LiveOnNY: Definition of Death- Sifrei Hazal
How does Hazal define "death," and what does this have to do with organ donation?
User uploaded image

אָדָם אֵינוֹ מְטַמֵּא, עַד שֶׁתֵּצֵא נַפְשׁוֹ. וַאֲפִלּוּ מְגֻיָּד, וַאֲפִלּוּ גוֹסֵס. זוֹקֵק לַיִּבּוּם וּפוֹטֵר מִן הַיִּבּוּם, מַאֲכִיל בַּתְּרוּמָה וּפוֹסֵל בַּתְּרוּמָה. וְכֵן בְּהֵמָה וְחַיָּה אֵינָן מְטַמְּאִין, עַד שֶׁתֵּצֵא נַפְשָׁם. הֻתְּזוּ רָאשֵׁיהֶם, אַף עַל פִּי שֶׁמְּפַרְכְּסִים, טְמֵאִים, כְּגוֹן זָנָב שֶׁל לְטָאָה שֶׁהִיא מְפַרְכָּסֶת:

A person does not defile [as a corpse] until he dies. Even he is cut up or even if he is about to die, he [still] makes levirate marriage obligatory and exempts from levirate marriage, he feeds [his mother] terumah and disqualifies [his mother] from eating terumah. Similarly in the case of cattle or wild animals, they do not defile until they die. If their heads have been cut off, even though they are moving convulsively, they are unclean, like a lizard's tail, which moves convulsively.

אָמַר שְׁמוּאֵל: עֲשָׂאָהּ גִּיסְטְרָא – נְבֵלָה. אָמַר רַבִּי אֶלְעָזָר: נִיטַּל הַיָּרֵךְ וְחָלָל שֶׁלָּהּ (נִיכָּר) – נְבֵלָה. הֵיכִי דָּמֵי חָלָל שֶׁלָּהּ (נִיכָּר)? אָמַר רָבָא: כֹּל שֶׁרְבוּצָה וְנִרְאֵית חֲסֵרָה. תְּנַן הָתָם: הוּתְּזוּ רָאשֵׁיהֶן, אַף עַל פִּי שֶׁמְּפַרְכְּסִין – טְמֵאִים, כִּזְנַב הַלְּטָאָה שֶׁמְּפַרְכֶּסֶת. מַאי הוּתְּזוּ? רֵישׁ לָקִישׁ אָמַר: הוּתְּזוּ מַמָּשׁ, רַבִּי אַסִּי אָמַר רַבִּי מָנִי: כְּהַבְדָּלַת עוֹלַת הָעוֹף.

Shmuel says: If one rendered the animal like a shard [gistera] by cutting it in two widthwise, its halakhic status is that of an unslaughtered carcass even though it is still convulsing. Rabbi Elazar says: If the thigh, the hind leg of the animal, was removed and its recess is obvious, it is an unslaughtered carcass and it imparts impurity even if it remains alive. The Gemara asks: What are the circumstances of its recess being obvious? Rava said: It is any situation where the animal is collapsed and even so its hind leg is visibly lacking.We learned in a mishna there (Oholot 1:6) with regard to creeping animals whose carcasses are ritually impure: If their heads were removed, even if they are convulsing, they are impure like the tail of a lizard that was severed that convulses even though it is not alive. The Gemara asks: What is the meaning of the term: Were removed? Reish Lakish said: They were actually removed. Rabbi Asi said that Rabbi Mani said: It is like the separation of the head of the bird burnt offering.

מִי שֶׁנָּפְלָה עָלָיו מַפֹּלֶת, סָפֵק הוּא שָׁם סָפֵק אֵינוֹ שָׁם, סָפֵק חַי סָפֵק מֵת, סָפֵק נָכְרִי סָפֵק יִשְׂרָאֵל, מְפַקְּחִין עָלָיו אֶת הַגַּל. מְצָאוּהוּ חַי, מְפַקְּחִין עָלָיו. וְאִם מֵת, יַנִּיחוּהוּ:

If an avalanche fell on someone, and it is doubtful whether or not he is there, or whether he is alive or dead, or whether he is an Israelite or a non-Jew, they remove the debris from above him [even on Shabbat]. If they find him alive they remove the debris, but if dead they should leave him there [until Shabbat is over].

