Category: Topical Medicine

Psoriasis Flare Ups and Why You Need Three Sprays

15 minutes read

Psoriasis Flare Ups and Why You Need Three Sprays

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Table of Contents

Hi, I’m Dr. Meli with Shu Hong Botanicals, and I keep getting the question: why did we make Shu Hong?

The short answer is that it was born of my husband, Dr. Jesse. He and I are both acupuncturists and herbalists, and he also deals with psoriasis — and unfortunately, he gets it on his face. Everything in this system came out of trying to figure out what would actually work for him. So let me walk you through it: why one formula was never going to be enough, what the three sprays are, how we use them, and what we’ve seen.

Quick answer

Shu Hong Red Relief is three sprays for three phases of a skin condition: Balanced is our daily toner, Flare Control is for when your skin is in an active flare, and Fire Control is for the deeper “fire toxin” phase — the burning, nerve-level irritation. We made it for psoriasis, which is not one phase and not one pattern, and we’ve had wonderful success with eczema, rosacea and acne as well. Use them as a system, in order, not as one product per condition.

Why did we make Shu Hong?

And I will tell you, when he goes to see patients, he will sometimes say, “I feel like a monster.” This is a really difficult thing for him to have to deal with.

He’s really good about controlling it with diet, and he just refuses to use Doxy to suppress his immune system the rest of his life. So knowing what we do about Chinese medicine, we really became passionate — and he in particular — about trying to figure out what will work.

What was the alternative?

The Western medical solution was to put him on doxycycline and suppress his immune system for the rest of his life. He wasn’t willing to do that. He tried it for a couple of weeks and said that was as long as he was willing to go. That’s really where this came from: we were trying to figure out a way to help him maintain without having to be on an immune-suppressing Western drug for the rest of his life.

"When he goes to see patients, he will sometimes say, 'I feel like a monster.'"
— Dr. Meli, Shu Hong Botanicals

There are multiple patterns in psoriasis

We had heard all kinds of the formulas that are traditionally used in Chinese medicine. A lot of the problem with those formulas is that they are truly made for one phase — and psoriasis is not one phase.

In Chinese medicine we also have patterns, and patterns are something that there’s not just one of in psoriasis. Each individual may have more patterns than another. So it’s not even just the same pattern in each and every individual. So really, that’s where this was born of. We actually created the three.

Patterns, not one pattern

Jesse recognized that there are multiple patterns in psoriasis ,it’s not a single-phase condition. It’s pattern-based, just like Chinese medicine. Different stages need different treatment. Even with his diet maintained and his herbs taken consistently and the pattern treated correctly, there’s still a component of psoriasis — the germicidal, fungal and stress-response aspects — that is really difficult to control. So the system was born out of that need.

Why we created the three

We have Shu Hong Balanced, which is our more daily. Then we have Shu Hong Flare, which is really just like it sounds like, it’s when your skin is in that active flare and you’re looking to calm things down. And this is our Fire spray. Fire really was developed for more that fire toxin. Flare is really the damp-heat phase, and fire toxin is also more the neuro-inflammatory aspect.

A psoriasis flare moves through phases. The sprays are staged to match and handed off as the skin changes.

What are the three sprays?

We use these as a system of care. They are not just one product for each condition. Think of them as depths: Balanced stays at the surface and rebuilds the barrier, Flare Control works on the surface and mid-layer where the damp-heat lives, and Fire Control goes deepest, to the channels and the nerves. The alcohol content rises across the three — Balanced is our lowest, Fire Control our highest — and that’s what lets each one reach the layer it’s meant for.

Three sprays, three depths.

Balanced is our daily toner

I also really am enjoying, myself, using our Balanced. I use that for a daily skin toner now. I don’t particularly have any skin issues, but I do have an oily T-zone and a little bit of dryness on the rest of my facial skin areas, on the outside perimeter. So I’ve started using Balanced as a daily toner, even as a replacement for some of my more high-end cosmetic creams.

That’s because of the Yin Er, which is our Tremella mushroom. We call that actually nature’s hyaluronic acid. I’m really able to replace the moisture barrier in my skin, and I don’t really find the need to use another cosmetic cream. It’s been very hydrating — even though I have had other patients who have used it with a topical toner or other cosmetic creams that they’re using.

Flare Control is for active flares

So Flare has been really interesting, because it’s been wonderful for a variety of conditions. While we created it for psoriasis flare, it’s actually been wonderful for eczema, acne — deep cystic acne even — and particularly wonderful for rosacea.

One of the wonderful things we’ve actually realized is not only have we had good success with psoriasis, but we’re actually having some wonderful success with other conditions as well. Flare is one of those products that really has a wonderful effect for psoriasis, eczema, rosacea, acne, deep cystic acne, and some really interesting other dermatitis-type conditions that we’ve found success with.

Fire Control is for the deepest phase

Fire Control is for fire toxin — what we’d call neuroinflammation in Western terms. Fire toxin in TCM means the problem has penetrated to the level of the channels and nerves. It has our highest alcohol content, our deepest penetration, and no expiration date, because the alcohol concentration keeps it fully stable.

So while we’ve been having some really good success with this for our skin conditions, we’ve also had some unique success with things like neuropathy and restless legs, Bell’s palsy, and also shingles.

Shu Hong Red Relief

Three sprays, three phases
Balanced is where nearly everyone starts. Flare Control and Fire Control are there for when your skin tells you it needs more. Available at Valley Health Market.

How to use them

For psoriasis, you start with Fire and Flare together. Apply Fire first — it’s our deepest-penetrating formula — let it dry, then spray Flare Control. As things settle down and the skin starts to transition, you shift to leading with Flare Control, letting it dry, and then finishing with Balanced to replenish the moisture barrier. Once the skin is stabilized, Balanced becomes your maintenance product — keeping the skin healthy and preventing future eruptions.

Pick the spray by what the skin is doing today.

Eczema is not psoriasis

For eczema, I would not use Fire Control — it will be too drying. I stick with Flare Control on affected areas, let it dry, then follow with Balanced. Balanced is really important for eczema patients because we need to replace the moisture barrier. Eczema is more of an immune, atopic response — the histamine and allergy connection — whereas psoriasis is autoimmune. That distinction changes how you approach treatment.

The scalp, and Evil Bone Water

I’ve found Fire Control is incredibly safe for the hair. For patients with severely itchy scalp — particularly from neurological causes like cervical compression — I part the scalp and spray Fire directly in, then work it in like a serum. I’ve had a couple of patients where it’s so severe they say it’s driving them insane. Fire has been very successful there.

Evil Bone Water can absolutely be added to this protocol. For neuropathy — that stinging, burning pain where Evil Bone Water helps a little but doesn’t quite meet the mark — combining it with Fire Control produces an incredible response. The two together are notably more effective than either alone.

What have we seen?

So we’ve been having pretty fantastic results, not just with my husband’s skin. Once we saw how well it was working for Dr. Jesse — he really is able to wake up when he has a flare situation and get it under control. Within about ten, fifteen minutes, he’s seeing the skin starting to calm down. That redness is calming, the pain, the itching is calming. And really within an hour or so, he’s got his skin back, and it’s starting to really calm down to the point where he feels confident again and can go about his day.

Beyond psoriasis

But it’s pretty wonderful, because we’ve also realized that some of these products are good for things outside of psoriasis. We’ve had wonderful success with rosacea, some really good stories with eczema, and deep cystic acne and acne in general.

We’ve had some really idiopathic dermatology conditions where a derm has said, “Here’s a steroid cream. We don’t really know what’s going on.” And people have just been kind of using that to help keep something under control that hasn’t gone away, maybe for six months to a year — where we’ve started using these products, and that situation has disappeared in a week, in all ten of those cases that we’ve had. So pretty successful results.

"Within an hour or so, he's got his skin back … to the point where he feels confident again and can go about his day."
— Dr. Meli, Shu Hong Botanicals

What's in it, and is it safe?

I went and did extensive research — including Korean skincare, which is huge right now — and looked across different countries and price points. What I found is that most skincare products, even $100-plus premium products, contain very minimal active ingredients, a huge amount of filler, and a large number of chemical preservatives. Shu Hong Botanicals has the highest herbal concentration of any product I found on the market.

Beyond that, we are not using any chemical preservatives. We use Lucidol, Propanediol and Geogard, which are all Cosmos-certified and plant-derived. Lucidol, for example, is fermented radish — it preserves the product and is actually beneficial for the skin. I’ve tested all three products on every area of the body, and they’re all safe. No stinging, no burning.

The Shu Hong system is a cosmetic, skin-supportive topical product line intended to support healthy skin function and comfort. It is not a drug and does not diagnose, treat, cure, or prevent any disease. Clinical cases and observations shared here are for educational purposes only. Individual results vary. Consult a qualified healthcare professional for medical skin concerns.

References

Shu Hong Botanicals / Brock Integrative Health. Shu Hong Product Guide; Practitioner Guide; Biofilms, Chronic Skin Disease, and the Shu Hong System (practitioner white paper). On file. Product pages: brockintegrativehealth.com/collections/shu-hong.

Wolosik K, Gasiewska G, et al. Tremella fuciformis Extract Evokes Similar Effect as Hyaluronic Acid on Wound Healing but Through Different Mechanisms. Molecules. 2026. doi:10.3390/molecules31132354. Link →

Gonzalez T, Biagini Myers JM, et al. Staphylococcal Biofilms in Atopic Dermatitis. Curr Allergy Asthma Rep. 2017. doi:10.1007/s11882-017-0750-x. Link →

Jiang MY, Jiang Y. Treating steroid-dependent psoriasis from the blood-heat syndrome perspective: a case report. Medicine (Baltimore). 2025. doi:10.1097/MD.0000000000045926. Link →

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Which spray should I start with?

Balanced. It’s our daily toner and the one I use myself every day — wash your face, spray it on, done. Flare Control and Fire Control are for when your skin is in an active flare or the deeper, burning phase.

I would not — it will be too drying. For eczema I stick with Flare Control on the affected areas, let it dry, then follow with Balanced, because with eczema we need to replace the moisture barrier.

Start with Fire and Flare together: Fire first, let it dry, then Flare Control. As the skin settles, lead with Flare Control and finish with Balanced. Once it’s stable, Balanced becomes your maintenance product.

Because psoriasis is not one phase, and in Chinese medicine it’s not one pattern either — each person may have more patterns than another. The traditional formulas were made for one phase. We made three so you can treat the phase you’re actually in.

I’ve tested all three on every area of the body — no stinging, no burning. The only time you might feel any sensation is if the skin is broken or open; in that case apply Flare Control first, let it dry, then follow with anything else.

Recent Posts

Does Evil Bone Water Work? An Acupuncturist Reads the Research

15 minutes read

Does Evil Bone Water Work? An Acupuncturist Reads the Research

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Table of Contents

Pull up the FDA drug listing for Zheng Gu Shui and you find something most practitioners have never noticed. Camphor and menthol are the listed active ingredients. Japanese knotweed, zedoary, and the rest of the herbs that give the formula its name — and its entire traditional rationale — are listed as inactive.

In US regulatory terms, the herbs are excipients. The tradition says the reverse: that this is an herbal trauma formula in which camphor and menthol are the vehicle, and Hu Zhang, San Qi and the others are the medicine. Two authorities look at the same bottle and disagree about what is doing the work, and neither of them is lying.

You do not have to resolve that argument to practise well. But it explains almost everything about how this liniment behaves — why it works fast and shallow, why the effect is unmistakable in the first ten minutes, and why the research file is thinner than the marketing copy suggests. Here is what the evidence actually supports.

