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What Is the Best Combo for Pain? How to Choose the Right Topical Relief

12 minutes read

What Is the Best Combo for Pain? How to Choose the Right Topical Relief

Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
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

What is the best combo for pain?

In this guide, we break down the best topical products for pain by comparing Blood Bone Combo, Pain Power Combo, Fire and Ice Combo, and Trifecta Combo. You will learn which combo is best for muscle pain, nerve pain, recovery after injury, and full-spectrum topical support. Whether you want stronger heating and cooling sensations, gentler broad-spectrum relief, or a product combination that supports both pain relief and healing, this guide will help you choose the right option.

Blood Bone Combo

The Blood & Bone Combo pairs two of the most powerful topical remedies in the store. Perfect for climbers, CrossFit athletes, martial artists, and anyone seeking faster, more complete recovery.

Blood Bone Combo

The Blood Bone Combo is designed for situations where repair and regeneration are your primary goals. Yes, it helps with pain, but the bigger emphasis is the body’s ability to heal.
This combo brings together some of the most powerful tissue-healing herbs in the Traditional Chinese Medicine pharmacopeia.
Includes: Evil Bone Water + Dragon Blood Balm
Best For: Injury recovery, wound healing, skin repair, bruising, post-surgical healing.

Key Ingredients We Are Highlighting

Hu Zhang (Japanese Knotweed) – in Evil Bone Water. One of nature’s richest sources of resveratrol. Reduces inflammation comparable to prescription drugs like indomethacin. Inhibits neutrophil infiltration by up to 80%. In TCM terms, Hu Zhang “invigorates blood while cooling heat” – ideal for injuries that are hot, swollen, and inflamed.
San Qi (Notoginseng) – in Evil Bone Water. The single most important trauma herb in Chinese medicine. It stops bleeding while simultaneously moving blood. Research shows San Qi dressings heal wounds 1.5x faster than controls.
Xue Jie (Dragon’s Blood) – in Dragon Blood Balm. Traditionally used for chronic sores, ulcers, and overworked hands. In TCM it moves blood, stops bleeding, relieves pain, and helps “generate flesh.”

When to Choose Blood Bone Combo

Pain Power Combo

Combine the synergistic effect of our two best-selling topicals. They work together in separate but complementary ways to quickly eliminate your pain. These two products are the Yin and Yang of pain relief.

Pain Power Combo

The Pain Power Combo takes a different approach to pain. Instead of focusing on repair, it focuses on interrupting pain signals through multiple pathways simultaneously.
This combo is intentionally broad rather than deep. It covers a wide range of pain types by attacking pain through completely different mechanisms. If Blood Bone is like a specialist, Pain Power is like a well-rounded general practitioner.
Includes: Evil Bone Water + Corydalis Relief Salve
Best For: General pain relief, multiple pain types, nerve pain, when unsure of cause.

Key Ingredients We Are Highlighting

Menthol and Camphor – in Evil Bone Water. These are the workhorses of topical pain relief. Menthol activates TRPM8 cold receptors, while camphor creates both warming and cooling through TRPV3 activation and TRPV1 desensitization. The alcohol base in Evil Bone Water delivers them quickly, creating that immediate ‘I feel it working’ effect.
Yan Hu Suo (Corydalis) – in Corydalis Relief Salve. Corydalis is the outlier. It does not work through TRP channels and creates no burning, cooling, or tingling. Instead, it modulates pain centrally through dopamine receptors, GABA enhancement, opioid pathway interaction, and sodium channel inhibition.
Studies comparing Corydalis to morphine found 1-40% of morphine’s analgesic potency without the addiction risk.

Why This Combination Works

When to Choose Pain Power Combo

Fire and Ice Combo

The Fire & Ice Combo pairs two opposing forces for fast, complete pain relief. Red Emperor’s Immortal Flame brings warming circulation and energy flow. Evil Bone Water brings cooling anti-inflammatory power. Together they cover both sides of pain

Fire and Ice Combo

The Fire and Ice Combo is the strongest combination for stimulating skin receptors. If you find relief in intense heating and cooling sensations, this is the combo designed for you.
It hits all the TRP channels that Evil Bone Water activates, then adds more.
Includes: Evil Bone Water + Red Emperor’s Immortal Flame
Best For: Strong heating/cooling relief, stubborn muscle pain, when other products are not strong enough.

Key Ingredients We Are Highlighting

The Added Heat

Wintergreen (Methyl Salicylate)

Activates TRPV1, TRPM8, and TRPA1. In the skin it converts to salicylic acid, so you get both counter-irritancy and anti-inflammatory action.

Cayenne (Capsaicin)

Creates genuine, long-lasting changes in pain nerves, from initial TRPV1 activation to nerve terminal retraction and substance P depletion.

