Step 1: Understanding the Concept:
We are asked to name the exact stereoisomer of pilocarpine that occurs naturally in the Pilocarpus jaborandi plant and is used medicinally.
Step 2: Key Formula or Approach:
Pilocarpine's gamma butyrolactone ring carries two stereocenters, numbered 3 and 4 in the standard structure, and the compound rotates plane polarized light. We need the option whose ring position numbers and rotation sign both match the real molecule.
Step 3: Detailed Explanation:
The imidazole-bearing side chain sits on carbon 3 and the ethyl group sits on carbon 4 of the lactone ring, so any option numbering the centers as 2 and 4, or as 3 and 5, is describing the wrong skeleton and can be set aside.
That leaves the two remaining options that correctly use positions 3 and 4.
Of these, the naturally occurring, pharmacologically active isomer rotates light in the positive direction, matching the (+) sign.
Combining the correct ring positions with the correct rotation sign points to the 3R,4S configuration.
Step 4: Final Answer:
The naturally occurring form is 3R,4S (+) pilocarpine.