The present invention relates to a therapeutic hot massage pack. According to the present invention, when the pack formed of a soft resin having excellent heat resistance and elasticity is manufactured, a nut having a pipe thread and formed of a hard resin is buried on the inlet section side using an insert molding structure, and a covering structure of a pack main body section is provided so as to surround the nut having a pipe thread so that a lid body can achieve a sealing function safely even without an additional packing material. In the pack main body section, after a massage roller is built therein, a hot melt-type sealed structure is provided for the rear side of the pack so that the present invention can have the acupressure massage effect that is an object of the present invention.