A spa is a location where mineral-rich
spring water
A spring is a natural exit point at which groundwater emerges from an aquifer and flows across the ground surface as surface water. It is a component of the hydrosphere, as well as a part of the water cycle. Springs have long been important f ...
(sometimes
seawater
Seawater, or sea water, is water from a sea or ocean. On average, seawater in the world's oceans has a salinity of about 3.5% (35 g/L, 35 ppt, 600 mM). This means that every kilogram (roughly one liter by volume) of seawater has approximat ...
) is used to give
medicinal baths. Spa health treatments are known as
balneotherapy. The belief in the curative powers of
mineral waters and
hot springs
A hot spring, hydrothermal spring, or geothermal spring is a Spring (hydrology), spring produced by the emergence of Geothermal activity, geothermally heated groundwater onto the surface of the Earth. The groundwater is heated either by shallow ...
goes back to prehistoric times.
Spa town
A spa town is a resort town based on a mineral spa (a developed mineral spring). Patrons visit spas to "take the waters" for their purported health benefits.
Thomas Guidott set up a medical practice in the English town of Bath, Somerset, Ba ...
s,
spa resorts, and
day spas are popular worldwide, but are especially widespread in
Europe
Europe is a continent located entirely in the Northern Hemisphere and mostly in the Eastern Hemisphere. It is bordered by the Arctic Ocean to the north, the Atlantic Ocean to the west, the Mediterranean Sea to the south, and Asia to the east ...
and
Japan
Japan is an island country in East Asia. Located in the Pacific Ocean off the northeast coast of the Asia, Asian mainland, it is bordered on the west by the Sea of Japan and extends from the Sea of Okhotsk in the north to the East China Sea ...
.
Etymology
The term is derived from the town of
Spa, Belgium, whose name in
Roman times was ''Aquae Spadanae''. The term is sometimes incorrectly attributed to the
Latin
Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ...
word ''spargere'', meaning to scatter, sprinkle, or moisten.
During the
medieval
In the history of Europe, the Middle Ages or medieval period lasted approximately from the 5th to the late 15th centuries, similarly to the post-classical period of World history (field), global history. It began with the fall of the West ...
era, illnesses caused by iron deficiency were treated by drinking
chalybeate. In 1326,
ironmaster
An ironmaster is the manager, and usually owner, of a forge or blast furnace for the processing of iron. It is a term mainly associated with the period of the Industrial Revolution, especially in Great Britain.
The ironmaster was usually a larg ...
Collin le Loup discovered the treatment. The water was sourced from a spring called ''Espa'', the
Walloon word for "fountain".
[Medical Hydrology, Sidney Licht, Sidney Herman Licht, Herman L. Kamenetz, E. Licht, 196]
Google Books
/ref>
In 16th-century England, the old Roman ideas of medicinal bathing were revived in towns like Bath (named for its Roman baths). In 1596, William Slingsby, who had been to Spa, Belgium (which he called ''Spaw''), discovered a chalybeate spring in Yorkshire
Yorkshire ( ) is an area of Northern England which was History of Yorkshire, historically a county. Despite no longer being used for administration, Yorkshire retains a strong regional identity. The county was named after its county town, the ...
. He built an enclosed well at what became known as Harrogate
Harrogate ( ) is a spa town and civil parish in the North Yorkshire District, district and North Yorkshire, county of North Yorkshire, England. Historic counties of England, Historically in the West Riding of Yorkshire, the town is a tourist de ...
, the first resort in England for drinking medicinal waters. In 1596, Timothy Bright, after discovering a second well, called the resort ''The English Spaw'', beginning the use of the word ''Spa'' as a generic description.
It is commonly claimed, in a commercial context, that the word is an acronym
An acronym is a type of abbreviation consisting of a phrase whose only pronounced elements are the initial letters or initial sounds of words inside that phrase. Acronyms are often spelled with the initial Letter (alphabet), letter of each wor ...
of various Latin phrases, such as ''salus per aquam'' or ''sanitas per aquam'', meaning "health through water".[For instance, 'Leisure and Recreation Management', George Torkildsen, Routledge, 2005,]
Google Books
/ref> The derivation does not appear before the early 21st century. It is likely a backronym
A backronym is an acronym formed from an already existing word by expanding its letters into the words of a phrase. Backronyms may be invented with either serious or humorous intent, or they may be a type of false etymology or folk etymology. The ...
as it does not match the known Roman name for the location.
History
Spa therapies have existed since the classical times when taking bath with water was considered as a popular means to treat illnesses. The practice of travelling to hot or cold springs for medicinal purposes dates back to prehistoric times. Archaeological investigations near hot springs in France and Czech Republic
The Czech Republic, also known as Czechia, and historically known as Bohemia, is a landlocked country in Central Europe. The country is bordered by Austria to the south, Germany to the west, Poland to the northeast, and Slovakia to the south ...
revealed Bronze Age
The Bronze Age () was a historical period characterised principally by the use of bronze tools and the development of complex urban societies, as well as the adoption of writing in some areas. The Bronze Age is the middle principal period of ...
weapons and offerings.
Many people around the world believed that bathing in a particular spring, well, or river resulted in physical and spiritual purification. Forms of ritual purification existed among the Arabs
Arabs (, , ; , , ) are an ethnic group mainly inhabiting the Arab world in West Asia and North Africa. A significant Arab diaspora is present in various parts of the world.
Arabs have been in the Fertile Crescent for thousands of yea ...
, Persians
Persians ( ), or the Persian people (), are an Iranian ethnic group from West Asia that came from an earlier group called the Proto-Iranians, which likely split from the Indo-Iranians in 1800 BCE from either Afghanistan or Central Asia. They ...