Quick answer

There is no published trial of Evil Bone Water itself — a PubMed search for Zheng Gu Shui returns no trials, no case series, no case reports. What is well supported is the mechanism of camphor and menthol on the skin’s nerve channels, both of which have human data behind them. So: a fast, reliable, low-risk topical for temporary relief of minor aches and pains, with a five-hundred-year track record and a thin research file. External use only, and it belongs stored well away from children.

What Is Evil Bone Water? The FDA and the Tradition Disagree

Evil Bone Water is a Zheng Xie Gu Shui liniment made by Saint Apothecary and formulated by Mark T. Brinson, DOM. Zheng Gu Shui is the broader formula family — a Chinese trauma-liniment tradition — and quality varies enormously between makers.

The name is a literal read of zheng xie gu shui. Xie is the pathogenic factor, the evil qi lodged in the tissue; zheng means to correct or set right, as in setting a bone. The name is about driving something out, which tells you how the tradition understood this formula long before anyone measured a plasma level.

The regulatory read is much narrower: camphor and menthol are the actives, and everything else is an excipient. Both readings sit on the same label, and knowing that is what lets you talk about this bottle without overselling it. For the full formula history, see Evil Bone Water: benefits, ingredients and the history of Zheng Gu Shui.

I tell patients the truth: a fast, reliable, low-risk topical with a five-hundred-year track record and a thin research file. That framing has never once cost me a sale, and it buys a lot of credibility for the moments when I say something is well supported.

— Will Sheppy, L.Ac.

Does Evil Bone Water Actually Work? Three Things the Research Says

Three things are true about this liniment at the same time, and most practitioners only ever hold one of them.

Hold all three and you end up somewhere honest: the delivery system is well evidenced, the herbal claim is traditional rather than trialled, and the product is low-risk enough that the gap between those two things is not dangerous — only worth being straight about.

ComponentEvidenceWhat was actually tested
Zhang Nao — camphorStrongTRPV1 activation then rapid desensitization; TRPA1 block; TRPV3 in keratinocytes; Kv7 inhibition
Bo He Nao — mentholStrongTRPM8 cold receptor; randomized human topical crossover trial at 40%
Alcohol base + terpenesStrongPermeation through human epidermis, measured against other vehicles
Gui Pi — cinnamon barkModerateCinnamaldehyde as TRPA1 agonist; human skin temperature, perfusion, axon-reflex flare
San Qi — Panax notoginsengModerateTopical Ft1 wound closure in diabetic mice; collagen in human dermal fibroblasts
Hu Zhang, E Zhu, Ba Dou, Qian Jin Ba, Tu Mu Xiang, angelicasNo topical human dataTraditional rationale only — the part to stop calling proven

Graded by route: an oral rodent study says little about a compound wiped onto human skin in an alcohol base.

Zheng Gu Shui Ingredients: Which Ones Have Evidence Behind Them

Route matters more than most ingredient lists admit: an oral rodent study tells you very little about what happens when a compound is wiped onto human skin in an alcohol base. Graded that way — by whether anyone tested the thing on skin — five components of this formula carry real support.

Strong support

  • Zhang Nao (camphor). Activates TRPV1 and then desensitizes it faster and more completely than capsaicin; blocks TRPA1; activates TRPV3 in keratinocytes rather than neurons; inhibits the Kv7 M-current.
  • Bo He Nao (menthol). The TRPM8 cold-receptor ligand. In a randomized human topical crossover trial, 40% menthol produced cold allodynia and mechanical hyperalgesia and significantly blunted cinnamaldehyde-induced flare.
  • The alcohol base and its terpene system. Terpene enhancement of permeation through human epidermis is substantially higher in ethanol than in other vehicles — the vehicle is doing real work.

Moderate support

  • Gui Pi (cinnamon bark). Cinnamaldehyde is the prototypical TRPA1 agonist; applied topically in humans it raises skin temperature and perfusion and produces an axon-reflex flare.
  • San Qi (Panax notoginseng). Notoginsenoside Ft1 applied to skin shortened wound closure in diabetic mice from 20.9 to 15.8 days and drove collagen production in human dermal fibroblasts.

Notice what the strong column has in common: every entry was tested on skin, and three of the five were tested on human skin. That is the bar.

The rest of the formula

Hu Zhang, E Zhu, the angelicas, Ba Dou, Qian Jin Ba and Tu Mu Xiang carry the traditional rationale — and, at present, no topical human data. That is not a reason to stop using the formula. It is a reason to stop claiming those herbs are the proven part.

Is Evil Bone Water Safe? The Camphor Numbers

Camphor has a genuinely frightening toxicology, and almost all of it is about ingestion. Practitioners who have read the case reports sometimes get nervous about the bottle itself. The numbers are worth knowing, because they point the caution at the right thing.

The numbers

In adults wearing eight camphor patches for eight hours, peak plasma camphor came in around 41 ng/mL. The pediatric deaths in the literature involve swallowing roughly 500 mg, with 750–1000 mg more commonly associated with seizures.

Evil Bone Water is 5.6% camphor, so 500 mg of camphor is about 9 mL — under two teaspoons. The FDA ceiling for camphor as a counterirritant in OTC topicals is 11%, meaning the product sits at roughly half the allowed concentration. The topical risk is low. The bottle-on-a-low-shelf risk is not.

The cautions that actually matter

  • Store it away from children. Swallowing even a small amount is dangerous to a toddler. This is the safety instruction that matters most, and the one patients most often skip.
  • It is flammable. Alcohol base — keep it away from open flame, and let it dry before moxa, a heat lamp, or a heat pack.
  • It stains. Light fabric and finished surfaces. Warn people before they find out.

Pregnancy and nursing

Not on the abdomen or sacrum during pregnancy, and not on the breasts while nursing — apply after a feed and wipe before the next one. There is no human data either way here; this is a conservative default drawn from an absence of evidence, not a research finding.

Wounds, eyes and small children

Minor cuts, scrapes and abrasions are an accepted traditional first-aid use, and the camphor concentration is relatively low — it will sting. Not on deep or puncture wounds, or on burns beyond superficial. Keep it away from the eyes and mucous membranes, and check with a physician before using it on a child under two.

Evil Bone Water Uses in Clinical Practice: How I Sequence It

The traditional indication list is broad: incidental and sports injuries, joint pain, spinal pain, muscle and ligament pain, bruising, sprains and strains, general overuse, minor cuts and insect bites, swelling, minor burns, first aid. External use only — do not ingest.

The part that is not on the label is the sequencing, and it is the thing that decides whether patients love this stuff or flinch at it. Evil Bone Water goes on before acupuncture, never after. It is quick-drying: apply it, let it flash off, and needle straight over it with no sting. Over fresh insertion sites it stings, and patients remember the sting.

How it sequences into a real treatment

  • Before needles. Apply, let it dry, then needle. Near the face, skip the spray — alcohol pump, cotton ball, no dripping.
  • Pre-clean the field. Dusty feet, post-workout skin: the alcohol base cleans while doing its actual job.
  • Cooling spray. Fibromyalgia patients, anyone running warm, a too-hot room — sprayed and left to vent, it cools without a rub.
  • Cupping and gua sha prep. Apply first, let it dry, then oil on top and cup as normal.
  • Delivery is a choice. Sprayed, it vents off the surface and cools. Rubbed in, it activates camphor’s alternating warm–cool effect. Pick deliberately.
  • Frequency: two to four times daily, or as needed. There is no loading protocol — frequency is driven by symptom return.

What goes on after treatment instead

The post-treatment slot belongs to other things. Red Emperor’s Immortal Flame for warmth — olive-oil based, no sting. Corydalis Relief Salve when a strong smell or a warming effect is unwelcome. And honestly, Biofreeze for a quick gua sha session, so nobody leaves greasy.

The kinesiotape trap

Evil Bone Water makes kinesiotape refuse to stick. If tape is going on, degrease with Biofreeze instead and send the Evil Bone Water home with the patient. It is a small thing that costs a whole taping if you learn it the hard way.

Homework is the difference between eighty percent better and one hundred percent better — and a topical the patient can feel working inside two minutes is a topical they will actually keep using.

— Will Sheppy, L.Ac.

Mulitiple Boxes of Whole Sale Evil Bone Water in assemblily Line.

Open a Wholesale Account

American-made Chinese medicine, stocked and shipped from Oregon. Practitioner pricing on Evil Bone Water and the rest of the topical line, with the quart size that refills your treatment-room bottles.

Evil Bone Water for Knee Pain and Shoulder Pain

If I had to name the two presentations where this liniment earns its shelf space, it is osteoarthritic knees and sore shoulders — as homework, not as an in-room treatment. Patients go home with a bottle and a twice-daily instruction, and the sensation arrives inside a minute or two, which is exactly why they keep using it.

Clinic logistics

The quart refills the treatment-room bottles and the cotton-ball pump; retail bottles are what go home. Keeping both means the rooms never run dry and the dispensary shelf never gets raided.

Why it practically sells itself

Patients smell it, ask what it is, and buy it. There is no pitch involved. That is worth naming honestly, because a product that sells itself deserves more scepticism from the practitioner, not less — which is the whole reason for grading the evidence above.

Free Evil Bone Water PDF Downloads

Everything below is free and ungated — no email required, built to be printed and left in a treatment room.

Print page seven of the kit — the patient handout — and put it in the treatment rooms. That is the highest-frequency use of this whole thing, and the one that saves you repeating the same six answers all week.

References

Derry S, Matthews PRL, Wiffen PJ, Moore RA. Topical rubefacients for acute and chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2014;11:CD007403. PMID 25425092

Xu H, Blair NT, Clapham DE. Camphor activates and strongly desensitizes the transient receptor potential vanilloid subtype 1 channel. J Neurosci. 2005;25(39):8924-37. PMID 16192383

Moqrich A, et al. Impaired thermosensation in mice lacking TRPV3, a heat and camphor sensor in the skin. Science. 2005;307(5714):1468-72. PMID 15746429

Vetter I, et al. Camphor activation and sensitization of TRPA1. 2013. PMID 24133266

McKemy DD, Neuhausser WM, Julius D. Identification of a cold receptor reveals a general role for TRP channels in thermosensation. Nature. 2002;416(6876):52-8. PMID 11882888

Olsen RV, et al. Effects of topical menthol on cutaneous sensory and vascular responses in humans. 2014. PMID 24664788

Bandell M, et al. Noxious cold ion channel TRPA1 is activated by pungent compounds and bradykinin. Neuron. 2004;41(6):849-57. PMID 15046718

Vaddi HK, et al. Terpenes in ethanol: permeation and partition through human skin. 2003. PMID 12576684

Kaplun-Frischoff Y, Touitou E. Testosterone skin permeation enhancement by menthol. J Pharm Sci. 1997;86(12):1394-9. PMID 9423153

Zhang E, et al. Notoginsenoside Ft1 promotes wound healing in diabetic mice. 2015. PMID 26567319

Martin D, et al. Camphor plasma concentrations following topical patch application. 2004. PMID 15342616

Love JN, et al. Are one or two dangerous? Camphor exposure in toddlers. J Emerg Med. 2004;27(1):49-54. PMID 15219304

US Food and Drug Administration. OTC Monograph M017, External Analgesic Drug Products. §M017.12(b)(1).

Saint Apothecary. Evil Bone Water product literature and patient handout. 2026.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

What is Evil Bone Water used for?

Externally, for temporary relief of minor aches and pains: sore muscles, sprains and strains, bruising, stiff joints, back and neck pain, overuse soreness, and minor cuts, scrapes and insect bites. In clinical practice it is applied before acupuncture and before cupping, and it shines as a take-home for knee and shoulder pain.

Evil Bone Water is a specific Zheng Xie Gu Shui liniment made by Saint Apothecary and formulated by Mark T. Brinson, DOM. Zheng Gu Shui is the broader formula family, and quality varies enormously between makers.

