Indian mallow (Abutilon indicum) has a history of use in traditional medicine systems such as Ayurveda, Siddha, and Unani. For hemorrhoids, it is typically employed for its purported anti-inflammatory, analgesic, and wound healing properties. Traditional texts describe the use of Indian mallow leaves or roots, often in the form of poultices, decoctions, or topical applications, to alleviate swelling, pain, and discomfort associated with hemorrhoids.

While there are some preliminary pharmacological studies suggesting that Abutilon indicum possesses anti-inflammatory and analgesic activities, these studies are largely preclinical (animal or in vitro models) and do not specifically address hemorrhoids. No robust clinical trials have evaluated its efficacy or safety in treating hemorrhoids in humans. As such, its use for this purpose remains primarily rooted in traditional practices rather than modern scientific validation.

In summary, Indian mallow is used for hemorrhoids mainly based on traditional medical knowledge, with a low level of scientific evidence supporting this application.