, Ottoman Turks, Native Americans, Babylonians, Egyptians
Egyptians (, ; , ; ) are an ethnic group native to the Nile, Nile Valley in Egypt. Egyptian identity is closely tied to Geography of Egypt, geography. The population is concentrated in the Nile Valley, a small strip of cultivable land stretchi ...
, Greeks
Greeks or Hellenes (; , ) are an ethnic group and nation native to Greece, Greek Cypriots, Cyprus, Greeks in Albania, southern Albania, Greeks in Turkey#History, Anatolia, parts of Greeks in Italy, Italy and Egyptian Greeks, Egypt, and to a l ...
, and Romans. Today, ritual purification
Ritual purification is a ritual prescribed by a religion through which a person is considered to be freed of ''uncleanliness'', especially prior to the worship of a deity, and ritual purity is a state of ritual cleanliness. Ritual purification ...
through water can be found in the religious ceremonies of Muslims
Muslims () are people who adhere to Islam, a Monotheism, monotheistic religion belonging to the Abrahamic religions, Abrahamic tradition. They consider the Quran, the foundational religious text of Islam, to be the verbatim word of the God ...
, Jew
Jews (, , ), or the Jewish people, are an ethnoreligious group and nation, originating from the Israelites of ancient Israel and Judah. They also traditionally adhere to Judaism. Jewish ethnicity, religion, and community are highly inte ...
s, Christians
A Christian () is a person who follows or adheres to Christianity, a monotheistic Abrahamic religion based on the life and teachings of Jesus Christ. Christians form the largest religious community in the world. The words '' Christ'' and ''C ...
, Buddhist
Buddhism, also known as Buddhadharma and Dharmavinaya, is an Indian religion and List of philosophies, philosophical tradition based on Pre-sectarian Buddhism, teachings attributed to the Buddha, a wandering teacher who lived in the 6th or ...
s, and Hindu
Hindus (; ; also known as Sanātanīs) are people who religiously adhere to Hinduism, also known by its endonym Sanātana Dharma. Jeffery D. Long (2007), A Vision for Hinduism, IB Tauris, , pp. 35–37 Historically, the term has also be ...
s. These ceremonies reflect the ancient belief in the healing and purifying properties of water. Complex bathing rituals were also practiced in ancient Egypt, in prehistoric cities of the Indus Valley, and in Aegean civilization
Aegean civilization is a general term for the Bronze Age civilizations of Greece around the Aegean Sea. There are three distinct but communicating and interacting geographic regions covered by this term: Crete, the Cyclades and the Greek mainlan ...
s. Typically, people did little construction around the water, and what was constructed was temporary.
Bathing in Greek and Roman times
Some of the earliest descriptions of western bathing practices came from Greece. The Greeks began bathing regimens that formed the foundation for modern spa procedures. Aegean people utilized small bathtubs, wash basins, and foot baths for personal cleanliness. The earliest such findings are the baths in the palace complex at Knossos
Knossos (; , ; Linear B: ''Ko-no-so'') is a Bronze Age archaeological site in Crete. The site was a major centre of the Minoan civilization and is known for its association with the Greek myth of Theseus and the minotaur. It is located on th ...
, Crete
Crete ( ; , Modern Greek, Modern: , Ancient Greek, Ancient: ) is the largest and most populous of the Greek islands, the List of islands by area, 88th largest island in the world and the List of islands in the Mediterranean#By area, fifth la ...
, and the alabaster bathtubs excavated in Akrotiri, Santorini; both date from the mid-2nd millennium BC. They established public baths and showers within their gymnasium complexes for relaxation and personal hygiene. Greek mythology
Greek mythology is the body of myths originally told by the Ancient Greece, ancient Greeks, and a genre of ancient Greek folklore, today absorbed alongside Roman mythology into the broader designation of classical mythology. These stories conc ...
specified that certain natural springs or tidal pools were blessed by the gods to cure disease. Around these sacred pools, Greeks established bathing facilities for those desiring healing. Supplicants left offerings to the gods for healing at these sites and bathed themselves in hopes of a cure. The Sparta
Sparta was a prominent city-state in Laconia in ancient Greece. In antiquity, the city-state was known as Lacedaemon (), while the name Sparta referred to its main settlement in the Evrotas Valley, valley of Evrotas (river), Evrotas rive ...
ns developed a primitive vapor bath. At Serangeum, an early Greek ''balneum'' (bathhouse, loosely translated), bathing chambers were cut into the hillside from which the hot springs issued. A series of niches cut into the rock above the chambers held bathers' clothing. One of the bathing chambers had a decorative mosaic floor depicting a driver and chariot pulled by four horses, a woman followed by two dogs, and a dolphin below. Thus, the early Greeks used the natural features, but expanded them and added their own amenities, such as decorations and shelves. During later Greek civilization, bathhouses were often built in conjunction with athletic fields.
The Romans emulated many of the Greek bathing practices. Romans surpassed the Greeks in the size and complexity of their baths, due to the larger size and population of Roman cities, the availability of running water following the building of aqueducts, and the invention of cement, which made building large edifices easier, safer, and cheaper. As in Greece, the Roman bath became a focal center for social and recreational activity. As the Roman Empire
The Roman Empire ruled the Mediterranean and much of Europe, Western Asia and North Africa. The Roman people, Romans conquered most of this during the Roman Republic, Republic, and it was ruled by emperors following Octavian's assumption of ...
expanded, the concept of the public bath spread to all parts of the Mediterranean and into regions of Europe and North Africa. With the construction of the aqueducts, the Romans had enough water not only for domestic, agricultural, and industrial uses, but also for leisurely pursuits. The aqueducts provided water that was later heated for use in the baths. Today, the extent of the Roman bath is found at ruins and in archaeological excavations in Europe, Africa, and the Middle East.
