WORSHIP \ Purification \
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The manner of purification and salaah for the sick

All praise belongs to Allaah, we praise Him seek His assistance and forgiveness, turn to Him in repentance, and seek refuge in Allaah from the evil of ourselves and the evil of our deeds. Whoever Allaah guides, no one can lead him astray. And whoever Allaah allows to stray, no one can guide him. I bear witness that there is nothing which deserves to be worshipped except Allaah, alone, and He has no partner. And I bear witness that Muhammad (sal-Allaahu `alayhe wa sallam) is His servant and Messenger - Peace and Blessings be upon Him and His family, His companions and those who follow them in goodness.

Verily this is a brief treatise about that which is compulsory in the purification (tahaarah) and salaah of the sick people.

Verily, there are ahkaam particularly for the sick in these things (prayer and purification) which the Sharee'ah requires to be given consideration because of their condition.

Verily, Allaah (Subhaanahu wa Ta'aala) has sent his Prophet (sal-Allaahu `alayhe wa sallam) with the true and tolerant religion which is built on (the principle of) ease, facility and non-complication.

Allaah (Subhaanahu wa Ta'aala) has said in the Qur.aan:

{And He has not laid upon you in the religion any hardship…}, [Soorah 22, Aayah 78].

He (Subhaanahu wa Ta'aala) also said:

{Allaah intends for you ease, and he does not want to make things difficult for you…}, [Soorah 21, Aayah 185].

He (Subhaanahu wa Ta'aala) also said:

{So keep your duty to Allaah and fear Him as much as you can; Listen and obey…}, [Soorah 64, Aayah 16].

And the Prophet (sal-Allaahu `alayhe wa sallam) said: ((Verily the Religion is ease)), [Saheeh al-Bukhaaree and Saheeh Muslim].

He (sal-Allaahu `alayhe wa sallam) also said: ((What I have ordered you (to do), do as much of it as you can…)), [Saheeh al-Bukhaaree].

Based on this fundamental principle, Allaah has reduced the (amount of) religious duties (worship) for the people who have reason to be excused (Ahlul-A'dhaar). This is also the case if someone is not able to perform wudhoo. for himself. Then someone else may help him to do so. Each one according to his condition, in order to enable him to worship Allaah (Subhaanahu wa Ta'aala) without inconvenience or hardship. Praise be to Allaah, the Lord of all the worlds.

The Purification (Tahaarah) of the sick person

1 - It is mandatory for the sick person to purify himself with water. Therefore, he must make wudhoo. from the minor impurities (urine, feces, pus etc.) and ghusl from the major impurities (menses, sexual intercourse etc.);

[{O ye who believe! when ye prepare for prayer, wash your faces, and your hands (and arms) to the elbows; Rub your heads (with water); and (wash) your feet to the ankles…}, [Soorah 5, Aayah 6]];

2 - If he is unable to purify himself with water because of inability (to move) or fear of worsening his condition or delaying his recovery - in that case he may make tayammum (purification with clean sand);

[{…But if ye are ill, or on a journey, or one of you cometh from offices of nature, or ye have been in contact with women, and ye find no water, then take for yourselves clean sand or earth, and rub therewith your faces and hands…}, [Soorah 5, Aayah 6]];

3 - Tayammum is performed by striking the pure earth or clean earth with both hands one time, wiping over his whole face, then wiping the palms of his hands, each of them wiping the other.

4 - If he is unable to clean himself then someone may help him to perform tayammum. The other person would strike the clean earth himself with his (own) hands, then wipe over the face and hands of the sick person.

5 - If there was a wound in any part of the body that has to be cleaned then he should wash it with water. But, if the washing with water would affect it, then he can dip his hands in the water and just pass his hand over the wound. And if even just wiping over it would affect it, then he may make tayammum.

6 - If there was a broken limb that was wrapped tightly with a bandage or caste (that has to be washed) then he should wipe over the bandage or caste with water rather than washing it. He does not have to make tayammum in this case because the wiping is done in place of washing.

7 - It is permissible to make tayammum on the wall or anything clean that has dust covering it. If the wall had been covered with something other than dirt or sand (earth) - for example, if it had been painted - then he should not make tayammum on it except if there is dust covering it.

8 - If he was unable to make tayammum on the ground or wall or something that has dust covering it, then there is no harm if he puts some dirt or sand in a container or handkerchief and make tayammum from that.

9 - If he makes tayammum for prayer and he retains his state of purification until the time of the next prayer, then he may perform that prayer with the first tayammum and he does not have to repeat the tayammum for the next prayer. This is so because he remained in his state of purification and there was nothing which invalidated his state of purification.