תָּנוּ רַבָּנַן: עַד הֵיכָן הוּא בּוֹדֵק? עַד חוֹטְמוֹ. וְיֵשׁ אוֹמְרִים: עַד לִבּוֹ. בָּדַק וּמָצָא עֶלְיוֹנִים מֵתִים, לֹא יֹאמַר: כְּבָר מֵתוּ הַתַּחְתּוֹנִים. מַעֲשֶׂה הָיָה וּמָצְאוּ עֶלְיוֹנִים מֵתִים וְתַחְתּוֹנִים חַיִּים. נֵימָא הָנֵי תַּנָּאֵי כִּי הָנֵי תַּנָּאֵי. דְּתַנְיָא: מֵהֵיכָן הַוָּלָד נוֹצָר — מֵרֹאשׁוֹ, שֶׁנֶּאֱמַר: ״מִמְּעֵי אִמִּי אַתָּה גוֹזִי״, וְאוֹמֵר: ״גׇּזִּי נִזְרֵךְ וְהַשְׁלִיכִי״. אַבָּא שָׁאוּל אוֹמֵר: מִטִּיבּוּרוֹ, וּמְשַׁלֵּחַ שׇׁרָשָׁיו אֵילָךְ וְאֵילָךְ. אֲפִילּוּ תֵּימָא אַבָּא שָׁאוּל, עַד כָּאן לָא קָא אָמַר אַבָּא שָׁאוּל הָתָם אֶלָּא לְעִנְיַן יְצִירָה, דְּכֹל מִידֵּי מִמְּצִיעֲתֵיהּ מִיתְּצַר, אֲבָל לְעִנְיַן פִּקּוּחַ נֶפֶשׁ — אֲפִילּוּ אַבָּא שָׁאוּל מוֹדֵי דְּעִיקַּר חַיּוּתָא בְּאַפֵּיהּ הוּא, דִּכְתִיב: ״כׇּל אֲשֶׁר נִשְׁמַת רוּחַ חַיִּים בְּאַפָּיו״. אָמַר רַב פָּפָּא: מַחְלוֹקֶת מִמַּטָּה לְמַעְלָה, אֲבָל מִמַּעְלָה לְמַטָּה, כֵּיוָן דִּבְדַק לֵיהּ עַד חוֹטְמוֹ — שׁוּב אֵינוֹ צָרִיךְ, דִּכְתִיב: ״כֹּל אֲשֶׁר נִשְׁמַת רוּחַ חַיִּים בְּאַפָּיו״.

The Rabbis taught: If a person is buried under a collapsed building, until what point does one check to clarify whether the victim is still alive? Until what point is he allowed to continue clearing the debris? They said: One clears until the victim’s nose. If there is no sign of life, i.e., if he is not breathing, he is certainly dead. And some say: One clears until the victim’s heart to check for a heartbeat. If several people are buried and one checked and found the upper ones under the debris dead, he should not say: The lower ones are likely also already dead, and there is no point in continuing to search. There was an incident where they found the upper ones dead and the lower ones alive.The Gemara comments: Let us say that the dispute between these tanna’im who disagree about checking for signs of life is like the dispute between these tanna’im who disagree about the formation of the fetus. As it was taught in a baraita: From what point is the fetus created? It is from its head, as it is stated: “You are He Who took me [gozi] out of my mother’s womb” (Psalms 71:6), and it says: “Cut off [gozi] your hair, and cast it away” (Jeremiah 7:29). These verses suggest that one is created from the head, the place of the hair. Abba Shaul says: A person is created from his navel, and he sends his roots in every direction until he attains the image of a person. The tanna who says that the presence of life is determined based on the nose holds in accordance with the opinion of the tanna who maintains that the formation of a fetus begins with its head. Likewise, the tanna who says the presence of life is determined based on the heart holds in accordance with the opinion of the one who thinks the formation of a fetus begins with its navel. The Gemara rejects this: Even if you say that the formation of a fetus from the navel is the opinion of Abba Shaul, he may nevertheless require one to check the nose for signs of life. Until now, Abba Shaul spoke there only about formation, saying that everything is created from its middle; however, as for saving a life, even Abba Shaul admits that the main sign of life is in the nose, as it is written: “All in whose nostrils was the breath of the spirit of life” (Genesis 7:22).

