Practice

Lepam

In simple terms

Lepam is a paste of powdered herbs and a moist binder, smeared on the body and left to work. It is the simplest of the external Ayurvedic treatments and one of the most used.

What it is

Lepam comes from a Sanskrit word that simply means to smear or to coat. It is a paste. Powdered herbs are mixed with a moist binder until they hold together, and the paste is spread on the skin over the part that needs it.

It is the plainest of the external treatments in Ayurveda, and one of the oldest. Long before there were oils and complicated procedures, there was the idea of grinding a herb, wetting it, and laying it on the body. The classical texts kept that idea and made it precise: which herbs, which binder, how thick, how long, and when in the day.

What it is used for

Ayurveda groups treatments into those taken inside the body and those applied to the surface. Lepam belongs firmly to the second group, the bahir-parimarjana or external measures. The texts reach for it when the concern is local and on or near the surface: a joint, a patch of skin, a swelling, the face.

The thinking is direct. A paste held against the skin keeps the herb in contact with the part far longer than a quick rub would. The skin is warm and moist under the paste, and the tradition holds that this softens the surface and lets the qualities of the herb settle into the tissue beneath.

How it is made

A lepam has two parts: the herb powder and the binder that turns it into a paste. The choice of binder is not an afterthought, because the binder carries its own qualities into the mix.

For dryness and the cold, restless quality the texts call Vata, a warming, oily binder is chosen, often sesame oil. For heat and the sharp quality called Pitta, a cooling binder is used, such as ghee, milk or buttermilk. Honey is added where a little binding and a gentle action are wanted. Plain water or a herb decoction makes the lightest paste of all, suited to the heavy, damp quality called Kapha.

The powder must be ground fine, so the paste spreads smooth and does not scratch. It is laid on in an even layer, about the thickness of a wet leaf, and worked gently over the area. The classical writers are careful about the rest of it too: a lepam is applied in the cooler part of the day, left for a set time rather than forgotten, and washed off with warm water before it dries hard and cracks. After it is removed the skin is patted dry, and an oil may be applied if the treatment calls for it.

Good to know

A lepam is a local treatment. It is matched to the part and to the person, which is why the texts give so many recipes rather than one. The same herb in oil, in ghee or in buttermilk becomes three different pastes for three different situations.

This entry describes the classical Ayurvedic understanding of the practice. It is not medical advice, and anyone with a health condition should speak to a qualified practitioner.

Frequently asked

How is lepam different from an oil massage? A massage with oil, abhyanga, is movement: the oil is worked over the body and the action comes partly from the rubbing. A lepam is still. The paste is laid on and left in place, so the action comes from long, quiet contact rather than from movement.

Why does the binder matter so much? Because the binder has qualities of its own. Sesame oil warms, ghee and milk cool, water lightens. The tradition picks the binder to suit the person and the season, so that the whole paste, not just the herb, pulls in the right direction.

Is a lepam left on overnight? Usually not. The texts have it washed off before it dries and cracks, which for most pastes means a set time of minutes to a couple of hours, not a whole night. A paste left to harden on the skin is considered to have done its work and to be past its use.

The paste is laid on as thick as a wet leaf, in the cool of the day, and washed away before it dries and cracks.

After the Sushruta Samhita, on external applications

Frequently asked questions

What is Lepam in Ayurveda?

Lepam, or Lepa, is a medicated paste spread on the skin, one of the oldest external treatments in Ayurveda. Herbs are ground with a suitable liquid into a paste and applied over the affected area, so their action is delivered locally through the skin. It is a simple, classical external therapy used across many complaints.

How is a Lepam applied?

A Lepam is made by grinding the chosen herbs with a suitable liquid, such as water, buttermilk or another anupana, into a smooth paste, which is then spread over the affected part in an even layer and left to act before being cleaned off. The herbs and liquid are chosen to suit the complaint and the Dosha involved.

What is Lepam used for?

As a medicated paste applied to the skin, Lepam is used across a range of local complaints, with the herbs chosen to fit the concern, whether to cool, to reduce swelling, to support the skin or to ease discomfort at a particular spot. It works locally where it is applied and is one of Ayurveda's classic external therapies.

How long is a Lepam left on the skin?

Traditionally a Lepam is left on until it begins to dry, and is removed before it fully cracks and dries out, since the texts hold that a paste left too long past drying can lose its benefit. The exact timing depends on the herbs and purpose, so a practitioner's guidance is helpful for therapeutic use.

Is Lepam an external or internal treatment?

Lepam is purely an external treatment: the medicated paste is applied on the skin over the affected area and acts locally, rather than being taken by mouth. This makes it one of Ayurveda's oldest and simplest external therapies, used where a targeted, local action on a particular part of the body is wanted.

References

  1. Sushruta Samhita, Sutrasthana, on the methods of external application (lepa).
  2. Charaka Samhita, on bahir-parimarjana, the external measures of treatment.
  3. Ashtanga Hridayam, on the thickness, timing and removal of medicated pastes.
Editorial standards More in Treatments & Therapies Updated 30 August 2025