The Romans also developed baths in their colonies, taking advantage of the natural hot springs occurring in Europe to construct baths at Aix and Vichy in France, Bath and Buxton in England, Aachen
Aachen is the List of cities in North Rhine-Westphalia by population, 13th-largest city in North Rhine-Westphalia and the List of cities in Germany by population, 27th-largest city of Germany, with around 261,000 inhabitants.
Aachen is locat ...
and Wiesbaden
Wiesbaden (; ) is the capital of the German state of Hesse, and the second-largest Hessian city after Frankfurt am Main. With around 283,000 inhabitants, it is List of cities in Germany by population, Germany's 24th-largest city. Wiesbaden form ...
in Germany, Baden, Austria, and Aquincum in Hungary, among other locations. These baths became centers for recreational and social activities in Roman communities. Libraries, lecture halls, gymnasiums, and formal gardens became part of some bath complexes. In addition, the Romans used the hot thermal waters to relieve their suffering from rheumatism, arthritis, and overindulgence in food and drink. The decline of the Roman Empire in the west, beginning in AD 337 after the death of Emperor Constantine, resulted in Roman legions abandoning their outlying provinces and leaving the baths to be taken over by the local population or destroyed.
The Roman bathing ritual included undressing, bathing, sweating, receiving a massage, and resting. Each procedure required separated, purpose-built rooms. The segregation of the sexes and the additions of diversions not directly related to bathing also had direct impacts on the shape and form of bathhouses. The elaborate Roman bathing ritual and its resultant architecture served as precedents for later European and American bathing facilities. Formal garden spaces and opulent architectural arrangement equal to those of the Romans reappeared in Europe by the end of the 18th century. Major American spas followed suit a century later.
Bathing in medieval times
With the decline of the Roman Empire, the public baths often became places of licentious behavior, and such use was responsible for the spread rather than the cure of diseases. A general belief developed among the European populace was that frequent bathing promoted disease and sickness. Medieval church authorities encouraged this belief and made every effort to close down public baths. Ecclesiastical officials believed that public bathing created an environment open to immorality and disease. Roman Catholic Church
The Catholic Church (), also known as the Roman Catholic Church, is the List of Christian denominations by number of members, largest Christian church, with 1.27 to 1.41 billion baptized Catholics Catholic Church by country, worldwid ...
officials even banned public bathing in an unsuccessful effort to halt syphilis
Syphilis () is a sexually transmitted infection caused by the bacterium ''Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms depend on the stage it presents: primary, secondary, latent syphilis, latent or tertiary. The prim ...
epidemics from sweeping Europe. Overall, this period represented a time of decline for public bathing.
People continued to seek out a few select hot and cold springs, believed to be holy wells, to cure various ailments. In an age of religious fervor, the benefits of the water were attributed to God or one of the saints. In 1326, Collin le Loup, an ironmaster from Liège
Liège ( ; ; ; ; ) is a City status in Belgium, city and Municipalities in Belgium, municipality of Wallonia, and the capital of the Liège Province, province of Liège, Belgium. The city is situated in the valley of the Meuse, in the east o ...
, Belgium
Belgium, officially the Kingdom of Belgium, is a country in Northwestern Europe. Situated in a coastal lowland region known as the Low Countries, it is bordered by the Netherlands to the north, Germany to the east, Luxembourg to the southeas ...
, discovered the chalybeate springs of Spa, Belgium. Around these springs, a famous health resort eventually grew and the term "spa" came to refer to any health resort located near natural springs. During this period, individual springs became associated with the specific ailment that they could allegedly benefit.
Great bathhouses were built in Byzantine centers such as Constantinople
Constantinople (#Names of Constantinople, see other names) was a historical city located on the Bosporus that served as the capital of the Roman Empire, Roman, Byzantine Empire, Byzantine, Latin Empire, Latin, and Ottoman Empire, Ottoman empire ...
and Antioch
Antioch on the Orontes (; , ) "Antioch on Daphne"; or "Antioch the Great"; ; ; ; ; ; ; . was a Hellenistic Greek city founded by Seleucus I Nicator in 300 BC. One of the most important Greek cities of the Hellenistic period, it served as ...
, and the popes allocated to the Romans bathing through '' diaconia'', or private Lateran baths, or even a myriad of monastic bath houses functioning in the eighth and ninth centuries. The Popes maintained baths in their residences, and bath houses known as " charity baths" as they served both the clerics and the poor incorporated into Christian Church buildings or those of monasteries. The Church also built public bathing
Public baths originated when most people in population centers did not have access to private bathing facilities. Though termed "public", they have often been restricted according to gender, religious affiliation, personal membership, and other cr ...
facilities that were separate for both sexes near monasteries and pilgrimage sites. Popes situated baths within church basilicas and monasteries since the early Middle Ages. Catholic religious orders of the Augustinians
Augustinians are members of several religious orders that follow the Rule of Saint Augustine, written about 400 A.D. by Augustine of Hippo. There are two distinct types of Augustinians in Catholic religious orders dating back to the 12th–13 ...
' and Benedictines
The Benedictines, officially the Order of Saint Benedict (, abbreviated as O.S.B. or OSB), are a mainly Christian mysticism, contemplative Christian monasticism, monastic Religious order (Catholic), order of the Catholic Church for men and f ...
