四分律刪繁補闕行事鈔 2.426

2.426

Second, although one has received the precepts of the five assemblies, one is entangled by severe illness, insanity, confusion, and painful afflictions; even if one performs the aforementioned acts, none constitute a fault. If one's mind clearly knows that one is a bhikṣu, it follows the aforementioned offenses committed.