It is a literal read of zheng xie gu shui. Xie is the pathogenic factor, the evil qi lodged in the tissue; zheng means to correct or set right, as in setting a bone. The name is about driving something out.

On minor cuts, scrapes and abrasions, yes — a traditional first-aid use, and the camphor concentration is relatively low. It will sting. Not on deep or puncture wounds, burns beyond superficial, or anything requiring referral.

There is no human data either way. Standard practice is to avoid the abdomen and sacrum during pregnancy and the breasts while nursing. This is a conservative default from an absence of evidence, not a research finding.

Recent Posts

Chinese Herbs for Tendons and Ligaments: Gu Sui Bu

Tendon Mending Jiao by Fu Medicinals
12 minutes read

Chinese Herbs for Tendons and Ligaments: Gu Sui Bu

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Tendon Mending Jiao by Fu Medicinals

Table of Contents

Tendons and ligaments are the slowest-healing tissue most of us ever injure. Muscle strains settle down in a couple of weeks. A cranky Achilles, a tennis elbow, an ankle you rolled last spring that still complains on uneven ground — those drag on for months, and the advice you get is usually some version of rest it.

In the clinic, that is the conversation I have most often about tendons: not “what is wrong with it,” but “why is this taking so long, and is there anything I can actually do while I wait?” It is a fair question. Poor blood supply is a real part of the answer, and it is also the part traditional Chinese medicine has been aiming at for a very long time.

Which brings me to a herb with an unforgettable name. Below, what Gu Sui Bu is, what the research does and does not show, and how to tell whether a topical Chinese herbal formula belongs in your recovery plan.

Quick answer

Gu Sui Bu (Drynaria rhizome) is a Chinese herb whose name translates roughly as “mender of shattered bones.” It is traditionally used for broken bones and for tendon and ligament injuries, and it is the chief herb in Fu Medicinals’ Tendon Mending Jiao, a topical salve for chronic tendonitis, tendinosis, and old sprains.

The modern research on Drynaria is real but mostly about bone — lab and animal work on bone formation, plus some evidence it supports blood-vessel growth and cell migration. Direct human research on tendons is not there yet. Treat it as a well-established traditional strategy with promising mechanism data behind it, not a proven tendon cure. External use only; check the safety section before you use it.

Why Tendons and Ligaments Heal So Slowly

Muscle is thick with blood vessels. Tendon and ligament are not. They are dense, fibrous, built for tensile strength rather than metabolic activity — which is exactly what makes them good at their job and bad at repairing themselves. Less circulation means fewer of the raw materials of repair arriving, and it means they arrive slowly.

That is also why the picture changes name over time. What starts as tendonitis — genuine inflammation in the first days and weeks — often becomes tendinosis, where the inflammation has largely burned out and what is left is disorganised, degenerated tissue that simply never finished rebuilding. Anti-inflammatories are aimed at the first problem. Most people who are still hurting at the six-month mark have the second one.

In Chinese medicine the framing is different but it points at the same target: an old injury leaves behind stagnant blood and obstructed circulation in the sinews, and the job is to move it. Whatever vocabulary you prefer, the practical question is the same — how do I get more circulation into a tissue that does not have much?

Which is where one particular herb has been the traditional answer for a very long time.

"Gu Sui Bu in Chinese means the mender of broken bones. And not only is it fantastic for broken bones, it is really good for your tendons and ligaments."
— John Ditmars, Fu Medicinals

Gu Sui Bu: The Herb Called Mender of Shattered Bones

Gu Sui Bu (骨碎补), known botanically as Drynaria fortunei, is the rhizome of a fern that grows on rocks and tree trunks. It is covered in a golden-brown fuzz, and it looks nothing like a pharmaceutical. It has been used in Chinese medicine for bone and sinew injuries for centuries, and it is the reason John Ditmars — the practitioner-maker behind Fu Medicinals, whose liniments we carry — built the Tendon Mending formula around it.

What does the name actually mean?

Gu Sui Bu translates literally as something close to “mend the shattered bone.” Ditmars calls it the Great Mender of Broken Bones, and that is a fair reading of the classical use. What is less obvious to English speakers is that in Chinese medicine, bone and sinew are treated as neighbours rather than separate departments — the same herbs that address one are routinely reached for with the other. So a bone herb heading up a tendon formula is not a stretch of the tradition. It is the tradition.

The research

Drynaria has a genuine and growing modern literature — but nearly all of it is about bone. Animal and cell studies show its flavonoid fraction stimulates bone-forming cells and improves bone density and bone strength, and a 2023 study traced that effect to the TGF-β signalling pathway. A small randomised trial in older women with postmenopausal osteoporosis found improvements in bone density and inflammatory markers.

The finding most relevant to a tendon, though, is a 2018 Taiwanese study showing that Drynaria extract promoted new blood-vessel formation and cell migration in lab and embryo models, working through VEGF and matrix metalloproteinase pathways. Circulation and cell migration are precisely what a poorly-vascularised tendon is short of. That is a mechanism worth taking seriously.

What does not exist is a human trial of Gu Sui Bu for tendonitis, and none of the research above tested a topical preparation. 

A long traditional track record, plausible mechanism, real bone data, and no direct tendon proof. That is better than most herbs and less than a guarantee. Sources are listed at the end.

Why a topical, and not a pill?

A jiao is a salve — herbs extracted into an oil-and-wax base and rubbed in. The appeal for tendon problems is location: an Achilles, a lateral elbow, a wrist or a finger sits close to the surface, and you can put the medicine directly over it and massage it in, several times a day, for as long as it takes. You are combining the herbs with mechanical work on the tissue, which is a large part of why topicals earn their keep in a sports practice.

The Other Herbs Working Alongside It

Gu Sui Bu is the chief, but a jiao is a formula, not a single herb. Tendon Mending Jiao carries 28 botanicals in an organic coconut oil and beeswax base. A few of the ones doing recognisable work:

The full ingredient list is on the product page. If you have a known herbal allergy, read it before you buy — with 28 botanicals, that is not a formality.

Is Tendon Mending Jiao Right for Your Injury?

Fu Medicinals does not make one universal liniment — the line is deliberately split by injury type, and picking the wrong one is the most common way people get a disappointing result. Here is how I sort it.

Reach for it when...

Look elsewhere when...

Tendon Mending Jiao by Fu Medicinals

Tendon Mending Jiao

Fu Medicinals’ Tendon Mending Jiao is the formula built around Gu Sui Bu — 2 fl oz, small-batch, made in Oregon in an organic coconut oil and beeswax base. We carry it because it is the one I reach for with the chronic tendon and old-sprain cases that come through the clinic, and because John makes it the way it should be made.

These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.

Keep Reading

References

Research located via PubMed.

Huang ST, Chang CC, Pang JS, et al. Drynaria fortunei promoted angiogenesis associated with modified MMP-2/TIMP-2 balance and activation of VEGF ligand/receptors expression. Front Pharmacol. 2018;9:979. Link

Zhao Y, Cai X, Sun J, Bi W, Yu Y. Active components and mechanisms of total flavonoids from Rhizoma Drynariae in enhancing cranial bone regeneration. J Ethnopharmacol. 2023;319(Pt 3):117253. Link

Lee YE, Liu HC, Lin YL, Liu SH, Yang RS, Chen RM. Drynaria fortunei J. Sm. improves the bone mass of ovariectomized rats through osteocalcin-involved endochondral ossification. J Ethnopharmacol. 2014;158(Pt A):94-101. Link

Wong KC, Pang WY, Wang XL, et al. Drynaria fortunei-derived total flavonoid fraction and isolated compounds exert oestrogen-like protective effects in bone. Br J Nutr. 2013;110(3):475-485. Link

Lu L, Wang Z, Zhang H, Liu T, Fang H. Drynaria improves lipid profiles of elderly patients with postmenopausal osteoporosis via regulation of Notch1-NLRP3 inflammasome-mediated inflammation. Gynecol Endocrinol. 2022;38(2):176-180. Link

Ditmars J. Fu Medicinals: Gu Sui Bu and the Tendon Mending formula. Video interview, 2026.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Does Gu Sui Bu have side effects?

Most reported concerns about Gu Sui Bu come from taking it internally, which should be supervised by a trained herbalist. Used topically in a salve, the main cautions are about the formula as a whole: external use only, never on broken skin, avoid sensitive areas, and keep it away from children. Stop if your skin reacts, and check the full ingredient list if you have known herbal allergies.

Tendon tissue turns over slowly, so a week is not a verdict. Use it consistently, several times a day over several weeks, while you keep loading the tendon sensibly. If nothing has shifted after a fair trial, or the problem is getting worse, get the injury properly examined rather than continuing on your own.

For fresh trauma that is hot, swollen, and bruised, a dit da trauma liniment is the better fit. Tendon Mending Jiao is built for the chronic stage. If you cannot bear weight, the joint looks deformed, or you have numbness or tingling, that needs imaging and a hands-on exam first.

Evil Bone Water is the broad-use foundation for general aches, bruises, sprains, and stiff joints, and it is what most people apply first. Tendon Mending Jiao is targeted at chronic tendon and ligament injury. They layer rather than compete, foundation first and the targeted salve on top.

Consult your doctor before using it if you are pregnant or might be, as several herbs in this formula are blood-moving, which is traditionally avoided in pregnancy. If you take anticoagulants or have a bleeding disorder, run it past your prescriber first.

Recent Posts

Immortal Flame Oil vs. Salve: Which One to Use

Red Emperor's Immortal Flame Liniment and Slave Close UP
8 minutes read

Immortal Flame Oil vs. Salve: Which One to Use

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Red Emperor's Immortal Flame Liniment and Slave Close UP

Table of Contents

Red Emperor’s Immortal Flame comes in two forms — a fast-penetrating oil (liniment) and a slower-release salve — and most people never get told why, or which one actually fits what they’re trying to do. So we asked Hugh Turcotte, L.Ac., Dipl. O.M., the acupuncturist and herbalist who makes it, to explain it in his own words.

“I originally made the oil, and now I do make the salve,” Hugh says. “That was one thing that seemed kind of common sense to me — some people are not going to want a liquid. They’re going to want a solid that’s easier to travel with, or easier to work with.”

Quick answer

The oil (liniment) penetrates in about a minute — reach for it when you want fast, deep-acting relief and don’t need extended hands-on time. The salve penetrates more slowly, which sounds like a downside but is actually the point: it gives you more working time for massage, gua sha, or any manual therapy where you’re rubbing the area for five to ten minutes. Same herbs, same warming effect — different job.

The Real Difference Between Oil and Salve

“The salve is not as fast-penetrating as the oil — that’s what you give up when you go from the oil to the salve,” Hugh explains. “However, the salve allows for more work time. If you’re doing any manual therapy, if you’re just rubbing your knee for five or ten minutes, working with the salve is going to be a lot easier — because that oil is going to penetrate within a couple minutes. Probably a minute. And you’re going to feel like, okay, it’s not on the skin anymore. It’s gone past the skin.”

Reach for the Oil When You Want Speed

The liniment is built for fast, deep-acting relief with minimal hands-on time — a few drops, rubbed in, done. It’s the right call for quick applications between activities, before or after acupuncture or bodywork, or any time you want the sensation to move past the skin quickly rather than sit on the surface.

Reach for the Salve for Manual Therapy — or Travel

“This formula was designed with manual therapy in mind, from a clinical perspective,” Hugh says. “The longer you work it in — and disrupt the tissue underneath — the faster it’s going to go in, and the more it’s going to cross the skin barrier.” The salve’s slower release gives a practitioner, or a self-care routine, real working time instead of racing a fast-absorbing oil. It’s also the more travel-friendly, no-spill option — the reason Hugh made it in the first place.

