Mar. 21, 1908. S. E., thirteen years old. Heart: rheumatic myocarditis. Apex beat too slow. Violent aortic beat. Mitral regurgitant murmur. Enlargement l. side. Pain at times. Pulse 120. Strong pulsation in neck. Rheumatism in legs and knees. Began when four years old. Rheumatic fever six years ago. Pinworms. Catarrh. Thirst for cold drinks. Mouth bad taste when waking in morning. Teeth covered with blood in morning. Urine copious. Perspiration often at night. Must have much air at night. Room must be cool. Reclines on l. side; with head high. Headaches in temples, over eyes, vertex. (>) in cool air. Cheeks red. Ledum 10m.
April 18. Appearance much improved. Improved generally; catarrh and all symptoms. Rheumatism appears and disappears in legs and arms. Pulse 88. Ledum 10m.
May 11. Sleeps with mouth closed, now. Pimples forehead and around mouth. June 9. Rheumatism now and then, slight. Eyes improved. Stomach, funny sensation- pain-after eats, few mouthfuls. Stools three a day, beginning after breakfast. Urine frequent; must sit long for it to start. Aurum 10m.
June 29. Itching in throat. Pulse 80; irregular. Heart strong pulsation.
July 13. Urine offensive odour, as of something spoiled. Less delay in starting. L. side pain at times; stomach?
Heart pains. Aurum 10m.
Aug. 24 and Oct. 10. Aurum 50m. Jan. 11. Aurum cm. Mar. 29. Mitral regurgitation. Sensation as if beats 4 or 5 times, then stops. Rheumatism. Vertigo. Blood in mouth and on teeth in morning, when awakens. Throat, sensation of lump when swallowing. Bowels normal. R. leg cramps. Aurum 10m. Repeated May 8 when symptoms worse after taking cold.
June 30 and July 28. Aurum 50m. Aug. 25 and Oct. 6. Aurum cm.
When the remedy was repeated in May, 1909, there was Cough with expectoration nearly all blood, from “taking cold.” In June, the patient had been bathing three times a day in the Lake and had pain about the heart. Other times, pain in heart or rheumatic pains returned but a general improvement continued, and she became a strong, hearty, robust girl.