Hydrogen sulfide baths: indications andcontraindications, beneficial effect, harm and benefit

Update: October 2018 The hydrogen sulfide bath is
spa treatment based on the use of mineral
water saturated with hydrogen sulfide. It is one of the most frequent and
procedures available during the spa treatment,
rehabilitation and treatment of a number of diseases. Treatment specificity
is determined not only by the composition of the water, but also by its temperature,
exposure time and several others.

Hydrogen sulfide baths have strict indications and limitations.
therefore, it cannot be assigned to everyone who wishes: all
contraindications are absolute.

A bit of history

The benefits of water from hydrogen sulfide sources were first
marked by Peter I. Already at the beginning of the 18th century near Samara were
factories were built, workers of which bathed in the Gray Lake, and water
He has treated various skin diseases well. This lake
It was located near the fortress of Sergiyevsk, and therefore the water became
call Sergievsky.

A little later, a specific effect was observed that develops in
man on the background of the use of these baths, which was named
Matsesta reaction. The name is associated with the most popular
Russian resort Matsesta, located near Sochi.

Baths with water from natural hydrogen sulfide springs began
actively use in sanatoriums that are built in places
hydrogen sulfide deposits (natural waters containing from 10 mg / l
total hydrogen sulfide, refer to hydrogen sulfide). Apply these
воды для ванн, ингаляций, орошений и др.  Кроме того, этот
method offered by many beauty salons, and taking advantage of
concentrates, you can undergo the procedure at home.

Types of hydrogen sulfide baths

Depending on the level of hydrogen sulfide baths
classified into:

  • weak, with the amount of hydrogen sulfide from 10-50 mg / l;
  • medium, with the level of the active substance 50-100 mg / l;
  • strong, the concentration of hydrogen sulfide in which is 100-250
    mg / l;
  • very strong, with a concentration of hydrogen sulfide from 250
    mg / l.

Mechanisms of recovery and beneficial action

The benefits of hydrogen sulfide baths are realized through exposure
active substances. Hydrogen sulfide ions enter the body through
mucous membranes, skin pores, respiratory system. When hit in
the bloodstream free ions are oxidized and by exerting a certain
action, excreted naturally through the kidneys and partially through

The higher the concentration of hydrogen sulfide in water, the stronger
enters the body through the skin.  At high concentrations from
250 mg / l and higher hydrogen sulfide begins to circulate in the blood. Besides
irritant to skin receptors, hydrogen sulfide, which
is located in the blood vessels, have the same effect on

Most hydrogen sulfide undergoes oxidation to sulfates,
hyposulphite and other inorganic sulfur compounds. Small
part of the hydrogen sulfide is involved in the synthesis of organic

Hydrogen sulfide is a strong reducing agent: natural
antioxidant that can oxidize. Oxidation forms
sulfur dioxide. Its increased concentration is dangerous to humans, but
natural water contains a substance in low concentrations, therefore
baths and have a healing effect.

Also water from natural sources contains fluoride ions, iodine,
bromine, trace elements such as iron, barium, potassium, magnesium,
gold, sodium, copper, as well as gidrokabronaty.

What happens during bathing?

2-3 minutes after immersion in the bath, redness occurs
skin. Penetrating through the skin, hydrogen sulfide acts on
nerve endings localized in the walls of blood vessels. Develops
a pronounced reaction of cellular elements, namely mast cells,
emit active substances such as heparin, acetylcholine and
histamine. Under the influence of these substances, the capillaries expand and in
In such an expanded state, they can fit 1/3 of the whole
freely circulating blood in the body. Those. blood from the inside
organs as if going under the skin, saturated with active
substances and continues to circulate throughout the body. Consequence
Vascular dilations are objective sensations: a surge of heat to
skin, slight burning sensation. The second stage of this reaction is
dilation of blood vessels located in the inner

Microcirculation improves not only in the skin, but also in
the tissues located under it, in the internal organs, cartilage,
articular bags. Thus, the bath effect is associated with
reflex reactions that develop in response to irritation
sensitive nerve endings located in the skin and vessels. And with
the humoral reactions transmitted by the reflex action are also transmitted
lymph and blood, which are included in the overall response
organism on the procedure. It turns out that the response is
complex – neurohumoral and manifests itself in the organs
respiratory, cardiovascular, endocrine glands,
metabolism. A complex chain of reactions is being implemented that captures all
major body systems.

