Last verified: April 2026
Lepa
Lepa is the classical Ayurvedic topical formulation — herb powders mixed with a liquid base to form a paste applied directly to the skin or mucous membranes. Sushruta Samhita's surgical tradition documents Lepa extensively for wound management; Charaka Samhita for skin conditions. The classical texts specify three thicknesses with distinct penetration depths and Dosha-specific applications.
Three classical Lepa types
Pralepa (thin 1:4) — applied cool for Pitta conditions with active heat, inflammation, and burning. Rapid evaporation has cooling, calming effect. Stays primarily at the surface.
Pradeha (medium 1:2) — standard therapeutic consistency for most Kushtha (skin) and wound applications. Applied until dry.
Alepa (thick 1:1) — for deep penetration and extended contact time. Applied thickly, sometimes bandaged. For deep joint conditions, lymphatic conditions, and specific cosmetic applications.
Base liquid selection — the key clinical decision
Water (Jala) — neutral base for all conditions; Pitta-type preparations.
Cow's milk (Kshira) — nourishing, cooling; Pitta-type skin conditions and anti-inflammatory preparations.
Sesame oil (Tila Taila) — warming, unctuous; Vata-type conditions, dry skin, fat-soluble compound transdermal delivery.
Honey (Madhu) — antibacterial base for infected wound preparations; honey's properties complement antimicrobial herbs.
Cow's urine (Gomutra) — documented for Kapha-type skin conditions; alkaline pH and urea content enhance penetration.
Classical applications
Sushruta Samhita documents Lepa as primary topical treatment for all 18 classical Kushtha (skin conditions), wound management (Vrana), burns (Dagdha), and inflammatory joint conditions. Charaka Samhita documents Lepa for Varnya (skin brightening) preparations and cosmetic applications.
The Panchakarma tradition includes Lepa applications in Bahyasnehana: Udvartana (herbal powder massage) and Pinda Sweda (herbal bolus fomentation) involve Lepa-type preparations applied with specific pressure and heat manipulation.
Example Lepa preparations