The word "ralphed" is a slang term that means to vomit or throw up. Some common synonyms for ralphed include puke, barf, heave, hurl, retch, upchuck, regurgitate, spew, expel, and disgorged. These words can be used interchangeably when describing the act of vomiting. It is important to remember that these terms may be considered vulgar or impolite, so it is best to use them in appropriate settings. It's also important to note that vomiting can be a symptom of various illnesses, so it's important to seek medical attention if it persists or is accompanied by other troubling symptoms.