We all agree that ethical values flow out from one source, and follow a clear path that extends to every part of the world. These values which honor the dignity of human beings and maintain their essential rights throughout their life include life, freedom, preservation of property, health, and sufficiency.
Let us always remember that what we mean by ethics are those positive values one maintains freely and commits himself firmly to them. These cannot be limited to social or family lives. Ethics apply to all aspects of human interactions, including human health. Quran states some general rules regarding human beings, which are going to be used in medical situations in this article.
The first principle is that human beings are honored – “We have honored the children of Adam” (17:70) – regardless of their color, gender, or belief. This implies that they should be kept in full health and wellbeing.
It also shows respect for their personality, their private affairs, and secrets, their right to receive all the information relevant to any medical procedure to which they will be subject. And the fact that they are the only creatures entitled to make any decision that concerns their health affairs, so long as that remains within the framework of these values.
The Holy Quran beautifully gives the right of living to every single human being; his life is respected and protected by God. One human soul is equal in value to all human beings. God, the Most Glorious and Sublime, says, “…and whoever saves a life is as though he had saved all mankind” (5:32).
Any aggression against the life of a human being, even if it is a fetus or an old or disabled person, is an aggression against all people: “whoever kills a soul, without [being guilty of] manslaughter or corruption on the earth, is as though he had killed all mankind” (5:32). It should be noted that this life saving, as it is seen in Islam, is not only saving a person physically but also includes psychological, spiritual, and social aspects of human’s life.
Equity is regarded in religion as an essential value, being one of the purposes of the messengers' missions: “Certainly We sent Our apostles with manifest proofs, and We sent down with them the Book and the Balance, so that mankind may maintain justice” (57:25). God indicates that equity should be applied to everything including statements [1], judgment [2], conciliation [3], and guardianship [4].
On the other hand, He warns against all the things that may upset a just situation [5]. It is incontestable then that equity and equality should be observed in providing health care at the individual, societal, and governmental levels. This means following the greatest possible degree of equality in the distribution of health resources among society members and in providing them with preventive and therapeutic care, without the slightest discrimination by gender, race, belief, political affiliation, any social or judicial consideration, or any other factor. This is expressed in the well-known motto of the World Health Organization: “Health for all.”
The three of these together can form a good whole of primal principles of ethical manners in medical issues and environments, but is that all?
{Based on Islamic Code of medical and health Ethics, Regional Committee for Eastern Mediterranean, 2005}
References:
- “When you speak, be fair” (6:152).
- “When you judge between people, judge with fairness” (4:58).
- “Make peace between them fairly, and do justice” (49:9).
- “Maintain the orphans with justice” (4:127).
- “…And ill feeling for some people should never lead you to be unfair” (5:8).
As we all know, human life is on an extremely fast pace of progress that is made possible by human expeditions and exploration. But no one can say for sure that all the achievements of this progress have been used on the righteous path. Some of these explorations are known as a forward leap in human history just like dynamite that has been used to ease miner’s jobs. But the same invention has also been used as a deadly weapon against thousands of innocent humans. Obviously, Islam did not miss this point about human life and gave advice to all Muslims in this regard: “Islam forbids eating, drinking and consuming things that are harmful to human health. The more harmful it is, the more severe the prohibition of its cause and effect, to the extent that it reaches the level of sanctity.” (1)
Now, we are going to talk about narcotics, the basis of all of the soothing medicine that are used as one of the essential materials in the ancient times surgery but is also used by heedless people for entertainment at the expense of decomposing their body and brain.
Narcotics are the most common cause of death and disability in the world that exacerbates many diseases, including cardiovascular, pulmonary, infectious diseases, cancer, bone diseases, gastrointestinal diseases, hearing problems, and oral diseases. In every 8 seconds, one person in the world dies of diseases caused by narcotics; fortunately, with the advancement of science and technology and optimal information, the level of awareness of people about the effects of narcotics on their health has increased. We will see what advice Islam gave us on the issue of using narcotics for mortal pleasure.
As we said before, Islam forbids consuming materials that are harmful to human health to the extent that even on some occasions it reaches the level of taboo. Imam Khomeini, the first leader of the Islamic Republic of Iran said: "Eating something that is harmful to human beings is forbidden."(1) It is obvious that the criterion for being haram (forbidden) is to have harmed, and it does not matter whether this harm goes through eating or in some other way. Drugs is one of the things that harm human health, but is it harmful to the extent that makes it forbidden to use?
