Patra pinda sweda is a specialized therapy which is used in the management of uncomplicated severe back pain. Patra means leaves of medicinal plants, pinda means a bolus and sweda means fomentation or sudation. The swedana karma or sudation therapy which is given by using a bolus which is prepared by the different combination of medicinal leaves which is processed with medicinal oil along with the medicinal herbs is called patra pinda sweda. This procedure is unique in a way that it involves both snehana and swedana.