Bava Basra 126b ~ The Healing Power of Saliva

In a chapter that deals with the rules of inheritance, there is this interesting aside:

בבא בתרא קכו, ב

 ההוא דאתא לקמיה דרבי חנינא אמר ליה מוחזקני בזה שהוא בכור אמר ליה מנא ידעת אמר ליה דכי הוו אתו לגבי אבוה אמר להו זילו לגבי שכחת ברי דבוכרא הוא ומסי רוקיה ודלמא בוכרא דאמא הוא גמירי בוכרא דאבא מסי רוקיה בוכרא דאמא לא מסי רוקיה

A certain person once came before R. Hanina and said to him, 'I am sure that this man is firstborn'.  R. Hanina said to him, 'How do you know?' — The person replied to him: 'Because when people came to his father,  he used to say to them: "Go to my son Shikhath, who is firstborn and his saliva heals'. Might he not have been the firstborn of his mother only [but not of his father]? There is a tradition that the saliva of the firstborn of a father heals, but that of the firstborn of a mother does not heal.

Being declared a firstborn son was a big deal in talmudic times, for that lucky son would inherit twice the share of any other brothers.  (Daughters only inherit where there are no sons, or offspring of sons.) In the case brought before R. Hanina, there were two claims. One, that the Shikhath was a firstborn, based on the fact that his father called him "firstborn", and second that he was his father's firstborn by any woman. The evidence for that is the claim that his saliva heals. In talmudic society, only the saliva of a firstborn of a father heals. In his commentary on this passage, the Rashbam adds that the healing properties of saliva refer to its use as an eye medication. What are we to make of these claims that saliva heals, but only if it is the saliva of a firstborn son?

The many functions of human saliva

Saliva is an amazing material, and one we too often take for granted.  The many functions of saliva were reviewed in a paper published in The Archives of Oral Biology in 2015. We make a lot of it - about half a liter per day - and we need it to moisten and lubricate our mouths. It plays a critical role in taste, since it helps dissolve the foods into components that transmit taste on the tongue.  Saliva is also a key component of digestion. One of its main components is alpha-amylase, which appears to have a role in the breakdown of starch. It also protects the oral mucosa and esophagus not only by acting as a lubricant, but by buffering the acids in the stomach that sometimes make their way north into our mouths. The dentists among you will already know that saliva protects the teeth against abrasion, attrition, erosion, and dental caries, by removing uneaten food debris from the mouth. This debris, especially if sugary or acidic, can damage our teeth when bacteria feed off them. Saliva also has activity against bacteria, viruses and fungi.  For example, submandibular saliva inhibits the HIV-1 virus, even when diluted several-fold, and saliva inhibits the growth of candida, an opportunistic oral fungus.   

Saliva and wound healing

Last year, scientists from Lahore in Pakistan tested the ability of human saliva to heal wounds. They collected saliva from 24 willing human spitters, and applied the saliva to 2cm x 2cm wounds on the backs of  thirty "fully grown adult male rabbits weighing 2.0 to 3.4kg..." Three rabbits were controls and received no treatment. Another three had standard antibiotic ointment applied to their wounds, and the remaining lucky 24 rabbits had saliva applied every two hours for two weeks.  The Pakistani scientists noted "the healing speed of wounds on which saliva was applied was higher than the wounds on which wound healing medication (polyfax) was applied, and there was pus formation in the wound of negative control on which natural healing was observed." They concluded that "healthy human saliva possess significant (p<0.05) antimicrobial as well as wound healing properties. This innate ability of human saliva, mainly attributed to histatin protein, suggests that salivary proteins can be further used for medicinal purposes."

Wound healing properties of saliva, polyfax, and control on induced wounds on the backs of rabbits. From Haq et al. &nbsp;Antimicrobial and Wound Healing Properties of Human Saliva.&nbsp;Int. J. of Pharm. Life Sci. 2016. 7 (2);&nbsp;4911-4917.

Wound healing properties of saliva, polyfax, and control on induced wounds on the backs of rabbits. From Haq et al.  Antimicrobial and Wound Healing Properties of Human Saliva. Int. J. of Pharm. Life Sci. 2016. 7 (2); 4911-4917.

