The use of Butea monosperma (commonly known as "flame of the forest") for the management or treatment of gall stones is rooted primarily in traditional/folk medicine. In Ayurvedic practice, various parts of the plant, such as seeds, flowers, and bark, have been employed to support liver and biliary health, and sometimes indirectly mentioned for conditions that may overlap with gall bladder issues. However, there are no well-documented, specific references in classical Ayurvedic texts directly stating its use for dissolving or expelling gall stones. Traditional healers in some regions of India may use Butea monosperma preparations to support digestive and hepatic function, which is occasionally interpreted as supportive for gall stone conditions.

Scientific validation for this specific use is lacking. There are no robust clinical trials or preclinical studies demonstrating cholelitholytic (gall stone dissolving) effects of Butea monosperma. Some studies have indicated hepatoprotective, anti-inflammatory, and antioxidant properties of the plant, which could theoretically support liver and biliary tract health, but do not equate to direct efficacy against gall stones. Therefore, its use for gall stones is best described as traditional, with only anecdotal and indirect evidence, and a very low level of scientific support.