Polygonatum cirrhifolium (commonly known as "Solomon’s Seal") has a long history of traditional use in various Asian systems of medicine, particularly in Ayurveda, Traditional Chinese Medicine (TCM), and some Himalayan folk practices. However, the specific use of Polygonatum cirrhifolium for premenstrual syndrome (PMS) is not well-documented in either classical texts or ethnobotanical surveys. Some related Polygonatum species have been used to address women's health issues generally, such as menstrual irregularities, fatigue, and reproductive health, but the references are sparse and often non-specific to PMS as defined in modern medicine.

There is virtually no scientific research—clinical or preclinical—directly examining the effects of Polygonatum cirrhifolium in PMS or its associated symptoms such as mood swings, bloating, or cramps. Any use for PMS is based on anecdotal reports or extrapolation from traditional use for broader gynecological complaints. The plant contains steroidal saponins, flavonoids, and other phytochemicals, which in theory could have hormonal or anti-inflammatory effects, but these have not been rigorously tested in the context of PMS.

In summary, while Polygonatum cirrhifolium has traditional use in women’s health, its application for PMS is not strongly supported by either traditional specificity or scientific evidence, resulting in a low evidence rating.