Hiyoshi Onsen draws a sodium chloride water — the salty, heat-retaining kind — classified hypotonic and alkaline on the posted board. The alkalinity gives it the soft, faintly slippery touch associated with Japan's beauty-water family. The board lists the spring-type indications as cuts, peripheral circulation disorders, cold sensitivity, depressed mood and dry skin, on top of the standard general list. It also discloses that the outdoor rock bath is reheated to a comfortable bathing temperature and run through recirculating filtration, with a chlorine-based agent in every tub to meet Kyoto Prefecture's Legionella ordinance.
Good for
Warming
Salt forms a film on the skin that slows heat loss, so the warmth lingers long after the bath (the classic heat-keeping water, netto 熱の湯).
cold sensitivity
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
Take care
- 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
Measured at the source
On the certificate
- Chronic muscle or joint pain and stiffness (rheumatoid arthritis, osteoarthritis, lower back pain, neuralgia, frozen shoulder, bruises, sprains — chronic phase)
- Muscle stiffness associated with motor paralysis
- Peripheral circulation disorders
- Reduced gastrointestinal function (heaviness, bloating)
- Mild hypertension
- Impaired glucose tolerance (diabetes)
- Mild hypercholesterolemia
- Mild asthma or emphysema
- Hemorrhoid pain
- Stress-related symptoms (sleep disorders, depressed mood)
Evidence
- 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.
- Kario K et al. Hemodynamic Effects of Hot Spring Bathing. Hypertension Research 46(3):711–720, 2023.
- Naito Y et al. A Hot-Spring Water Improves Inflammatory Conditions in an Atopic Dermatitis Model. Biomedicines 13(11):2707, 2025.
- Li H et al. Bicarbonate Ionized Water Bathing Enhances Natural Killer Cell Activity. Scientific Reports 14:51851, 2024.
- Takeda M et al. Hot spring bathing practices have a positive effect on mental health in Japan. Heliyon 9(9):e19631, 2023.