History.-Has been a bleeder since birth. Just before he was born his mother had a tooth extracted, and the bleeding from the gum could not be stopped for a long time. Every scratch or little cut he had would keep on bleeding until he was almost exsanguinated and then the wound would heal. Had smallpox when a year old. At 12 years of age he sustained a small cut on forearm, the haemorrhage from which could not be stopped. Suturing was attempted in Pennsylvania Hospital, but this only increased the bleeding points. Was in hospital for 5 weeks, and when he was “bled out” the wound healed. Fracture of right thigh bone and delayed unions weeks before any union was observed. Every slight bruise followed by extensive ecchymosis. Epistaxis continued for 3 or 4 days once. Rheumatism for the past two years, since the development of which the breedings have not been so troublesome. Just before coming here he has been in bed for two months suffering from “Inflammation of bowels” and haemorrhage till he was “bled out.”
June 2, 1896. Present symptoms. Rheumatic pain in knees and elbows; can hardly stand. Swelling of the knees. Pale from bleeding. Bleeding from gums constantly. Small wounds bleed much. Small bruise makes him black and blue. Great thirst for water; hydrant water satisfied. Lachesis 41m., one dose.
July 29.-Felt first rate until July 2d. Rheumatism returned to elbows–left first. Lachesis 41m., one dose. Aug. 22. Improving constantly.
Dec. 7. Stiffness in knees and elbows. Lachesis 41m., one dose.
Jan. 30, 1897. Some stiffness returning. Lachesis cm., one dose. Sept. 6. No symptoms.
Oct. 5. Some bleeding. Rheumatic swelling in right elbow; only lasted a short time. Lachesis cm.
Dec. 15. Bleeding again. Lachesis cm.
March 19, 1898. Bleeding again. Rheumatic symptoms returning. Stiffness in elbow. Lachesis mm.
July 16. Only some stiffness in l. elbow.