' rules contained ritual purification
Ritual purification is a ritual prescribed by a religion through which a person is considered to be freed of ''uncleanliness'', especially prior to the worship of a deity, and ritual purity is a state of ritual cleanliness. Ritual purification ...
. Benedictine
The Benedictines, officially the Order of Saint Benedict (, abbreviated as O.S.B. or OSB), are a mainly contemplative monastic order of the Catholic Church for men and for women who follow the Rule of Saint Benedict. Initiated in 529, th ...
monks played a role in the development and promotion of the spa, inspired by Benedict of Nursia
Benedict of Nursia (; ; 2 March 480 – 21 March 547), often known as Saint Benedict, was a Great Church, Christian monk. He is famed in the Catholic Church, the Eastern Orthodox Church, the Lutheran Churches, the Anglican Communion, and Old ...
's encouragement for the practice of therapeutic bathing. Protestantism
Protestantism is a branch of Christianity that emphasizes Justification (theology), justification of sinners Sola fide, through faith alone, the teaching that Salvation in Christianity, salvation comes by unmerited Grace in Christianity, divin ...
also played a prominent role in the development of the British spas. Public bathing
Public baths originated when most people in population centers did not have access to private bathing facilities. Though termed "public", they have often been restricted according to gender, religious affiliation, personal membership, and other cr ...
and spas were common in medieval Christendom in larger towns and cities such as Paris
Paris () is the Capital city, capital and List of communes in France with over 20,000 inhabitants, largest city of France. With an estimated population of 2,048,472 residents in January 2025 in an area of more than , Paris is the List of ci ...
, Regensburg
Regensburg (historically known in English as Ratisbon) is a city in eastern Bavaria, at the confluence of the rivers Danube, Naab and Regen (river), Regen, Danube's northernmost point. It is the capital of the Upper Palatinate subregion of the ...
, and Naples
Naples ( ; ; ) is the Regions of Italy, regional capital of Campania and the third-largest city of Italy, after Rome and Milan, with a population of 908,082 within the city's administrative limits as of 2025, while its Metropolitan City of N ...
.
Bathing procedures during this period varied greatly. In the 16th century, physicians at Karlsbad, Bohemia, prescribed mineral water to be taken internally as well as externally. Patients periodically bathed in warm water for up to 10 or 11 hours while drinking glasses of mineral water. The first bath session occurred in the morning, and the second in the afternoon. This treatment lasted several days until skin pustules formed and broke resulting in the draining of "poisons" considered to be the source of the disease. This was followed by a series of shorter, hotter baths to wash the infection away and close the eruptions.
In the English coastal town of Scarborough in 1626, Elizabeth Farrow discovered a stream of acidic water running from one of the cliffs to the south of the town. This was deemed to have beneficial health properties and gave birth to Scarborough Spa. Dr Wittie's book about the spa waters, published in 1660, attracted a flood of visitors to the town. Sea bathing was added to the cure, and Scarborough became Britain's first seaside resort. The first rolling bathing machines for bathers are recorded on the sands in 1735.
Bathing in the 18th century
In the 17th century, most upper-class Europeans washed their clothes with water and washed only their faces with linen, feeling that bathing the entire body was a lower-class activity. The upper-class slowly began changing their attitudes toward bathing as a way to restore health later that century. The wealthy flocked to health resorts to drink and bathe in the waters. In 1702, Anne, Queen of Great Britain
Anne (6 February 1665 – 1 August 1714) was List of English monarchs, Queen of England, List of Scottish monarchs, Scotland, and List of Irish monarchs, Ireland from 8 March 1702, and List of British monarchs, Queen of Great Britain and Irel ...
, travelled to Bath. A short time later, Beau Nash came to Bath, and along with financier Ralph Allen and architect John Wood, transformed Bath from a country spa into the social capital of England. Bath set the tone for other spas in Europe to follow. The upper class arrived there on a seasonal basis to bathe in and drink the water, and as a show of status. Social activities at Bath included dances, concerts, playing cards, lectures, and promenading down the street.
A typical day at Bath consisted of an early morning communal bath followed by a private breakfast party. Afterwards, one either drank water at the Pump Room (a building constructed over the thermal water source) or attended a fashion show. Physicians encouraged health resort patrons to both bathe in and drink the waters. The next several hours of the day could be spent in shopping, visiting the lending library, attending concerts, or stopping at one of the coffeehouses. At 4:00 pm, the wealthy dressed up in their finery and promenaded down the streets. Next came dinner, more promenading, and an evening of dancing or gambling.
Similar activities occurred in health resorts throughout Europe. The spas became stages on which Europeans paraded with great pageantry. These resorts became infamous as places full of gossip and scandals. The various social and economic classes selected specific seasons during the year's course, staying from one to several months, to vacation at each resort. One season aristocrats occupied the resorts; at other times, prosperous farmers or retired military men took the baths. The wealthy and the criminals that preyed on them moved from one spa to the next as the fashionable season for that resort changed.
During the 18th century, a revival in the medical uses of spring water was promoted by Enlightened physicians across Europe. This revival changed the way of taking a spa treatment. For example, in Karlsbad the accepted method of drinking the mineral water required sending large barrels to individual boardinghouses where the patients drank physician-prescribed dosages in the solitude of their rooms. David Beecher in 1777 recommended that the patients come to the fountainhead for the water and that each patient should first do some prescribed exercises. This innovation increased the medicinal benefits obtained and gradually physical activity became part of the European bathing regimen. In 1797, in England, James Currie published ''The Effects of Water, Cold and Warm, as a Remedy in Fever and other Diseases''.This book, along with numerous local pamphlets on composition of spa water, stimulated additional interest in water cures and advocated the external and internal use of water as part of the curing process.