Mustard Seed (AITC)

The most potent natural TRPA1 activator known, causing intense and persistent activation.

Ginger

Provides gentler warming through TRPV1 and TRPA1 while also inhibiting COX-2 and NF-kB pathways.

Delivery matters. Evil Bone Water’s alcohol base delivers ingredients quickly, while Red Emperor’s Immortal Flame’s olive oil base releases ingredients more slowly and helps break through the skin barrier.

When to Choose Fire and Ice Combo

A word of caution: This is a strong combo. If you have sensitive skin, start with a small test area. The mustard and cayenne components are not mild.

Trifecta Combo

Introducing the Ultimate Pain Relief Bundle, an exclusive combination package that brings together three of our most sought-after pain relief solutions: Evil Bone Water, Red Emperor Immortal Flame, and Corydalis Relief Salve.

Trifecta Combo

The Trifecta Combo is exactly what it sounds like: everything. If you are dealing with serious pain and want the full arsenal, this is the most comprehensive option.
What makes this combo special is not just “more ingredients.” It is the layered delivery system.

Includes: Evil Bone Water + Red Emperor’s Immortal Flame + Corydalis Relief Salve
Best For: Everything – maximum coverage, severe or complex pain situations

The Three-Base Advantage

Product Base Apply Action
Evil Bone Water Alcohol + water First Fastest acting; alcohol evaporates and drives menthol and camphor in quickly
Red Emperor's Immortal Flame Olive oil Second Breaks up the skin barrier; delivers warming agents; medium-duration release
Corydalis Relief Salve Beeswax + coconut oil Last Slowest, most sustained release; seals everything in; adds central modulation

How to Use the Trifecta

With the Trifecta, you get counter-irritancy through multiple TRP channels, anti-inflammatory action from wintergreen and ginger, healing support from San Qi and Hu Zhang, central pain modulation from Corydalis, and fast, medium, and slow-release delivery.

When to Choose Trifecta Combo

Quick Comparison Chart

Combo Main Focus Sensation Level Best For
Blood Bone Healing & repair Moderate Injuries, bruising, wounds, surgery recovery
Pain Power Broad pain relief Gentle to moderate General pain, nerve pain, when unsure of cause
Fire and Ice Maximum sensation Strong Stubborn muscle pain; people who like to feel it working
Trifecta Everything Strong + sustained Severe pain, complex situations, maximum coverage

Personal Recommendations

After years of using these products myself and recommending them to patients, here are my honest takes:

My Personal Favorite: Evil Bone Water + Red Emperor's Immortal Flame

I love the skin sensation of the Fire and Ice combo. There is something deeply satisfying about feeling that intense heating and cooling working on tight muscles. It is my go-to for everyday aches after a long day in the clinic.

What I Would Use for a Thrown-Out Back

For patches, I would choose based on preference:
AoYi Pain Patch – if you respond well to warming.
Muscle Melt Patch – if you prefer cooling..
This is not a combo we officially package together, but it is what would be on the table for a serious acute injury.

If You Are New to Our Products

If you have never used our products before, I would suggest starting with the Pain Power Combo. It is the most versatile, covers multiple mechanisms without being overwhelming, and the Corydalis component provides a gentler experience while still being effective.
Once you know how your body responds, you can move toward Fire and Ice if you want more sensation, or Blood Bone if healing is your priority.

Questions and Disclaimer

A Note on Expectations

Topical products are one tool in a larger toolkit. They work best as part of a comprehensive approach to pain management that might include acupuncture, physical therapy, appropriate rest, and addressing underlying causes.

These combos offer meaningful relief through time-tested herbal formulas backed by modern research. The herbs in these products are not random. They are chosen based on centuries of clinical use and increasingly validated by scientific studies on their mechanisms.

Everyone's body is different. What works beautifully for one person might not be the perfect fit for another. That is why there are multiple options.

Questions?

If you are still not sure which combo is right for you, feel free to reach out. As a licensed acupuncturist with over two decades of experience, I am happy to help you find the right match for your specific situation.
Here is to feeling better,
Will Sheppy, L.Ac., DAc, NCCAOM Diplomate,
Valley Health Market,
shop.valleyhealthclinic.com 

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. Consult your healthcare provider before starting any new treatment, especially if you are pregnant, nursing, taking medications, or have a medical condition.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
By Will Sheppy, L.Ac
Will Sheppy, L.Ac., is the founder of Valley Health Clinic and Valley Health Marketplace in Albany, Oregon. He specializes in sports acupuncture, pain management, and Chinese topical medicine. Valley Health Marketplace carries only products he has personally tested in his clinic.

