Siberian Solomon's Seal (Polygonatum sibiricum) has a long history of use in traditional Chinese medicine (TCM) and other East Asian herbal systems. Traditionally, the rhizome of Solomon's Seal has been prescribed for a variety of ailments, including joint pain, inflammation, and musculoskeletal injuries such as sprains and strains. The herb is considered to nourish yin, moisten dryness, and strengthen tendons and bones according to TCM theory. Topical and internal preparations have been used historically to promote healing and reduce swelling associated with trauma or overuse injuries.

However, scientific evidence supporting the use of Siberian Solomon's Seal specifically for the treatment of sprains is limited. While laboratory studies have identified some anti-inflammatory and antioxidant compounds in the plant, such as saponins and polysaccharides, there are no robust clinical trials directly evaluating its efficacy for sprain recovery in humans. Most of the available research focuses on general health-promoting effects, like immune modulation or anti-fatigue properties, rather than acute injury repair.

In summary, the use of Siberian Solomon's Seal for sprains is justified by traditional herbal practice, particularly within TCM, but lacks strong scientific validation for this specific indication. The evidence rating is therefore moderate for tradition, but low in terms of clinical science.