Bathing in the 19th and 20th centuries
In the 19th century, bathing became a more accepted practice as physicians realized some of the benefits that cleanliness could provide. A cholera
Cholera () is an infection of the small intestine by some Strain (biology), strains of the Bacteria, bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea last ...
epidemic in Liverpool, England
Liverpool is a port city and metropolitan borough in Merseyside, England. It is situated on the eastern side of the Mersey Estuary, near the Irish Sea, north-west of London. With a population of (in ), Liverpool is the administrative, c ...
in 1842 resulted in a sanitation renaissance, facilitated by the overlapping hydropathy and sanitation movements, and the implementation of a series of statutes known collectively as "The Baths and Wash-houses Acts 1846 to 1896".[
][ Full text at Internet Archive (archive.org)][.] The result was increased facilities for bathing and washed clothes, and more people participating in these activities.
In most instances, the formal architectural development of European spas took place in the 18th and 19th centuries. The architecture of Bath, England, developed along Georgian and Neoclassical lines, generally following Palladian structures. The most important architectural form that emerged was the "crescent" — a semi-elliptical street plan used in many areas of England. The spa architecture of Carlsbad, Marienbad, Franzensbad, and Baden-Baden
Baden-Baden () is a spa town in the states of Germany, state of Baden-Württemberg, south-western Germany, at the north-western border of the Black Forest mountain range on the small river Oos (river), Oos, ten kilometres (six miles) east of the ...
was primarily Neoclassical, but the literature seems to indicate that large bathhouses were not constructed until well into the 19th century. The emphasis on drinking the waters rather than bathing in them led to the development of separate structures known as '' Trinkhallen'' (drinking halls) where those taking the cure spent hours drinking water from the springs.
In Southeastern Europe, development of spa resorts took place mostly in the second half of the 19th century, such as the Slatina Spa in the Republic of Srpska, BiH, where the thermal and healing springs were discovered in the Roman times. Development of the spa resort in Slatina began in the 1870s, when the first modern spa facilities were built.
By the mid-19th century, visitors to the European spas began to emphasise bathing in addition to drinking the waters. Besides fountains, pavilions, and Trinkhallen, bathhouses on the scale of the Roman baths were revived. Photographs of a 19th-century spa complex taken in the 1930s, detailing the earlier architecture, show heavy use of mosaic floors, marble walls, classical statuary, arched openings, domed ceilings, segmental arches, triangular pediments, Corinthian columns, and all the other trappings of a Neoclassical revival. The buildings were usually separated by function — with the ''Trinkhalle'', the bathhouse, the inhalatorium (for inhaling the vapors), and the ''Kurhaus'' or ''Conversationhaus'' as the center of social activity. Baden-Baden featured golf courses and tennis courts, "superb roads to motor over, and drives along quaint lanes where wild deer are as common as cows to us, and almost as unafraid".
The European spa started with structures to house the drinking function, such as simple fountains, pavilions, and elaborate Trinkhallen. Enormous bathhouses came later in the 19th century as a renewed preference for an elaborate bathing ritual to cure ills and improve health became popular. European architects looked back to Roman civilizations and emulated their architecture. Europeans copied the same formality, symmetry, division of rooms by function, and opulent interior design in their bathhouses. They emulated the fountains and formal garden spaces in their resorts, and added new diversions. Tour books of the time mentioned the roomy, woodsy offerings in the vicinity and the faster-paced evening diversions.
By the beginning of the 19th century, the European bathing regimen consisted of numerous accumulated traditions. The bathing routine included soaking in hot water, drinking the water, steaming in a vapor room, and relaxing in a cooling room. In addition, doctors ordered that patients be douched with hot or cold water and given curative diets. Authors began writing guidebooks to the health resorts of Europe explaining the medical benefits and social amenities, inspiring rich Europeans and Americans to travel to these resorts.
Each European spa began offering similar cures while maintaining a certain amount of individuality. The 19th-century bathing regimen at Karlsbad consisted of visitors arising at 6 am to drink the water and be serenaded by a band. Next came a light breakfast, bath, and lunch. The doctors at Karlsbad usually limited patients to certain foods for each meal. In the afternoon, visitors went sight-seeing or attended concerts. Nightly theatrical performances followed the evening meal. This ended around 9 pm with the patients returning to their boardinghouses to sleep until 6 the next morning. This regimen continued for as long as a month and then the patients returned home until the next year. Other 19th-century European spa regimens followed similar schedules.
At the beginning of the 20th century, European spas combined a strict diet and exercise regimen with a complex bathing procedure. Patients at Baden-Baden
Baden-Baden () is a spa town in the states of Germany, state of Baden-Württemberg, south-western Germany, at the north-western border of the Black Forest mountain range on the small river Oos (river), Oos, ten kilometres (six miles) east of the ...
, which specialized in treating rheumatoid arthritis
Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...
, were directed to see a doctor before taking the baths. Bathers then proceeded to the main bathhouse where they paid for their baths and stored their valuables before being assigned a booth for undressing. The bathhouse supplied bathers with towels, sheets, and slippers.