It should be understood that this coursework treatment, and maximum
the effect can be expected after going through all the procedures assigned
a doctor.

Hydrogen sulfide baths:

  • activate the activity of enzymes and hormones in the body;
  • accelerate blood circulation, thereby improving blood circulation
    organs. Minute and systolic increases during bathing.
    the volume of the heart increases the speed of blood flow, and this is especially noticeable
    in patients with slow circulation;
  • slow down blood clotting and prevent formation
    blood clots in the vessels;
  • increase cell permeability, improving quality
    tissue supply
  • normalize blood sugar in both diabetic patients and
    healthy people with sugar load;
  • activate metabolic processes. Hydrogen sulfide accelerates processes
    oxidation and increases the activity of sulfur-containing enzymes,
    contributing to the increase of myocardial energy resources. Proven
    that hydrogen sulfide affects acetylcholine and histamine
    exchanges by changing the activity of the corresponding enzymes
    (cholinesterase and histaminase) involved in
  • improve metabolism in the heart muscle, thanks to which more
    the expenditure of energy of the heart
  • increase oxygen consumption by organs and tissues;
  • increase the speed of recovery processes in damaged
    tissues, which contributes to the resolution of sluggish inflammatory
  • improve the ventilation of the lungs;
  • improve energy and metabolic processes in the joints and
    skeletal muscles that lead to pain reduction,
    inflammations; accelerates the process of cartilage recovery
  • normalize blood pressure. Procedures align work
    vasomotor centers by regulating the underlying nerve
    processes and normalization of vascular reactions. More significant
    changes in blood pressure are observed with hypertension:
    there is a phase change in vascular tone in patients with this
    pathology. When in the bath pressure in these patients
    decreases, at the exit – increases, and after 15-20 minutes decreases
    below the initial state and becomes normal or close to
    to such;
  • normalize the pulse and heart rate. At first
    minutes of the procedure, the pulse rate increases, and by the end of the procedure
    pulse slows down;
  • soothe and relax the central nervous system, cause a slight drowsiness behind
    account of the prevalence of the processes of inhibition over excitation;
  • restore the disturbed balance between parasympathetic and
    sympathetic divisions of the autonomic nervous system that
    regulate the activity of internal organs and metabolism;
  • improve the condition of the skin, which heals and
    smoothed out. Its elasticity increases, decreases or disappears.
    allergic, inflammatory phenomena;
  • stop premature aging of the body.


For the appointment of hydrogen sulfide baths there is a wide list.
indications. Be sure to take into account: the concentration of hydrogen sulfide (often
altogether, incrementally), water temperature, duration
procedures, the possibility of combining with other types of treatment,
number of baths per course and general health, especially
activity of the pathological process, which is the main
indications for treatment.

Main indications:

  • skin diseases: dermatitis, dermatosis, psoriasis, eczema,
    neurodermatitis, scleroderma, scaly zoster, ichthyosis,
  • gynecological diseases: chronic inflammatory
    processes, obstruction of the fallopian tubes, insufficiency of function
    ovaries, menstrual disorders, not associated with elevated
    synthesis of female sex hormones;
  • urological diseases: chronic prostatitis;
  • cardiovascular pathology: uncomplicated hypertension,
    circulatory disorders, heart defects (aortic and mitral
    valve) with circulatory failure no more than 1 tbsp. and at
    absence of severe stenosis, myocardiostrophy, obliterating
    endarteritis is uncomplicated, the effects of deep and thrombophlebitis
    superficial veins after 3-6 months. after the acute period;
  • diseases of bones and joints: arthritis, arthrosis, infectious
    polyarthritis in the period of remission (6-8 months after the exacerbation),
    non-infectious polyarthritis, ankylosing spondylitis, brucellosis
    polyarthritis (after 3 months. after acute events), osteochondrosis,
    slow healing of bones after fracture;
  • endocrine pathologies: diabetes;
  • neurological diseases: neuralgia, sciatica,
    post-traumatic conditions, reflex traumatic syndrome,
    vascular dystonia, the effects of polio,
    meningomyelitis, paralysis and paresis of the spinal cord;
  • conditions after suffering flu, tonsillitis;
  • Pediatrics: Cerebral Palsy, Postpartum Injury, Perinatal
    encephalopathy, cardiovascular diseases described above.