Recent Posts

Pain Power Combo: Corydalis and Evil Bone Water

Save with our Pain Power Combo of Evil Bone Water and Corydalis Relief Stick

Searching for a holistic solution to manage persistent pain? Look no further than our revolutionary Pain Relief Power Combo featuring Corydalis Relief Salve and Evil Bone Water. Acting as the perfect Yin and Yang for pain management, these two products offer fast-acting relief followed by prolonged comfort. Whether you’re grappling with acute or chronic pain, these two potent ointments work synergistically to deliver ultimate relief. Read on to learn how to apply them effectively, their unique benefits, and why they are your go-to options for combating discomfort.

Why Choose the Pain Power Combo?

You’ve likely heard the phrase “two heads are better than one.” Well, the same logic applies here. Corydalis Relief Salve and Evil Bone Water work like the Yin and Yang of pain relief, each offering unique benefits that complement each other perfectly.

Evil Bone Water

It acts quickly to open up your pores for rapid absorption, giving you immediate relief. The natural menthol and camphor stimulate your skin, and its natural compounds accelerate blood flow to speed up healing and decrease inflammation.

Learn more about what Evil Bone Water does

Corydalis Relief Salve

This salve takes the baton from Evil Bone Water and runs with it, offering longer-lasting relief. It soothes the skin, allowing the salve’s natural pain-relieving compounds to kick in gradually, thanks to its coconut oil, Shea Butter, and beeswax base.

The result? A powerful, comprehensive approach to pain relief that targets different aspects of your discomfort and helps you feel better for longer.

How to Apply Them Together for Maximum Effect

The magic lies in the sequence. First, apply Evil Bone Water to the affected area. Its alcohol base makes your skin more permeable, allowing for quick absorption. Wait a few minutes for the skin to absorb it fully. Next, layer on Corydalis Relief Salve. The salve penetrates deep into the skin, providing extended relief for up to 2-3 hours longer than using either product alone.

By combining the two, you unlock the full potential of each product, reaping all their individual benefits in one powerful, long-lasting treatment. 

What Makes Them So Effective? The Science Explained

Let’s break down the science behind these two incredible products:

Sensory Neurons and Pain Perception

Our skin contains specialized nerve cells that help us perceive pain. These cells have “gates” that control our pain signals, which can be influenced by substances like histamine, produced within the skin, and by signals from the brain and brain stem.

The Role of Ginsenosides in Evil Bone Water

Evil Bone Water contains “San Qi,” a key ingredient derived from Panax notoginseng that has been used safely in traditional medicine for centuries. It contains ginsenosides, which are compounds known to block specific pain receptors and reduce inflammation, providing quick relief.

The Alkaloids in Corydalis Salve

Yan Huo Sui (often referred to as Corydalis ) contains powerful compounds like Dehydrocorydaline that interact with Dopamine and Opiate receptors in our nervous system. This interaction relieves pain without causing addiction, thanks to its targeted approach to specific Dopamine receptors. Plus, Corydalis is rich in berberine, another compound that helps reduce inflammation.

Why Wait? Get Relief Now!

Pain shouldn’t dictate your life. With the Pain Power Combo of Corydalis Salve and Evil Bone Water, you can seize control and experience relief like never before. Don’t miss out on the chance to revolutionize your approach to pain management. 

Remember, the power to change your life is just a click away!

Get a fast acting liniment with the long lasting salve. Combine the synergistic effect of our two best-selling topicals

We make available natural products that have been observed to make a difference in the lives of our patients, friends and family. You’re in good hands shopping with us.

About the Author

Author Willard Sheppy Exporing the Coast

Willard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.

In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.

Connect with Willard on LinkedIn at linkedin.com/in/valleyhealthclinic or learn more about his services at valleyhealthclinic.com. Embark on this journey towards holistic health with Willard!

Topical Pain Relief: The Ultimate Product Comparison Chart

Topical Pain Relief: The Ultimate Product Comparison Chart

No more squinting at product labels or flipping coins to decide. This chart breaks down each product’s key features, pros, and cons, making it easier to weigh your options and determine which one aligns with you..

This comparison chart proves helpful in your quest to find the perfect topical pain relief product. Remember, everyone’s preferences and needs are different, so take the time to evaluate the options and find the one that will work best for you. Happy shopping, and may you find relief soon!

When examining the chart, consider the following factors

Your specific needs: Are you looking for a product that provides a heating or cooling sensation? Do you have sensitive skin? Do you prefer a light or strong smell?

Price: Which product fits within your budget?

Size: How often will you be using the product, and for what purpose? Will you need a larger amount for frequent use or a smaller amount for occasional use?

Absorption: Do you prefer a fast-absorbing product, or are you looking for something with a slow time-release effect?

Application: Which method of application is most convenient and suitable for your needs?

By evaluating these factors, you’ll be able to make a more informed decision when selecting a topical pain relief product. The chart aims to provide a comprehensive comparison of the three products so you can choose the one that’s best for you.

