Star Fruit Leaf
Averrhoa carambola
About Star Fruit Leaf
Star Fruit Leaf (Averrhoa carambola) is a herb used in the Hawaiian & Polynesian Medicine tradition to help with High Blood Pressure, Cholesterol, Fever, and Skin Health. The fruit / berries and leaves are the parts traditionally used, used both internally and topically.
Botanical background
Averrhoa carambola is a species of tree in the family Oxalidaceae; it has a number of common names, including carambola and starfruit.
Source: Wikipedia, via iNaturalist
Parts used
Conditions addressed
Tea / Infusion
- Steep 1โ2 tsp of dried Star Fruit Leaf in freshly boiled water for 5โ10 minutes.
- Cover while steeping.
- Strain and drink.
Tincture
- Pack dried Star Fruit Leaf into a jar and cover with 40โ60% alcohol.
- Seal and steep for 4โ6 weeks, shaking daily.
- Strain and store in a dark dropper bottle.
Powder / Capsule
- Grind dried Star Fruit Leaf into a fine powder.
- Fill size 00 capsules or stir into smoothies or honey.
Topical / Poultice
- Mash fresh Star Fruit Leaf or mix the powder with a little water to form a paste.
- Apply to the affected area for 20โ30 minutes.
Infused Oil
- Fill a jar with dried Star Fruit Leaf.
- Pour over a carrier oil until submerged.
- Leave for 4โ6 weeks, then strain.
- Use topically or as a salve base.
Herbal Bath
- Brew 4โ6 tbsp of Star Fruit Leaf in 1 litre of hot water for 15 minutes, strain, and add to a warm bath.
- Soak for 20โ30 minutes.
Pregnancy, Breastfeeding & Children
No herb-specific pregnancy/child safety research is documented for Star Fruit Leaf in our references โ the guidance below is based on its general effect category, not research on Star Fruit Leaf itself. Always confirm with a midwife, doctor, or pediatrician.
Pregnancy
Use CautionThis herb may affect blood pressure. Since blood pressure changes are a significant pregnancy risk factor (e.g. preeclampsia), herbs in this category are generally used only under medical supervision rather than self-directed โ this is a general, mechanism-based caution, not herb-specific research.
Breastfeeding
Use CautionGenerally used cautiously during breastfeeding, particularly if the nursing parent is also on blood pressure medication.
Children
Use CautionBlood-pressure-active herbs are generally used cautiously in children and typically only under pediatric guidance.
Contraindications
- Pre-surgery โ discontinue at least 2 weeks prior (potential antiplatelet effect)
Warnings
โ Heart & Blood Pressure Medications
May interact with antihypertensive drugs, blood thinners, or cardiac medications. Do not combine without medical guidance.
โ ๏ธ Allergic Reactions
Discontinue immediately if you experience rash, itching, swelling, or difficulty breathing.
โ ๏ธ Not Medical Advice
This information is for educational purposes only. Always consult a qualified healthcare provider before using herbal remedies.
Drug & herb interactions
May affect blood pressure
Watch for: Antihypertensive medications (ACE inhibitors, beta-blockers, calcium channel blockers, diuretics)
Combined use can push blood pressure too high or too low โ monitor readings if you take blood pressure medication.
May thin the blood
Watch for: Anticoagulants (warfarin), antiplatelets (aspirin, clopidogrel), and other blood-thinning herbs or supplements (ginkgo, garlic, fish oil, vitamin E)
Combining blood-thinning substances can increase bleeding risk, including before surgery or dental work.
Where to find in nature
Native region
Pacific Islands โ Hawaii, Samoa, Tonga, Tahiti
Climate
Tropical maritime
Habitat
Pacific Island forests, coastal vegetation, and traditional garden plots
๐ฟ To see Star Fruit Leaf growing, visit botanical gardens, university plant collections, or specialist herb nurseries near you. If foraging in the wild, always work with an expert identifier โ never consume a plant you are not 100% certain of.
Where to buy
In store
- Health food stores (Whole Foods, Natural Grocers, Holland & Barrett, GNC)
- Naturopathic clinics and integrative medicine practices
- Specialist herbal apothecaries and herbalist practices
- Farmers markets with herb vendors
Online
iHerb
Wide selection of standardised extracts, capsules, and powders with lab testing
Mountain Rose Herbs
Premium bulk dried herbs โ certified organic, ethically sourced
Starwest Botanicals
Large selection of certified organic bulk herbs and powders
Herb Pharm
High-quality liquid extracts and tinctures, rigorous quality standards
Amazon
Convenient โ verify brand certifications and check third-party testing
Etsy
Small-batch artisan herbalists, hand-harvested and wildcrafted herbs
Quality tips
When buying Star Fruit Leaf, look for: certified organic labelling, clearly stated country of origin, third-party lab testing for heavy metals and pesticides, and a batch expiry date. Standardised extracts offer consistent dosing; bulk dried herbs are more economical for regular use. Avoid very cheap, unlabelled products โ quality varies enormously.

