大般涅槃經義記 4.157

4.157

喻中，「良醫」喻《涅槃經》，「善解八術」喻備治法。下顯治能，先治煩惱，「女人產」下明治惡業。治煩惱中，句別有二：一明經能治、二「貧愚」下明經強治。前中，「為治一切病苦」出其所治。「與種種」等彰其能治，與種種方授其教法，「吐下諸藥」授以行法，行能遣障名吐下藥。「塗身」起戒，「熏藥」生定，「灌鼻」已下明起智慧，受法「灌鼻」，別觀名「散」，總觀稱「丸」。

In the metaphor, "skilled physician" illustrates the Nirvāṇa Sūtra; "skilled in understanding the eight arts" illustrates fully possessing curative methods. Below reveals curative efficacy: first treating afflictions, and from "a woman giving birth" downward treating evil karma. Within treating afflictions, the phrases are distinct in two ways: first, clarifying that the scripture can treat; second, from "impoverished and foolish" downward, clarifying that the scripture forcefully treats. In the former, "in order to treat all the suffering of illness" brings out what is treated. "Giving various..." and so forth reveals the curative ability: giving various formulas confers its teaching methods; "medicines for vomiting and purging" confers the methods of practice, for practice can dispel obstacles, hence called medicines for vomiting and purging. "Anointing the body" gives rise to morality; "fumigating with herbs" generates concentration; from "nasal drops" downward clarifies the arising of wisdom: receiving the Dharma is "nasal drops", specific contemplation is called "powders", and general contemplation is called "pills".