Evil Bone Water Corydalis Relief Salve Red Emperor's Immortal Flame
Price $40 $25 $45
Key Ingredients Natural menthol, camphor, cinnamon Corydalis plant extracts Organic wintergreen, menthol
Smell Strong (Herbal) Light/No (Floral) Strong (Wintergreen)
Absorption Fast Slow Medium
Application 3.4 oz Spray 2.2 oz Stick, 1.8 oz Jar 1 oz Bottle
Heating/Cooling Sensation Both, more cooling None Yes, more warming
Pros - Fast-acting
- Strong heating/cooling sensation
- Dries quickly
- Improves absorption when combined with other products
- Good for most things
- Easy to clean
- Slow time-release absorption
- Longer working time
- No strong smell,
- Effective for nerve pain
- Multiple application styles
- No/minimal stinging sensation
- Gentle on sensitive skin
- Medium acting speed
- Medium absorption time
- Effective in providing warmth and relieving cold-aggravated pain
- No/minimal stinging sensation,
Cons - Runny
- Strong smell
- Stings on open skin or after acupuncture
- Strong sensation may cause discomfort for people with sensitive skin
- Difficult to clean
- No hot/cool sensation
- Greasy feeling on skin
- Small bottle size
- May seem expensive
- Flow restriction top may be slow to use
- Not as suitable for applying to large areas easily
- Strong sensation may cause discomfort for people with sensitive skin

For those who want more information on each product, you can read the individual blog reviews for Evil Bone Water, Corydalis Relief Salve, and Red Emperor’s Immortal Flame.

By exploring these reviews, you’ll gain a deeper understanding of each product, allowing you to make a well-informed choice. We encourage you to take the time to read these reviews and find the ideal topical pain relief product that best meets your needs.

Buy Our Topical Pain Relief Products Today!

We make available natural products that have been observed to make a difference in the lives of our patients, friends and family. You’re in good hands shopping with us.

About the Author

Author Willard Sheppy Exporing the Coast

Willard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.

In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.

Connect with Willard on LinkedIn at linkedin.com/in/valleyhealthclinic or learn more about his services at valleyhealthclinic.com. Embark on this journey towards holistic health with Willard!

Topicals vs Patches: A Powerful Combination

Power Patch Combo: Dragontree Muscle Melt and Evil Bone Water

Living with pain can be challenging, and finding the right treatment to manage it can feel overwhelming. With numerous pain relief options available, it’s essential to understand the differences between them and how to use them effectively. In this blog, we will explore two popular pain relief options: topical liniments, specifically Evil Bone Water, and transdermal patches, with a focus on Dragontree Muscle Melt patches. We will discuss their differences, pros and cons, and how to use them together to optimize pain relief.

Topical Liniments (Evil Bone Water)

Evil Bone Water is a herbal liniment designed to provide fast-acting pain relief.

Pros

  • Rapid absorption: This alcohol-based liniment is quickly absorbed by the skin, allowing for faster relief of symptoms.
  • Lower cost: These products are generally more affordable than herbal patches.
  • Adjustable application: You can apply more or less liniment as needed, depending on your pain level and activities throughout the day.
  • Cost-effective: Liniments are generally more affordable compared to patches.

Cons

  • Inconsistent dosing: It can be challenging to consistently apply the correct amount of product, leading to potential variations in effectiveness.
  • Messy application: It can leave a residue on the skin and may stain clothing.
  • Frequent reapplication: Unlike patches, liniments may require a more frequent application to maintain their therapeutic effect.

Transdermal Patches (Dragontree Muscle Melt Patches):

Dragontree Muscle Melt patches are designed to provide long-lasting pain relief through a sustained release of active ingredients.

Pros

  • Sustained release: Herbal patches offer a controlled and continuous release of active ingredients over an extended period, ensuring the therapeutic effect is consistent and long-lasting.
  • Convenience: Patches are easy to apply and can be worn discreetly under clothing, allowing users to go about their daily activities without interruption.
  • Targeted delivery: Patches can be applied directly to the affected area, enabling localized treatment and reducing the risk of systemic side effects.
  • Non-messy: Unlike creams and liniments, patches do not leave any residue or mess.
  • Sustained release: Patches provide consistent and long-lasting pain relief, making them ideal for nighttime use.
  • Proprioception benefits: Patches can improve proprioceptive feedback, similar to Kinesio taping, which may help alleviate pain.

Cons

  • Limited flexibility: Patches may not be as convenient for adjusting the amount of pain relief throughout the day.
  • Higher cost: Patches are generally more expensive than liniments.
  • Allergic reactions: Some people may develop skin irritation or allergies to the adhesive used in patches.
  • Higher cost: Herbal patches tend to be more expensive than creams and liniments.

