Hmm..
Bands of Blood Rage: -5hp per round, +5 moral damage.
Lady's Gambit: -20hp per round, +10 attack, +10 damage.
Divine Sacrifice: -10hp per hit, +5d6 damage (17.5).
Blade of Blood: -5hp per hit, +3d6 damage (10.5).
Vicious: -1d6hp (3.5) per hit, +2d6 damage (7).
Total: -43hp, +50 damage.
And of course Dragon would have one the best damage gain to HP lost ratios...