עד היכן הוא בודק - אם דומה למת שאינו מזיז איבריו עד היכן הוא מפקח לדעת האמת:

עד חוטמו - ואם אין חיות בחוטמו שאינו מוציא רוח ודאי מת ויניחוהו:

הֲכִי גָּרְסִינָן אָמַר רַב פָּפָּא מַחְלֹקֶת מִלְּמַטָּה לְמַעְלָה - מַחְלֹקֶת דַּהֲנֵךְ תְּנַאי דְּמַר אָמַר עַד לִבּוֹ וּמַר אָמַר עַד חָטְמוֹ מִלְּמַטָּה לְמַעְלָה שֶׁמּוֹצָאוֹ דֶּרֶךְ מַרְגְּלוֹתָיו תְּחִלָּה וּבוֹדֵק וְהוֹלֵךְ כְּלַפֵּי רֹאשׁוֹ דְּמַר אָמַר בְּלִבּוֹ יֵשׁ לְהַבְחִין אִם יֵשׁ בּוֹ חַיּוּת שֶׁנִּשְׁמָתוֹ דּוֹפֶקֶת שָׁם וּמַר אָמַר עַד חָטְמוֹ דְּזִימָנִין דְּאִין חַיּוּת נִכָּר בְּלִבּוֹ וְנִכָּר בְּחָטְמוֹ:

עַד הֵיכָן הוּא בּוֹדֵק עַד טַבּוּרוֹ וְיֵשׁ אוֹמְרֵי' עַד חָטְמוֹ...

הָיְתָה טַלִּיתוֹ שֶׁל בֶּגֶד וְשֶׁל עוֹר וְשֶׁל שַׂק חֲגוּרָה עַל מׇתְנָיו — מוּתָּר לִקְרוֹת קְרִיאַת שְׁמַע. אֲבָל לִתְפִלָּה עַד שֶׁיְּכַסֶּה אֶת לִבּוֹ.

One whose garment made of cloth, of leather, of sack or of any other material was strapped around his waist, he is permitted to recite Shema. However, for prayer, one may not recite it until he covers his heart, because in prayer he addresses God directly and he must dress accordingly.

בֵּית הַסְּקִילָה הָיָה גָבוֹהַּ שְׁתֵּי קוֹמוֹת. אֶחָד מִן הָעֵדִים דּוֹחֲפוֹ עַל מָתְנָיו. נֶהְפַּךְ עַל לִבּוֹ, הוֹפְכוֹ עַל מָתְנָיו. אִם מֵת בָּהּ, יָצָא. וְאִם לָאו, הַשֵּׁנִי נוֹטֵל אֶת הָאֶבֶן וְנוֹתְנָהּ עַל לִבּוֹ. אִם מֵת בָּהּ, יָצָא. וְאִם לָאו, רְגִימָתוֹ בְכָל יִשְׂרָאֵל, שֶׁנֶּאֱמַר (דברים יז) יַד הָעֵדִים תִּהְיֶה בּוֹ בָרִאשֹׁנָה לַהֲמִיתוֹ וְיַד כָּל הָעָם בָּאַחֲרֹנָה. כָּל הַנִּסְקָלִין נִתְלִין, דִּבְרֵי רַבִּי אֱלִיעֶזֶר. וַחֲכָמִים אוֹמְרִים, אֵינוֹ נִתְלֶה אֶלָּא הַמְגַדֵּף וְהָעוֹבֵד עֲבוֹדָה זָרָה. הָאִישׁ תּוֹלִין אוֹתוֹ פָּנָיו כְּלַפֵּי הָעָם, וְהָאִשָּׁה פָּנֶיהָ כְלַפֵּי הָעֵץ, דִּבְרֵי רַבִּי אֱלִיעֶזֶר. וַחֲכָמִים אוֹמְרִים, הָאִישׁ נִתְלֶה וְאֵין הָאִשָּׁה נִתְלֵית. אָמַר לָהֶן רַבִּי אֱלִיעֶזֶר, וַהֲלֹא שִׁמְעוֹן בֶּן שָׁטָח תָּלָה נָשִׁים בְּאַשְׁקְלוֹן. אָמְרוּ לוֹ, שְׁמֹנִים נָשִׁים תָּלָה, וְאֵין דָּנִין שְׁנַיִם בְּיוֹם אֶחָד. כֵּיצַד תּוֹלִין אוֹתוֹ, מְשַׁקְּעִין אֶת הַקּוֹרָה בָאָרֶץ וְהָעֵץ יוֹצֵא מִמֶּנָּה, וּמַקִּיף שְׁתֵּי יָדָיו זוֹ עַל גַּבֵּי זוֹ וְתוֹלֶה אוֹתוֹ. רַבִּי יוֹסֵי אוֹמֵר, הַקּוֹרָה מֻטָּה עַל הַכֹּתֶל, וְתוֹלֶה אוֹתוֹ כְּדֶרֶךְ שֶׁהַטַּבָּחִין עוֹשִׂין. וּמַתִּירִין אוֹתוֹ מִיָּד. וְאִם לָן, עוֹבֵר עָלָיו בְּלֹא תַעֲשֶׂה, שֶׁנֶּאֱמַר (דברים כא) לֹא תָלִין נִבְלָתוֹ עַל הָעֵץ כִּי קָבוֹר תִּקְבְּרֶנּוּ כִּי קִלְלַת אֱלֹהִים תָּלוּי וְגוֹ'. כְּלוֹמַר, מִפְּנֵי מָה זֶה תָלוּי, מִפְּנֵי שֶׁבֵּרַךְ אֶת הַשֵּׁם, וְנִמְצָא שֵׁם שָׁמַיִם מִתְחַלֵּל:

The place of stoning was twice a man’s height. One of the witnesses pushed him by the hips, [so that] he was overturned on his heart. He was then turned on his back. If that caused his death, he had fulfilled [his duty]; but if not, the second witness took a stone and threw it on his chest. If he died thereby, he had done [his duty]; but if not, he [the criminal] was stoned by all Israel, for it is says: “The hand of the witnesses shall be first upon him to put him to death, and afterwards the hand of all the people” (Deut. 17:7). All who are stoned are [afterwards] hanged, according to Rabbi Eliezer. But the sages say: “Only the blasphemer and the idolater are hanged.” A man is hanged with his face towards the spectators, but a woman with her face towards the gallows, according to Rabbi Eliezer. But the sages say: a man is hanged, but not a woman. Rabbi Eliezer said to them: “But did not Shimon ben Shetah hang women at ashkelon?” They said: “[On that occasion] he hanged eighty women, even though two must not be tried on the same day. How is he hanged? The post is sunk into the ground with a [cross-] piece branching off [at the top] and he brings his hands together one over the other and hangs him up [thereby]. R. Jose said: the post is leaned against the wall, and he hangs him up the way butchers do. He is immediately let down. If he is left [hanging] over night, a negative command is thereby transgressed, for it says, “You shall not let his corpse remain all night upon the tree, but you must bury him the same day because a hanged body is a curse against god” (Deut. 21:23). As if to say why was he hanged? because he cursed the name [of god]; and so the name of Heaven [God] is profaned.

אֵין מוֹדְדִין אֶלָּא בְחֶבֶל שֶׁל חֲמִשִּׁים אַמָּה, לֹא פָחוֹת וְלֹא יוֹתֵר. וְלֹא יִמְדּוֹד אֶלָּא כְנֶגֶד לִבּוֹ. הָיָה מוֹדֵד וְהִגִּיעַ לְגַיְא אוֹ לְגָדֵר, מַבְלִיעוֹ וְחוֹזֵר לְמִדָּתוֹ. הִגִּיעַ לְהָר, מַבְלִיעוֹ וְחוֹזֵר לְמִדָּתוֹ, וּבִלְבַד שֶׁלֹּא יֵצֵא חוּץ לַתְּחוּם. אִם אֵינוֹ יָכוֹל לְהַבְלִיעוֹ, בָּזוֹ אָמַר רַבִּי דוֹסְתַּאי בַּר רַבִּי יַנַּאי מִשּׁוּם רַבִּי מֵאִיר, שָׁמַעְתִּי שֶׁמְּקַדְּרִין בֶּהָרִים:

They measure the Shabbat limit only with a rope fifty cubits long, neither less nor more. And one should measure only while holding the end of the rope on a level with his heart. If he was measuring and he reached a valley or a wall he spans it and resumes his measuring. If he reached a hill he spans it and resumes his measuring, provided he does not go beyond the Shabbat limit. If he is unable to span it in connection with this Rabbi Dostai ben Yannai stated in the name of Rabbi Meir: “I have heard that they pierce the hills.”