Healthy human saliva possess significant antimicrobial as well as wound healing properties. This innate ability of human saliva, ... suggests that salivary proteins can be further used for medicinal purposes.”
— ul-Haq, F et al. Antimicrobial and Wound Healing Properties of Human Saliva. International Journal of Pharmacy and Life Sciences. 2016:4911-4917

The histatins to which the Pakistani researchers referred are a group of proteins in the saliva which in 2008 were found to promote wound healing.  Cuts in the mouth heal much more quickly than do cuts elsewhere on the body: researchers have found that "wounds in the oral cavity heal much faster than skin lesions, with similar wounds healing in 7 days in the oral cavity compared with several weeks on the skin," and this is thought to be due to these histatins in the saliva.  

The mouth is a very dirty place

A nasty fight-bite injury, due to bacteria found in the mouth.

A nasty fight-bite injury, due to bacteria found in the mouth.

All this sounds rather interesting and would seem to support the use of saliva to heal, just as the saliva of Shikhath was said to do in today's page of Talmud. If however you find yourself with a wound and no local pharmacy, you might want to consider this before licking yourself.  The mouth is a terribly dirty place, microbiologically speaking.  It is full of nasty bacteria viruses and fungi, which the saliva only just manages to keep at bay.  I have seen dozens of  "fight-bites" in the ED. They are the outcome of a fist hitting a tooth (usually late on a Saturday night) and the hand often becomes badly infected as the bacteria in the victim's mouth, now safely hidden away deep in the crevice of the wound on the assailant's knuckle, go to work.  The result isn't pretty.

Vespasian, and others who healed with their saliva

The belief that saliva can heal the eyes is not limited to today's page of Talmud. You can find a detailed history in the 1891 paper by Frank Nicolson, The Saliva Superstition in Classical Literature. Perhaps one of the most striking examples of saliva as an ophthalmic medication is from the works of Tacitus, a Roman senator and historian, who died around 120 CE.  In his Histories, he recounts the story of Vespasian, - the same Vespasian who fought the Jewish insurrection in Judea and whose son Titus destroyed the Second Temple in 70 CE.  

In the months during which Vespasian was waiting at Alexandria for the periodical return of the summer gales and settled weather at sea, many wonders occurred which seemed to point him out as the object of the favor of heaven and of the partiality of the Gods. One of the common people of Alexandria, well known for his blindness, threw himself at the Emperor's knees, and implored him with groans to heal his infirmity...He begged Vespasian that he would deign to moisten his cheeks and eye-balls with his spittle... Vespasian, supposing that all things were possible to his good fortune, and that nothing was any longer past belief, with a joyful countenance, amid the intense expectation of the multitude of bystanders, accomplished what was required...the light of day again shone upon the blind. Persons actually present attest [this fact], even now when nothing is to be gained by falsehood.

(In case you were wondering, Vespasian was not a firstborn, but the third child born to his parents.)

Jesus is also said to have healed the blind with his saliva, as told in Mark 8:23-25:

They came to Bethsaida, and some people brought a blind man and begged Jesus to touch him. He took the blind man by the hand and led him outside the village. When he had spit on the man’s eyes and put his hands on him, Jesus asked, “Do you see anything?” He looked up and said, “I see people; they look like trees walking around.” Once more Jesus put his hands on the man’s eyes. Then his eyes were opened, his sight was restored, and he saw everything clearly.

In sum, the belief that saliva could heal the eyes and cure the blind was not only found in Jewish culture, but was part of Roman and early Christian legend. We now know that purified saliva does contain proteins and growth factors with anti-microbial and wound healing properties. However, the notion that saliva taken from the mouth might be helpful for failing eyesight is entirely without scientific foundation, because you are more likely to introduce an infection than you are to cure one. Even if you are a firstborn, an emperor, or a messiah.

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Bava Basra 110a ~ Uncles and Nephews

בבא בתרא קי, א

אמר רבא הנושא אשה צריך שיבדוק באחיה ... תנא רוב בנים דומין לאחי האם

Ravah said: If a man wants to marry a women he should examine the character of her brothers...It was taught in a Baraita: Most sons resemble their maternal uncles.

In today's page of Talmud we continue a discussion of the rights of inheritance, which evolves into a discussion of the influence that ancestors have over their descendents.  The Baraita (a collection of teachings from the era of the Mishnah)  cited in support of Ravah's advice notes that not all sons resemble their maternal uncles, but most do.

Shared Genetic Material

The amount of material we share with our relatives varies by the relationship.  Only identical twins share all of their genetic material.  We share 50% of our genes with each of our parents, and 50% with each of our siblings.  But as you can see below, we share only 25% of our genetic material with our uncles or aunts - the same amount we share with our grandparents.

Image from here.

Image from here.