Combining Product

Combining Evil Bone Water and Dragontree Muscle Melt patches can optimize pain relief by leveraging the benefits of both products. Apply Evil Bone Water during the day for rapid relief and the flexibility to adjust the application as needed. Use Dragontree Muscle Melt patches at night for sustained relief and to minimize mess.

Patches Case Study

As an acupuncturist, I often encounter patients who struggle with pain that interferes with their daily lives. One such patient was Mary, a 50-year-old woman who came to me with a very specific problem: lower back pain that would only occur at night and worsen in the morning. Her pain was concentrated around her tailbone and sacrum, making it difficult to get a good night’s sleep. During the day, after taking a shower and getting up, she would feel fine, but the pain would return at night when she was trying to sleep.

Mary’s primary goal was to find a solution to allow her to sleep through the night without pain and wake up refreshed. After discussing her symptoms and needs, I recommended she try patches for nighttime pain relief.

I explained to Mary that patches are an excellent option for her situation because they can provide targeted, long-lasting relief. In her case, it didn’t make sense to wake up during the night to apply a topical liniment to her back, especially considering the challenging location of her pain. Instead, patches would allow her to apply the treatment before bed and enjoy uninterrupted relief throughout the night.

Mary began using the patches, cutting them to the appropriate size to fit her sacrum area. She would apply the patch to her lower back before going to bed, and the patch would work its magic all night long. To her delight, she found that the patches provided effective pain relief and did not leave any residue on her sheets or require her to wake up to reapply a cream.

Over time, Mary’s sleep quality improved dramatically, and she no longer experienced the morning pain plaguing her for so long. The patches proved an effective and convenient solution for her nighttime pain, allowing her to wake up feeling rested and pain-free. In combination with her regular acupuncture appointments, Mary was able to manage her pain effectively and reclaim her nights.

Topical Case Study

I often work with athletes who experience various sports-related injuries and conditions. One such athlete was Lisa, a passionate runner suffering from lateral IT band pain and bursitis. Her lateral knee would feel stiff and tight before a run; while it would be manageable during her run, it would swell up afterward, causing her discomfort and limiting her ability to train effectively.

Bursitis is an inflammation of the bursa, a fluid-filled sac that provides cushioning and reduces friction between tendons, ligaments, and bones. In Lisa’s case, her swollen bursa was causing pain and interfering with her running routine. She needed a solution that would allow her to run without discomfort and minimize post-exercise swelling.

After assessing her condition and discussing her needs, I recommended Lisa try using Evil Bone Water, a topical liniment designed to relieve fast-acting pain. Applying a patch to her knee while running wasn’t viable, as it would feel awkward and potentially interfere with her performance.

Lisa started incorporating Evil Bone Water into her pre- and post-run routine. She would apply the liniment to her IT band and lateral knee 15 minutes before running to reduce swelling and alleviate stiffness. Additionally, she would immediately apply it after her run to prevent post-exercise swelling and speed up her recovery.

To her amazement, Lisa found that Evil Bone Water provided her with the targeted, flexible relief she needed to continue running without discomfort. The liniment allowed her to use her knee freely and provided relief tailored to her exercise schedule. Thanks to the addition of Evil Bone Water to her routine, Lisa managed her IT band pain and bursitis effectively and continued her training without interruption.

Key Questions

Here are some questions that patients can consider to help determine whether to use patches or topical liniments for their pain:

Patches Questions

  • Is my pain worse at night or when I stop moving?
  • Does my pain feel better when I apply pressure, hold the affected area, or limit movement?
  • Am I looking for a mess-free, low-maintenance pain relief option?
  • Do I need consistent and long-lasting pain relief throughout the day or night?
  • Is my area of pain difficult to apply liniment or cream?

Topical Liniment Questions

  • Is my pain aggravated by exercise or during daily activities?
  • Do I need to move around a lot and require a flexible pain relief option?
  • Am I looking for fast-acting pain relief that can be applied before and after physical activities?

Finding the right pain relief solution tailored to your needs is crucial for improving your quality of life. You can make more informed decisions about your pain management strategy by understanding the unique benefits of topical liniments like Evil Bone Water and patches such as Dragontree Muscle Melt. Combining these products allows you to harness both advantages, providing rapid relief during the day and sustained, mess-free relief at night. As you explore these options, remember that the ultimate goal is to help you regain control over your pain and live a more comfortable, pain-free life.

Buy Evil Bone Water & Dragontree Muscle Melts Today!

Evil Bone Water (Zheng Gu Shui) is a Chinese topical medicinal hand-crafted with only empirical grade herbal ingredients in an approved facility.

Experience dual-action relief with our combination of Evil Bone Water and Muscle Melt Patches. This dynamic duo promises round-the-Clock relief, combining the fast-acting power of Evil Bone Water with the long-lasting effects of Muscle Melt Patches.