וּמִי אָמַר רַבִּי יוֹחָנָן הָכִי?! וְהָאָמַר רַב יְהוּדָה אָמַר שְׁמוּאֵל: שָׁחַט בּוֹ שְׁנַיִם, אוֹ רוֹב שְׁנַיִם, וְרָמַז וְאָמַר: ״כִּתְבוּ גֵּט לְאִשְׁתִּי״ – הֲרֵי אֵלּוּ יִכְתְּבוּ וְיִתְּנוּ;

The Gemara asks: But did Rabbi Yoḥanan actually say this, that the court must wait for him to regain his mental capabilities? But didn’t Rav Yehuda say that Shmuel says: If one was attacked by another who slit his throat and severed the two pipes, his trachea and esophagus, or the majority of the two pipes, and the dying man signaled and thereby stated through his gestures: Write a bill of divorce for my wife, then those present should write and give a bill of

divorce to his wife?

"Now, for a while it has been known that even if respiration has ceased, it is often possible to restart it via cardiopulmonary resuscitation - CPR. It is therefore commonly stated that the Gemara was not referring to a person whose breathing has merely stopped, but rather to a person whose breathing has irreversibly stopped. Of course, Chazal did not know about CPR, but, it is claimed, their words did not rule it out.
On Friday night, I realized that this is not true.
Furthermore, I realized that everyone is very clearly overruling Chazal in this.
Why? Because in order to do CPR, you need access to the person's chest. Which means that you are clearing more rubble away! But the Gemara is completely unambiguous that if there is no respiration at the nostrils, it is forbidden to clear away any more rubble. The Gemara forbids clearing away any more rubble, and yet every single Posek would say that this is mandatory!
…this case arguably shows that Poskim today - even those who rely on respiratory death - are not following Chazal's exegesis. Chazal understood the passuk to mean that respiration equals life, and lack of respiration equals death. But these Poskim are understanding the passuk to mean instead that permanent lack of respiration means death. (This point can, however, be debated. But I think it's valid.) R. Gutel quotes Rav Shaul Yisraeli as pointing out that this means that our determination of the moment of death itself has changed since Chazal, with various other potential halachic ramifications. Chazal ruled that as soon as a person has stopped breathing, he has died. All Poskim today, on the other hand, rule that a person has not yet died until the period in which CPR is possible has elapsed.
Now, of course you can say that if Chazal would have known that pushing the chest can restart respiration, they would have interpreted the passuk differently and certainly they would have ruled differently. But, once you are going down that path, then you have to wonder what Chazal would have said differently had they understood the role of the brain and lived in a world where brain-dead people can have their heart and lungs maintained in operation for a while. Likewise, you have to wonder what we should infer from Chazal's words in light of their not having known those facts and not having lived in such a world."
"...The theory of an "innate" body heat was first suggested by early Greek medical writers. This "innate heat" became the "single most important motive power in the animal system." It was responsible for growth, digestion, movement, sensation and thought. The maintenance of "innate heat" coincided with life; its destruction coincided with death. The source of this "innate heat" was the heart, more precisely the left ventricle of the heart. Galen, too, granted paramount importance to this principle...
The primary function of respiration according to Galenic physiology was to cool and conserve the "innate heat" of the heart. It was felt that this "heat" must be refrigerated by respiration and kept under control if life is to persist. If refrigeration is not provided, the heat will consume itself and the body will die...
The basic principle of life according to Galen was a spirit or pneuma drawn from the air into the body through the act of breathing. The idea of the pneumas or spirits probably originated with Erasistratus, but the theory underwent significant alteration by Galen. This nondescript air travels to the heart where it meets the "innate heat". At this stage, it becomes the "vital" spirit and serves to cool the "innate heat"....
A proper understanding of this Rashi hinges on the interpretation of the phrase "nishmato dofeket sham". The word nishmato can mean either "his soul", a derivative of neshamah, or "his breath", a derivative of neshimah. Elsewhere Rashi adopts the latter usage, and I believe this usage to be contextually appropriate here as well... In light of the above, Rashi claims that the heart is checked because the breath pulsates or is transmitted there. Therefore, when the heart is examined, its movement is a reflection of breathing; its ḥiyut a manifestation of respiration.
It follows that the heart is a respiratory organ and that Rashi scribed to the notion that the inspired air ultimately reached heart, ideas widely held throughout antiquity and the Middle Ages..."