I am developing add-in for Outlook 2010. I have to get all rules and descriptions for them. I can access to the rules, but I don't understand how to get descriptions like on the picture. 
The rule description isn't provided directly in the VSTO API - but you could interpret it yourself by enumerating and translating the Rule Conditions (Rule.Conditions / Rule.Exceptions), and Rule Actions (Rule.Actions).
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