If you're looking for a pill-free way to relieve pain, you can try out herbal solutions such as Tiger Balm. This topical product consisting of natural pain-relieving ingredients was formulated by a Chinese herbalist named Aw Chu Kin in the 1870s. His sons took over the business and helped the product gain popularity in Asia, and of course, Tiger Balm eventually made its way to the west. Tiger Balm is available in multiple different formulations, ranging from extra strength ointments to pain-relieving hydrogel patches, so you can choose which product is best for the ailments you're facing.

Here's what makes Tiger Balm work, and four usages for it.

The ingredients of Tiger Balm work together to increase circulation, reduce inflammation, and produce cooling sensations, says Tom Ingegno DACM, MSOM, Doctor of Acupuncture and Chinese Medicine at Charm City Integrative Health.

Formulations may vary depending on the exact Tiger Balm product, but Ingegno says ingredients typically include:

Tiger Balm works by the counterirritant theory of pain control, says s Elizabeth Gardner, MD, orthopedic sports medicine surgeon at Yale Medicine and associate professor of orthopedics at Yale School of Medicine.

Gardner says counterirritants work by:

Basically, when your skin feels tingly and warm or cool, this confuses the nervous system and ultimately results in decreased sensations of pain.

Here are four common uses of tiger balm:

Gardner says that tiger balm can help muscle pain in a number of ways:

A 2010 study found that in people with mild to moderate muscle strain, using a patch containing methyl salicylate and menthol resulted in a 40% greater pain reduction versus a placebo.

Common headaches can be alleviated with Tiger Balm, due to its pain-relieving properties, Ingegno says.

You can rub the Tiger Balm into your temples, and even onto your neck and shoulders as well, especially if you're experiencing tension headaches, Ingegno says.

A small 2010 study found that topical menthol was superior to a placebo at relieving pain during a migraine attack, as well as relieving associated symptoms like nausea and light sensitivity.

Although many rub tiger balm on areas that are affected by arthritis, Gardner says the exact mechanism of how it works for the condition is unknown. But it may be due to the anti-inflammatory effects of menthol, capsicum, and cassia oil.

It may also be due to the fact that Tiger Balm is a counterirritant, temporarily distracting you from arthritis pain.

A 2018 animal study found that cassia extract reduced joint swelling in rats with formaldehyde-induced arthritis, suggesting that cassia has anti-arthritic properties.

Tiger Balm can be used for more than just pain.

Gardner says camphor acts as a mild decongestant, cough suppressant, and expectorant —a substance that helps remove mucus from your airways.

Furthermore, menthol also works to suppress coughs, and can also soothe irritated nasal and sinus pathways, says Gardner. In fact, 2012 study found that inhaling menthol vapor can decrease cough reflex sensitivity, suppressing coughs.

When using Tiger Balm for this purpose, rub it on your chest, throat, and a tiny bit under your nose to experience symptom relief.

Overall, more research in the way of larger-scale human studies is needed to determine how effective Tiger Balm is for various ailments. However, Tiger Balm is generally safe to use, so it doesn't hurt to give it a shot and see if it works for you.

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