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Ramphal: Uses, Benefits, Side Effects & More

By Dr. Malavika Athavale +2 more

Introduction

Ramphal (Annona reticulata), which is also known as bullock’s heart, is a fruit belonging to the Annonaceae family. This family comprises a diverse group of tropical fruits that includes 4 other major edible species, which are custard apple (A. squamosa), cherimoya (A. cherimola), soursop (A. muricata), and ilama (A. macroprophyllata)1.

Ramphal fruit is versatile and is valued for both its taste and its traditional medicinal uses. In folk medicine, different parts of the plant have been used to help with various illnesses. It has also been used in certain industrial applications2.

ramphal

Since there are numerous wide ranging properties of this fruit, through this article, we aim to provide an overview of Ramphal, including its uses, proposed health benefits, and potential side effects.

What is Ramphal?

Ramphal is a species native to the West Indies and is widely cultivated throughout tropical and subtropical areas, including the Bahamas, parts of Central and South America, Bermuda, southern Florida, and several Asian countries such as India, Bangladesh, and Pakistan2,3. In India, it is commonly grown in the states of Bengal and southern regions2.


Botanical Characteristics

  • Ramphal is a small deciduous tree that grows about 3 to 10 meters tall with a naturally irregular canopy (formed by branches arising near the base)3.
  • The leaves are long, thin, and smooth on top, with a slightly hairy underside2.
  • The plant produces 2 to 4 flowers on short side stalks2.

Fruit Description

  • Ramphal fruits are edible and could be heart-shaped, conical, ovoid, or irregular2,3.  
  • Each fruit usually weighs between 0.1 and 1.0 kg3.
  • When ripe, the skin turns reddish yellow, and the inside pulp is white, sweet, aromatic, and grainy3. From the inside, the fruit somewhat resembles a custard apple. 
  • The flesh contains many dark brown to black shiny seeds3
  • It has a sweet and smooth taste like custard apple (but lesser sweet and slightly tangier). 

Nutritional Value of Ramphal Fruit

The table below presents the key Ramphal nutrition values, providing a simple overview of its macronutrients, vitamins, minerals, and other important components per 100 g of edible fruit4.

Nutrient CategoryNutrientAmount (per 100 g)
Energy & MacronutrientsEnergy 326 kJ
Protein1.4 g
Fat0.6 g
Carbohydrates (available)15.8 g
Total Sugars14.7 g
Dietary Fibre2.5 g
VitaminsVitamin C43 mg
Vitamin B1 (Thiamine) 0.05 mg
Vitamin B2 (Riboflavin) 0.08 mg
Vitamin B3 (Niacin) 0.8 mg
Vitamin B6 0.22 mg
Folate (natural)20 µg
Vitamin E (α-tocopherol)0.3 mg
Vitamin A (as carotene equivalents)5 µg
MineralsPotassium250 mg
Magnesium32 mg 
Calcium17 mg
Phosphorus21 mg
Iron0.3 mg
Zinc0.2 mg
Sodium4 mg 
Organic AcidsCitric acid0.3 g 
Malic acid 0.3 g 
Fatty AcidsSaturated Fat 0.16 g 
Monounsaturated Fat 0.10 g 
Polyunsaturated Fat 0.22 g 
Please note that actual values may vary depending on ripeness, growing conditions (based on the climate in that particular region) and storage factors.

10 Benefits of Eating Ramphal

The leaves, roots, bark, and fruits of Ramphal contain abundant phytochemicals, including tannins, alkaloids, phenols, flavonoids, glycosides, and acetogenins1. These bioactive compounds are responsible for Ramphal’s benefits and form the basis for many of its traditional medicinal uses. Some of the common Ramphal benefits backed by scientific evidence include:

1. Helps Lower Fever

fever

Ramphal leaf extracts may be helpful in reducing fever owing to the flavonoids and saponins present in them, which are natural anti-inflammatory compounds. These are shown to have antipyretic (fever-reducing) effects in animal studies5. This suggests its potential natural support for managing high body temperature.

