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Kiyotsukan

Water profile

Kiyotsukan

Spring chemistry and what it does, with the research behind it.

SulfurSodium Chloride spring

Yakushi-no-Yu — the name invokes Yakushi, the medicine buddha — is a simple sulfur spring. The water runs almost colorless and clear, yet carries the faint rotten-egg note of hydrogen sulfide and a trace of sulfur on the tongue. It is alkaline enough for the slippery beauty-water feel, and metasilicic acid is high enough to leave a thin silica film that makes skin feel smoother. Mineralization is light, so the bath stays gentle rather than heavy. The certificate's spring-type indications point squarely at stubborn skin conditions: atopic dermatitis, psoriasis vulgaris, chronic eczema and pyoderma.

Good for

Skin conditions

Sulfur and acidic waters are antibacterial and keratolytic, studied for atopic dermatitis and psoriasis.

atopic skin, eczema

On the certificate:Atopic dermatitisPsoriasis vulgarisChronic eczemaPyoderma

Circulation

Skin-absorbed CO₂ and hydrogen sulfide relax the vessel walls; carbon-dioxide springs can raise peripheral blood flow several-fold.

tired legs

On the certificate:Peripheral circulation disordersHemorrhoid pain

Aches & joints

Warmth eases stiffness and raises the pain threshold. Radon and sulfate springs show the strongest evidence for joint and muscle pain.

stiff shoulders

On the certificate:Muscle stiffness associated with motor paralysis

Smooth skin

Bicarbonate and alkalinity gently lift dead keratin while silica hydrates, leaving skin smooth. This is the basis of the beautifying-water (bijin-no-yu 美人の湯) reputation.

dry, rough skin

Cuts

Mineral-rich chloride, sulfate and sulfur waters have a long-recorded soothing effect on minor cuts and slow-healing skin.

minor wounds

Recovery

Warmth and buoyancy lower stress markers and improve sleep; habitual bathing is linked to lower rates of depression.

fatigue, stress

On the certificate:Autonomic nervous system instabilityConvalescenceFatigue recoveryGeneral health improvement

Take care

Sensitive-skin caution

Strongly acidic or sulfur-rich water can sting broken, atopic-flare, or dry elderly skin. Ease in slowly and rinse off if it stings.

broken or dry skin

Contraindications
  • Active stage of any illness (especially with fever)
  • Active tuberculosis
  • Advanced malignant tumor, severe anemia or other marked physical debilitation
  • Severe heart or lung disease causing breathlessness on slight exertion
  • Severe kidney disease with edema
  • Gastrointestinal bleeding
  • Visible bleeding
  • Acute exacerbation of a chronic illness
  • People with sensitive skin or mucous membranes
  • Dry skin in the elderly

Full composition

The bar is each ion's share of charge (mval%) within its group; over 20% names the spring. Gases, silica and trace metals are measured by mass only.

Cationsshare of charge (mval%)
  • Sodium206mgP52 national
  • Calcium13.9mgP30 national
  • Potassium1.6mgP18 national
  • Lithium0.20mgP38 national
  • Ammonium0.10mgP24 national
  • Aluminum0.0000mg
  • Barium0.0000mg
  • Copper0.0000mg
  • Iron (II)0.0000mg
  • Iron (III)0.0000mg
  • Magnesium0.0000mg
  • Manganese0.0000mg
  • Strontium0.0000mg
  • Zinc0.0000mg
Anionsshare of charge (mval%)
  • Chloride303mgP65 national
  • Carbonate38.0mgP88 national
  • Hydrogen phosphate38.3mgP97 national
  • Hydrogen sulfide7.1mgP90 national
  • Fluoride2.0mgP60 national
  • Thiosulfate4.0mgP92 national
  • Sulfate3.3mgP13 national
  • Bicarbonate3.7mgP3 national
  • Bromide1.2mgP63 national
  • Hydroxide0.20mgP66 national
  • Iodide0.40mgP66 national
  • HSO40.0000mg
  • Nitrate0.0000mg
Non-dissociatedmeasured by mass
  • Metasilicic acid51.6mgP30 national
  • Metaboric acid19.8mgP74 national
  • Metaarsenious acid0.0000mg
Dissolved gasesmeasured by mass
  • Free carbon dioxide0.0000mg
  • Free hydrogen sulfide0.0000mg
Trace metalsmeasured by mass
  • ArsenicNDmg
  • CadmiumNDmg
  • ChromiumNDmg
  • MercuryNDmg
  • LeadNDmg

Measured at the source

pH
9.10
Alkaline
Source temperature
48.0°C
Hot
Tonicity
0.69g/kg
Hypotonic
Flow rate
44.2L/min
Low

On the certificate

  • Chronic muscle or joint pain and stiffness (rheumatoid arthritis, osteoarthritis, lower back pain, neuralgia, frozen shoulder, bruises, sprains — chronic phase)
  • Cold sensitivity
  • Reduced gastrointestinal function (heaviness, bloating)
  • Mild hypertension
  • Impaired glucose tolerance (diabetes)
  • Mild hypercholesterolemia
  • Mild asthma or emphysema
  • Stress-related symptoms (sleep disorders, depressed mood)

Evidence

  1. Maeda M. 温泉の医学的効果とその科学的根拠. J. Hot Spring Science 70:197–207, 2021.
  2. Tei C, Kihara T. Waon Therapy for Chronic Heart Failure. J. Cardiology 53(2):214–218, 2009.
  3. Coavoy-Sánchez SA et al. Hydrogen sulfide and dermatological diseases. Int. J. Dermatology, 2019.
  4. Naito Y et al. A Hot-Spring Water Improves Inflammatory Conditions in an Atopic Dermatitis Model. Biomedicines 13(11):2707, 2025.
  5. Akiyama H et al. Antimicrobial effects of acidic hot-spring water on S. aureus. J. Dermatological Science 24(3):193–200, 2000.
  6. Toriyama T et al. Carbon dioxide foot bathing on critical limb ischemia. International Angiology 21(4):367–373, 2002.
  7. Donaubauer AJ et al. Serial radon spa therapy on pain in musculoskeletal disorders. Frontiers in Immunology, 2024.
  8. Verhagen AP et al. Balneotherapy for rheumatoid arthritis. Cochrane Database of Systematic Reviews CD000518, 2015.
  9. Li H et al. Bicarbonate Ionized Water Bathing Enhances Natural Killer Cell Activity. Scientific Reports 14:51851, 2024.
  10. Takeda M et al. Hot spring bathing practices have a positive effect on mental health in Japan. Heliyon 9(9):e19631, 2023.
  11. Ministry of the Environment, Japan. 禁忌症及び入浴又は飲用上の注意事項 (2014 notice).official

Educational, not medical advice. If you have a health condition, consult a physician before onsen therapy.