How to carry out the procedure

The procedure is carried out only in a specially equipped room.
with good ventilation and exhaust is a very important point
allowing to exclude poisoning with volatile hydrogen sulfide. Special
tiles cover the floor and walls, and metal parts (pipes,
radiators) are painted with oil varnish. Bathroom running of
faience or concrete and covered with tiles.

How to take:

  • Air temperature – 25 C. In the bath recruit 200 liters of water T 35-37
    C and add the concentrate, bringing to the desired concentration (or
    воду of природного источника с заранее ofвестной концентрацией).
    Пациент погружается в ванну and atнимает ее 6-15 минут. After bath
    отдыхает 30-40 минут в горofонтальном положении.
  • The course is 10–14 baths at intervals of 1 or 2 days.
    You can repeat the same course in 4–6 months.
  • Also used belt poluvanny, foot and multi-chamber
    baths for separate parts of the body, irrigation and inhalation. Local
    baths can hold up to 20 minutes at a water temperature of 38 degrees, daily
    or every other day.

After the procedure, a minor specific
a smell that persists for a certain period of time.

Treatment regimens

Developed clear treatment regimens that have already
ofвестное, ожидаемое воздействие на пациента.

  • Low impact (1 mode). Concentration baths
    hydrogen sulfide 25-50 mg / l, taking 6-15 minutes, every other day. Permissible
    combination with a local procedure using mineral water
    (irrigation, inhalation). They have a soft and gentle effect and do not
    cause sudden reactions. Нормалofуют нарушенную
    реактивность органofма постепенно, улучшают метаболofм и
    кровоснабжение and atводят к укреплению защитных сил.
  • Moderately intense exposure (2 mode). Concentration
    hydrogen sulfide 100-150 mg / l, exposure time 6-15 minutes, frequency –
    in 1-2 days. Have a versatile effect that can
    call sparing-coaching. Increase functional and
    приспособительные возможности органofма.
  • Intensive exposure (3 mode). Concentration hydrogen sulfide —
    250-350 mg / l, duration 3-10 minutes, after 1 day.
    The multifaceted action that causes a deep restructuring
    функций, реактивности и метаболofма в органofме, улучшают
    кровоснабжение и компенсаторные возможности органofма.

Указанные режимы – это примерная схема, которая видоofменяется
for each patient. In any treatment mode, start small.
hydrogen sulfide concentrations.

Hydrogen sulfide baths at home

Special formulations are available for baths.
home conditions. But it is very important to comply with all measures.
предосторожности and atдерживаться инструкции, чтобы исключить
poisoning with fumes of hydrogen sulfide. However, it should be understood
that baths have a lot of contraindications before taking them
should be examined and exclude pathologies, diseases and
conditions under which procedures cannot be taken.

Contraindications for hydrogen sulfide baths

There are a number of strict contraindications that can not be

  • hyperthermia;
  • exacerbation of chronic pathology and acute period of any
  • pregnancy;
  • fibroids, uterine fibroids and other gynecological diseases on
    hyperestrogenic background;
  • tuberculosis;
  • chronic diseases of the liver and biliary tract;
  • all kidney diseases;
  • thyrotoxicosis;
  • bleeding tendency;
  • blood disorders;
  • repeated myocardial infarction in history;
  • decompensated endocarditis or myocarditis;
  • angina 2 or more Art., severe stenosis,
    accompanying valve lesions, atrial fibrillation, blockade
    cardiac conduction system, terminal hypertensive stages
  • онкоdiseases;
  • bronchial asthma;
  • tendency to allergic reactions;
  • individual intolerance.

In these conditions and diseases, hydrogen sulfide baths can
принести только вред органofму: ухудшить состояние and atвести к
exacerbation and progression of pathologies.

Adverse reactions

The course of procedures leads to a significant favorable restructuring.
всего органofма, но у ряда пациентов она сопровождается проходящим
imbalance in the functioning of different systems. It is called
balneological reaction. Main manifestations:

  • deterioration of health;
  • lethargy, weakness;
  • sleep disorder;
  • local temperature rise.

There are several degrees of balneological reactions. She is
happens hidden, subclinical, subclinical with manifestations,
moderately severe, bordering on aggravation and strong, which
almost always leads to an exacerbation of chronic pathology.

