Inula racemosa, also known as Pushkarmool, has a long history of use in traditional Ayurvedic and Unani medicine, particularly for supporting heart health and treating conditions associated with chest pain (angina). In Ayurveda, it is classified as an "hridaya," meaning it is considered beneficial for the heart. The root of Inula racemosa is used in various formulations to relieve chest pain, palpitations, and breathlessness, which are often interpreted as symptoms of heart disease or angina in modern terms.

The traditional rationale stems from its reputed properties: it is described as a cardiotonic, anti-inflammatory, and expectorant. Ancient texts suggest that it improves "pranavaha srotas" (the channels responsible for respiration and heart function), which is interpreted as a holistic approach to alleviating chest discomfort.

Scientific evidence supporting this use is limited but not entirely absent. Some animal and in vitro studies suggest that extracts of Inula racemosa may have cardioprotective, anti-anginal, and antioxidant effects, possibly by modulating lipid profiles and improving myocardial function. However, clinical evidence in humans is sparse, and most modern reviews emphasize the need for more rigorous trials.

Overall, while traditional use is well-established and some preliminary pharmacological data exist, the evidence base remains moderate at best, primarily rooted in historical practice rather than robust scientific validation.