The Asoka tree (Saraca asoca) has a long-standing place in traditional Indian medicine, especially within Ayurveda and Unani systems. Traditionally, the bark and flowers of the Asoka tree have been used primarily for gynecological disorders, such as menstrual problems, uterine disorders, and as a uterine tonic. There are also some references in traditional texts and folk medicine where Asoka preparations are used for general pain relief and inflammatory conditions, which may indirectly encompass backache, especially when related to gynecological issues (e.g., back pain associated with menstruation or uterine disorders).

However, there is minimal direct reference in classical Ayurvedic texts specifically designating Asoka for the treatment of generic backache (lumbago or musculoskeletal back pain). Modern scientific studies are sparse and mostly focus on its efficacy in gynecological disorders, with little to no clinical trials supporting its use for back pain directly. Some anti-inflammatory properties have been documented in laboratory studies, which could theoretically support pain relief, but these are not specific to backache nor validated in clinical settings for this purpose.

Thus, the use of Asoka tree for backache is justified primarily by tradition, particularly in contexts where back pain is linked to female reproductive health. Scientific validation for its use specifically for backache is currently lacking.