$re = '/\s*(#Test).*(\s*;.*)*/m';
$str = '(?<!^$)
; #Test #1
; bbbb
; #Test #1
; aaa
; #Test #1
; bbbb
xxxx
;#Test
;#Test
x
';
$subst = "";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php