For the believer, who submits voluntary to the divine will and accepts Prophet Muhammad (pbuh) as the last messenger of the Almighty, the performance of the five daily prayers constitutes a solemn duty towards God, as the following verse of the Quran says: “For such Prayers are enjoined on Believers at stated times”1.
In a well known tradition2, reported both by Bukhari and Muslim, the five daily prayers are described as one of the pillar of Islam, the declaration of faith in one God and in the mission of Prophet Muhammad (pbuh) being the first one.
In a wider sense, according to the teachings of Islam, all human life can be considered as a form of prayer, when the believer acts in submission to the divine will. In fact, man has been created to actualize worship in all his life, as the following verse of the Holy Quran says: “I have only created Jinns and Men, that they may serve Me”3. In fact, every good action, even the most mundane, if performed with sincerity and the right intention, trying only to obey the divine law, is considered a form of worship in Islam. To feed the poor, to help the needy, to work to improve the life conditions of the individuals and the society, can be all considered forms of prayer, if performed seeking the divine approval.
Roger du Pasquier observes: “Worship, the corollary of acceptance of belief finds its principal expression in the ritual prayer (Salāt), the second pillar of Islam. This is an indispensable and fundamental religious duty which constitutes the only real liturgy of Muslim worship. Its performance imposes a strict and relatively exacting discipline which marks all of live with its sacred rhythm and, from dawn to night, brings the believer before God and prevents him from being submerged in material and worldly concerns. (…) in a Muslim society which remains sufficient traditional, prayer is not only integrated into life, but defines its whole rhythm”4.
One of the main purposes of the prayers, both obligatory and voluntary- the believers are asked to offer voluntary prayers before or after the obligatory ones on different occasions, is to remember God even in the middle of the daily activities, since the prayers, performed correctly and with a pure intention protect man from unjust and immoral actions. The Quran, referring to the act of performing prayer, uses the expression Iqāmat salāt which means something very different from the simple reading or recitation of the sacred text.
The Holy Quran says: “Verily, I am Allah: There is no god but I: so serve thou Me (only), and establish regular prayer for celebrating My praise”5; “Recite what is sent of the Book by inspiration to thee and establish Regular Prayer: for Prayer restrains from shameful and unjust deeds, and remembrance of Allah is the greatest (thing in life).”6
In the original Arabic text the keywords of this verse are respectively Iqāmat salāt and Dhikr. The expression Iqāmat salāt suggests the act of establishing the connection in a stable and lasting way. In this case, the relation which needs to be established is that one between the creature and the Creator. The best way to reach this aim is the ritual prayer, which is also a way of promoting the remembrance of God, in Arabic Dhikr.
Since God created both the body and the soul, it is natural that human beings offer their prayers with sincerity, concentration and simultaneously with precise movements of the body. In fact, when the believer, after the ablution, stands in front of God, bows, prostrates and recites the prescribed prayers, is actually performing an harmonic form of worship, in which both the body and the soul participate, showing their obedience to God in the truest and humblest form.
When the believer prays five times a day during all his life, he feels that God is closer to him than his jugular vein as the following Quranic verse says: “It was We Who created man, and we know what dark suggestions his soul makes to him: for We are nearer to him than (his) jugular vein”7.
The human being, according to the Quranic teachings, doesn’t need any intermediary to get closer to God, since Salāt and Dhikr, the prayer and the memory, are two very powerful means to reach this aim. This is the message brought by all the Prophets during the course of human
history: the human beings are called to lead their life in the remembrance of God, transforming every action of their existence in a act of worship- in Arabic Ibadah- in order that their whole existence would be spend in Islam. Islam, interpreted as a voluntary submission to the divine will, doesn’t have a passive meaning, it rather implies a harmonious relation with God and the surrounding environment.
However, an external observer, who doesn’t know the interior spirit of Islamic prayer, might think that it is constituted only by mechanical movements without any spiritual meaning. In reality, when a Muslim prays, he thanks God and submits completely to His will in his whole existence both physical and spiritual, purifying both the body and the soul, and thus reaching the highest form of serenity.
Prophet Muhammad (pbuh), in fact, clearly stated that the believer should pray as he thought he sees God, because, even when he doesn’t see the Almighty, He sees him. When the believer has got the sensation that God can see him wherever he is and whatever he is doing, his heart sets purified and he is able to reach the mental and emotional peace, including also the moral excellence. In other words, when a Muslim submits completely to the divine will, he becomes a free human being both in spiritual and emotional aspects, since he has accepted only God as his Master.