10 - It is mandatory for the sick person to clean his body from all impurities. But if he is unable then he may pray in this condition and the prayer is correct and he does not have to repeat it;

[{What I have forbidden to you, avoid (completely); what I have ordered you (to do), do as much of it as you can…}, [Soorah 64, Aayah 16]].

11 - It is also mandatory for the sick person to perform prayer in clean clothing and if his clothing became defiled by impurities then it is obligatory to wash them or change them for clean clothing. But if he is unable to do so, then he may pray in this condition and his prayer is correct, and he does not have to repeat it;

[{So keep your duty to Allaah and fear Him as much as you can; Listen and obey…}].

12 - It is mandatory for the sick person to pray on something clean and if his place of salaah became unclean he must wash it or change it for something clean or lay over it something clean. But if he is unable to do that then he may pray in that condition and his salaah is correct and he does not have to repeat it.

13 - It is not permissible for the sick person to delay his salaah until after its proper time because of inability to perform Tahaarah (purification). But he should purify himself to the extent that he is able so that he may perform his salaah on time even if there were impurities on his body or his clothing or his place of salaah which he is not able to remove;

[{…Verily, the prayer is enjoined on the believers at fixed hours}, [Soorah 4, Aayah 103]]

The salaah of the sick person

1 - It is mandatory for the sick person to perform the obligatory salaah standing even if he cannot stand up straight or even if he leans on a wall or a stick that he needs to hold him up;

[((Pray standing; but if you are unable (to do so), then pray sitting; and if you are unable (to pray sitting) then (pray) lying on your side)), [Saheeh al-Bukhaaree]; An-Nasaa.ee added: ((And if you are unable, then lying on your back. Allaah does not burden anyone except according to his ability))].

2 - If he is unable to stand, then he may pray sitting and it is better if he sits with his legs closed in the place of Qiyaam and Rukoo'.

3 - If he is unable to perform the salaah sitting then he may pray lying on his side facing the qiblah, preferably lying on the right side. If he is unable to face qiblah then he may pray in whatever direction he is facing and the salaah is correct and he does not have to repeat it.

4 - If he is unable to perform the prayer on his side then he prays lying flat with his feet towards the qiblah, and it is preferable that he raise his head a little to direct it toward the qiblah. If he is unable to point his feet toward the qiblah, then he may pray however he is and he does not have to repeat the prayer.

5 - It is mandatory for the sick person to make rukoo' and sajdah in his salaah. If he is unable, then he should make a gesture for both of them by nodding his head, lower for sajdah than he does for rukoo'. If he is able to perform rukoo' but not sajdah then he should make rukoo' when its time for rukoo' and make a gesture for sajdah. And if he is able to make sajdah and not rukoo' then he should perform sajdah when its time for sajdah and make a gesture for rukoo'.

6 - If he is unable to make a gesture by nodding his head for rukoo' and sajdah then he would make a signal by closing his eyes a little for rukoo' and closing them more for sajdah. As for pointing with the finger as some of the sick people do, it is not correct and I don't know if this has any basis in the Qur.aan and Sunnah or in the sayings of the scholars (Ahlul-'Ilm).

7 - If he is unable to gesture with the head nor signal by the eyes, then he should pray with his heart by making takbeer and reading of the Qur.aan and making intention for rukoo', sajdah (prostrating), qiyaam, qu'ood by his heart knowing that every person will have what he intends;

[The reward of the sick will not be less than the reward of the healthy person when he prays according to his condition, according to the hadeeth: ((If someone becomes sick or travels Allaah records for him the reward equal to what he received when he was healthy and resident)), [Saheeh al-Bukhaaree and Ahmad]].

8 - It is mandatory for the sick person to perform each salaah in its proper time, and to do everything that he is able to do of that which is obligatory in the salaah. If it became difficult for him to perform each salaah in its proper time, then he may combine Zhuhr and 'Asr salaah and he may combine Maghrib and 'Ishaa. either combining them in the earlier time - whereas he would advance 'Asr to the time of Zhuhr and 'Ishaa. in the time of Maghrib, or combine them in the later time - delaying Zhuhr until the time of 'Asr, and delaying Maghrib until the time of 'Ishaa. - according to whichever may be easier for him (i.e. if it is easier to advance the salaah or to delay it.)

As for Fajr, it is not combined with the salaah before it nor the prayer after it.

9 - If the sick person is travelling, seeking treatment in another country, then he can shorten the four rak'ah salaah so that he will pray Zhuhr, 'Asr and 'Ishaa. as two rak'ah each, until he returns to his country. It being the same whether his journey is for a long period or short period;

[{And when you (Muslims) travel in the land, there is no sin for you if you shorten your prayer…}, [Soorah 4, Aayah 10]].

Shaykh Ibn 'Uthaymeen