About the Author

Author Willard Sheppy Exporing the Coast

Willard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.

In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.

Connect with Willard on LinkedIn at linkedin.com/in/valleyhealthclinic or learn more about his services at valleyhealthclinic.com. Embark on this journey towards holistic health with Willard!

Which Topical Medicine to Use?

An Interview with Jeremy Cornish about Which Topical Medicines to Us

An interview between Jeremy Cornish and Willard Sheppy: A person-focused method

Welcome to this exclusive interview between Jeremy Cornish and Willard Sheppy. Jeremy is a renowned expert in the treatment of complex chronic conditions using Traditional Chinese Medicine and the founder of Modern Vitality, while Willard is an accomplished acupuncturist and founder of Valley Health Clinic, specializing in sports acupuncture. Both experts have dedicated their careers to helping individuals achieve optimal health and well-being.

In this interview, we will delve into Jeremy’s and Willard’s expertise in the field of acupuncture and Traditional Chinese Medicine. They will discuss the benefits of alternative medicine, particularly in the use of topical medicine use for injuries. We will also discuss the importance of treating the root cause of illness and focus on appropriateness and clinical clarity in the decision-making process

We make available natural products that have been observed to make a difference in the lives of our patients, friends and family. You’re in good hands shopping with us.

Quick Links to the Sections Below

Question: Jeremy, What topicals do you use?

One of the major mistakes we can make in the profession is to focus on things (our tools, herbs, protocols, etc) instead of focusing on the person and their problem/goal.

Various topicals make sense in varying situations depending on the person and the problem.

I’ve used premium herbal foot soaks, liniments, “secret” martial art lineage hit formulas…

And I’ve also improvised poultices when out hiking in the middle of nowhere by chewing up herbs like dandelion and plantain and applying the wet paste to the injured area.

In choosing which topicals to use, the primary thing I keep in mind is appropriateness. It has to be the right formulation for the situation. Then quality, which is extremely important. But quality is a second place because even the highest quality can’t make up for being the inappropriate/wrong formula entirely.

Question: Jeremy, How do you decide which product to use?

In deciding how to use one product over another, it really comes down to having a clinical algorithm for decision-making.

Most practitioners collect “heuristics,” which are rules of thumb. “X remedy is good for Y problem” It’s a matching type of thinking.

When we organize all of our heuristics, we can start to create clinical algorithms which are much more comprehensive and robust.

Algorithms use more of an “if, then” type of framework. The treatments live at the ends of a robust decision tree.

Using the diagnostic process of Eastern medicine, we can start to figure out which topicals are most appropriate for any given situation.

Question: Willard, How does a Sports Acupuncturist make a diagnosis to understand which topicals are appropriate?

Traditional Chinese Medicine is based on the principles of balance and harmony, and it focuses on treating the root cause of illness rather than just the symptoms. TCM has a unique approach to diagnosing and treating pain, which is based on the quality of the pain.

In TCM, the quality of the pain is considered an important diagnostic tool. Practitioners ask patients questions about the type and quality of their pain, including how it feels, where it is located, and what makes it better or worse. The answers to these questions help the practitioner to determine the underlying pathology and create an appropriate treatment plan.

Stage One

The initial stage of an injury is usually dominated by heat. The duration of this stage varies from a few days to several weeks, depending on the severity and type of injury. The treatment approach involves clearing heat and toxins, dispersing stasis, and relieving pain. The formulas used in the first stage of injury are the coldest formulas and aim to eliminate heat toxins while facilitating the removal of damaged tissue.

Heat
Pain that is warm to the touch and maybe inflamed is often associated with heat. Heat is usually accompanied by localized redness, but in some cases, patients may feel a sensation of heat without visible redness. This type of pain may have a burning sensation.

Treatment typically involves clearing the heat with acupuncture, herbs, and other modalities.

The herbal formula known as Evil Bone Water is a well-balanced composition that exhibits both cooling and warming properties. Its versatility makes it suitable for treating acute injuries, as well as for long-term use.

In contrast, San Huang San, also referred to as herbal ice, is a very cooling formula that is recommended for use only during the first week of an injury. It is not advisable to use this formula for an extended period due to its potency.

Stage Two

The second stage of trauma occurs after the initial inflammation subsides, leaving behind blood stagnation and qi stagnation, which presents as congestion of swelling and fluids in the affected area. This congestion leads to stiffness and pain. If the injury was severe or not treated sufficiently during the first stage, swelling may persist.

The second stage of trauma requires a treatment approach similar to the first stage, but with a greater focus on moving blood and dispersing stasis than on clearing heat. Herbs are added to dispel wind and dampness to prevent these pathogenic factors from becoming chronic bi syndrome. Blood stasis is a constant factor in traumatic injuries, resulting from primary vessel damage, extravasation, pressure from swelling, and increased adhesion. The goal of dispersing stasis in the second stage is to alleviate pain and facilitate tissue regeneration in the third stage.

