In this chapter, the narrative pivots from the peril of the "dangling puppet" to his miraculous rescue by the "pale and kind fairy." Recognizing Pinocchio’s plight, the Fairy orchestrates a swift rescue operation, employing a falcon to sever the rope and a "magnificent poodle"—arrayed in "silk and velvet"—to transport the puppet to her home in a coach pulled by "one hundred pairs of perfect white mice."
Once safely ensconced under a "soft white sheet," Pinocchio undergoes a comical yet telling medical examination. The Fairy convenes a panel of experts: the crow, the owl, and the cricket. The doctors display a profound lack of professional consensus; Dr. Crow hedges his bets by suggesting Pinocchio is dead "unless... he is not dead," while Dr. Owl offers a contradictory observation that the puppet is alive "unless... he is not alive." It is Dr. Cricket who provides the most biting insight, labeling Pinocchio a "rascal of the very worst kind" and a "disobedient son" who consistently breaks his father’s heart. This medical opinion serves as a moral indictment, confirming that Pinocchio’s physical ailment is eclipsed by his spiritual and behavioral failings.
Following the doctors' departure, the Fairy confronts Pinocchio’s stubbornness. When she attempts to administer medicine for his "terrible fever," Pinocchio reacts with juvenile defiance, declaring the medicine "bitter" and demanding sugar instead. Despite his promises, he refuses the remedy, leading to a grim intervention: "four black rabbits" arrive, bearing a "small black coffin." The rabbits inform him that they have come because they heard he was "ready to die." Faced with the literal embodiment of his own mortality, Pinocchio finally swallows the medicine, discovering that "even bitter medicine is a very sweet thing" when one is truly confronted with the alternative.
The climax of the chapter centers on the Fairy’s interrogation regarding the missing gold pieces. Pinocchio’s habitual deceit triggers an immediate, physical transformation. When he claims he "lost them," his nose "instantly grew two inches." Upon claiming he lost them in the woods, it grew "two inches longer still." Finally, after claiming he "swallowed them," his nose reaches an absurd length, rendering him physically trapped—unable to turn without hitting the bed, windows, or doors.
This sequence serves as a profound allegory for the nature of falsehood. The Fairy explains that there are "two kinds of lies: those with short legs and those with long noses." Pinocchio’s predicament highlights the restrictive nature of dishonesty; like most liars, he finds himself "stuck," physically and metaphorically confined by the very fabrications he constructed. The Fairy’s laughter at his struggle is not merely cruel; it is a pedagogical tool intended to make Pinocchio realize that his attempts to manipulate the truth have only succeeded in making his own life impossible to navigate. The chapter concludes with a humbled, ashamed Pinocchio, literally boxed in by his own inability to be honest.