It's 4 sheets x 4, taken out of the box. With the high cooling effect of the pressure pellets and gel sheet, it intensely stimulates the acupressure points on the soles of your feet. The high-water-content gel (PAC-55), which absorbs plenty of moisture, and the "pressure pellets" attached to the sheet using unique technology, comfortably stimulate the soles of your feet like health sandals. Contains 5 types of herbs with high relaxation effects (lavender, sage, rosemary, lemon, and orange) Kyusoku Jikan Acupressure Point Stimulation Gel Sheet, 4 sheets Lion Corporation