 Oil (Liniment)Salve
AbsorptionAbout a minute — it moves past the skin fastSlower release, stays workable on the surface
Working timeShort. Apply and go.Five to ten minutes of hands-on time
Best forQuick relief between activities; before or after treatmentMassage, gua sha, and any manual therapy
TravelLiquid in a dropper bottleSolid — no spill, easier to pack
FormulaIdentical herbs and warming effect in both

How Long You Should Actually Rub It In

“On the label it says apply — rub it in for five to ten minutes. And that’s no joke,” Hugh says. “You go five minutes, it seems like a long time, but the effect will be even better. And all it is, is five minutes of your time. It’s worth it.”

For the full explanation of why longer contact time matters — the skin-barrier mechanics of it — see How to Use Red Emperor’s Immortal Flame.

If you find a heating topical that works better than Immortal Flame — and works consistently better — I'll wrap up shop and just refer you to them. But I do enjoy what I do, and I'm not looking for an out.

— Hugh Turcotte, L.Ac., Dipl. O.M.

Hugh's Actual Advice — Start Small, Stay Consistent

“If you’re really comfortable with applying topicals, and that’s something you’re used to, go ahead and give Immortal Flame a try,” Hugh says. “It’s strong. You have to remember that — it’s going to be uniquely potent. So you can start small. But give it a try and see how it feels for you. I think you’ll find not only that it does what it says it’s going to do, but it might even surprise you — how well this works for joint and soft tissue pain.”

He also means it when he asks for feedback: “I’m always looking for feedback — good, bad, indifferent. I want to know my blind spots. So if you find there’s something about this that doesn’t work for you, something I could improve — either the delivery or some other aspect of it — please feel free to chime in. I really want to hear your feedback.”

New to Red Emperor’s Immortal Flame? Start with what’s in the formula, or see how far a single bottle actually goes.

Red Emperor's Immortal Flame Product Line up Salve and Liniments

Red Emperor's Immortal Flame

Two formats. Same formula.

The fast-penetrating liniment for quick relief, and the slower-release salve for manual therapy and travel — both blended by acupuncturist and herbalist Hugh Turcotte from nine organic ingredients.

References

Product formulation and application guidance from Hugh Turcotte, L.Ac., Dipl. O.M., REIF Topicals and Waterfield Wellness, Woburn, MA.

These statements have not been evaluated by the US Food & Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. For external use only.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

What's the actual difference between the oil and the salve?

Same herbs, same warming effect — different delivery. The oil (liniment) penetrates in about a minute, making it fast-acting with minimal hands-on time. The salve releases more slowly, giving you five to ten minutes of working time, which is what makes it better suited to manual therapy.

If you want fast relief with a quick application, start with the oil. If you do massage, gua sha, or any hands-on bodywork — on yourself or a client — the salve gives you more time to work before it fully absorbs.

Hugh’s own instruction: five to ten minutes, and he means it literally. Longer contact time disrupts the tissue underneath and helps the formula cross the skin barrier more effectively.

No — it’s a different tool, not a weaker one. It trades penetration speed for working time, which is exactly what makes it better for hands-on therapy or travel.

Yes. Many practitioners keep both on hand — the oil for quick daily application, the salve for longer manual-therapy sessions or travel.

Recent Posts

Why Joint Pain Gets Worse in Cold, Damp Weather

Red Emperor's Immortal Flame Liniment and Slave on Rock
12 minutes read

Why Joint Pain Gets Worse in Cold, Damp Weather

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Red Emperor's Immortal Flame Liniment and Slave on Rock

Table of Contents

If your knees, hips, or hands hurt more the moment the weather turns cold and wet, you’re not imagining it. It’s one of the most common things Hugh Turcotte, L.Ac., Dipl. O.M. — the acupuncturist and herbalist behind Red Emperor’s Immortal Flame — hears from patients and customers alike.

“It really does amazing things for joint pain and other types of musculoskeletal pain that are worse with cold exposure, worse in damp weather as well,” Hugh explains. “It has a warming effect. Promotes local circulation. Really almost erases pain in minutes, not hours.”

Below: why cold, damp weather hits joints the way it does, who tends to feel it worst, a real case study from Hugh’s own clinic, and what the research does and doesn’t say about the herbs involved.

Quick answer

Cold and damp weather constrict circulation and slow the movement of fluid through joints — the pattern Chinese medicine calls Wind-Cold-Damp Bi syndrome. Two groups feel it most: competitive athletes carrying heavy training loads, and people whose bodies are sedentary, whether that’s a desk job, long hours behind the wheel, or simply being 50-plus. A warming topical like Red Emperor’s Immortal Flame is designed to promote local circulation and move stuck cold out of the tissue, which is why Hugh has seen it help within minutes rather than hours for some patients.

Why Cold and Damp Weather Make Joint Pain Worse

In Chinese medicine, pain that flares with cold and damp exposure has a name: Wind-Cold-Damp Bi syndrome. The idea is straightforward even if the terminology isn’t — cold constricts, damp stagnates, and a joint that isn’t circulating well hurts more than one that is.

That’s the therapeutic target Red Emperor’s Immortal Flame was built around. “Its components have very evidence-backed anti-inflammatory effects,” Hugh says. “We try to pack as much anti-inflammatory, pain-relieving, circulation-promoting benefit into every drop of this stuff as possible. And it takes some effort — that’s the reason it’s a little bit different than what you’d typically think of as a warming topical. It has to be used with care.”

The Research on Sedentary Life and Joint Pain

Hugh points to a specific data point when he talks about why sedentary living is so hard on joints: “Harvard did a cadaver study, actually, and they found that the incidence of osteoarthritis — evidenced by inspecting joints in these cadavers — went up in populations who were more sedentary.”

That’s a real study, and it holds up under a closer look. Researchers led by Harvard’s Department of Human Evolutionary Biology examined more than 2,500 skeletons spanning the prehistoric era through the modern day and found knee osteoarthritis was 2.1 times more prevalent in the postindustrial sample than in the early industrial one — even after adjusting for age and body mass. Their conclusion was that longer lifespans and higher body weight alone can’t explain the increase, which points to other modern risk factors. Chief among them, in Hugh’s clinical read: how little we move.

A 2025 analysis in Frontiers in Public Health found something consistent in living patients. Combining U.S. health survey data (NHANES 2007–2020) with Mendelian randomization, the authors reported that people with osteoarthritis showed significantly higher sedentary behavior, and that genetically inferred sedentary behavior was associated with roughly 20% higher odds of osteoarthritis (OR 1.20, 95% CI 1.13–1.28).

Neither study shows that a topical liniment prevents or reverses arthritis. They’re evidence for the underlying mechanism Hugh is describing — that joints which don’t move enough don’t get lubricated and drained the way they need to.

Who This Actually Helps — Two Very Different Bodies

Hugh sees the same formula doing real work at opposite ends of the activity spectrum.

A Case Study — From 9/10 Pain to 1–2/10 in a Week

Hugh shared one story that’s stuck with him since 2011. An 83-year-old woman came to him distraught — she had a number of chronic illnesses, including a diagnosis of Graves’ disease, and family coming in to visit. She wanted one thing: to be able to get up and down and across her house so she could host, cook, and serve meals like she wanted to.

“I asked her if she was interested in applying a topical, and she was. She said, ‘Well, whatever helps, ’cause I’ve got family coming in and I don’t want to have to cancel.'”

Her subjective pain went from nine out of ten, constant, daily — down to one to two out of ten that week. When I saw something like that happen, I said, "Okay, we need to get this out to more people."

— Hugh Turcotte, L.Ac., Dipl. O.M.

Worth being clear about what that is and isn’t: it’s one practitioner’s account of a single patient’s self-reported pain, not a controlled trial. It’s the kind of result that made Hugh decide to get the formula out to more people — not a promise of what will happen for you.

What's Actually In the Formula

Red Emperor’s Immortal Flame is a proprietary blend of nine organic ingredients — no single “active ingredient,” but a combination chosen for warming, anti-inflammatory, and circulation-promoting effects:

Research — Where the Evidence Is Strong, and Where It Isn't

To Hugh’s point about “evidence-backed” anti-inflammatory effects — here’s an honest look at what’s actually been studied, ingredient by ingredient. None of these trials tested Red Emperor’s Immortal Flame itself; they tested individual components in isolation.

Arnica has the strongest human evidence of the group. A randomised, double-blind trial of 204 people with hand osteoarthritis found topical arnica gel performed no worse than 5% ibuprofen gel for pain and hand function over 21 days. A 2013 Cochrane systematic review reached a similar conclusion — arnica gel probably delivers benefits comparable to an NSAID gel, though with no better, and possibly a slightly worse, side-effect profile.

Capsaicin (the compound behind cayenne’s heat) has more mixed results. The same Cochrane review found capsicum extract gel probably does not improve pain or knee function in knee osteoarthritis, and came with a markedly higher rate of skin irritation and burning — adverse events in 80% of the capsicum group versus 20% on placebo.

The honest summary: this is a multi-ingredient traditional formula, not a single studied compound, and the formula as a whole hasn’t been through a clinical trial. What has been studied is consistent with what Hugh and his patients report — real anti-inflammatory activity, and real potential for skin irritation in sensitive people — which is exactly why the label says to use it with care.

How to Try It Safely

Red Emperor’s Immortal Flame is external use only and medicinal strength — Hugh is direct about that. Patch-test a small area first, especially if you have sensitive skin. Avoid broken skin, eyes, and mucous membranes. If you’re pregnant, nursing, or on blood thinners, talk to your provider before using any warming topical containing cayenne, wintergreen, or St. John’s Wort.

Beyond that: a little goes a long way. A 30ml bottle holds well over 500 drops, and a liberal application is only 6–8 drops.

Want the full story on Red Emperor’s Immortal Flame? See what’s in the formula, who created it and why, and exactly how to apply it.

Red Emperor's Immortal Flame

Red Emperor's Immortal Flame

A warming topical, built for cold, damp joint pain.

Nine organic ingredients — ginger, arnica, cayenne, menthol, wintergreen and more — blended by acupuncturist and herbalist Hugh Turcotte to promote local circulation where cold and damp have settled in. Available as a fast-penetrating liniment or a slower-release salve.

References

Wallace IJ, Worthington S, Felson DT, Jurmain RD, Wren KT, Maijanen H, Woods RJ, Lieberman DE. “Knee osteoarthritis has doubled in prevalence since the mid-20th century.” Proceedings of the National Academy of Sciences. 2017;114(35):9332–9336. DOI: 10.1073/pnas.1703856114

He J, Zhang C, Yang L. “Association between sedentary behavior, physical activity, and osteoarthritis: results from NHANES 2007–2020 and Mendelian randomization analysis.” Frontiers in Public Health. 2025;12:1454185. Read the study

Widrig R, Suter A, Saller R, Melzer J. “Choosing between NSAID and arnica for topical treatment of hand osteoarthritis in a randomised, double-blind study.” Rheumatology International. 2007;27(6):585–591. DOI: 10.1007/s00296-007-0304-y

Cameron M, Chrubasik S. “Topical herbal therapies for treating osteoarthritis.” Cochrane Database of Systematic Reviews. 2013;2013(5):CD010538. DOI: 10.1002/14651858.CD010538

Richards BL, Whittle SL, Buchbinder R. “Neuromodulators for pain management in rheumatoid arthritis.” Cochrane Database of Systematic Reviews. 2012;(1):CD008921. DOI: 10.1002/14651858.CD008921.pub2

These statements have not been evaluated by the US Food & Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. For external use only.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Why does my joint pain get worse in cold or rainy weather?

Cold constricts blood vessels and slows circulation to joints, while damp, low-pressure weather is widely reported by people with arthritis and old injuries to worsen stiffness and aching. In Chinese medicine this pattern is called Wind-Cold-Damp Bi syndrome.

