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Balneotherapy of patients with rheumatoid arthritis (RA) has been done empirically from ancient times. As a matter of fact , the pain and stiffness are significantly relieved by bathing in a hot spring . The mechanism of action, however , remains still unclear in some points. The authors have pointed out some of the mechanisms , by which RA patients were influenced from spring water bathing . 1) Vascular dilatation. Gas containing hot springs , such as CO2 spring or H2 S spring, havedoi:10.11390/onki1962.56.3 fatcat:ykpxvdmjqfhndnek5reoyt6hbe