2. Aids in Removal of Intestinal Worms

ramphal

Certain leaf extracts of Ramphal have demonstrated strong anti-worm activity. It was seen that these extracts were able to cause paralysis in adult Indian earthworms. This may be attributed to the active constituents present in the ethanol leaf extract6. This property aligns with Ramphal’s traditional use for parasitic infections.


3. Helps Lower Blood Sugar Levels

regulates blood sugar

Methanolic leaf extracts of Ramphal have shown to reduce blood glucose in glucose-loaded mice. This effect is observed due to certain phytochemicals present in the leaf that help in reducing glucose spikes7. This indicates possible support for managing elevated blood sugar.

4. Provides Natural Pain Relief

reduces inflammation

Bark extracts of Ramphal have shown analgesic effects in animal studies. This is due to its notable antiinflammatory ability (inhibition of chemical mediators like proglandins) that help relieves pain and inflammation throughout the body8,9. This suggests Ramphal may be useful for managing inflammatory conditions after professional consultation.

5. Offers Antioxidant Support

ramphal

Methanol extracts of Ramphal have shown significant antioxidant effects due to the presence of natural compounds like alkaloids, flavonoids, tannins and Vitamin C. These help fight free-radicles, strengthen immune-system and aid in lowering the risk of certain chronic diseases. Owing to its antioxidant properties, this fruit can potentially be beneficial for some brain, heart and kidney related conditions10,11.

6. Has Antimicrobial Action

infection

The root extract of Ramphal demonstrates significant antibacterial and antifungal properties. It is especially effective against Bacillus cereus and also reduces the growth of fungi such as Trichoderma viride and Candida albicans11. This indicates its promise as a natural source for developing new antimicrobial treatments.

7. Supports Wound Healing and Tissue Repair

wound healing

The seed extract of Ramphal is rich in flavonoids, tannins, alkaloids, and other healing phytochemicals. In a study, it showed significant wound-repair activity by improving wound contraction and speeding up its closure12. This indicates potential benefits of Ramphal extracts as a component of skin healing formulations.

8. Helps with Skin and Scalp Conditions

skin infections

In traditional Indian medicine, it has also been widely used for managing various skin and scalp conditions. This is because Ramphal is packed with bioactive compounds like alkaloids and acetogenins that help deal-with inflammation. Application as hair conditioner has been shown to manage dandruff and lice-infestation of scalp13.

9. May Protect the Stomach Lining

Gastric

Aqueous leaf extracts of Ramphal have reduced ulcer formation and improved protective factors in animal studies. It acts by reducing acid production, balancing pH and improving glutathione levels. This suggests potential benefits for stomach health14. However, the fruit is best eaten for gastrointestinal related problems (like acidity) after the advice of a qualified doctor.

10. Shows Early Anticancer Potential

cancer

Certain compounds from the root extracts have shown to fight some types of cancer cells. These anticancer properties are likely due to bioactive compounds such as acetogenins and alkaloids15. This suggests that Ramphal may offer leads for future anticancer research.

Note: Most of these benefits are stated from lab data (animals or in vitro). Although they suggest potential health utility and support traditional Ramphal uses, further large scale human trials are still needed for validation. Therefore, these should not be taken as definitive proof for humans or a substitute for modern medicine.

How to Use Ramphal?

Ramphal can be enjoyed in many delicious and versatile forms. Its sweet, custard-like pulp and pleasant aroma make it suitable for everyday foods, beverages, and value-added preparations. However, please keep in mind that Ramphal has a slightly sour taste (when compared to a custard apple). Thus, to balance the mild sourness, you may add sugar to the recipes as and when needed (being cautious of excess sugar addition). You can also add 1 or 2 drops of vanilla essence for flavour and to balance the sourness.

Below are some simple ways to include Ramphal fruit in the diet.

1. Fresh Consumption

ramphal

The fruit’s natural aroma and custard-like texture make it a popular dessert fruit, similar to custard apple.

How to use: Ramphal can be eaten fresh by simply scooping out the soft, sweet pulp13.