No — it’s the opposite approach. Where ice reduces acute swelling, REIF is a warming liniment designed to promote local circulation in joints that are cold, stiff, or slow to heal, which is a different mechanism entirely.

In Hugh Turcotte’s clinical experience, two groups: high-level athletes managing heavy training loads, and people whose lifestyle is sedentary — desk workers, long-haul or gig drivers, and adults 50 and older.

Yes, though it’s mixed and ingredient-specific rather than formula-specific. Arnica has solid randomised-trial evidence for hand osteoarthritis; other components like capsaicin have weaker and more mixed results. See the research section above for the honest breakdown.

It’s designed for regular use as needed, external use only, at a small dose of 6–8 drops. Patch-test first if you have sensitive skin, and check with your provider first if you’re pregnant, nursing, or on blood thinners.

Recent Posts

How Far Red Emperor’s Immortal Flame Has Traveled

Red Emperor's Immortal Flame Liniment and Slave outside
6 minutes read

How Far Red Emperor’s Immortal Flame Has Traveled

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Red Emperor's Immortal Flame Liniment and Slave outside

Table of Contents

Hugh Turcotte, the acupuncturist and herbalist behind Red Emperor’s Immortal Flame (REIF), didn’t set out to build a global product. He set out to help his patients. Here’s how far it’s actually traveled — in his own words.

Quick answer

Red Emperor’s Immortal Flame started as a family gift — a formula Hugh’s uncle, a kung fu master trained in Shanghai, gave him to help launch his practice. Today it reaches people Hugh will likely never meet, including a woman in Egypt using it daily for arthritis in her hands. The through-line, in Hugh’s words: “I’m able to help people help other people.”

A Formula Built for Recovery, Not Retail

“I initially started making Immortal Flame, our flagship product line, back in 2012,” Hugh says. “The formula was a gift from my uncle, as I was winding down my studies and starting to think about my practice — my acupuncture and herbal medicine practice.”

His uncle had trained in China, at the Shanghai College of Traditional Chinese Medicine, and wanted to give Hugh something his patients couldn’t get anywhere else. “This is a warming topical, and it hearkens back to the origins of the formula — which was essentially to allow my uncle and his other kung fu brothers and sisters to recover overnight from the training that a professional martial artist goes through.”

For the full lineage — Hugh’s uncle, the training behind the formula, and how it was adapted for clinical use — see Who Created REIF.

From a Family Workshop to a Family in Egypt

“It’s been received very well — which my uncle predicted, and I think he’s glad to see it’s getting out to more and more people. Because through me, he’s able to help the world. And I literally mean the world.”

Hugh shared one story that captures it. “I got an email just last week from a woman who’s a clinician — she’s a customer, she buys Immortal Flame, uses it in her clinic, and sells it there. She was able to get the product into her husband’s aunt’s hands. And her husband’s aunt happens to live in Egypt.”

She reported back to me that her husband's aunt uses it daily and prays for them in gratitude for handing this formula off to her, for the arthritis in her hands. It's kind of cool to know that something I made is over in Egypt, helping people. But mostly I'm so glad she was able to help her family.

— Hugh Turcotte, L.Ac., Dipl. O.M.

A Note on This Story

This is a story told at one remove — Hugh recounting an email from a clinician about her husband’s aunt. No names were given, and none are added here. It’s a customer’s account of what helped a family member, not a clinical outcome, and it isn’t a claim that a topical treats arthritis. It’s included because it’s the part of the work Hugh says matters most to him.

Why Hugh Keeps Making It

“That’s the most juice for me — just knowing I’m able to help people help other people,” Hugh says. It’s the same reason he asks customers for feedback rather than treating REIF as a finished product: the formula keeps traveling because the people who use it keep passing it on.

Go deeper on Red Emperor’s Immortal Flame: the full origin story, an in-depth review, or how to apply it.

Red Emperor's Immortal Flame

Red Emperor's Immortal Flame

Made in small batches in Woburn, Massachusetts.

Nine organic ingredients, blended by acupuncturist and herbalist Hugh Turcotte from a formula his uncle brought back from Shanghai — available as a fast-penetrating liniment or a slower-release salve.

References

Quotes and formula history from Hugh Turcotte, L.Ac., Dipl. O.M., Clinical Director, Waterfield Wellness (Woburn, MA), and creator of Red Emperor’s Immortal Flame. Learn more at reiftopicals.com.

These statements have not been evaluated by the US Food & Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. For external use only.

Share on

Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Who created Red Emperor's Immortal Flame?

The formula was originally developed by Sifu Dr. Tom Turcotte, D.O.M., who trained in China at the Shanghai University of Traditional Chinese Medicine, to help kung fu practitioners recover from intensive training. He later passed it to his nephew, Hugh Turcotte, L.Ac., Dipl. O.M.

It’s produced by Hugh Turcotte at Waterfield Wellness in Woburn, Massachusetts.

Yes — customers and practitioners have shared it internationally, including with family members overseas, such as the Egypt story above.

It began as a family gift in 2012 to help launch his acupuncture and herbal medicine practice, rooted in a formula his uncle used to help fellow martial artists recover from training.

Through Valley Health Market, or directly through the maker at reiftopicals.com.

Recent Posts

Where to Buy Chinese Herbs Online

Shelf in the Valley Health Logistics storage unit holding pink Warm Hearth cartons and two clear bins hand-labeled Warm Hearth Tea 30, with bagged Yo Yi Patch inventory on the shelf above.
15 minutes read

Where to Buy Chinese Herbs Online

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Shelf in the Valley Health Logistics storage unit holding pink Warm Hearth cartons and two clear bins hand-labeled Warm Hearth Tea 30, with bagged Yo Yi Patch inventory on the shelf above.

Table of Contents

Every week someone asks me where to buy Chinese herbs online. It’s a fair question with an annoying answer, because most of the good stuff isn’t sold to the public at all.

I’ve been prescribing these herbs for twenty years. In that time I’ve watched practitioners decide that herbal medicine doesn’t really work, when what actually happened is they only ever used cheap product at a dose too low to do anything. I’ve also watched patients pay triple on a marketplace for something a clinic down the street would have sold them for less, with guidance included.

So here’s what I actually use, what I’d tell you to skip, and the one thing that fixes more herbal failures than switching brands ever will.

Full disclosure: I own Valley Health Market and I carry Botanical Biohacking there. I used their formulas in my clinic first and started carrying them because of what I saw. There are no affiliate links in this article and nobody paid to be included or left out.

Quick answer

The best Chinese herbal brands — Botanical Biohacking and Classical Pearls — sell only to licensed practitioners, and they cost more. Affordable lines like Evergreen and Treasures of the East still work if you take enough. That last part is where most people go wrong: a capsule holds about 500 mg and a scoop of powder holds a gram, so a real daily dose in capsule form means swallowing a dozen or more. If you’re not licensed, call an acupuncture clinic first, try a good local Asian market second, and don’t buy herbs on Amazon, where the same product routinely costs two to three times more.

How the Chinese herb market actually works

Almost every company in this article sells to licensed practitioners only. You send in a copy of your license, they approve your account, and then you can order. That’s it — that’s the whole gate.

It’s worth understanding because it explains a lot. The material that produces the results you read about is largely invisible from the outside, which is why an honest search for “where to buy Chinese herbs” usually dead-ends at whatever a marketplace is willing to ship you. It also explains why so much of what’s easy to buy is mediocre.

Everything I recommend below reached me the same way: an herbalist I respect, a teacher or a mentor, told me to try it. Then I used it on real patients and it worked. That’s the entire vetting process, and it’s the one I’d suggest you use too.

The brands I use

There’s a tension nobody mentions in school. The best herbs cost more, patients don’t always want to pay for the best herbs, and a patient who never starts because the price scared them off gets zero benefit from the world’s finest granules.

So I run two tiers. Quality, for the results you were taught to expect. And an affordable entry point, because once somebody has felt a cheaper formula work, the conversation about a better one gets much easier.

First, what is a "school"?

You’ll hear practitioners talk about the warming school or the damp school and it sounds like jargon. It isn’t. Chinese medicine didn’t develop in one place — it developed across an enormous country with wildly different climates, and the doctors in each region were looking at different problems out their window.

Cold regions produced traditions built around restoring warmth and circulation. Wet regions produced traditions built around clearing dampness, that heavy, foggy, sluggish quality. Neither is more correct than the other. They’re answers to different questions, and that history is still sitting inside the formulas you buy today.

classical pearls supplememnt

Classical Pearls

Classical Pearls comes out of the warming school, so it’s most effective for people who run chronically cold. That’s exactly why their cold-invasion formulas — the ones for the early stage of a cold — perform as well as they do. Quality is excellent, and the material holds up even in capsule form, which is unusual and tells you something.

You do have to find the formulas that work. These are the ones I reach for consistently:

Where I’m less impressed is some of their tonifying formulas — the ones meant to build a depleted person back up. That’s my clinical read, not a knock on the company. Every line has a center of gravity and theirs is warming and dispersing.

You can see the full line at Classical Pearls.

Botanical Biohacking

Botanical Biohacking sits more in the damp school, which is what’s relevant for people in damp conditions like Oregon. It’s also well suited to a typical American diet, which produces its own internal dampness no matter where somebody lives.

That’s why I like the formulas and it’s why I carry them — see the disclosure at the top. You can see the line at Valley Health Market.

The affordable tier

I like Evergreen formulas in the powder, not the pill. They’re complex formulas you can mix together, the quality is good but it’s not amazing, and they’re affordable and easy to use. Treasures of the East I like in the pill — easy to use, reasonable quality, does the job.

There are other companies in the same class. KPC is similar to Evergreen. I haven’t experimented with all of them so I won’t pretend to a clinical opinion I don’t have, but it comes recommended by people I trust.

Pills or powder?

This is where most people go wrong, and it’s just arithmetic.

A concentrated extract capsule is typically about 500 mg. A scoop of granules — powdered extract, loose in a jar — is 1 gram. That’s roughly two capsules per scoop.

Why cheaper herbs need to be powder

Now picture the dose you actually want in a patient — say six to nine grams a day. That’s twelve to eighteen capsules. Nobody is doing that three times a day for six weeks.

So the rule is this: the cheaper the product, the more of it you need, and the harder that is to do in capsule form. That’s the whole reason I want Evergreen as granules. A scoop and a half is easy. Fifteen capsules is not.

Capsules also cost more to manufacture, so you’re frequently paying extra for the form that makes proper dosing hardest. Sometimes that’s still the right trade — for a first-timer, for travel, for compliance. Just make it on purpose.

Taste is doing real work

Granules taste earthy and people complain. Here’s why I don’t apologize for it.

Taste is part of the mechanism. Bite a lemon and your body reacts before you’ve swallowed anything. Eat something savory and your gallbladder starts releasing bile in anticipation of fat. And you don’t only have taste receptors on your tongue — they’re distributed throughout your digestive tract. Your body will taste it either way, but the tongue comes first, and that early signal matters.

It’s not a bad taste. It’s an earthy taste. Reframing it that way with patients helps more than you’d expect. And if it’s somebody’s first time with herbs, start them on capsules and a cheaper product, get them a result they can feel, then move them up.

You wouldn’t ask whether an onion works.

— Will Sheppy, L.Ac.

Why your herbs aren't working

Herbs work. That’s not a promise, it’s a category statement — the same way I’d say carrots work, or garlic works. When they don’t seem to, there are three explanations, and it’s almost always one of them:

Think about aspirin. Aspirin works. But if you take aspirin for the wrong thing you don’t feel better, and nobody concludes from that that pharmacology is fake. The aspirin just wasn’t what you needed.

If you’re consistently disappointed with herbal results, I’d bet on cheap product plus low dosing before anything else on that list.

How long should it take?

Depends what you’re treating. For pain, expect something fairly quickly — often close to immediately. For most other things, think of herbs the way you think of diet.