The Baden-Baden bathing procedure began with a warm shower. The bathers next entered a room of circulating, hot air for 20 minutes, spent another ten minutes in a room with temperature, partook of a vapor bath, then showered and received a soap massage. After the massage, the bathers swam in a pool heated approximately to body temperature. After the swim, the bathers rested for 15 to 20 minutes in the warm "Sprudel" room pool. This shallow pool's bottom contained an layer of sand through which naturally carbonated water bubbled up. This was followed by a series of gradually cooler showers and pools. After that, the attendants rubbed down the bathers with warm towels and then wrapped them in sheets and covered them with blankets to rest for 20 minutes. The rest of the treatment consisted of a prescribed diet, exercise, and water-drinking program.
European spas provided various other diversions for guests after the bath, including gambling, horse racing, fishing, hunting, tennis, skating, dancing, golf, sight-seeing, theatrical performances, and horseback riding. Some European governments recognized the medical benefits of spa therapy and paid a portion of the patient's expenses. A number of these spas catered to those suffering from obesity and overindulgence in addition to various other medical complaints. In recent years, people still travel to natural hot springs for relaxation and health.
In Germany, the tradition survives to the present day. 'Taking a cure' (''Kur'') at a spa is generally largely covered by both public and private health care insurance. Usually, a doctor prescribes a stay of three weeks at a mineral spring or other natural setting where a patient's condition will be treated with healing spring waters and natural therapies. While insurance companies used to cover meals and accommodation, many now only pay for treatments and expect the patient to pay for transportation, accommodation, and meals. Most Germans are eligible for a ''Kur'' every two to six years, depending on the severity of their condition. Germans get paid their regular salary during this time away from their job, which is not taken out of their vacation days.
Bathing in colonial America
Some European colonists brought with them knowledge of the hot water therapy for medicinal purposes, and others learned the benefits of hot springs from Native Americans. Europeans stole the land on which many of the hot and cold springs were situated from various tribes, and altered them to suit European tastes. By the 1760s, British colonists were traveling to hot and cold springs in Connecticut, Pennsylvania, New York, and Virginia in search of water cures. Among the more frequently visited of these springs were Bath, Yellow
Yellow is the color between green and orange on the spectrum of light. It is evoked by light with a dominant wavelength of roughly 575585 nm. It is a primary color in subtractive color systems, used in painting or color printing. In t ...
, and Bristol Springs in Pennsylvania; and Warm Springs, Hot Springs
A hot spring, hydrothermal spring, or geothermal spring is a Spring (hydrology), spring produced by the emergence of Geothermal activity, geothermally heated groundwater onto the surface of the Earth. The groundwater is heated either by shallow ...
, and White Sulphur Springs in West Virginia. In the 1790s, New York spas were beginning to be frequented, most notably Ballston Spa. Nearby Saratoga Springs and Kinderhook were yet to be discovered.
Colonial doctors gradually began to recommend hot springs for ailments. Benjamin Rush, American patriot and physician, praised the springs of Bristol, Pennsylvania, in 1773. Samuel Tenney in 1783 and Valentine Seaman in 1792 examined the water of Ballston Spa in New York and wrote of possible medicinal uses of the springs. Hotels were constructed to accommodate visitors to the various springs. Entrepreneurs operated establishments where the travellers could lodge, eat, and drink.
Bathing in 19th- and 20th-century America
After the American Revolution
The American Revolution (1765–1783) was a colonial rebellion and war of independence in which the Thirteen Colonies broke from British America, British rule to form the United States of America. The revolution culminated in the American ...
, the spa industry continued to gain popularity. The first truly popular spa was Saratoga Springs, which, by 1815, had two large, four-story, Greek revival hotels. It grew rapidly, and by 1821 it had at least five hundred rooms for accommodation. Its relative proximity to New York City and access to the country's most developed steamboat lines meant that by the mid-1820s the spa became the country's most popular tourist destination, serving both the country's elite and the middle classes. Although spa activity had been central to Saratoga in the 1810s, by the 1820s the resort had hotels with great ballrooms, opera houses, stores, and clubhouses.
The Union Hotel, first built in 1803, had its own esplanade, and by the 1820s had its own fountain and formal landscaping, but with only two small bathhouses. As the resort developed as a tourist destination, mineral bathhouses became auxiliary structures and not the central features of the resort, although the drinking of mineral water continued to be common. Although the purpose of the Saratoga and other New York spas were to provide access to mineral waters, their main attraction was a complex social life and cultural cachet. However, the wider audience the resort garnered by the late 1820s began to waver, and in the mid-1830s, as a bid to revive itself, it turned to horse racing.
By the mid-1850s hot and cold spring resorts existed in 20 states. Many of these resorts contained similar architectural features. Most health resorts had a large, two-story central building near or at the springs, with smaller structures surrounding it. The main building provided the guests with facilities for dining, dancing on the first floor, and sleeping rooms on the second. The outlying structures were individual guest cabins, and other auxiliary buildings formed a semicircle or U-shape around the large building.
These resorts offered swimming, fishing, hunting, and horseback riding as well as facilities for bathing. The Virginia resorts, particularly White Sulphur Springs, proved popular before and after the Civil War. After the Civil War, spa vacations became very popular as returning soldiers bathed to heal wounds and the American economy allowed more leisure time. Saratoga Springs in New York became one of the main centers for this type of activity. Bathing in and drinking the warm, carbonated spring water only served as a prelude to the more interesting social activities of gambling, promenading, horse racing, and dancing.
During the last half of the 19th century, western entrepreneurs developed natural hot and cold springs into resorts — from the Mississippi River
The Mississippi River is the main stem, primary river of the largest drainage basin in the United States. It is the second-longest river in the United States, behind only the Missouri River, Missouri. From its traditional source of Lake Ita ...
to the West Coast. Many of these spas offered individual tub baths, vapor baths, douche sprays, needle showers, and pool bathing to their guests. The various railroads that spanned the country promoted these resorts to encourage train travel. Hot Springs, Arkansas
Hot Springs is a resort city in the state of Arkansas and the county seat of Garland County, Arkansas, Garland County. The city is located in the Ouachita Mountains among the U.S. Interior Highlands, and is set among several natural hot springs ...