2. Milkshakes

milk shake

Its soft pulp blends easily, giving beverages a rich texture.

To prepare: Combine Ramphal pulp with milk (along with sweeteners or spices, if preferred) to make a refreshing milkshake16.

3. Breakfast Bowls

bowl

Processed Ramphal pulp can be used as a natural sweetener and nutrient-rich base.

To prepare: Blend the cleaned and deseeded fruit into a smooth puree and add to your desired food items like breakfast bowls or custards16.

4. Homemade Jam and Fruit Spread

jam

Ramphal’s sugar content and pectin-like behaviour make it suitable for jam-making.

To prepare: Use a mixture of about 60% pulp, 40% sugar, and a small amount of citric acid.16 Cook until thick and store in sterilised jars.

5. Fruit Nectar and Juices

juices

Its mild acidity and sweetness make it ideal for ready-to-serve beverages.

To prepare: Blend Ramphal pulp with water or other fruit juices. Add sugar or lemon if needed and serve chilled16.

6. Ice Cream or Frozen Desserts

ice cream

Ramphal’s texture closely resembles custard apple, making it perfect for frozen treats.

To prepare: Mix pulp with whipping cream, condensed milk, sugar, and milk powder. Freeze for 7 to 8 hours to create a creamy, flavorful ice cream13.

7. Fruit Powder for Long-Term Use

ramphal powder

Drying Ramphal pulp extends shelf life and makes it easy to add to foods.

To prepare: Dry the pulp using tray drying, freeze-drying, or foam-mat drying. Store and use the powder in smoothies, baked goods, or health mixes16.

8. Probiotic Fermented Drinks

drinks

Like other Annona fruits, Ramphal may be used in lactic acid bacteria (LAB) fermentation.

To prepare: Ferment diluted pulp with lactic acid bacteria cultures to create a tangy, non-dairy probiotic drink16.

Side Effects of Ramphal

Like other fruits from the Annonaceae family, Ramphal is generally safe when eaten in moderation, but certain precautions are recommended due to its bioactive compounds. Potential side effects include:

  • Excess intake or concentrated supplements may pose risks of neurotoxicity (as shown with some other fruits of Annonaceae family) because of the presence of acetogenins17.
  • Large amounts may cause stomach discomfort.
  • Some individuals may experience allergic reactions to fruits of Annonaceae family.
  • Its natural sugars may raise glucose levels if overeaten.
  • Seeds may contain higher levels of potentially harmful compounds and should not be consumed.

Precautions to Take with Ramphal

While Ramphal is generally safe and nutritious, certain precautions should be kept in mind to ensure safe consumption:

  • Do not consume Ramphal in large quantities. Eating it in moderation is important, so consult a doctor or dietitian to understand the right amount for you.
  • Consult your gynaecologist before consuming Ramphal if you are pregnant or lactating.
  • Seek medical advice if you have any health conditions or are taking medications.

Do not chew or ingest Ramphal seeds, as they may be harmful, and avoid consuming unripe Ramphal, since it can be hard and difficult to digest18.

Interaction with Other Drugs

Ramphal generally does not interact negatively with most medications or food items. However, compounds of the Annonacae family may add to neurotoxicity when taken alongside neuroactive medicines (such as drugs for Parkinson’s disease)17. Therefore, avoid consuming seeds or concentrated extracts.

Note: If you have any medical conditions or take any medications, it is best to consult your doctor before including Ramphal in your routine diet.

Dosage

Normal food-level consumption of Ramphal fruit (a fruit of around 100 g) is generally considered safe19. However, its ideal to consult a certified nutritionist to know the right quantity for you depending on your overall health and requirements.

Note: Concentrated extracts, herbal teas, or long-term habitual high intake (as observed in Annonacae species-related studies) may pose risks and should be avoided until further evidence clarifies the safety profile of Ramphal in particular17,18.

Conclusion

Ramphal stands out as a nutritious and traditionally valued fruit with diverse culinary and medicinal applications. It is rich in phytochemicals such as tannins, alkaloids, flavonoids, and glycosides, and demonstrates a wide range of biological activities in initial studies, including antioxidant, anti-inflammatory, antipyretic, and wound-healing effects.