Many physicians and practitioners are following the opinion that narcotics has significant harms and have written numerous books on the dangers and diseases caused by narcotics, especially smoking. Therefore, it can at least be claimed that the harmful effects of smoking to human health vary based on the person and the situation. On this basis, some jurists have considered the extent of the forbiddance of narcotics to the level of absolute religious prohibition. Some other leaders have not seen the extent of the damage to the extent that could lead to an absolute ban on smoking. For example, if a person has heart disease and his doctor strictly forbids him from smoking, smoking is forbidden for him. (2)
Not only Imam Khomeini, but also Ayatollah* Makarem Shirazi said: It is forbidden to eat or drink something that is significantly harmful to human beings. Smoking cigarettes and other types of tobacco is also haram if it has significant harm, but the use of narcotics is absolutely haram (3), whether in the form of injection or smoking or eating or in any other ways; also the production, sale and assistance in spreading it, is forbidden. (3)
Grand Ayatollah Sistani gave guidance to Muslims in this matter: If smoking and tobacco -though in the future- causes significant harm to the body to the amount that is feared by the wise person, it is haram for being safe from the major harm caused by it. There is no problem with moderate smoking, however. (4)
As we think about this matter reasonably, we surely would understand an important point:
1. Why should we harm ourselves for a little mortal entertainment?
2. What price should we pay for this kind of entertainment?
Just think and you will see how important abstaining from narcotics is. Live safely in the light of the Quran.
References:
- Majma Al-Masayel (third volume – page 65)
- Islamic Laws (Second volume – page 600)
- Jame Al-Masayel (First volume – page 578)
- Islamic Laws (Second volume – page 600)
- The official site of Ayatollah Sistani
* Ayatollah is an honorific title for high-ranking Twelver Shia clergy in Iran and Iraq that came into widespread usage in the 20th century.
“Put a piece of meat in various parts of town and see in which place it will get rotten more slowly, that would be the proper place for a hospital.” That was the extraordinarily wise and innovative advice of a famous Iranian physician, who at that time lived in Baghdad, to the people who were in search of the most suitable place for building a hospital.This great physician is no one other than Muhammad Ibn Zakariya Razi, also known as Ar-Razi or Rhazes among European scholars, who for the first time in the history of medicine and chemistry, discovered a chemical substance, which served a great deal to these fields, called “alcohol.”
He was born in 865 A.D in the city of Rey, located in Iran. Though his father tried so hard to make him follow his occupation which was gold smithery, he finally pursued his interest which was alchemy and chemistry at that time.
Having spent many years of his life as an alchemist, he eventually found out that the only field worth learning and working in, was medicine. Moreover, as Al-Birooni [1] claimed, he lost his eyesight when he was occupied in alchemy, and finding a cure for this disability became his motive in turning his direction to medicine.
To learn medicine thoroughly, he left his hometown for Baghdad where the most advanced hospitals were located. He studied and practiced medicine at the local hospital. After spending many years in Baghdad and gaining experience, he moved back to his beloved hometown, Rey.
There, he became the head of its local hospital. He is known to have been the first person who introduced the method of teaching medicine in its modern form used today in our hospitals. As compassionate and devoted as he was, he never stopped curing sick people, rich or poor, and teaching medicine to the students of any background.
He died on the 15th of October in 925 A.D where he was born and spent most of his life, in the city of Rey.
According to the Encyclopedia Britannica [2], he was the first physician who differentiated between measles and smallpox. Besides he is considered to be the father of pediatrics and a pioneer in ophthalmology- the study and treatment of eye disorders and diseases.
He also believed in treatment with proper diet rather than prescribing medicines to his patients. The translation of his most important works in medicine such as “Al-Hawi” [3] and “Al-Mansuri” [4] has long been taught in medical universities of European countries such as Germany and France.
He was a devoted Muslim who was profoundly influenced by the teachings of Islam. His idea about the importance of seeking knowledge with one’s full capacity is in close association with the idea of Prophet Muhammad (PBUH) when he said: “those who peruse knowledge, will be perused by heaven” [4] & [5].
The great Iranian Muslim physician, chemist, and philosopher, Muhammad Ibn Zakariya Razi, with his everlasting contributions in medicine and chemistry, did not remain limited to his time or geographical boundaries. He was the great physician of his time and is considered a respected and influential doctor of our age in all parts of the world.
Reference:
- "ar-Razi." Encyclopedia Britannica. Encyclopedia Britannica Online.Jun. 2014
- ibid.
- Mahmud Najm Abadi, The History of Medicine in Iran and World of Islam.
- Mottaqi Hindi, Kanz al-Aamal.
- Muhammad, Mizan al Hekmah, vol. IV, Qum: Dar al-Hadith Institution, 1386. p.398.