Sweating as a Preventive Care and Treatment Strategy in Traditional Persian Medicine
DOI:
https://doi.org/10.31661/gmj.v9i.2003Keywords:
Traditional Persian Medicine; Sweating; Diaphoretic Herbs; Herbal MedicineAbstract
Proper and regular sweating plays a significant thermoregulatory role. It is a common perception that, sweating has other important homeostatic functions such as clearance of excessive micronutrients, waste products of metabolic processes, and toxins from the body, which helps to maintain human good health. In addition, sweating, thermotherapy, and sauna are commonly used to treat various diseases such as cardiovascular, respiratory and joint diseases. In traditional Persian medicine (PM) textbooks, sweating is considered a preventive care and treatment strategy as well. In this study, we aim to explain the beneficial effects of sweating in human health and its role in the management of various diseases, as well as introducing the therapeutic applications of some diaphoretic plants from the viewpoint of PM. We reviewed the most famous PM textbooks such as Kamil al-Sinaa al-Tibbiya, Al-QÄnÅ«n fÄ« al-Tibb, Zakhireye Kharazmshahi, Kholasat al-Hikmat, Exir-e-Azam, and Hifzos-sihhat-e Naseri. Also, current evidence was searched in PubMed, Web of Science, Scopus, and other relevant databases related to the topic. The results of this study revealed that PM scientists believed proper sweating removes waste products and maintains the body’s health, thus, any disturbances in the excretion of these waste products can cause diseases. They recommended the induction of sweating through hot and dry baths, sun bath, sand bath and also the use of diaphoretic herbs for the management of various diseases. Therefore, further researches are recommended to evaluate the effectiveness of these diaphoretic plants. [GMJ.2020;9:e2003]
References
Shirreffs SM, Casa DJ, Carter R. Fluid needs for training and competition in athletics. J Sports Sci. 2007;25(Suppl 1):S83-S91.
https://doi.org/10.1080/02640410701607353
PMid:18049986
Baker, LB. Physiology of sweat gland function: The roles of sweating and sweat composition in human health. Temperature. 2019;6(3):211-259.
https://doi.org/10.1080/23328940.2019.1632145
PMid:31608304 PMCid:PMC6773238
Hu Y, Converse C, Lyons MC, Hsu WH. Neural control of sweat secretion: a review. Br J Dermatol. 2018;178(6):1246-1256.
https://doi.org/10.1111/bjd.15808
PMid:28714085
Ohori T, Nozawa T, Ihori H, et al. Effect of repeated sauna treatment on exercise tolerance and endothelial function in patients with chronic heart failure. Am J Cardiol. 2012;109(1):100-104.
https://doi.org/10.1016/j.amjcard.2011.08.014
PMid:21944673
Miyata M, Kihara T, Kubozono T, et al. Beneficial effects of Waon therapy on patients with chronic heart failure: results of a prospective multicenter study. J Cardiol. 2008;52(2):79-85.
https://doi.org/10.1016/j.jjcc.2008.07.009
PMid:18922381
Kikuchi H, Shiozawa N, Takata S, Ashida K, Mitsunobu F. Effect of repeated Waon therapy on exercise tolerance and pulmonary function in patients with chronic obstructive pulmonary disease: a pilot controlled clinical trial. Int J Chron Obstruct Pulmon Dis. 2014;9:9-15.
https://doi.org/10.2147/COPD.S50860
PMid:24363555 PMCid:PMC3865971
Kunutsor SK, Laukkanen T, Laukkanen JA. Sauna bathing reduces the risk of respiratory diseases: a long-term prospective cohort study. Eur J Epidemiol. 2017;32(12):1107-1111.
https://doi.org/10.1007/s10654-017-0311-6
PMid:28905164
Oosterveld FG, Rasker JJ, Floors M, et al. Infrared sauna in patients with rheumatoid arthritis and ankylosing spondylitis. A pilot study showing good tolerance, short-term improvement of pain and stiffness, and a trend towards long-term beneficial effects. Clin Rheumatol. 2009;28(1):29-34.
https://doi.org/10.1007/s10067-008-0977-y
PMid:18685882
Masuda A, Hattanmaru M, Tei C. Repeated thermal therapy improves outcomes in patients with chronic pain. In International Congress Series 2006 Apr 1 (Vol. 1287, pp. 298-303). Elsevier.