While long-term research is still needed, normal dietary intake of Ramphal fruit in moderate quantities is largely considered safe. Yet, like any other natural remedy, in case of any medical issues, its ideal to discuss with a doctor before including Ramphal in routine diet. Overall, Ramphal offers significant nutritional, functional, and value-addition potential, making it a promising fruit for both traditional use and modern food innovation.

Frequently Asked Questions (FAQs)

Who should not eat Ramphal fruit?

Individuals with medical conditions like diabetes and pregnant or breastfeeding women should discuss with their doctor before consuming this fruit regularly. Also, those with Parkinson’s disease should avoid excessive intake of Ramphal, as safety of Annonaceae group of fruits in this group is ambiguous17.

Is Ramphal warm or cold?

In traditional Indian diets and Ayurvedic practice, ripe Ramphal is generally considered a fruit that has a cooling effect20.

Is Ramphal good for your skin?

Yes, it’s antioxidants and vitamin C may help improve skin health3,20.

Is Ramphal high in calories?

Ramphal is not very high in calories. Based on nutrient data, Ramphal provides about 306 to 326 kJ per 100 g, which equals roughly 73 to 78 kcal per 100 g4. This makes it a moderate-calorie fruit.

References

  1. Hernández Fuentes LM, Montalvo González E, García Magaña ML, Anaya Esparza LM, Nolasco González Y, Villagrán Z, et al. Current Situation and Perspectives of Fruit Annonaceae in Mexico: Biological and Agronomic Importance and Bioactive Properties. Plants (Basel). 2021 Dec 21;11(1):7. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8747276/
  2. Jamkhande PG, Wattamwar AS. Annona reticulata Linn. (Bullock’s heart): Plant profile, phytochemistry and pharmacological properties. J Tradit Complement Med. 2015 Jun 10;5(3):144-52. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4488558/
  3. Padmanabhan P, Paliyath G. Annonaceous fruits. In: Caballero B, Finglas PM, Toldrá F, editors. Encyclopedia of Food and Health. Academic Press; 2016. p. 169-173. Available from: https://doi.org/10.1016/B978-0-12-384947-2.00031-3
  4. Food Standards Australia New Zealand. Australian Food Composition Database – Custard apple, African Pride, peeled, raw [Internet]. Public Food Key; [cited 2025 Nov 20]. Available from: https://afcd.foodstandards.gov.au/fooddetails.aspx?PFKID=F003423
  5. Patil SB, Chavan GM, Ghodke DS, Naikwade NS, Magdum CS. Screening of some indigenous plants for their antipyretic activity. Res J Pharmacology Pharmacodynamics. 2009;1(3):150-151. Available from: https://biocyte.in/wp-content/uploads/2025/01/Screening-of-Some-Indigenous-Plants-for-Their.pdf
  6. Nirmal SA, Gaikwad SB, Dhasade VV, Dhikale RS, Kotkar PV, Dighe SS. Anthelmintic activity of Annona reticulata leaves. Available from: https://www.cabidigitallibrary.org/doi/full/10.5555/20103324909
  7. Rahman SM, Islam MR, Rahman S, Mosaiab T, Ahmed R, Khatun F, et al. Antihyperglycemic studies with methanol extract of Annona reticulata L. (Annonaceae) and Carissa carandas L. (Apocynaceae) leaves in Swiss albino mice. Adv Nat Appl Sci. 2011;5(2):218-222. Available from: https://www.academia.edu/download/32627372/Natural___App_Sci_3.pdf
  8. Islam MR, Rahman SM, Ahmed M, Das PR, Islam MT, Kabir MH, et al. Antinociceptive activity studies with methanol extract of Annona reticulata L. (Annonaceae) and Carissa carandas L. (Apocynaceae) leaves in Swiss albino mice. Adv Nat Appl Sci. 2012;6(8):1313-1318. Available from: https://www.academia.edu/download/32627370/Natural___App_Sci_1.pdf