The amount of genetic material we share with our uncles or aunts does not vary with whether they are on our maternal or paternal side. A boy will no more genetically resemble his maternal uncle than they will his paternal uncle.  And for girls, the rule is the same regarding their aunts.

We find this statement repeated in the Jerusalem Talmud, where it appears as part of a lengthy list originally stated by Abba Shaul:

תלמוד ירושלמי קידושין פרק ד

אבא אוריין איש צדיין אומר משום אבא שאול כו'. רוב חמרים רשעים. רוב גמלין כשירין. רוב ספנים חסידים. רוב ממזירין פקחין. רוב עבדים נאים. רוב בני אבות בויישנים. רוב בנים דומין לאחי האם כשר שברופאים לגיהנם. הכשר שבטבחין שותף עמלק

Most donkey drivers are evildoers, most camel drivers are upright, most sailors are pious, most Mamzerim are cunning, most slaves are haughty, most people of fine genealogy are embarrassed [to take from the public charity fund], most sons are like their uncles [i.e. their mother's brothers], the best doctors go to hell; the best butcher is a partner of Amalek... 

When understood in this context, the connection between uncles and nephews is nothing more than a pithy generalization, and about as likely to be correct as the others on the list.  Like all talmudic aphorisms, it was uttered in a different time and place from our own. If you really want to know who your child will resemble, you should look no further than you and your spouse.  That will be the most likely predictor of your child's character, whether genetically encoded or socially constructed.  

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Bava Basra 97b ~ Wine and Snake Venom

In the page of Talmud we will study tomorrow, there is brief reference to uncovered wine that is left overnight.  This wine should not be drunk because "סכנה היא" – it is dangerous to do so. Shmuel ben Meir, known as the Rashbam (d. ~1158) outlines the cause of this danger: ואיכא למיחש שמא שתה הימנו נחש - "we should be concerned that a snake may have drank from the wine."  The Rashbam, usually known for his lengthy commentaries, left out the most important part of the explanation. While drinking from the water, perhaps the snake expelled some of its venom into the wine, which would then become dangerous to drink.

Don't touch that wine

The rabbis of the Talmud were very worried indeed about the health effects of water - and wine - that had been left uncovered.  This concern was codified by Maimonides, and later by Ya'akov ben Asher (d. 1340) in his famous halakhic work called the Arba'ah Turim

טור יורה דעה הלכות מאכלי עובדי כוכבים סימן קטז 

דברים האסורים משום סכנה
  יש דברים שאסרום חכמים משום סכנה כגון משקין שנתגלו שיש לחוש שמא שתה מהן נחש והטיל בהן ארס אפי' אם שתו מהן אחרים ולא הוזקו אין לשתות מהן  שיש נחש שהארס צף למעלה ויש שארס שלו מפעפע עד אמצעית המשקה  ויש שהארס שלו שוקע לשולי הכלי לפיכך אפי' שתו ממנו אחרים ולא הוזקו אין לשתות מהן דשמא ארס של הנחש ששתה מהן שוקע ואלו המשקין שיש בהן משום גילוי מים יין חלב ודבש ושום כתוש 

Tur, Yoreh De'ah 116. Things that are Prohibited Because they are Dangerous

There are things that the rabbis of the Talmud prohibited because they are dangerous. For example, liquids that were left uncovered, because of the possibility that a snake drank from the water and expelled some of its poison into them. Even if others had drunk from the liquid, and not been injured, one should not drink from them.  For some snake venom floats on the surface, and some sinks to the middle and some moves to the edges of the vessel. Therefore, even if others had drunk and had suffered no harm, one should not drink from them, for perhaps the venom from the snake that had drunk the water had sunk to the bottom. The following liquids should not be drunk if they were left overnight in an uncovered vessel: water, wine, milk, honey, and crushed garlic...

The normative Code of Jewish Law, the שולחן ערוך agreed, but added an important caveat:

שולחן ערוך יורה דעה הלכות מאכלי עובדי כוכבים סימן קטז סעיף א 

משקים שנתגלו, אסרום חכמים דחיישינן שמא שתה נחש מהם והטיל בהם ארס. ועכשיו שאין נחשים מצויים בינינו, מותר

The rabbis forbade drinking from liquids that were left uncovered,. They were concerned that a snake may have drunk from them and expelled some of its poison into them. But now that snakes are not commonly encountered, this is permitted. (Shulchan Aruch Yoreh De'ah 116:1)

So today it is permitted for us to drink from an uncovered pot, but only in a place that does not have a problem with poisonous snakes.  Which is not helpful. There are poisonous snakes in nearly every state in the US, resulting in about 2,000 human envenomations each year, and we have noted before that Israel has its own problem with snakes, including the Palestinian Viper.  The World Health Organization estimates that snakes kill between 20,000 and 94,000 people per year. So exactly where this leniency of the Shulchan Aruch might apply is not clear.