Eat a Big Mac, you feel like garbage. Eat a salad, you feel better that day. Eat well for a week and your body starts to actually change. Herbs are a strong diet — same curve, steeper slope.

Can you combine formulas?

Yes, and I recommend it. You need to know the formulas or work with someone who does, but combining is normal practice — no stranger than taking vitamin C alongside zinc.

Topicals: the herbs anyone can buy

The topicals are the one category with no license gate, and they’re some of the best products I use. All of them are American made and handcrafted — made by people, not corporations.

They’re all sourcing top quality herbs, which I respect, and you feel the difference in the results.

How to buy Chinese herbs without a license

Everything above except the topicals requires a license. So here’s what to do instead.

Is it safe?

Are the herbs clean?

Largely, yes. Testing for heavy metals and pesticides isn’t federally mandated before market the way it is for drugs, but every major Chinese herbal pharmacy company I’ve looked into treats it as standard practice. The worry about contaminated imports belongs to an earlier era.

My rule is to buy from American-based manufacturers, the ones whose testing you can actually ask about, rather than something produced overseas and shipped straight to a marketplace listing. If a company can’t produce a certificate of analysis, that tells you what you need to know.

Taking herbs without a diagnosis is mostly safe, but it probably won’t be effective, which is its own kind of waste. And if you’re sensitive to herbs, guessing can genuinely go badly.

Medications worth a conversation first

Blood thinners. Many of the major blood-moving herbs in Chinese medicine interact with anticoagulants. Chuan Xiong is the clearest example, and Dan Shen and Dang Gui warrant the same caution. If you’re on warfarin, apixaban, rivaroxaban or anything similar, this needs to be a conversation before you start rather than after.

The interesting exception is San Qi, the herb in Evil Bone Water. It moves blood and stops bleeding — a coagulant as well as a mover. That paradox is exactly why it’s the star of so many famous trauma liniments.

Mood medications — antipsychotics and mood stabilizers — are the other category that needs a conversation first. Outside of those two, most people are fine. But “most people” isn’t “you,” which is why the conversation matters.

For a much deeper treatment of herb–drug interactions, including liver and kidney function, SSRIs and diabetes medications, Brehan Crawford wrote a thorough guide to it. Brehan and I went to school together and he’s one of the best herbalists around — someone I trust. It’s built around one formula but the framework applies broadly.

If you only try one thing

Start with Evil Bone Water or Wind Tea.

Evil Bone Water because you can actually buy it without a license, it’s useful for a lot of things, and it works fast enough that you stop wondering whether this stuff is real. Wind Tea for the early stage of a cold, for the same reason — it’s the formula most likely to make a believer out of a skeptic.

Once you’ve felt one of them do its job, everything else in this article gets easier to take seriously.

And if you’re not getting results from Chinese herbs, it’s almost never that the herbs don’t work. It’s cheap product, or not enough of it, or the wrong formula. Fix the dose first — it’s free, and it solves the problem more often than switching brands does.

Evil Bone Water Front Label

Evil Bone Water

Zheng Gu Shui, Restored

The topical liniment I reach for first — no license required, fast on bruises, strains and sore joints.

References

Classical Pearls Herbal Formulas. Legacy Series. Link →

Crawford B. Gut Harmony Drug Interactions: Is It Safe With Your Medications? Crawford Wellness. Link →

Fu Medicinals. Topical pain relief, hand-crafted in Oregon. Link →

Botanical EZ, LLC. Corydalis for natural pain relief. Link →

This article is educational and is not medical advice. Chinese herbal formulas are not intended to diagnose, treat, cure or prevent any disease. Talk to a qualified practitioner before starting herbs, especially if you take prescription medication.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Can I buy Chinese herbs online without a license?

Most of the top herbal companies sell to licensed practitioners only — you have to send in a copy of your license to get approved. Topicals are the exception and anyone can buy them. For internal herbs, call an acupuncture clinic or try a local Asian market that has someone on staff who knows the formulas.

You can, but the same products routinely cost two to three times what a clinic or a local Asian market charges, and you get no guidance with the purchase. It’s the worst combination available: highest price, least information.

Testing isn’t federally required before market, but every major Chinese herbal pharmacy company I’ve looked into treats it as standard practice. Buy from American-based manufacturers whose testing you can ask about, and if a company can’t produce a certificate of analysis, that tells you what you need to know.

It’s a dosing decision. A capsule holds about 500 mg and a scoop of powder holds a gram, so a real daily dose of six to nine grams means twelve to eighteen capsules. With a cheaper formula, use the bulk powder so the patient can actually reach a therapeutic dose.

Almost always one of three things: it’s the wrong formula for you, it isn’t dosed high enough, or you haven’t taken it long enough. If you’re consistently disappointed, cheap product combined with low dosing is the most likely cause.

Many of the major blood-moving herbs do, including Chuan Xiong, Dan Shen and Dang Gui. If you take warfarin, apixaban, rivaroxaban or a similar anticoagulant, talk to a practitioner before starting. Antipsychotics and mood stabilizers are the other category worth a conversation first.

Recent Posts

What Is a Dit Da Jiao? Fu Medicinals

Fu Medicine Formulas Herbal Line up
17 minutes read

What Is a Dit Da Jiao? Fu Medicinals

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Fu Medicine Formulas Herbal Line up

Table of Contents

When you buy something for pain, you assume newer is better. Fresher herbs, a more recent batch, more punch.

With liniments it runs the other way. Some of the bottles we carry are more than ten years old — on purpose. That isn’t old stock sitting around. That’s the medicine finishing itself.

I’ve been using Fu Medicinals on patients in my Albany clinic for a while now, and it’s one of the few topical lines where I can point to a person, a place, and a process. That person is John, an acupuncturist who spent fourteen years developing these formulas in a working treatment room. Here’s what a jiao actually is, what the aging does, and which of the three formulas fits which kind of pain.

Quick answer

A jiao (roughly “jee-yow”) is a traditional Chinese herbal liniment — medicinal herbs steeped in alcohol and applied to the skin, never swallowed. Fu Medicinals makes three of them, handcrafted in small batches in Oregon, and nothing is released until it has aged at least two years. Each formula targets a different depth of injury: PNW Dit Da Trauma for acute injury and bruising, Tendon Mending for tendons and ligaments, Bone Spur for chronic joint and bone pain. External use only — talk to your doctor first if you are pregnant.

What Is a Jiao — and Why Does Age Matter?

A jiao is an alcohol extraction. Herbs go into high-proof spirits, and the alcohol pulls the medicinal constituents out of the plant material over time. Unlike a cream or a gel, it isn’t finished the day it’s bottled — the extraction keeps going.

That’s the whole argument for aging it. The longer the herbs and the alcohol sit together, the more completely the formula comes out, and the more the individual herbs stop behaving like a list and start behaving like one medicine. John’s rule is that nothing leaves his shop under two years old, and some of what ends up on our shelf is well past a decade.

Dit da jiao is the most famous member of the family. It translates, almost comically literally, to “hit fall wine” — the medicine you reach for when someone got hit, or fell. It has been the standard first-aid topical in Chinese martial arts halls for a very long time, which is exactly the pedigree you want in something meant for a fresh bruise.

"When it comes to liniments, the older the more potent."
— John Ditmars, maker of Fu Medicinals

Meet John Ditmars, the Maker Behind Fu Medicinals

Fu Medicinals didn’t start as a product line. It started as an acupuncturist making liniments for his own aches — John is an athlete, and he specializes in pain-based conditions — and then for the patients in front of him. Fourteen years of adjusting the recipes based on what actually worked in the treatment room is how three formulas came out the other side. The name nods to the Kung Fu healing tradition these recipes come from.

He’s clear about what he was reacting against. He had tried the brands sitting in his acupuncture school clinics and on store shelves and didn’t want any of it: no synthetic chemicals, no overpowering odor, and nothing formulated to produce a dramatic tingle. As he puts it, that sensation doesn’t necessarily mean the product is working — it just means people have been trained to expect it.

Here is what actually separates these from the topical aisle:

I care about that history for a practical reason. A topical made by someone who has to look a patient in the eye next week gets revised. A topical made to hit a price point does not. That’s the standard anything has to clear before it earns shelf space at Valley Health Market.

The Three Formulas, and When I Reach for Each

Chinese medicine thinks about injury in layers — blood and muscle nearest the surface, then sinew and connective tissue, then bone. Fu Medicinals color-codes the labels to match: red for the blood and muscle level, green for tendon, blue for bone. Once you know that, choosing is mostly a matter of asking how deep the problem sits and how long it has been there.

PNW Dit Da Trauma — the acute one

Fresh injury, bruising, swelling, the ankle you rolled on Saturday

This is the “hit fall wine” formula, and it’s the one to have in the cupboard before you need it. The Pacific Northwest version leans on mugwort (Ai Ye) to answer the cold and damp we actually live in, and it combines warming and cooling herbs so it can be used while things are still hot and swollen. Twenty-eight herbs in total.

Tendon Mending — the connective-tissue one

Tendonitis, a ligament sprain that hasn’t settled, any nagging tweak in a tendon. It’s built around Gu Sui Bu (drynaria), the herb whose name translates roughly as “mender of shattered bones,” and the base is organic coconut oil and beeswax in the balm version. Worth knowing: this one is warming, which is the point of it — and which is why it isn’t the right choice in the first day or two after a fresh injury.

Bone Spur — the deep, chronic one

Bone spurs and osteoarthritis — which in Chinese medicine is always read as a long-standing pattern rather than an acute event. E Zhu (zedoary rhizome) does the heavy lifting here, aimed at blood and qi stagnation that has had years to set in. Thirty-plus herbs, and the one I reach for when someone’s joint pain has been part of their life long enough that they’ve stopped mentioning it.

  PNW Dit Da Traumared — blood & muscle Tendon Mendinggreen — sinew Bone Spurblue — bone
Best forBruises, sprains, knocks, fresh swellingTendonitis, ligament sprains, nagging tweaksBone spurs, osteoarthritis, deep joint ache
StageAcute — hours to days oldSub-acute to chronic — weeks to monthsChronic — months to years
Signature herbAi Ye (mugwort)Gu Sui Bu (drynaria)E Zhu (zedoary rhizome)
TemperatureWarming and cooling together — usable while hot and swollenWarming — wait 1–2 days after a fresh injuryWarming — built for long-standing stagnation
Comes asJiao (2 oz liniment) or balmJiao (2 oz liniment) or balmJiao (2 oz liniment) or balm

Jiao or Balm? How to Choose

Every recipe comes two ways: the traditional jiao — a 2 oz alcohol liniment — and a modern balm that puts the same formula in an organic coconut oil and beeswax base. They aren’t competing versions of the same thing. They suit different situations, and plenty of patients end up owning both.

Reach for the jiao when…

You want fast penetration and you’re applying several times a day

The alcohol carries the herbs in and then evaporates, so nothing is left sitting on the skin. That makes it easy to reapply through the day without building up a greasy layer, and it’s the form that has been aged.

Reach for the balm when…

The skin is dry or irritated, you’re using it as a glide medium for massage or cupping, or you’re traveling and would rather not carry a liquid. The balm stays put longer and is gentler on skin that’s already unhappy.

The gauze trick

For a longer soak, put the jiao on a piece of gauze and tape it over the area rather than rubbing it in. It’s a traditional method and it keeps the herbs in contact with the tissue far longer than a two-minute massage does. Good for an evening on the couch or overnight on a stubborn joint.

What the Research Actually Shows

I want to be straight about this: these specific formulas have not been through clinical trials. Handmade, small-batch liniments almost never are — there is nobody to fund the study. What has been studied, in laboratories and in animals, is the individual herbs, and some of that work lines up neatly with what the tradition has been claiming for centuries.

