s enjoying an open air hot spring or "
onsen" in
Nagano Bathing History Hot springs have been enjoyed by humans for thousands of years. Even
macaques are known to have extended their northern range into
Japan by making use of hot springs to protect themselves from cold stress. Hot spring baths (
onsen) have been in use in Japan for at least two thousand years, traditionally for cleanliness and relaxation, but increasingly for their therapeutic value. In the
Homeric Age of Greece (ca. 1000 BCE), baths were primarily for hygiene, but by the time of
Hippocrates (ca. 460 BCE), hot springs were credited with healing power. The popularity of hot springs has fluctuated over the centuries since, but they are now popular around the world. In 2023 the Global Wellness Institute, a
wellness industry study, estimated the global earnings of the 31,200 hot springs establishments to be over $62 billion USD.
Therapeutic uses Because of both the
folklore and the claimed
medical value attributed to some hot springs, they are often popular
tourist destinations, and locations for
rehabilitation clinics for those with
disabilities. However, the scientific basis for therapeutic bathing in hot springs is uncertain. Hot bath therapy for
lead poisoning was common and reportedly highly successful in the 18th and 19th centuries, and may have been due to
diuresis (increased production of urine) from sitting in hot water, which increased excretion of lead; better food and isolation from lead sources; and increased intake of calcium and iron. Significant improvement in patients with
rheumatoid arthritis and
ankylosing spondylitis have been reported in studies of spa therapy, but these studies have methodological problems, such as the obvious impracticality of
placebo-controlled studies (in which a patient does not know if they are receiving the therapy). As a result, the therapeutic effectiveness of hot spring therapy remains uncertain.
Precautions Hot springs in volcanic areas are often at or near the
boiling point. People have been seriously scalded and even killed by accidentally or intentionally entering these springs. Some hot springs microbiota are infectious to humans: •
Naegleria fowleri, an
excavate amoeba, lives in warm unsalted waters worldwide and causes a fatal
meningitis should the organisms enter the nose. •
Acanthamoeba also can spread through hot springs, according to the US
Centers for Disease Control - The organisms enter through the eyes or via an open wound. •
Legionella bacteria have been spread through hot springs. •
Neisseria gonorrhoeae was reported to have very likely been acquired from bathing in a hot spring according to one
case study, with the near-body temperature, slightly acidic,
isotonic, organic matter-containing waters thought to facilitate the survival of the pathogen.
Etiquette The customs and practices observed differ depending on the hot spring. It is common practice that bathers should wash before entering the water so as not to contaminate the water (with/without soap). and in Japan. Immersing eggs into hot springs of around produces (), which have unique
texture unlike ordinary
boiled eggs, with a soft-set yolk and custardy white. are served in hot spring resorts throughout Japan. Some people drink the water from hot springs as
folk remedies. ==Examples==