The term encompasses a broad range of approaches and therapeutic methods that take advantage of the physical properties of water, such as temperature and pressure, to stimulate blood circulation, and treat the symptoms of certain diseases.
Shower-based hydrotherapy techniques have been increasingly used in preference to full-immersion methods,[3] partly for the ease of cleaning the equipment and reducing infections due to contamination.
One of these was by Sir John Floyer, a physician of Lichfield, who, struck by the remedial use of certain springs by the neighbouring peasantry, investigated the history of cold bathing and published a book on the subject in 1702.
[15] The other work was a 1797 publication by James Currie of Liverpool on the use of hot and cold water in the treatment of fever and other illness, with a fourth edition published in 1805, not long before his death.
Health was considered to be the natural state of the body, and filling these spaces with pure water, would flush the impurities out, which would rise to the surface of the skin, producing pus.
He was extremely successful and by 1840, he had 1600 patients in his clinic including many fellow physicians, as well as important political figures such as nobles and prominent military officials.
These lifestyle adjustments included dietary changes such as eating only very coarse food, such as jerky and bread, and of course drinking large quantities of water.
He believed that typical hydropathic practices deployed were "too violent or too frequent" and he expressed concern that such techniques would cause emotional or physical trauma to the patient.
Having no formal training, all of his instructions and published works are described in easy to understand language and would have seemed very appealing to a patient who was displeased with the direction traditional medicine was taking.
[21] Hydrotherapy as a formal medical tool dates from about 1829 when Vincenz Priessnitz (1799–1851), a farmer of Gräfenberg in Silesia, then part of the Austrian Empire, began his public career in the paternal homestead, extended so as to accommodate the increasing numbers attracted by the fame of his cures.
[8] At Gräfenberg, to which the fame of Priessnitz drew people of every rank and many countries, medical men were conspicuous by their numbers, some being attracted by curiosity, others by the desire of knowledge, but the majority by the hope of cure for ailments which had as yet proved incurable.
His 10-week tour in Ireland included Limerick, Cork, Wexford, Dublin and Belfast,[22] over June, July and August 1843, with two subsequent lectures in Glasgow.
[24][25] In 1843, Wilson and Gully published a comparison of the efficacy of the water-cure with drug treatments, including accounts of some cases treated at Malvern, combined with a prospectus of their Water Cure Establishment.
By the later nineteenth century the typical hydropathic establishment had evolved into a more substantial undertaking, with thousands of patients treated annually for weeks at a time in a large purpose-built building with lavish facilities – baths, recreation rooms and the like – under the supervision of fully trained and qualified medical practitioners and staff.
Unsparing condemnation was heaped by each on the other; and a legal prosecution, leading to a royal commission of inquiry, served but to make Priessnitz and his system stand higher in public estimation.
The need of a radical adaptation to the former class was first adequately recognized by John Smedley, a manufacturer of Derbyshire, who, impressed in his own person with the severities as well as the benefits of the cold water cure, practised among his workpeople a milder form of hydropathy, and began about 1852 a new era in its history, founding at Matlock a counterpart of the establishment at Gräfenberg.
[8] Ernst Brand (1827–1897) of Berlin, Raljen and Theodor von Jürgensen of Kiel, and Karl Liebermeister of Basel, between 1860 and 1870, employed the cooling bath in abdominal typhus with striking results, and led to its introduction to England by Wilson Fox.
[45] By 1850, it was said that "there are probably more than one hundred" facilities, along with numerous books and periodicals, including the New York Water Cure Journal, which had "attained an extent of circulation equalled by few monthlies in the world".
[47] Other notable hydropathic centers of the era included the Cleveland Water Cure Establishment, founded in 1848, which operated successfully for two decades, before being sold to an organization which transformed it into an orphanage.
Few of these lasted into the postbellum years, although some survived into the 20th century including institutions in Scott (Cortland County), Elmira, Clifton Springs and Dansville.
[59] A subset of cryotherapy involves cold water immersion or ice baths, used by physical therapists, sports medicine facilities and rehab clinics.
Proponents assert that it results in improved return of blood flow and byproducts of cellular breakdown to the lymphatic system and more efficient recycling.
"[70] In 1891, when Mark Twain toured Europe and discovered that a bath of spring water at Aix-les-Bains soothed his rheumatism, he described the experience as "so enjoyable that if I hadn't had a disease I would have borrowed one just to have a pretext for going on".
Indeed, in Europe, the application of water in the treatment of fevers and other maladies had, since the seventeenth century, been consistently promoted by a number of medical writers.
In the eighteenth century, taking to the waters became a fashionable pastime for the wealthy classes who decamped to resorts around Britain and Europe to cure the ills of over-consumption.
In the main, treatment in the heyday of the British spa consisted of sense and sociability: promenading, bathing, and the repetitive quaffing of foul-tasting mineral waters.
Several hydropathic institutions wholly transferred their operations away from therapeutic purposes to become tourist hotels in the late 20th century while retaining the name 'Hydro'.