Buckhorn Plantain (Plantago lanceolata) has a long history of use in traditional herbal medicine across various cultures, primarily for its anti-inflammatory, astringent, and wound-healing properties. In European and North American folk medicine, this plant has been used to treat wounds, respiratory conditions, and gastrointestinal issues. Some traditional midwifery practices included the use of plantain species to support postpartum recovery, including afterbirth pain, due to its perceived ability to reduce inflammation and promote tissue healing.

However, there is little to no direct scientific evidence that specifically validates the use of Buckhorn Plantain for afterbirth pain (the uterine contractions and discomfort following childbirth as the uterus returns to its normal size). The rating of 1 reflects the existence of anecdotal and traditional use, but the lack of well-documented clinical studies or pharmacological investigations targeting this specific indication. Most scientific research on Plantago lanceolata focuses on its general anti-inflammatory and wound-healing effects, not on postpartum or afterbirth pain. Therefore, while its use for this purpose is rooted in tradition, there is minimal evidence to support its efficacy for afterbirth pain from a scientific perspective.