https://doi.org/10.1016/j.ics.2005.12.039
Laukkanen T, Kunutsor S, Kauhanen J, Laukkanen JA. Sauna bathing is inversely associated with dementia and Alzheimer's disease in middle-aged Finnish men. Age Ageing. 2017;46(2):245-249.
https://doi.org/10.1093/ageing/afw212
PMid:27932366
Jorjani SI: Zakhireye Kharazmshahi (Treasure of the Khwarazm Shah). Qom: Ehya-e Tebbe Tabiee Institution; 2012.
Ibn-e-Sina AAH (Avicenna): Al-QÄnÅ«n fÄ« al-Tibb (Canon of Medicine). Beirut: Dare Ehyae al-Torathe al-Arabi; 2005.
Aghili Shirazi MH: Kholasat al-Hikmat. Qom: Esmaelian; 2006.
Moradi F, Alizadeh F, Naghizadeh A, Karimi M, Vaghasloo MA. The Concept of "Masam"(Pores) in Persian Medicine. Trad Integr Med. 2017 Dec 26:160-5.
MajÅ«sÄ«- Ahvazi AA (Haly Abbas). KÄmil al-SinÄa al Tibbiya (The Perfect Book of the Art of Medicine). Qom: Ehya-e Tebb-e Tabiee Institution; 2008.
Tajadini H, Choopani R, Saifadini R. Lifestyle Methods for Prevention of Alzheimer's Disease From the Perspective of Traditional Persian Medicine. J Evid Based Complementary Altern Med. 2016;21(3):243-245.
https://doi.org/10.1177/2156587215611787
PMid:26494860
Gilani MK. Hifzos-sihhat-e Naseri. Tehran: Almaie; 2008.
Chashti MA. Exir-e-Azam. Tehran: Research Institute for Islamic and Complementary Medicine; 2008.
Aghili Shirazi MH: Makhzan-ol-Advieh. Tehran: Tehran University of Medical Sciences Press; 2011.
Uhoda E, Piérard-Franchimont C, Petit L, Piérard GE. The conundrum of skin pores in dermocosmetology. Dermatology. 2005;210(1):3-7.
https://doi.org/10.1159/000081474
PMid:15604536
Jo HY, Yu DS, Oh CH. Quantitative research on skin pore widening using a stereoimage optical topometer and Sebutape. Skin Res Technol. 2007;13(2):162-168.
https://doi.org/10.1111/j.1600-0846.2007.00176.x
PMid:17374057
Sears ME, Kerr KJ, Bray RI. Arsenic, cadmium, lead, and mercury in sweat: a systematic review. J Environ Public Health. 2012;2012:184745.
https://doi.org/10.1155/2012/184745
PMid:22505948 PMCid:PMC3312275
Kluger, N. Sauna: cardiac and vascular benefits and risks. Presse Med. 2011;40(10):895-899.
https://doi.org/10.1016/j.lpm.2011.02.010
PMid:21414742
Basford JR, Oh JK, Allison TG, et al. Safety, acceptance, and physiologic effects of sauna bathing in people with chronic heart failure: a pilot report. Arch Phys Med Rehabil. 2009;90(1):173-177.
https://doi.org/10.1016/j.apmr.2008.06.029
PMid:19154844
Sugahara Y, Ishii M, Muta H, Egami K, Akagi T, Matsuishi T. Efficacy and safety of thermal vasodilation therapy by sauna in infants with severe congestive heart failure secondary to ventricular septal defect. Am J Cardiol. 2003;92(1):109-13.
https://doi.org/10.1016/S0002-9149(03)00483-1
Miyamoto H, Kai H, Nakaura H, et al. Safety and efficacy of repeated sauna bathing in patients with chronic systolic heart failure: a preliminary report. J Card Fail. 2005;11(6):432-436.
https://doi.org/10.1016/j.cardfail.2005.03.004
PMid:16105634
Kunutsor SK, Khan H, Zaccardi F, Laukkanen T, Willeit P, Laukkanen JA. Sauna bathing reduces the risk of stroke in Finnish men and women: A prospective cohort study. Neurology. 2018;90(22):e1937-e1944.