Frankincense and myrrh, tested as a pair

The combination outperformed either resin used alone

Ru Xiang and Mo Yao appear together in nearly every trauma formula in the Chinese materia medica, and researchers have tested whether the pairing is actually doing something. In mouse models of inflammation and pain, the combined extract suppressed swelling and reduced pain behavior more effectively than frankincense or myrrh on their own (Su et al., 2012).

Gu Sui Bu and the bone-and-sinew claim

Drynaria, the anchor of Tendon Mending, has a connective-tissue reputation going back centuries. In cell studies its water extract protected osteoblasts — the cells that build bone — from oxidative damage and pushed them toward maturity (Hsu et al., 2011). Naringin, its main constituent, sped up fracture healing in rats by improving blood-vessel growth at the fracture site (Song et al., 2017).

Ai Ye, the herb that makes it a Pacific Northwest formula

More than 200 compounds have been identified in mugwort’s essential oil, with anti-inflammatory and analgesic activity documented across a wide body of work — alongside a clear note from the same reviewers that the oil is not harmless in quantity (Liu et al., 2021).

None of that proves a liniment will fix your shoulder. It is laboratory and animal evidence about ingredients, not human trials of a finished product. But it is a good deal more than nothing, and it is consistent with what I see when I use these in the treatment room.

"That sensation doesn't necessarily mean that the product is working — but people are familiar with those tingles via products they've previously tried, and might expect it to be a sign that the topical is working."
— John Ditmars, on why Fu Medicinals doesn't chase the burn

PNW Dit Da Jiao Trauma Liniment by Fu Medicinals

Fu Medicinals at Valley Health Market

Three formulas. Two forms. Aged at least two years.

We carry all three Fu Medicinals formulas at Valley Health Market, in both the traditional jiao and the balm, starting at $25 for a 2 oz liniment. There are also two bundles if you’d rather keep the acute and the chronic option on hand at the same time.

How to Use a Liniment — and When Not To

Application is simple, and doing it often matters more than doing it heavily.

  1. Massage a small amount into the sore area with your fingertips or a cotton ball until it’s absorbed.
  2. Repeat several times a day — three or four is reasonable for something you’re actively working on.
  3. For deeper contact, apply the liniment to a piece of gauze and tape it over the area for a longer stretch.
  4. Wash your hands afterward, and keep it well away from your eyes.

Cautions, and I mean these

External use only — never take a jiao internally

  • Not on broken skin, open wounds, or mucous membranes. Avoid sensitive areas and keep it out of reach of children.
  • If you are pregnant, talk to your doctor before using any of these. Several of the herbs in these formulas move blood, which is exactly why they work on bruises and exactly why pregnancy is a different conversation.
  • Tendon Mending is warming — that’s the point of it — which makes it the wrong choice in the first day or two after a fresh injury, while things are still hot and swollen. Use the Dit Da formula in that window instead.
  • If you have herbal or plant allergies, read the full ingredient list on the product page first. The equipment these are made on contacts a wide range of medicinal herbs.

When to stop rubbing and get it looked at

A liniment supports tissue while it heals. It is not a way of finding out what’s wrong. Get the injury assessed if you can’t bear weight, the joint looks deformed, the swelling came on hard and fast, or you have numbness, tingling, or weakness anywhere downstream of it. The same goes for pain that hasn’t budged after a couple of weeks of sensible self-care — that’s information, and it’s worth acting on rather than covering up.

Which Formula Should You Start With?

If you’re standing in front of the three of them trying to decide, the question isn’t “which is strongest.” It’s how deep is the problem, and how long has it been there. Something that happened this week, at the level of muscle and bruise, wants the Dit Da. Something in a tendon that has been grumbling for a month wants Tendon Mending. Something in a joint that has been part of your life for years wants Bone Spur.

And if you genuinely can’t tell — which is common, because pain is a bad narrator — start with the acute formula. It’s the most broadly useful of the three, it’s the one martial artists have kept on the shelf for centuries for exactly that reason, and it won’t be wasted.

Your Next Step

Not sure which one fits what you’re dealing with?

Call the clinic at (541) 760-9670 or stop by at 220 5th Ave SW in Albany and ask. That’s a two-minute conversation and it’s free — and if what you’re describing sounds like something a topical won’t touch, I’d rather tell you that than sell you a bottle.

These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. This article is educational and is not a substitute for individual medical advice.

References

Su S, Hua Y, Wang Y, et al. Evaluation of the anti-inflammatory and analgesic properties of individual and combined extracts from Commiphora myrrha and Boswellia carterii. Journal of Ethnopharmacology. 2012;139(2):649–656. Link →

Hsu CK, Liao MH, Tai YT, et al. Nanoparticles prepared from the water extract of Gusuibu (Drynaria fortunei J. Sm.) protects osteoblasts against insults and promotes cell maturation. International Journal of Nanomedicine. 2011;6:1405–1413. Link →

Song N, Zhao Z, Ma X, et al. Naringin promotes fracture healing through stimulation of angiogenesis by regulating the VEGF/VEGFR-2 signaling pathway in osteoporotic rats. Chemico-Biological Interactions. 2017;261:11–17. (animal study) Link →

Liu Y, He Y, Wang F, et al. From longevity grass to contemporary soft gold: Explore the chemical constituents, pharmacology, and toxicology of Artemisia argyi H.Lév. & Vaniot essential oil. Journal of Ethnopharmacology. 2021;279:114404. Link →

Ditmars J. About John Ditmars the Maker — interview and product FAQ. Valley Health Clinic. Link →

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

What does "dit da jiao" mean?

It translates almost literally as “hit fall wine” — the medicine you use after someone has been hit or has fallen. It’s an alcohol-based herbal liniment that has been the standard first-aid topical in Chinese martial arts for a very long time, and it’s the tradition the PNW Dit Da Trauma formula comes out of.

A jiao is an alcohol extraction, and the alcohol keeps drawing constituents out of the herbs long after the bottle is sealed. Fu Medicinals releases nothing under two years old, and some bottles are well over ten. As maker John Ditmars puts it: with liniments, the older the more potent.

Same formula, different carrier. The jiao is the traditional 2 oz alcohol liniment — it penetrates quickly and evaporates, which suits applying several times a day. The balm puts the same herbs in an organic coconut oil and beeswax base, so it stays on the skin longer and is gentler on dry or irritated skin. Plenty of people keep both.

Tendon Mending is the one built for connective tissue — tendonitis, ligament sprains, and lingering tweaks. It’s a warming formula, though, so it isn’t the right choice in the first day or two after a fresh injury while things are still hot and swollen. Use PNW Dit Da Trauma in that window instead.

Talk to your doctor first. Several of the herbs in these formulas move blood — which is precisely why they help with bruising and stagnation — and that makes pregnancy a conversation to have with your provider rather than a decision to make from a label. All of these are for external use only, and none should go on broken skin.

Recent Posts

How Real St. John’s Wort Oil Is Made

Red Emperor's Immortal Flame
16 minutes read

How Real St. John’s Wort Oil Is Made

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Red Emperor's Immortal Flame

Table of Contents

If you have ever bought an herbal oil and wondered whether there was really any herb in it, you are asking exactly the right question. A lot of what gets sold as “St. John’s wort oil” is a pale yellow-green liquid that has been sitting on a shelf under fluorescent light for a year, and there is no easy way for a customer to tell the difference.

I carry Red Emperor’s Immortal Flame in the clinic and on the shelf at Valley Health Market, and the question patients ask me about it is almost never “does it work.” It is “what is actually in it.” So I asked Hugh Turcotte, L.Ac. — the acupuncturist and clinical herbalist who makes it — to walk through the part nobody usually gets to see: how the St. John’s wort goes from a field in the last week of June to the red oil in the bottle.

Here is that process, and the two things you can look at to judge any St. John’s wort oil for yourself.

Quick answer

St. John’s wort (Hypericum perforatum) is identified in the field by squeezing a flower bud — the real plant stains your fingers purple. For medicinal oil, the flowering tops are harvested at full flower in late June, cold-packed the same day, screen-dried about 48 hours to drive off water, then packed into glass with organic olive oil and left in full sun for roughly two weeks. A properly made oil turns deep red. Red Emperor’s Immortal Flame is built on that infused oil and is for external use only.

Not Every Yellow Flower Is St. John's Wort

There are a lot of yellow, five-petalled flowers in a summer field, and most of them are not Hypericum perforatum. Hugh’s test is the one herbalists have used for centuries, and it takes about two seconds.

Squeeze an unopened flower bud between your thumb and forefinger. If it is real St. John’s wort, your finger turns purple-red. That stain is the hypericin — the same pigment that will eventually color the oil. The species name perforatum points at the second check: hold a leaf up to the light and it looks pinpricked, because it is dotted with translucent oil glands.

This matters more than it sounds like it should. In a study of twenty-one home-made and commercial St. John’s wort olive-oil macerates, the researchers’ conclusion was blunt: the infused oils contained active components if the correct plant material was used. Identification is not a botany-nerd detail. It is the first quality-control step, and everything downstream depends on it.

“That red is one of the ways we know that it is what we say it is.”

— Hugh Turcotte, L.Ac., maker of Red Emperor’s Immortal Flame

From Field to Workshop in 24 Hours

This is the part of the process Hugh had never really shown before, and it is the part that separates a medicinal oil from a decorative one. There is nothing exotic in it — just a sequence where every step exists to protect the last one.

Here is the sequence, start to finish:

Nothing in that list is glamorous. But skip the cold pack and you lose actives to heat in transit; skip the drying and you get mold; use plastic instead of glass and you lose the sun infusion entirely. Each step is there to protect the one before it.

Why the Last Week of June Matters

Hugh sources his St. John’s wort from domestic organic farmers who harvest it in the last week of June — not because of a production schedule, but because that is when the plant has put the most into its flowering tops.

Research

Actives peak at full flowering (Pharmaceutical Biology, 2013)

In a study tracking two Hypericum species across five growth stages — vegetative, floral budding, full flowering, fresh fruiting and mature fruiting — hypericin and pseudohypericin reached their highest levels at full flowering. The authors’ recommendation was direct: harvest during flower development when the material is intended for medicinal use.

Harvest two weeks early or three weeks late and you are working with weaker raw material. No amount of careful processing afterward puts back what was never picked.

The folklore, and why it lines up

The traditional name comes from the same week. The Feast of St. John the Baptist falls on June 24, and the plant is at full flower right around it. Medieval Europeans hung it in doorways to ward off evil spirits — which is a folk memory of a plant people clearly took seriously, tied to exactly the window when it is strongest.

What to ask a maker

“When was this harvested?” is a fair question to put to anyone selling an herbal oil, and the answer tells you whether they are buying on a spec sheet or on a season. A maker who can name the week is paying attention to the plant. One who cannot is buying whatever was available.

Why Glass, and Why the Sun

Glass is, in Hugh’s own words, “very inconvenient, actually.” It is heavy, it breaks, and it costs more to ship. Plastic would be easier at every step. He uses glass anyway, because the extraction method depends on it: the jars have to sit in direct sunlight and take on heat, and that gentle solar warming is what pulls hyperforin and hypericin out of the plant material and into the oil.

This is a slow method by design. There is no press, no solvent, no heated tank turning out a batch in an afternoon. Two weeks of sun does the work that industrial processing does faster and cruder. You are paying for time here as much as for ingredients — which is also why a small-batch oil like this will never compete on price with a mass-market liniment, and is not trying to.

Research

What actually ends up in an infused oil (Food Chemistry, 2013)

Researchers profiled twenty-one St. John’s wort olive-oil macerates — some home-made, some commercial — and analyzed them by LC-DAD-MS. Hypericin and pseudohypericin turned up in all of the oils. Hyperforin, which is far less stable, was detected in only four of the twenty-one, and adhyperforin in six.

