四分律行事鈔資持記 3.848

3.848

制意中，初科，初敘病患。多嬰累者，通目眾苦也。四大等者，別示病惱也；地水火風，內外該遍，故通名大；六府者，大腸、小腸、胃、膀胱、三焦、膽也。（從頂至心為上焦，從心至腰為中焦，從腰至足為下焦，此三共為一府。）若下，次明瞻視。然下，三示凡情。昵，近也。故下，彰聖引導。按《西域記》，祇桓東北有塔，即如來洗病比丘處。如來在日，有病比丘，含苦獨處；佛問汝何所苦，汝何獨居？答曰：我性疎懶，不耐看病；故今嬰疾，無人瞻視；佛愍而告曰：善男子，我今看汝。

Under The Intent of the Formulation, the first section: First, illness is described. Being "afflicted with many burdens" refers generally to all sufferings. "The four great [elements]," etc., specifically indicates the afflictions of disease: earth, water, fire, and wind pervade internal and external, so they are generally called "great"; the six viscera are the large intestine, small intestine, stomach, bladder, triple burner, and gall bladder. (From the crown to the heart is the upper burner, from the heart to the waist is the middle burner, and from the waist to the feet is the lower burner; these three together constitute one viscus.) "If" below next clarifies caring for them. "However" below third shows ordinary human sentiment. Nì means close. "Therefore" below reveals the sage's guidance. According to the Western Regions Record, there is a stupa to the northeast of Jetavana, which is where the Tathāgata washed a sick bhikṣu. When the Tathāgata was in the world, there was a sick bhikṣu dwelling alone in suffering. The Buddha asked, "What ails you? Why do you live alone?" He replied, "My nature is negligent and lazy; I could not bear to look after the sick. Therefore, now that I am afflicted with illness, no one cares for me." The Buddha pitied him and said, "Good man, I will now care for you."