On general physical examination nothing untoward was seen except the systolic murmur of the heart. The symptoms were not changed except that they seemed too much aggravated. Sac. lac. was given for 3 days, asking her to report when the powders were finished. She came back to say that she had not felt so well for a very long time and Sac. lac. was repeated. She is still taking Sac. lac., reporting improvement all the time.