The five daily prayers help the believer to reach the moral excellence and the best human qualities, because the way to be successful in this world and in the next one is the love of God and the obedience to His commandments, as it has been revealed in the Holy Quran, when the believer follows the Sunna of the Prophet (pbuh) become worthy of the love of God: “If ye do love Allah, follow me: Allah will love you and forgive you your sins; for Allah is Oft-Forgiving, Most Merciful”8.
Islamic prayer is not an exclusive moment in the life of a Muslim, since the time of the prayer, even when it can be interpreted as sacred,
is fully integrated with what follows and what proceeds in the believer’s life. In fact, in the Islamic understanding, the relationship with the divine is not reached in a preferential way in the solitude of contemplative life, but rather in the ceaseless action in the different spatial and temporal spheres of one’s existence.
Through the Salāt, the believer not only can try to rebuild the lost bond with the Creator, but can live also in harmony with his environment both at physical and psychological levels. This is the reason why it is important to study and explain the medical benefits of the Salāt, in accordance with the holistic point of view of the Quran which interprets the human being as a complex psychophysical entity, whose health relies on both physical and psychological factors, and it can be also secured through the harmony within him and the surrounding environment. This is an extraordinary modern perspective and reflects the principles of disciplines which only in the contemporary age are becoming an integral part of both medical research and practise. It is perhaps, apt to think about the newborn science known as psycho-neuro-immunology, which studies the connections between psychological suffering, physical disturbance, and the changes of the chemistry of human organism.
In the Islamic perspective the spiritual well-being is necessarily connected with the physical one and they cannot exist without each other. The soul and the body, in fact, are involved in a relation of mutual influence and the wellbeing of the former is deeply involved with the health of the latter. This point of view, far from expressing a materialistic perspective of human beings, instead, is very modern in its character. In fact, human beings are interpreted as psychophysical entities, while the body and the soul are related in a complex and deep way since every change happening in the soul affects the body and vice versa.
The distinction between the material and spiritual components of human being, useful for logical demands and explanation, is not as clear as it seems from a dualistic point of view. Since in Islam the body and the soul, the matter and the spirit, are involved in a deep relation which can be better expressed in the language of modern science than in the light of the classical philosophical anthropology.
This book will discuss how every parts of Islamic prayer: ablution, body movements and Quranic recitation can be beneficial from both the physical and psychological point of view. First of all, it is not possible for the believer to perform prayer without being in a condition of ritual purity. The ritual purity, in Arabic Tahārah, means a specific condition involving both the body and the soul, and for this reason cannot be adequately translated in an European language.
The ablution is a preparatory act to the prayer and from a medical point of view can be regarded as an effective way of preventing disturbances of different systems of human body: skin, breath and hearing. Through the ablutions, in fact, it is possible to reduce the risk of contracting several diseases, as for examples, different types of dermatitis, and they also slow down the process of aging of the skin. Ablutions are also a useful way of preventing particular illnesses, some times also serious, of the breathing system like, for example, allergies, colds, rhinitis and sinusitis. In fact, medical researches demonstrated that the nasal irrigation, which is actually part of the ablution, is a valid help in preventing the manifestation of several breathing disturbances and in reducing the allergic symptoms.
The act of performing the gargles at least five times a day is also a valid method of preventing infections of the larynx, pharynx, through the removal of germs and bacteria which gather on the surface of oral mucous membrane. Besides, through the ablutions it is possible to reduce some disturbances affecting the mucous of the mouth, as bad breath, gums infection and tooth decay. Through the washing of the outer ear, it is also possible to remove the ear-wax before the formation of heaps, which provoke infection and body imbalance of chronic nature. Besides, to maintain clean the external ear by removing germs and bacteria is a useful way to prevent several forms of ear infections.
However, from the medical and psychological point of view the major benefits can be found in the movements performed during the prayer.
The Salāt, in fact, is constituted by four types of physical positions: Qiyām, Rukū, Sujūd and Jalsa. Each of these positions constitutes a physical exercise which brings medical benefits to different organs and systems of human body. Then, when all these movements are performed consequently as happen in the Salāt, the whole organs benefit from this aerobic body exercise which, according to independent medical studies, brings the same medical benefits of a moderate and constant physical exercise.