Blood Stagnation
Sharp and stabbing pain that is fixed in location is often associated with blood stagnation. This type of pain is usually worse with pressure and may have a burning or electrical sensation. Treatment typically involves moving the blood and resolving the stagnation with acupuncture, herbs, and other modalities.

Qi Stagnation
Dull, achy pain that is tight or tense and better with movement is often associated with Qi stagnation. This type of pain may also feel better after moving around. Treatment typically involves moving the Qi and resolving the stagnation with acupuncture, herbs, and other modalities.

Both Evil Bone Water and Red Emperor’s Immortal Flame have a rich history and origin in Martial Arts Trauma Liniments, which have been used for centuries to address a wide range of injuries, pain, and discomfort.

These two formulas are highly effective in moving qi and blood,

Evil Bone Water is a well-balanced formula that combines cooling and warming properties, making it highly effective in treating most injuries, while Red Emperor’s Immortal Flame is a warming formula that is ideal for conditions aggravated with cold.

Both Evil Bone Water and Red Empeor’s Immortal Flame have there roots in Martial Arts Trauma Liniments and are good and moving qi and blood.

Cold Stagnation
Sharp and stabbing pain that is fixed in location and worse in cold weather is often associated with cold stagnation. This type of pain may also have a cold sensation or the skin my have a white hue. People with cold stagnation will have a natural avoidance to putting ice on injury or using topicals with a cooling menthol sensation. Treatment typically involves warming the area with acupuncture, herbs, and other modalities.

Red Empeor’s Immortal Flame is a renowned Traditional Chinese Medicine formula that is widely used for its warming properties, which make it ideal for treating Cold Stagnation. Unlike other liniments that may have a cooling effect, Red Empeor’s Immortal Flame is designed to provide warmth to the affected area, making it a great choice for individuals who do not respond well to cooling sensations like mentho

Tibetan herbal foot soaks have been used for centuries to treat a wide range of conditions, including cold injuries. The unique blend of herbs used in the foot soak has a warming effect on the body and helps to improve circulation, which can be especially beneficial for individuals who suffer from cold extremities or injuries caused by exposure to cold temperatures. In addition to its warming properties, the foot soak also has anti-inflammatory and pain-relieving effects that can help to reduce swelling and discomfort. Overall, Tibetan foot soaks are a safe and effective way to promote healing and provide relief for a variety of cold-related injuries and conditions.

Stage Three

At this stage, your body has fibrous deposition (scar tissue) and possible chronic inflammatory reactions. To remodel is to grow by rapid production, and that is exactly what your body is going through during this stage. The visible signs of inflammation will subside, and new tissue forms. This new tissue is fragile, and susceptible to injury.

It is during this phase that people feel like their mind is ready for them to be better, but their body is lagging behind. Oftentimes, remaining bruising, swelling and limited range of motion can bring about a sense of depression.

The fear that tends to arise during this phase of healing can cause you to guard the area even further. You may be scared to move too much, and this anxiety can cause you to lock down and stay still in order to protect yourself. This fragile new tissue, however, is susceptible to more than just injury – it is also susceptible to stagnancy, and restricting movement can form adhesions. These adhesions can limit range of motion when movement is eventually reintroduced, so appropriate mobilization of the tissue during this stage is important.

The benefit of working with your acupuncturist lies in their knowledge of what will and won’t be best for you. Some people close down, and we remind them to get out and move. Some people push themselves too far too fast, and we remind them to slow down and allow themselves to heal. Your greatest benefit lies in getting answers to your questions, and support to get through your fears and anxieties.

Rehabilitative exercises during this stage place increased demands on the tissues and some patients may have difficulty in performing the exercises due to tension in a sinew channel.

The treatment principles of this stage include: strengthening and warming the sinews and bone, tonify gi and nourishing blood, activating qi and blood, dispersing residual swelling, promoting tissue healing and decreasing pain. As always, these formulas must be prescribed for the appropriate CM presentation according to a thorough differential diagnosis.

Blood Deficiency
Dull, achy pain that is weak or stiff and worse with exertion and better with rest is often associated with blood deficiency. Treatment typically involves nourishing the blood with acupuncture, herbs, and other modalities.

Qi Deficiency
Mild, dull, achy pain that is weak and worse with exertion and better with rest is often associated with Qii deficiency. Treatment typically involves tonifying the Qii with acupuncture, herbs, and other modalities.

