This the one thing I never did on enchanter. Usually if I was below 50% HP, I was also low mana, and would rather have big mana than HP.
Troll form is added passive regen - I think it's better to get the meditate ticks while Troll form, personally.
Enc have a terrible cap on bind wound as well, can only get it up to 100 skill. So at 100 skill, it's only 16.67 HP / tick binding, with only Clarity as mana regen. Compared to sitting as troll, which is between 4-8 HP/tick regen (depending on level) + meditate ticks.
All that being said -- skill ups are tied to WIS / INT, so casters and priests actually level bind wound faster. Put 1 point in, and then the gold standard for BW is put on Fire Resist Gear and go stand in lava in Lavastorm until low HP. Bind to 50, and repeat.
I have max Bind Wound skill on all my other toons, as it worked super effectively for a shaman cannibalizing, or a druid with manastone, or a melee toon. But I've ditched bind wound on enchanter and replaced it with Runes.
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