine child Hru, and introduces Holistic Lovemaking as creation-centered intimacy rooted in Natural Living.
Gateway 9, Nefer Atum, the Sacred Lotus Initiation, culminates the journey. Queen Afua shares her own initiatory pilgrimage to Egypt, visiting temples at Karnak, Dendera, Kom Ombo, and Philae. At Karnak, she found the statue of Sekhmet still standing intact while the statue of Nefer Atum was missing and that of Ptah, a Khamitic creator figure, had its head broken off. The Gateway concludes with instructions for the Sacred Lotus Rebirthing Ceremony, in which aspirants pass through a birth canal formed by Divine Midwives, take vows at each of the nine gates, perform the Dance of the Womb, complete 1,000 Fire Breaths, and receive a new Afrakan name. The commissioning address charges each Sacred Woman to create Womb Healing Circles, mentor other women, and spread the teachings. The book closes with the Global Sacred Woman Proclamation, in which initiates declare: "We the Sacred Women of the globe declare and proclaim Planetary Healing as we sit on our seats of power and purity" (379).