Chapter 18: While visiting the Medical Academy to meet Gen'en Taki, the academy's director, one of the court physicians there, Genkou, fell ill during the meeting. Without knowledge of any other solution to this issue, Gen'en begrudgingly permits the surgery. In return, he claims to Jin that he will perform harakiri if the operation fails, in light of ever allowing the Dutch medicine style surgery to occur in the Chinese medicine driven Medical Academy...