https://doi.org/10.1212/WNL.0000000000005606
PMid:29720543
Fujita S, Ikeda Y, Miyata M, et al. Effect of Waon therapy on oxidative stress in chronic heart failure. Circ J. 2011;75(2):348-356.
https://doi.org/10.1253/circj.CJ-10-0630
PMid:21173495
Sobajima M, Nozawa T, Ihori H, et al. Repeated sauna therapy improves myocardial perfusion in patients with chronically occluded coronary artery-related ischemia. Int J Cardiol. 2013;167(1):237-243.
https://doi.org/10.1016/j.ijcard.2011.12.064
PMid:22244482
Kihara T, Biro S, Ikeda Y, et al. Effects of repeated sauna treatment on ventricular arrhythmias in patients with chronic heart failure. Circ J. 2004;68(12):1146-1151.
https://doi.org/10.1253/circj.68.1146
PMid:15564698
Laukkanen T, Khan H, Zaccardi F, Laukkanen JA. Association between sauna bathing and fatal cardiovascular and all-cause mortality events. JAMA Intern Med. 2015;175(4):542-548.
https://doi.org/10.1001/jamainternmed.2014.8187
PMid:25705824
Kunbootsri N, Janyacharoen T, Arrayawichanon P, et al. The effect of six-weeks of sauna on treatment autonomic nervous system, peak nasal inspiratory flow and lung functions of allergic rhinitis Thai patients. Asian Pac J Allergy Immunol. 2013;31(2):142-147.
https://doi.org/10.12932/AP0262.31.2.2013
PMid:23859414
Umehara M, Yamaguchi A, Itakura S, et al. Repeated waon therapy improves pulmonary hypertension during exercise in patients with severe chronic obstructive pulmonary disease. J Cardiol. 2008;51(2):106-113.
https://doi.org/10.1016/j.jjcc.2008.01.004
PMid:18522783
Kunutsor SK, Laukkanen T, Laukkanen JA. Frequent sauna bathing may reduce the risk of pneumonia in middle-aged Caucasian men: The KIHD prospective cohort study. Respir Med. 2017;132:161-163.
https://doi.org/10.1016/j.rmed.2017.10.018
PMid:29229091
Matsumoto S, Shimodozono M, Etoh S, Miyata R, Kawahira K. Effects of thermal therapy combining sauna therapy and underwater exercise in patients with fibromyalgia. Complement Ther Clin Pract. 2011;17(3):162-166.
https://doi.org/10.1016/j.ctcp.2010.08.004
PMid:21742283
Amano K, Yanagihori R, Tei C. Waon therapy is effective as the treatment of myalgic encephalomyelitis/chronic fatigue syndrome. J Jpn Soc Balneol Climatol Phys Med. 2015;78(3):285-302.
Gryka D, Pilch W, Szarek M, Szygula Z, Tota Å. The effect of sauna bathing on lipid profile in young, physically active, male subjects. Int J Occup Med Environ Health. 2014;27(4):608-618.
https://doi.org/10.2478/s13382-014-0281-9
PMid:25001587
Choi HS, Kwon H, Cho KH, et al. Repeated Dry Sauna Therapy Improves Quality of Life in Obese Korean People. Korean J Fam Med. 2020;10.4082/kjfm.18.0160.
https://doi.org/10.4082/kjfm.18.0160
PMid:32434303 PMCid:PMC7509121
Beever R. The effects of repeated thermal therapy on quality of life in patients with type II diabetes mellitus. J Altern Complement Med. 2010;16(6):677-681.
https://doi.org/10.1089/acm.2009.0358
PMid:20569036
Kanji G, Weatherall M, Peter R, Purdie G, Page R. Efficacy of regular sauna bathing for chronic tension-type headache: a randomized controlled study. J Altern Complement Med. 2015;21(2):103-109.
https://doi.org/10.1089/acm.2013.0466
PMid:25636135
Ross GH, Sternquist MC. Methamphetamine exposure and chronic illness in police officers: significant improvement with sauna-based detoxification therapy. Toxicol Ind Health. 2012 Sep;28(8):758-68.
https://doi.org/10.1177/0748233711425070
PMid:22089658 PMCid:PMC3573677
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