The chapter opens with a soliloquy about how bad mouthing is a sign of disaster. It's a sign that you're not doing well in the world. The narrator goes on to say that women have more voices than men do, so it's better to avoid them. He also says that there are free consultations at the local doctor's office, or at Chinese medicine, if you want to get your health checked out. He says that he gets migraines from talking to women, but he doesn't know what to do about it. One of the girls he's talking about has a bad mouth, but she only talks about bad things about people. She's not cute, he says, and he thinks she's just a bad person. He adds that he knows of a cure for nighttime grouchiness, or badmouthing. The idea is that if you say something bad about someone, you could lose your life. This applies to enlightened monks, but it also applies to people who work hard toward a goal. In other words, people who slander people who are devoted to their goal could lose their lives if they don't stop. This is why the narrator calls Taku and sama "the worst offenders" in hell.