From a general point of view the movements performed during Salāt strengthens first of all the muscle-skeletal system. The straight position during the Qiyām helps the spine to remain straight keeping a correct posture. Besides, during the Rukū and the Sujūd the spine is stretched and this improves the flexibility of joints and the oxygenation of cartilages. The cartilaginous tissue, since it is not reached by blood vessels, receives oxygen only through the movements of the joints. This is the reason why the chondrocites need frequent mechanical stimulations in order to produce proteoglycans, which give flexibility and shape to the cartilage. The different movements involved in the Salāt also strengthen the muscles of the back, the stomach, the legs and the cervix and constitute some important exercises for the prevention of several disturbances provoked by the sedentary life as, for example, muscular cramps and weakening of blood vessels.
The moderate physical activity performed during the prayer in fact helps in maintaining the walls of blood vessels flexible, particularly the arteries, improving the blood flow and the oxygenation of the different body tissues. Besides, the organ which, from this point of view, benefits from the position of Sujūd is the brain. In fact, while the believer is in the position of Sujūd, the heart is placed higher than the brain and the latter receives a better oxygenation both in the central and peripheral areas preventing several diseases related to the inadequate oxygenation as, for example, also some forms of psycho-physical depression.
Also, recent scientific researches have been successful in demonstrating that the recitation of the Holy Quran is beneficial for the health of the organism. During the recitation of the sacred text, while in the position of Qiyām, several very important physical modifications happen: the heartbeat decreases, the cerebrum produces alpha-waves and the pituitary gland secretes beta-endorphines. All these physical modifica tions are the signs of a general relaxation of the organism, consequent to a feeling of psycho-physical wellbeing.
Other researches, conducted by both Muslim and non-Muslim scientists and physicians, revealed that patients suffering from psycho-physical diseases as, for example, depression, insomnia and anxiety, experienced a clear improvement of their condition through the meditation and prayer. The first studies lead by Dr. Herbert Benson9 in the Harvard University demonstrated that the religious meditation, accompanied by the recitation or reading of a Sacred Text, constitutes a sound remedy for the treatment of depressive symptoms and psychosomatic disturbs related to a condition of chronic stress and lack of emotional balance.
Islamic prayer has to be performed also at appointed times of the day and the night following the natural rhythm of the rise and the fall of the sun. Every Muslim, while respecting this fundamental feature of the Islamic worship, can at the same time establish a harmonious relation with nature and the surroundings. The times of the five daily prayers, in fact, allow the believer to organize the day productively, following the natural rhythms of the organism, known as circadian rhythms.
The morning prayer, performed before the dawn breaks, allows us to employ the first hours of the day in the best possible way; this is the time of the maximum secretion of cortisol, an hormone which is helpful in avoiding stress for the organism in a natural way. In fact, some medical researches underline as to follow the rhythm of the secretion of this hormone, during the daily activities, is a good way to avoid stress dangerous and harmful for the health.
The timing of the five daily Salāt helps greatly in maintaining the right balance between working activities and worship. The prayer after Fajr is the Zuhr, the Salāt of the midday. During the time between Fajr and Zuhr the believer is free to be engage in the daily activity in a con-dition of the best psycho-physical balance. In the morning, in fact, the level of cortisol in the blood reaches its peak, while the midday is the time of the best cardio-circulation efficiency. After the midday, instead, the body functions decrease and every organism experiences a feeling of tiredness. The level of cortisol, in fact, decreases during the afternoon, until it reaches the minimum level between the sunset and the evening. The last three daily prayers are performed exactly between the firs part of the afternoon (Asr) and the evening (Ishā), allowing the tired organism to find through the prayer rest and refreshment both from the physical and psychological points of view.


Notes:

1-The Holy Quran 4:103.
2-Kitab al-Iman, Muslim, Bukhari.
3-The Holy Quran 51:56.
4-Cfr. Roger du Pasquier, Unveiling Islam, 80-81, Lahore 2001.
5-The Holy Quran 20:14.
6-The Holy Quran 29:45.
7-The Holy Quran 50:16.
8-The Holy Quran 3:31.

9-Benson H., Beyond the Relaxation Response: How to Harness the Healing Power of Your Personal Beliefs, New York, 1985.

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