Corydalis relief stick is an effective and gentle formula that can be used to alleviate pain in patients who are weak or sensitive to stronger pain relief methods. One of the main benefits of using this formula is that it helps to decrease pain in patients who have a deficiency of Qi and Blood. This can be particularly useful for patients who have undergone chemotherapy and are experiencing pain as a result of the treatment. Many patients find that traditional pain relief methods such as Evil Bone Water and Red Emperor’s Immortal Flame can be too strong for their sensitive systems. The Corydalis relief stick provides a milder yet effective alternative, making it a valuable addition to any holistic pain relief regimen. Overall, the Corydalis relief stick has proven to be an invaluable resource for practitioners looking to provide gentle yet effective pain relief for their patients.

Dampness
Heavy pain is often associated with dampness. This type of pain may also have a sensation of swelling or numbness. Treatment typically involves resolving the dampness with acupuncture, herbs, and other modalities.

Wind
Moving, itchy pain is often associated with wind. If blood deficiency persists for a long period of time, it can lead to wind, which can cause pain that travels or moves around.

This type of pain may also be accompanied by tingling or numbness. Paresthesia is often related to the presence of wind in the jing luoTreatment typically involves dispelling the wind with acupuncture, herbs, and other modalities.

Corydalis relief stick is my go-to product for Nerve pain.

Tibetan foot soaks work very well for neuropathies, and also more internal conditions like chronic pain and menstrual problems when combined with other therapies and a comprehensive plan.

Question: Jeremy, What are some other examples of the right topical for the right situation?

When you use the right topicals for the situation, you’ll see the appropriate results.

For example, one obvious distinction is broken skin.

There are some liniments and other topicals that are fantastic to use, but only on unbroken skin.

So if the skin is broken, we really ought to start with something more appropriate.

For example, if it’s broken skin from a cut or scrape Yunnan Pai Yao is fantastic. When there’s bleeding from a wound, I’ve used Yunnan Pai Yao to stop the bleeding swiftly.

If it’s broken skin from a burn, then shiunko, zi cao, or even the old reliable Chung Wang Hun can work wonders . Burns responds extremely well to herbal burn cream. Especially reducing the pain, speeding the wound healing, and minimizing scar damage. This is quite reliable.

We need to be able to triage the situation and figure out the urgency of what’s going on. Is it a first-aid situation?

For example, one of my kids was wearing shorts and brushed up against a bunch of stinging nettles out in a field. His calf was red, painful, and welting up.

A formula like San Huang San makes a great poultice in that situation, however, it was much faster for me to chew up a bunch of fresh dandelion and then smear the poultice and the juice onto his leg for immediate relief right there. Poultices like San Huang San work reliably well for fresh injuries with closed skin like an acute sprain etc, when there’s redness and swelling. Also, anything similarly inflamed, such as mastitis.

If he had been bleeding, I would have chosen plantain.

Tibetan foot soaks work very well for neuropathies, and also more internal conditions like chronic pain and menstrual problems when combined with other therapies and a comprehensive plan. That’s the kind of work I do at Modern Vitality. Complex chronic conditions.

Evil Bone Water is great for sports injuries with closed skin. It has other uses too that are a bit more advanced, including oral and certain broken skin issues.

Yin Care works exceedingly well for yeast infections. There’s another company offering a similar formulation called Kuan Yin Apothecary Yoni Wash which I’m interested in as well.

Martial Arts liniments and other Dit Da formulations are usually pretty good at whatever they’re designed for. For example, some of the very warming liniments can be great for chronic injuries that are worse with cold.

Patients can soak their feet in Ginger tea for general coldness, and pain, and when coming down with a cold.

Most liniments are great for taking the sting out of mosquito bites.

Conclusion

In conclusion, Traditional Chinese Medicine has a unique approach to diagnosing and treating pain based on the quality of the pain. By asking yourself questions about the type and quality of the pain, you can better understand the underlying pathology and pick an appropriate topical and treatment plan for you.

Jeremy Cornish

Jeremy Cornish is a renowned expert in the field of Traditional Chinese Medicine. He is the founder of Modern Vitality, an international group that helps people with complex chronic health conditions, and the Damn Good Doctors Club, a community of practitioners with non-linear practice models. Cornish has spent over two decades studying and practicing Traditional Chinese Medicine, and has helped countless individuals achieve optimal health and wellbeing.

Will Sheppy

Willard Sheppy is an accomplished acupuncturist and founder of Valley Health Clinic, a medical facility that provides comprehensive healthcare services to patients in Albany, Oregon. With over 15 years of experience in the field of acupuncture, Willard has established himself as a leading expert in Sports Acupuncture. He is known for his compassionate and personalized approach to patient care, and his dedication to helping his patients achieve optimal health and Sport Performance Goals.

About the Author

Author Willard Sheppy Exporing the Coast

Willard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.

In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.

Connect with Willard on LinkedIn at linkedin.com/in/valleyhealthclinic or learn more about his services at valleyhealthclinic.com. Embark on this journey towards holistic health with Willard!