Butea monosperma, commonly known as "Flame of the Forest," is a traditional medicinal plant in Ayurveda and other South Asian systems of medicine. Its use for treating or alleviating headache, including tension-type headaches, is primarily based on traditional knowledge rather than robust scientific evidence. In Ayurvedic practice, various parts of the plant—such as the flowers, leaves, and gum—have been used in formulations aimed at reducing pain and inflammation. Specifically, Butea monosperma has been mentioned in some classical Ayurvedic texts as an ingredient in herbal preparations used for headache relief, often in combination with other herbs. However, these uses are anecdotal and not standardized.

As of now, modern scientific studies directly investigating the efficacy of Butea monosperma for tension-type headaches are lacking. Some pharmacological studies suggest that extracts of the plant possess anti-inflammatory and analgesic properties, which could theoretically contribute to headache relief, but these findings are general and not headache-specific. No clinical trials or systematic reviews specifically validate its use for this indication. Therefore, while its use for headaches has traditional roots, the supporting evidence remains limited, and more rigorous research would be needed to confirm any therapeutic effect for tension headaches.