This localized form of treatment relieves various inflammatory diseases of the body. These include rheumatoid arthritis, abscess, osteoarthritis, edema, back aches, head aches, skin diseases, etc. Lepam is spreading of thick herbal paste on any afflicted area of the body. The paste is a blend of many potential herbs, spices, juice of leaves and buttermilk.

The treatment starts directly without any preconditioning methods. Warm herbal paste is gently applied on the afflicted areas, to a thickness of half a centimeter. For active penetration, the applied paste is let to dry on the body for about 45 minutes. This creates a mild heat on the skin and as a result, its medicinal properties perforate faster into the cells and absorb the unwanted components that cause the inflammation and pain.

The periodicity and the quantity of medicines used for doing Lepam depend on the intensity of the person's ailment. In most cases 2 or 3 such applications are done in a day and would be continued for 4 to 5 days. Such continuous localized applications reduce inflammation, increase blood circulation, and relieve the person from inflammatory pains. It also improves the skin texture and complexion. Oral medicines like Kashayam (decoction), Lehyam (semi solid), Choornam (powder) etc. taken along, give faster relief.

Most of the herbs, spices, and plants used for the Lepam paste bear high anti-inflammatory and analgesic properties and the liquids used are good for tissue nourishment. While, mustard,Indian Gum Arabic Tree,Tinospora,Basil, dried ginger, sesame seeds, sweet flag, vitex nigundo, etc. are few of the herbs and spices used; buttermilk, juice of leaves, milk, and coconut milk are the liquids used for mixing them into the paste form.