Onosma bracteatum, commonly known as "Ratanjot" or "Gaozaban," is widely used in traditional Unani and Ayurvedic medicine. Its use for supporting or treating hemorrhoids is primarily based on traditional knowledge rather than robust scientific validation. Classical texts describe its application as an anti-inflammatory, demulcent, and soothing agent, which practitioners believe can help reduce swelling and ease discomfort associated with hemorrhoids. The plant is reputed for its cooling and astringent properties, which are thought to be beneficial for various inflammatory conditions, including piles (hemorrhoids).

However, direct scientific studies investigating the efficacy of Onosma bracteatum specifically for hemorrhoids are lacking. While there is some research indicating that the plant possesses general anti-inflammatory, antioxidant, and wound healing properties, these findings have not been directly linked to hemorrhoid treatment in clinical trials or animal models. Therefore, while its use is well established in traditional systems and supported by anecdotal evidence and ethnobotanical surveys, it is not strongly backed by modern clinical research.

In summary, the use of Onosma bracteatum for hemorrhoids is traditional, with a modest level of supporting evidence (primarily historical and ethnomedical), but lacks direct scientific validation.