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German Ipecac
Cynanchum vincetoxicum
DESCRIPTION
Medicinal Parts: The medicinal parts of the plant are the
leaves or rhizome with the attached roots.
Flower and Fruit: The plant has small white flowers in
peduncled cymes, 5 sepals and a wheel-shaped corolla.
There is a 5-lobed secondary corolla. There are 5 stamens
whose anthers are fused to a 5-sectioned wreath. The 2
superior ovaries have a common stigma. The fruit is a 5 cm
long, glabrous, striped, clavate follicle. The seeds have silky
tufts of hair.
Leaves, Stem and Root: The plant grows from 30 to 100 cm.
The underground creeping rhizome has heavily branched
runners. The stem is unbranched, thin and erect. The leaves
are opposite, short petioled, ovate to oblong and entire-
margined.
Characteristics: The fresh rhizome has an intensive odor.
The taste is sweet, then bitter-hot. It is poisonous.
Habitat: The plant is indigenous to Europe.
Production: German Ipecac herb and rhizome are the leaves
and rhizome (including attached roots) of Cynanchum
vincetoxicum. The subterranean rhizome, including parts of
the roots, are dug up in autumn, cleaned and quickly dried at
temperatures of up to 50° C.
ACTIONS AND PHARMACOLOGY
COMPOUNDS
Saponin-like 15-oxasteroide glycosides (mixture termed
vincetoxin): aglycones including hirundigenin, anhydrohi-
rundigenin, vincetogenin
Isoquinoline alkaloids: including tylophorine
EFFECTS
The drug has diuretic, diaphoretic, digestive and emmena-
gogic effects. The alkaloids have an antitumoral effect, and
the chloroform extract has an antimicrobial effect.
INDICATIONS AND USAGE
Unproven Uses: The drug was formerly used as a diuretic,
diaphoretic and emetic, and for the treatment of kidney
complaints, edema, the plague, snake bite and dysmenorrhea.
Today, it is used in the treatment of digestive and kidney
disorders and for dysmenorrhea. The poultices heal swellings