Family Oxalidaceae
Balimbing
Averrhoa carambola Linn.
Averrhoa pentandra Blanco
STAR FRUIT

Common names   
Balimbing (C. Bis., Bik., Sul., Tag.)  Garahan (Bis.)
Balingbing (Bik., C. Bis.) Garulan (Ibn.)
Balimbin (Tag.) Malimbin (S. L. Bis.)
Blingbing (Tag.) Sirinate (Ting.)
Daligan (Ilk.) Carambola (Span.)
Dalihan (Ibn.) Caramba (Span.)
Galañgan (P. Bis.) Country gooseberry (Engl.)
Galuran (Ibn.) Five fingers (Engl.)
  Star fruit (Engl.)

Botany
Small tree growing to a height of 6 meters or less. Leaves are pinnate, about 15 cm long. Leaflets are smooth, pairs and ovate to ovate-lanceolate. Pannicles are small, axillary and bell-shaped, 5-6 mm long. Calyx is reddish purple. Petals are purple, often margined with white. Fruit is fleshy green to greenish yellow, about 6 cm long, with 5 longitudinal, sharp and angular lobes. Seeds are arillate.

Medical properties and constituents
Vermifuge, laxative, refrigerant, antiscorbutic, febrifuge, sialogogue, antiphlogistic, stimulant, emmenagogue, anodyne, emetic.
Studies indicate the presence of saponins, alkaloids, flavonoids and tannins.

Distribution
Planted in cultivated and semi-cultivated areas.

Parts used
Leaves, flowers, seeds, fruit.
.
Uses
Nutritional
Edible fruit is a source of iron (low in calcium) and vitamins B and C, oxalate and potassium.
Folkloric
Tea of boiled leaves used for aphthous stomatitis.
Crushed shoots or leaves used externally for headaches and ringworm.
Boiled flowers used to expel worms: 50 gms to a pint of boiling water; drunk in normal doses.
Fruit is laxative.
Decoction of fruit, 50 gms to a pint of boiling water, 4-5 glasses a day for bleeding piles.
Juice of fresh fruit for affections of the eyes.
Seed is used for asthma and colic: Powdered seeds, 10 gms to a cup of warm water, drunk 4 times daily.
In India, the ripe fruit is used to stop hemorrhages and relieve hemorrhoidal bleeding.
The dried fruit or juice used for fevers.
Others
The acid type carambola dissolves tarnish and rust, occasionally used for cleaning and polishing metal.
Fruit juice is used to remove stains.
Contains potassium oxalate which is used for dyeing.

Studies
Negative inotropic and chronotropic effects on the guinea pig atrium of extracts obtained from Averrhoa carambola L. leaves:
The study showed that the A. carambola extract is an agent that strongly depresses the heart rate and the myocardial contractile force. Although the active compound has not been identified, its action on the L-type Ca2+ channels is important to explain the mechanism of action of this plant on the mammalian atrial myocardium.
Fatal outcome after ingestion of star fruit (Averrhoa carambola) in uremic patients: The study warns that patients with renal failure who ingest star fruit may develop neurological symptoms and run the risk of death in severe cases.
Neurotoxicity: Report of study on 32 uraemic patients who ingested star fruit. Most common presenting symptoms were persistent hiccups, vomiting, mental confusion, psychomotor agitation, insomnia, paresthesias and seizures. Ideal treatment was daily hemodialysis.
Antioxidant: Research reports the residues from star fruit juicing process is a rich and excellent source of extractable phenolic antioxidants.

Caution !
Report of toxicity and death in fruit consumption by patients with renal failure.

Availability
Wild-crafted.
Limited backyard cultivation.



Additional Sources and Suggested Readings
(1)
Negative inotropic and chronotropic effects on the guinea pig atrium of extracts obtained from Averrhoa carambola L. leaves / C.M.L. Vasconcelos, M.S. Araújo, B.A. Silva and E.A. Conde-Garcia / doi: 10.1590/S0100-879X2005000700015
(2)
Fatal outcome after ingestion of star fruit (Averrhoa carambola) in uremic patients / CHANG J.-M.; HWANG S.-J. et al
(3)
PHARMACOGNOSTIC EVALUATION AND PHYSICOCHEMICAL ANALYSIS OF AVERRHOA CARAMBOLA L. FRUIT / Journal of Herbal Medicine and Toxicology 2 (2) 51-54 (2008) / ISSN : 0973-4643
(4)
Intoxication by star fruit (Averrhoa carambola) in 32 uraemic patients: treatment and outcome / Neto M.M.1; da Costa J.A.C; Garcia-Cairasco N; Netto J.C; Nakagawa B.; Dantas M. / Nephrology Dialysis Transplantation, Volume 18, Number 1, January 2003 , pp. 120-125(6)
(5)
Averrhoa carambola / AgroForestryTree Database

(6)
Star fruit could offer inexpensive source of antioxidants / Food Chemistry (Vol. 97, pp. 277-284)


Additional sources and suggested readings
(1)
Negative inotropic and chronotropic effects on the guinea pig atrium of extracts
obtained from Averrhoa carambola L. leaves

C.M.L. Vasconcelos, M.S. Araújo, B.A. Silva and E.A. Conde-Garcia
http://www.scielo.br/scielo.php?script=sci
(2)
Fatal outcome after ingestion of star fruit (Averrhoa carambola) in uremic patients
CHANG J.-M.; HWANG S.-J. et al
http://cat.inist.fr/?aModele=afficheN&cpsidt=1288728