  9. Chavan MJ, Wakte PS, Shinde DB. Analgesic and anti-inflammatory activities of the sesquiterpene fraction from Annona reticulata L. bark. Nat Prod Res. 2012;26(16):1515-8. Available from: https://www.tandfonline.com/doi/10.1080/14786419.2011.564583?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
  10. Wen W, Lin Y, Ti Z. Antidiabetic, Antihyperlipidemic, Antioxidant, Anti-inflammatory Activities of Ethanolic Seed Extract of Annona reticulata L. in Streptozotocin Induced Diabetic Rats. Front Endocrinol (Lausanne). 2019;10:716. Available from: http://pmc.ncbi.nlm.nih.gov/articles/PMC6819323/#B25
  11. Pekamwar SS, Jamkhande PG, Wattamwar AS, Chandak PG. Antioxidant, antimicrobial activity and in silico PASS prediction of Annona reticulata Linn. root extract. Available from: https://www.researchgate.net/publication/262881142_Antioxidant_antimicrobial_activity_and_in_silico_PASS_prediction_of_Annona_reticulata_Linn_root_extract
  12. Royal G. Formulation and evaluation of herbal ointment for wound healing and anti marking activity by using Vitis venifera and Annona reticulata seeds extracts. Pharmatutor Art. 2012;1349. Available from: https://www.researchgate.net/publication/288607575_Formulation_and_wound_healing_activity_of_seed_extract_of_Annona_reticulata
  13. Qi N, Gong X, Luo Y, Zhang C, Chen J, Chen T. A Review of Nutrition, Bioactivities, and Health Benefits of Custard Apple (Annona squamosa): From Phytochemicals to Potential Application. Foods. 2025 Oct 2;14(19):3413. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12523297/
  14. Suresh HM, Shivakumar B, Hemalatha K, Heroor SS, Hugar DS, Rao KR. In vitro antiproliferativeactivity of Annona reticulata roots on human cancer cell lines. Pharmacognosy Res. 2011 Jan;3(1):9-12. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3119276/
  15. Singh J, Santhosh Kumar VR, Kadam V. Antiulcer activity of annona reticulate leaves extract in rats. International Journal of Pharmacy and Pharmaceutical Sciences. 2012;4(1):412-414. Available from: https://research.monash.edu/en/publications/antiulcer-activity-of-annona-reticulate-leaves-extract-in-rats
  16. Markam PS, Shankar D, Ganjeer PK, Siwana H, Kujur A. Study on standardization of recipe for custard apple ice-cream. Pharma Innov J. 2022;SP-11(11):1708-1710. Available from: https://www.thepharmajournal.com/archives/2022/vol11issue11S/PartU/S-11-11-157-620.pdf
  17. Cleret de Langavant L, Roze E, Petit A, Tressières B, Gharbi-Meliani A, Chaumont H, Michel PP, Bachoud-Lévi AC, Remy P, Edragas R, Lannuzel A. Annonaceae Consumption Worsens Disease Severity and Cognitive Deficits in Degenerative Parkinsonism. Mov Disord. 2022 Dec;37(12):2355-2366. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10092620/
  18. Höllerhage M, Rösler TW, Berjas M, Luo R, Tran K, Richards KM, Sabaa-Srur AU, Maia JG, Moraes MR, Godoy HT, Höglinger GU, Smith RE. Neurotoxicity of Dietary Supplements from Annonaceae Species. Int J Toxicol. 2015 Nov-Dec;34(6):543-50. Available from: https://profiles.umsl.edu/ws/portalfiles/portal/39812013/1091581815602252.pdf
  19. U.S. Department of Agriculture, Agricultural Research Service. FoodData Central [Internet]. USDA; https://fdc.nal.usda.gov/food-details/171725
  20. Mishra M, Shukla U. Ramphal: an ethno-medicinal plant. 2020. Available from: https://www.researchgate.net/publication/344319763_RAMPHAL_AN_ETHNO-MEDICINAL_PLANT

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