That spread is the whole argument for method. Same plant, same solvent, wildly different results depending on how the oil was made. The authors’ conclusion was that infused Hypericum oils can carry active components — provided the correct plant material is used to begin with.

Why the slow way survives

If hyperforin is the fragile one, then heat, light exposure at the wrong stage, and time on a warehouse shelf all work against it. Sun infusion in sealed glass is a compromise: enough warmth to extract, gentle enough not to cook. It is not the most efficient method available. It is the one that has kept producing usable oil for several hundred years.

What this costs, practically

Two weeks per batch, a fixed harvest window once a year, glass that has to be shipped carefully, and a raw material that has to be flown in cold. That is the real price of the method, and it is why this is made in small batches rather than continuously.

The botanical approach

St. John’s wort is one part of a longer formula. The infused oil is the base, not the whole story. Red Emperor’s Immortal Flame also carries menthol, wintergreen, arnica, calendula, ginger, mustard seed and cayenne in an olive-oil carrier — a warming, circulating combination aimed at stiff, cold, achy tissue rather than at hot, acutely inflamed injury.

Made by Hugh Turcotte, L.Ac., Dipl. O.M. — carried at Valley Health Market because it earns the shelf space.

What the Red Color Actually Tells You

Olive oil goes into the jar green-gold. Two weeks later it comes out deep red. That color change is the single most useful thing a customer can look at, because it is hard to fake and it is the visible signature of the compounds you are buying the oil for.

Research

Topical Hypericum has been studied in real wound healing

In a randomized, double-blind trial of 144 women following cesarean delivery, a topical Hypericum perforatum ointment applied three times daily for 16 days produced significantly better wound healing at day 10 and less scarring, pain and itching at day 40 than either placebo or no treatment. A separate seven-week pilot study of a St. John’s wort, calendula and garlic ointment on venous leg ulcers reported 99.1% epithelialization.

Neither of those studies is about muscle or joint pain, and I am not going to stretch them into a claim they do not make. What they do establish is that topical preparations of this plant have been taken seriously enough to be tested properly — which is more than most liniment ingredients can say.

What you can check yourself

Hold the bottle up to a window. If a product sold as St. John’s wort oil is pale and yellow, something in the chain — the identification, the harvest window, the drying, or the infusion — did not happen the way it should have.

It is not a laboratory assay, and I would not want anyone to read it as one. Plenty of variables sit between color and potency. But it is a real marker, and it is one you can see without taking anyone’s word for it.

Two questions worth asking

Beyond the color, ask any maker two things: when was it harvested, and how was it extracted. Those two answers cover most of what separates a medicinal oil from a cosmetic one. If nobody can answer them, that tells you something too.

“The reason I use glass — it’s very inconvenient, actually. But the reason I use glass is because we’re going to get the heat infusion with the sunlight exposure.”

— Hugh Turcotte, L.Ac.

Red Emperor's Immortal Flame

Red Emperor's Immortal Flame

Sun-infused St. John’s wort, made the slow way

A warming herbal oil for stiff joints and soft tissue — the kind of ache that likes a heating pad. Made in small batches by Hugh Turcotte, L.Ac., and a good glide medium for cupping, gua sha and bodywork. External use only.

How I Use It in the Clinic

Red Emperor’s Immortal Flame is a warming oil, and I reach for it with the patients whose pain is worse in the cold and better with heat — stiff joints that take twenty minutes to loosen up in the morning, old injuries that ache when the weather turns, the necks and shoulders that show up in an Oregon January. In Chinese medicine terms it is aimed at Bi syndrome patterns with a cold-damp character. In plainer language: it is for the pain that likes a heating pad.

Where it fits

A treatment-room tool, not just a shelf product

The olive-oil base makes it genuinely useful under cupping, gua sha and hands-on bodywork, which is a large part of why it lives in my treatment room and not only on the retail shelf. If I am working a stiff shoulder with a cup, I want something with slip that is also doing something.

For an acute, hot, swollen injury I reach for something cooling instead. Matching the herb to the tissue state matters more than picking a favorite bottle.

How to apply it

The oil is concentrated. Six to eight drops is a liberal application, and a 30 ml bottle holds over 500 drops — roughly 60 to 80 applications. Work it in for several minutes rather than dabbing it on; the massage is part of the point.

Topical herbal preparations like this are traditionally used to support comfort in muscles and joints. They are not a treatment for any named disease, and nothing here is a substitute for evaluation of a new or worsening problem.

Before You Use It

External use only. This is a medicinal-strength topical formula and should be used with care. Do not take it internally, keep it away from eyes and mucous membranes, and do not apply it to broken skin.

If you are pregnant or nursing, talk to your healthcare provider before using it. If you have not used a warming liniment before, test a small area first — menthol, wintergreen, ginger and cayenne together produce real heat, and skin sensitivity varies a lot from person to person.

References

Orhan IE, Kartal M, Gülpinar AR, Cos P, Matheeussen A, Maes L, Tasdemir D. Assessment of antimicrobial and antiprotozoal activity of the olive oil macerate samples of Hypericum perforatum and their LC-DAD-MS analyses. Food Chemistry. 2013;138(2-3):870–875. Link →

Cirak C, Radusiene J, Camas N, Caliskan O, Odabas MS. Changes in the contents of main secondary metabolites in two Turkish Hypericum species during plant development. Pharmaceutical Biology. 2013;51(3):391–399. Link →

Samadi S, Khadivzadeh T, Emami A, Moosavi NS, Tafaghodi M, Behnam HR. The effect of Hypericum perforatum on the wound healing and scar of cesarean. Journal of Alternative and Complementary Medicine. 2010;16(1):113–117. Link →

Kundaković T, Milenković M, Zlatković S, Nikolić V, Nikolić G, Binić I. Treatment of venous ulcers with the herbal-based ointment Herbadermal®: a prospective non-randomized pilot study. Forschende Komplementärmedizin. 2012;19(1):26–30. Link →

Citations located via PubMed. Product details from the Red Emperor’s Immortal Flame product page.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

How can I tell if a plant is really St. John's wort?

Squeeze an unopened flower bud between your fingers. Real Hypericum perforatum stains your skin purple-red from the hypericin it contains. As a second check, hold a leaf up to the light — it looks perforated with tiny translucent dots, which is where the species name comes from.

The red comes from hypericin and related compounds moving out of the flowering tops and into the oil during the sun infusion. Olive oil goes into the jar green-gold and comes out deep red. It is a visible marker that the right plant was used and that the extraction actually happened — not a potency measurement, but a real signal.

Because the gentle, sustained warmth of two weeks of direct sunlight is what draws hyperforin and hypericin out of the plant material and into the olive oil. That is also why the jars are glass rather than plastic, despite glass being heavier, more fragile and less convenient at every stage.

Water left in the flowering tops creates a mold risk once the material is submerged in oil. Screen-drying for about 48 hours brings the moisture down far enough that the infusion stays stable. It is a shelf-stability step, not a shortcut.

It is a warming formula, so it suits pain that feels better with heat — stiff joints, old aches that flare in cold weather, muscles that need loosening. It is for external use only. If you are pregnant or nursing, check with your provider first, and get new or worsening pain properly evaluated rather than managing it with a topical.

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Tibetan Herbal Foot Soak: For Heavy, Swollen Summer Feet

Tibetan Herbal Foot Soaks in Foot Bath
6 minutes read

Materia Medica · The Ritual Series

Tibetan Herbal Foot Soak: For Heavy, Swollen Summer Feet

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Tibetan Herbal Foot Soaks in Foot Bath

Table of Contents

This one is for the patients who feel heavy in summer.

Warm herbal foot soaking is one of the oldest self-care rituals in the world. In the Tibetan tradition it draws on plants that grow where almost nothing else will — at brutal altitude and cold. Those are the herbs this soak is built around.

Here’s the pattern it was written for, the one instruction that matters most, and what’s inside.

Quick Answer

The Tibetan Herbal Foot Soak is a warm evening soak built on high-altitude Tibetan plateau herbs and mineral-rich Tibetan salt, for the summer damp-heat pattern: swollen feet by evening, sleep that breaks in the second half of the night, and a leaden heaviness that lifts only with movement. The protocol is specific — twenty minutes, not longer, three to four times a week through the warmer months. If you have diabetes, neuropathy, reduced sensation, or open wounds, check the water temperature carefully and talk with your provider first.

Who This Soak Is For

Dr. Xuelan Qiu of Botanical Biohacking describes the person these were built for with real precision: swollen feet by evening. Sleep that begins well and then breaks in the second half of the night. A leaden quality through the lower body that lifts only with movement.

That’s a damp-heat pattern — one that rises with the season and refuses to clear with diet alone. The company’s own shorthand for the product is direct: high-altitude Tibetan growers, damp-heat.

The Protocol: Twenty Minutes, Not Longer

This is the most useful thing we can pass along, and it comes straight from the formulator. It is refreshingly specific, and it corrects the most common mistake.

Inside the Formula

The blend leans on some of the most revered plants of the Tibetan plateau, grouped by the job each does.

Regenerate

Relax and Warm

Replenish

Before You Soak

If you have diabetes, neuropathy, reduced sensation in your feet, or any open wounds, check the water temperature carefully and talk with your provider first. Skip it entirely on broken skin.

An evening foot soak draws heat downward and quiets the upward churn that keeps a busy mind from settling. That is the whole mechanism, and it is why people sleep better the same night. — Will Sheppy, L.Ac.

Tibetan Foot Soak Product Photo

Tibetan Herbal Foot Soak

20 tea bags. High-altitude Tibetan herbs and mineral-rich salt, for the heavy, swollen, damp-heat pattern that rises with the season. Available at Valley Health Market.

Research & Resources

  1. Qiu X, Botanical Biohacking. Summer use of Tibetan Herbal Foot Soaks. Practitioner note distributed via Rocky Mountain Herb Supply, June 2026.
  2. Bensky D, Clavey S, Stöger E. Chinese Herbal Medicine: Materia Medica, 3rd ed. Eastland Press, 2004. (Reference for Hong Hua, Ai Ye, Qiang Huo, and Ku Shen.)
  3. Cui ZH, Qin SS, Zang EH, et al. Traditional uses, phytochemistry, pharmacology and toxicology of Lamiophlomis rotata (Benth.) Kudo: a review. RSC Adv. 2020;10(19):11463–11474. PubMed →

Educational content rooted in 20+ years of clinical practice in Traditional Chinese Medicine. The information provided is for educational purposes and is not intended to replace consultation with a qualified healthcare practitioner. Please consult your physician before starting any new herbal protocol, especially if pregnant, nursing, on anticoagulants, or managing a chronic condition.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

What is the Tibetan Herbal Foot Soak for?

It was built for a summer damp-heat pattern: swollen feet by evening, sleep that begins well and then breaks in the second half of the night, and a leaden heaviness through the lower body that lifts only with movement. It draws on high-altitude Tibetan plateau herbs and mineral-rich Tibetan salt.

Twenty minutes is the working window — not longer. Three to four times a week through the warmer months. Longer is not better; soaking for an hour does not improve the result, and people often describe deeper sleep the same night.

Some of the most revered plants of the Tibetan plateau, grouped by job: to regenerate — Du Yi Wei (Lamiophlomis rotata), Hong Jing Tian (Rhodiola), and Hong Hua (safflower); to relax and warm — Zang Chang Pu (Acorus), Qiang Huo, Ai Ye (mugwort), and Gan Jiang (dried ginger); and to replenish — mineral-rich Tibetan salt and Ku Shen.

If you have diabetes, neuropathy, reduced sensation in your feet, or any open wounds, check the water temperature carefully and talk with your provider first. Skip it entirely on broken skin.

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