Abstract: A therapeutic warmer composed of a non-ventilative envelope and a film-coated bag disposed within the envelope wherein the film-coated bag includes a plurality of needle apertures disposed therein and further includes an exothermic composition and a mugwart powder whereby when the envelope is broken, and the contents are kneaded, heat is generated for warming the bag to use in warming and treating regions of the human body; a punching apparatus for adjustably forming the needle apertures so as to correspond with demand of the user; and also a method for manufacturing a punched fabric of the warming bag.