, became a major resort for people from the large metropolitan areas of St. Louis and Chicago
Chicago is the List of municipalities in Illinois, most populous city in the U.S. state of Illinois and in the Midwestern United States. With a population of 2,746,388, as of the 2020 United States census, 2020 census, it is the List of Unite ...
.
The popularity of the spas continued into the 20th century. Some medical critics, however, posited that the thermal waters in such renowned resorts as Hot Springs, Virginia, and Saratoga Springs, New York, were no more beneficial to health than ordinary heated water. In response, various spa owners claimed to develop better hydrotherapy for their patients. At the Saratoga spa, treatments for heart and circulatory disorders, rheumatic conditions, nervous disorders, metabolic diseases, and skin diseases were developed. In 1910, the New York state government began purchasing the principal springs to protect them from exploitation.
When Franklin Delano Roosevelt
Franklin Delano Roosevelt (January 30, 1882April 12, 1945), also known as FDR, was the 32nd president of the United States, serving from 1933 until his death in 1945. He is the longest-serving U.S. president, and the only one to have served ...
was governor of New York, he pushed for a European type of spa development at Saratoga. The architects for the new complex spent two years studying the technical aspects of bathing in Europe. Completed in 1933, the development had three bathhouses — Lincoln, Washington, and Roosevelt — a drinking hall, the Hall of Springs, and a building housing the Simon Baruch Research Institute. Four additional buildings composed the recreation area and housed arcades and a swimming pool decorated with blue faience terra-cotta tile. Saratoga Spa State Park's Neoclassical buildings were laid out in a grand manner, with formal perpendicular axes, solid brick construction, and stone and concrete Roman-revival detailing.
The spa was surrounded by a natural park that had of bridle paths, "with measured walks at scientifically calculated gradients through its groves and vales, with spouting springs adding unexpected touches to its vistas, with the tumbling waters of Geyser Brook flowing beneath bridges of the fine roads. Full advantage has been taken of the natural beauty of the park, but no formal landscaping". Promotional literature advertised the attractions directly outside the spa: shopping, horse races, and historic sites associated with revolutionary war history. New York Governor Herbert Lehman opened the new facilities to the public in July 1935.
Other leading spas in the U.S. during this period were French Lick, Indiana; Hot Springs and White Sulphur Springs, West Virginia; Hot Springs, Arkansas; and Warm Springs, Georgia. French Lick specialized in treating obesity and constipation through a combination of bathing and drinking the water and exercising. Hot Springs, Virginia, specialized in digestive ailments and heart diseases, and White Sulphur Springs, Virginia, treated these ailments and skin diseases. Both resorts offered baths where the water would wash continuously over the patients as they lay in a shallow pool. Warm Springs, Georgia, gained a reputation for reportedly treating infantile paralysis by a procedure of baths and exercise. President Franklin D. Roosevelt, who earlier supported Saratoga, became a frequent visitor and promoter of this spa.
Recent trends
By the late 1930s more than 2,000 hot- or cold-springs health resorts were operating in the United States. This number had diminished greatly by the 1950s and continued to decline in the following two decades. In the recent past, spas in the U.S. emphasized dietary, exercise, or recreational programs more than traditional bathing activities.
Up until recently, the public bathing industry in the U.S. remained stagnant. Nevertheless, in Europe, therapeutic baths have always been very popular, and remain so today. The same is true in Japan
Japan is an island country in East Asia. Located in the Pacific Ocean off the northeast coast of the Asia, Asian mainland, it is bordered on the west by the Sea of Japan and extends from the Sea of Okhotsk in the north to the East China Sea ...
, where the traditional hot springs baths, known as '' onsen'', attract visitors.
Due to an increase in the popularity of the "wellness industry", such treatments are again becoming popular.
Regulation of the industry
The International Spa and Body Wrap Association (ISBWA) is an international association for spas and body wrap centers around the world.[ International Spa and Body Wrap Association] The main concern of the ISBWA is the regulation
Regulation is the management of complex systems according to a set of rules and trends. In systems theory, these types of rules exist in various fields of biology and society, but the term has slightly different meanings according to context. Fo ...
of the industry and the welfare of the consumer
A consumer is a person or a group who intends to order, or use purchased goods, products, or services primarily for personal, social, family, household and similar needs, who is not directly related to entrepreneurial or business activities. ...
s. Member organisations are to adhere to the ISBWA code of ethics.
The Uniform Swimming Pool, Spa and Hot Tub Code (USPSHTC) is a model code developed by the International Association of Plumbing and Mechanical Officials ( IAPMO) to govern the installation and inspection of plumbing systems associated with swimming pools, spas and hot tubs as a means of promoting the public's health, safety and welfare.
Gallery
File:Flamingo Spa Vesipuisto.jpg, Flamingo Spa, a part of the Flamingo Entertainment Centre in Vantaa, Finland
Finland, officially the Republic of Finland, is a Nordic country in Northern Europe. It borders Sweden to the northwest, Norway to the north, and Russia to the east, with the Gulf of Bothnia to the west and the Gulf of Finland to the south, ...
File:VarshetsRenovatedSpaCenter.jpg, Spa center in Varshets, Bulgaria
Bulgaria, officially the Republic of Bulgaria, is a country in Southeast Europe. It is situated on the eastern portion of the Balkans directly south of the Danube river and west of the Black Sea. Bulgaria is bordered by Greece and Turkey t ...
