General Action
This drug, in common with most of the Apocynaceae, is a cardiac poison, powerfully depressing the heart (in large doses) and causing a weak and irregular pulse. It increases the intestinal secretions and the urine, weakens the sphincters and causes haemorrhoidal engorgement.
Generalities
The general indications for its administration are dropsies of various sorts, particularly hepatic or cardiac, with an irritable stomach, thirst, though drinking causes distress in the stomach and even vomiting.
Head
Vertigo on suddenly rising after stooping.
Stomach
Thirst. Stomach irritable; a little food or drink causes distress, nausea and vomiting. Epigastric oppression impedes breathing.
Abdomen
Distention.
Rectum and Anus
Tenesmus. Protruding piles. Sphincter weak. Soreness in anus.
Stools
Loose, undigested, frothy, involuntarily.
Urine
Scanty. Often dribbles involuntarily.
Respiratory Organs
Cough short, dry. Respiration short, at times sighing.
Heart
Action feeble, intermittent. Sensation of sinking at heart.