The young mistress asks the doctor if he can cure her young mistress's migraines. The doctor replies that he cannot because the young mistress is beautiful and he is a handsome man. The mistress tells the doctor to keep his ugly expression on his face so that she will not be able to detect that he is indeed a man. She then asks him to shrink her breast by half so that it is not too big. The young woman says that she has done a breast reduction in her early years but that she only had half the money for it. She asks if the doctor knows how long the young woman has been suffering from her migraines. He replies that it has been two months. She says that the doctor needs to use heavy breathing to purify her from the cold. She tells him to "return anger with kindness" and to "exchange sincerity with sincerity". She then says that if he wants to cure her pain, he should use "a sincere heart".