When the doctor announces that Lady Macbeth’s “illness” is “beyond [his] practice,” he is protecting himself. As a doctor he certainly has background knowledge on human behaviour and he should know what’s wrong with Lady Macbeth. He may have a hunch that the Macbeths’ had something to do with the murder of King Duncan due to the ramblings Lady Macbeth is uttering in her sleep walking state. If the doctor were to uncover the secrets behind her words, he may become Macbeth’s next target and he surly does not want that so instead the he keeps to himself.
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