Study on Hot-Springs and Serum Electrolytes:II. Hot-Spring Bathing and Serum Electrolytes of Rheumatoid Arthritis Patients

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• In summarizing the variations in serum Na, K and Ca content caused by bathing in 23 cases of rheumatoid arthritis patients in contrast with the results obtained from healthy persons described in Report I, it was found that the variation in serum Na, K and Ca content caused by single bathing was not only in one direction such as increase or decrease but differed with person to person, and that the changes in rheumatoid arthritis patients immediately after bathing were similar to those in healthy persons: compared with healthy persons, the variation in rheumatoid arthritis patients lasted longer; in healthy persons, they returned to the value before bathing, 90 minutes after bathing in most cases, but in rheumatoid arthritis patients, there were 11 cases in Na content, 16 cases in K content and 6 cases in Ca content which showed a significant difference from the value before bathing even 90 minutes after bathing, which indicated the presence of some defects in the accommodation function of electrolyte in rheumatoid arthritis patients and that it was closely connected with the accommodation of serum electrolyte.It was also seen that the autonomic nervous system in rheumatoid arthritis patients was unstable, compared with healthy persons and that there were some defects in the adaptability against bathing stimulation.From the fact that the variation in Ca/K content, which seemed to be most closely related with the autonomic nervous system, was more pronounced in subacute than in chronic type of rheumatoid arthritis, it could be concluded that the autonomic nervous system might be more unstable in the subacute type.These changes caused by single bathing would gradually decrease with the institution of curative bathing, and became no longer observable in healthy persons on the 12th day of bathing in most cases, but still observable in the majority of rheumatoid arthritis patients even on the 19th day of bathing. However, even in rheumatoid arthritis patients, the variation gradually grew smaller in degree, though slight, and there seemed to be no particular difference between the two. In the case of Ca/K, the change became stable on the 19th day of bathing in most cases. In these cases, some improvement was made in the symptoms, showing that bathing had a good effect on rheumatoid arthritis patients by adjusting their unstable autonomic nervous systems.The following conclusion was drawn from the summarization of the experimental results mentioned in the preceding sections.1) No significant difference was found in serum Na, K and Ca values between rheumatoid arthritis patients and healthy subjects, except a slightly low serum K and a great variety of serum Ca values in the former group.The values proved to be lower in the chronic type than in the acute or subacute type, especially in serum Ca.2) Serum Na, K and Ca of rheumatoid arthritis patients, similar to the cases of healthy subjects, did not show any definite trend of variations which lasted for a longer time in rheumatoid arthritis and it did not return to the pre-bathing values even 90 minutes after bathing. Therefore it was thought that some defect was present in the accommodation function of the serum electrolyte in rheumatoid arthritis patients, whih caused unstability in their autonomic nervous system. This was especially pronounced in both acute and subacute groups.3) Similar to the cases of healthy subjects, the variation of serum Na, K and Ca content became gradually stable after a series of bathing but it took longer than in healthy subjects and the variation was still observable in the majority of cases even on the 19th day of bathing. Same kind of the process was observed in both groups. 4) An inference could be made from the facts mentioned above that some defect was present in the accommodation function of the serum electrolyte in rheumatoid arthritis patients which was gradually adjusted by bathing. It was conceivable that balneolog

• 一般社団法人 日本温泉気候物理医学会の論文

一般社団法人 日本温泉気候物理医学会 | 論文

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