大般涅槃經義記 4.160

4.160

合中，「涅槃亦復如是」合醫解術，「所至之處」合醫治病與種種方吐下藥等，「若至舍宅」合貧愚人不欲服之，將還舍宅。「強與令服，除無量惱」合以藥力所患得除。「犯四禁」下合女產時兒衣未出，與服即出。「未發心」下合令嬰兒安樂無患。「除一闡提」彰其分齊。

In the application, "Nirvāṇa is also like this" applies to the physician understanding the arts; "the places to which it reaches" applies to the physician treating illness, giving various formulas, medicines for vomiting and purging, and so forth; "if reaching their house" applies to the impoverished and foolish not wishing to take it, and bringing them back to the house. "Forcing them to take it, eliminating immeasurable afflictions" applies to the ailment being eliminated through the power of the medicine. From "transgressing the four prohibitions" downward applies to the woman at the time of childbirth whose afterbirth has not yet come out, and upon taking it, it immediately comes out. From "not yet having generated the mind" downward applies to making the infant peaceful and free of ailment. "Excepting the icchantika" marks the demarcation.