A slight balneological reaction does not apply to
pathological phenomena. But if the reaction is pronounced, it threatens
exacerbation of the disease, which, in fact, is carried out
treatment, therefore, it should not be allowed. And here there is a very
fine line – and the possibility of acute inflammatory
reactions, and its transition to an acute process may be at different
patients with the same intensity of balneological procedures,
those. the benefits and harms of the treatment are actually in two bowls
weights. Therefore, it is very important to choose all the parameters of the
лечения в соответствии с реактивностью органofма больного.

The most popular resorts and resorts in Russia with natural
hydrogen sulfide sources


Самый знаменитый российский курорт, расположенный блof Сочи.
Matsesta mineral water has a record concentration
hydrogen sulfide more than 700 mg / dm. In addition, the resort’s climate is unique –
This is the only place of humid subtropics on the territory of Russia. On
relatively small area on the surface of the earth withdrawn
минеральные воды с разной концентрацией hydrogen sulfide, которые
shown for balneotherapy. Sochi is the only one in the country
установка по приготовлению среднеминералofованных высокосульфидных
лечебных грязей of местных пресноводных илов и мацестинской
solid hydrogen sulfide water. Эти грязи нашлand atменение в санаториях
resort. In addition, they are exported to other resorts of the country in

Hydrogen sulfide baths in the body of Mashuk mountain

These are the most ancient baths in Pyatigorsk, which are formed in
natural rock in places of hydrogen sulfide release
sources to the surface of the earth. Эти ванны ofдавна были источником
health for the local population. People talked about them as
�”Bestyzhih” or “Ermolovskih” baths. There are today: above them
built modern bathrooms, where they come for treatment
patients from all over the world.

Resort “Sergievsky Mineralnye Vody”

located in the Samara region, or rather, in the steppe part
Samara Trans-Volga. There are multiple sources of hydrogen sulfide
waters that have no analogues in the territory of the Russian Federation. it
маломинералofованные гидрокарбонатно-сульфатные магниево-кальциевые
воды, концентрация hydrogen sulfide в которых составляет 50-100
мг/дм3. Also the resort is rich in lake-key
medium sulphidic mud.

The resort “Ust-Kachka” is located in the Perm region

It is rich in natural iodide and hydrogen sulfide waters, which
extracted from a depth of 200-500 m. Hydrogen sulfide water
refers to 2 groups: brine with a concentration of H2S and HS 76
г/дм3 и очень крепкой (301 мг/дм3).
Used for baths, as well as irrigation for gums and scalp.
The history of the resort is interesting – hydrogen sulfide mineral waters were
accidentally discovered in 1935 during exploration work, when
of скважины «Главнефти» была добыта целебная вода. Its composition
оказался блofким по составу к источникам Мацесты, и через некоторое
time here built a health resort.

Balneo-mud resort “Usolye” is located in Irkutsk

The natural water deposit is unique in its composition,
and by education. Usolsk waters are saturated with bromine, chlorine and
sodium, iodine, silicic acid, potassium, manganese and
hydrogen sulfide. Water flowing through underground labyrinths washes
rocks and is saturated with useful minerals, salts, gases,
acquires therapeutic value, and comes to the surface in the form
springs and keys using natural pressure. Those. sources of
are natural in all characteristics.

Hydrogen sulfide baths in Abkhazia

On территории Абазии находится много природных источников
mineral waters with hydrogen sulfide, which use

  • В Кындыге расположены знаменитые термальные sources of, вода of
    which has an output T +110 C, flows down the mountain, cools to
    comfortable temperature and gets into special
    spout troughs under which you can take a peculiar
    healing shower.
  • Besletka is a river located on the edge of Sukhumi. Right here
    7 wells were drilled, from where warm waters with temperature are extracted
    from +29 to +42 and come in special baths.
  • Hydrogen sulfide source in Gagra contains about 44.2 mg / l
    hydrogen sulfide, температура воды на выходе достигает +43 С.
  • Сероводородные sources of в селе Приморском – это современный
    small complex, where, in addition to water treatment, you can also
    take treatments with healing mud.

Некоторые пациенты интересуются, можно лand atнимать
hydrosulphuric baths with specific odor intolerance
hydrogen sulfide? If this condition is not associated with allergy to
substance, then a little discomfort can be endured, for example,
using a special nose clip during the procedure.

Автор: врач-гигиенист, эпидемиолог

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