It is said that , while ienari lived in glory , he breathed his last without anyone realizing it , for which his chief physician , seihoin yoshida , was held responsible and punished (according to the " diary of takako izeki " ). このように栄華を極めた家斉であったが、その最期は誰ひとり気づかぬうちに息を引き取ったと伝えられ、侍医長・吉田成方院は責任を問われ処罰された(『井関隆子日記』)。