Facebook
Valley Health Clinic, Acupuncture Clinic in Albany, Oregon
  • Verified
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.

Get Now

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.
Evil Bone Water
Dragon Blood Balm

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.”
Learn More

When to Choose Blood Bone Combo

  • You have a recent injury such as a sprain, strain, or contusion.
  • You are recovering from surgery.
  • You want bruising to resolve faster.
  • You have a wound or skin damage that needs to heal.
  • You have chronic skin issues such as rough or cracked hands.
  • Your pain is accompanied by visible swelling or discoloration.

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.

Get Now

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.
Evil Bone Water
Corydalis Relief Salve

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

  • Evil Bone Water provides fast-acting, sensation-based relief through counter-irritancy.
  • Corydalis Relief Salve provides slower, longer-lasting relief through central nervous system modulation.
  • Together, the pair works like a sprinter and a marathon runner on the same team.

When to Choose Pain Power Combo

  • You have general aches and pains without a specific injury.
  • You are not sure exactly what is causing your pain.
  • You have nerve pain or neuropathic symptoms.
  • You want relief without intense heating or cooling sensations.
  • You prefer a gentler, more calming approach.
  • You want both immediate and sustained relief.
Learn More

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

Get Now

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.
Evil Bone Water
Red Emperor's Immortal Flame

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

  • You respond well to strong heating and cooling sensations.
  • You like to feel products working.
  • You have stubborn muscle pain that has not responded to milder products.
  • You are an athlete or do physical labor.
  • Previous products have not felt "strong enough."

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.

Get Now

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

Evil Bone Water
Red Emperor's Immortal
Corydalis Relief Salve

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.
  • Apply Evil Bone Water first. Let the alcohol evaporate until the skin feels dry, about 30-60 seconds.
  • Apply Red Emperor's Immortal Flame second. This doubles down on skin sensations by adding wintergreen, cayenne, ginger, and mustard to the menthol and camphor already in play.
  • Apply Corydalis Relief Salve last. This adds the central nervous system component and seals everything in with its occlusive base.

When to Choose Trifecta Combo

  • You have severe or complex pain.
  • Other products or combos have not provided enough relief.
  • You want maximum coverage of all pain mechanisms.
  • You have multiple types of pain simultaneously.
  • You want the "full treatment" experience.

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

  • Apply Evil Bone Water.
  • Follow with Red Emperor's Immortal Flame.
  • Then put a medicated patch over the whole area and go to bed.
For patches, I would choose based on preference:
AoYi Pain Patch – if you respond well to warming.
Muscle Melt Patch – if you prefer cooling..
AoYi Pain Patch
Muscle Melt Patch
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.

Share on

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