File:Colorful, mirror Fortepan 716.jpg, Spa in Hungary, 1939
File:Ognyanovo-Delta-Hotel-Mineral-water-swimming--pools.jpg, Mineral water swimming pool
A swimming pool, swimming bath, wading pool, paddling pool, or simply pool, is a structure designed to hold water to enable Human swimming, swimming and associated activities. Pools can be built into the ground (in-ground pools) or built abo ...
s in Blagoevgrad district, Bulgaria
Bulgaria, officially the Republic of Bulgaria, is a country in Southeast Europe. It is situated on the eastern portion of the Balkans directly south of the Danube river and west of the Black Sea. Bulgaria is bordered by Greece and Turkey t ...
File:BalnearioAlange.jpg, Balneo area in Alange
File:Spa JPG05.jpg, The casino
A casino is a facility for gambling. Casinos are often built near or combined with hotels, resorts, restaurants, retail shops, cruise ships, and other tourist attractions. Some casinos also host live entertainment, such as stand-up comedy, conce ...
garden in Spa, Belgium
Belgium, officially the Kingdom of Belgium, is a country in Northwestern Europe. Situated in a coastal lowland region known as the Low Countries, it is bordered by the Netherlands to the north, Germany to the east, Luxembourg to the southeas ...
File:Beltéri gyógymedence Hagymatikum.JPG, Medicinal water bath in Makó, Hungary
File:COLLECTIE TROPENMUSEUM Zwemmen in de vijver bj de waterval TMnr 60050142.jpg, Bathing in Bogor, West Java
West Java (, ) is an Indonesian Provinces of Indonesia, province on the western part of the island of Java, with its provincial capital in Bandung. West Java is bordered by the province of Banten and the country's capital region of Jakarta to t ...
File:Mt. Taisetsu KOGEN hot spring 2(Open-air bath).JPG, Japanese Onsen, in Hokkaido
is the list of islands of Japan by area, second-largest island of Japan and comprises the largest and northernmost prefectures of Japan, prefecture, making up its own list of regions of Japan, region. The Tsugaru Strait separates Hokkaidō fr ...
File:Brooklyn Museum - Bathers - Louis Michel Eilshemius - overall.jpg, ''Bathers'', Louis Michel Eilshemius, (Brooklyn Museum
The Brooklyn Museum is an art museum in the New York City borough (New York City), borough of Brooklyn. At , the museum is New York City's second largest and contains an art collection with around 500,000 objects. Located near the Prospect Heig ...
)
File:Palatinus Strandfürdő. Fortepan 78086.jpg, Spa in Hungary, 1939
File:Budapest, Gellért fürdő, hullámfürdő-medence, 4.jpg, Gellért baths in Budapest, Hungary
File:Couples Bath Spa.jpg, alt=Couples Spa Bath, Couple relaxing in Jacuzzi spa
File:Spa-center-in-Andorra.jpg, Modern Spa Center in Andorra la Vella
Andorra la Vella is the capital and largest city of Andorra. It is located high in the east Pyrenees, between France and Spain. It is also the name of the parishes of Andorra, Andorran parish that surrounds the capital.
, the city had a populati ...
, Andorra
Andorra, officially the Principality of Andorra, is a Sovereignty, sovereign landlocked country on the Iberian Peninsula, in the eastern Pyrenees in Southwestern Europe, Andorra–France border, bordered by France to the north and Spain to A ...
See also
* Bathing#History
* Ganban'yoku
* Jjimjilbang
''Jjimjilbang'' (; , ) are bathhouses in South Korea which gained popularity in the 1990s.
They are separated by gender and typically have hot tubs, showers, hanjeungmak, Korean traditional kiln saunas, and massage tables. ''Jjimjil'' is derive ...
* List of spa towns
* Onsen
* Peloids
* Sauna
* Spa, Belgium, a municipality of Belgium
* Water cure (therapy)
Notes
Bibliography
* Nathaniel Altman, ''Healing springs: the ultimate guide to taking the waters : from hidden springs to the world's greatest spas.'' Inner Traditions / Bear & Company, 2000. .
* Dian Dincin Buchman, ''The complete book of water healing.'' 2nd ed., McGraw-Hill Professional, 2001. .
* Jane Crebbin-Bailey, John W. Harcup, John Harrington, ''The Spa Book: The Official Guide to Spa Therapy.'' Publisher: Cengage Learning EMEA, 2005. .
* Esti Dvorjetski, ''Leisure, pleasure, and healing: spa culture and medicine in ancient eastern Mediterranean.'', Brill, 2007 (illustrated). .
* Carola Koenig, ''Specialized Hydro-, Balneo-and Medicinal Bath Therapy.'' Publisher: iUniverse, 2005. .
* Anne Williams, ''Spa bodywork: a guide for massage therapists.'' Lippincott Williams & Wilkins, 2006. .
* Richard Gassan, ''The Birth of American Tourism: New York, the Hudson Valley, and American Culture, 1790-1830.'' University of Massachusetts Press, 2008. .
* Thomas Chambers, ''Drinking the Waters: Creating an American Leisure Class at Nineteenth-Century Mineral Springs.'' Smithsonian Institution Press, 2002 (out of print).
* Charlene Boyer Lewis, ''Ladies and Gentlemen on Display: Planter Society at the Virginia Springs, 1790-1860.'' University of Virginia Press, 2001. .
External links
*
International Spa Association Official website
{{Authority control
Therapy
Balneotherapy
Bathing