But is drinking snake venom indeed dangerous? Maybe not. In 2012 India Today reported that police in New Delhi had seized about half a liter of snake venom to be used "in high-end raves planned for Valentine's Day in and around the national capital." Apparently the venom, when ingested, produces a euphoric state. Who knew?

VIDEO EVIDENCE - DRINKING COBRA VENOM

It is really hard to find any peer-reviewed scientific studies about people drinking snake venom, because, um, it's a silly thing to do.  But that doesn't mean it hasn't been done. So where could we turn to find people doing silly things? YouTube of course. (Warning. This video involves spitting. Not by the snakes.)

Want more? Ok then. Here's another one. This time it involves drinking the venom directly from spitting snake. Apparently, these kind of human interest stories are popular in India. 

WHY IT IS SAFE TO DRINK SNAKE VENOM

If you are a diabetic and take insulin, or know someone who does, you may have wondered why the drug has to be injected. It would, after all, be much less bothersome to swallow an insulin pill than to inject insulin several times a day.  The reason is that insulin is a protein, and like all proteins, it is easily broken down by heat and, more importantly, by the acid environment in the stomach.  Our gastrointestinal tracts evolved to break down proteins into their building blocks - and they perform a wonderful job doing precisely that.

Like insulin, snake venom is a complex protein. And so, like insulin, it too is easily broken down in the very acidic environment of your stomach.  Of course, if intact venom gets into your bloodstream, it could kill you. But if you drink venom, then the intact protein never does get into your bloodstream. You don't need to be an Indian snake charmer to safely drink snake venom. You just need a working digestive system.

How snakes drink

In case you were wondering how we know how snakes drink, here is a diagrammatic view of the apparatus used to record the kinematics and water transport during drinking.&nbsp;The video camera was placed to the left. LED, light-emitting diode. From Cu…

In case you were wondering how we know how snakes drink, here is a diagrammatic view of the apparatus used to record the kinematics and water transport during drinking. The video camera was placed to the left. LED, light-emitting diode. From Cundall, D. Drinking in snakes: kinematic cycling and water transport. The Journal of Experimental Biology. 2000; 203, 2171–2185.

The Talmud was concerned that snakes leave venom in the water from which they drank, and that a person drinking from that water would then suffer from envenomation. As we have seen, this concern has no biological basis, although theoretically, if there was an open cut or ulcer in the mouth, ingested venom could get into the bloodstream and then cause its havoc.  But there is another reason why the talmudic concern is overstated.  Snakes, you see, don't leave any venom when they drink water.  As you may have noted from watching the first video, it takes a lot to get a snake to expel its venom - like sticking a blue pen in its mouth.  Venom is a snake's most precious commodity, and it has evolved to protect that commodity. Snakes only release venom when they are in danger, or ready to strike their prey, and not otherwise. Want a great example? The venomous rattlesnake. That species has evolved a warning rattle to tell would-be predators that if they get any closer, they will be bitten. This only makes evolutionary sense if it was in the snake's best interest to do everything possible to conserve its venom.

In a fascinating article on how snakes drink published in The Journal of Experimental BiologyDavid Cundall notes that a snake's tongue does not carry or move water, and that "in many snakes, the tongue does not visibly move during drinking." That leads to the conclusion that snakes are suction drinkers. And that makes them even less likely to leave any venom behind in the water.

So let's put this all together:

  1. Snakes don't release their venom unless they are threatened or hunting. 
  2. Snakes use suction when they drink water. Their mouths are not open, which is needed when they are expelling venom.
  3. Snake venom is not dangerous when drunk.
  4. (If somehow venom did get into the water, it would be greatly diluted.)

So there is no danger if you were to drink from wine from which a venomous snake had drunk. None. None of this was known to the rabbis of the Talmud, though, for whom the advice to stay away from all things snake made for a very good public health message.

[Repost in part from Bava Kamma 115.]

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Bava Basra 84a ~ What Color is the Sun?

We are studying the tractate Bava Basrsa (The Last Gate), which is currently dealing with the circumstances under which the sale of goods may be voided.  The Mishnah (83b) ruled that if there is agreement to sell red wheat (שחמתית) and it was found to be white (לבנה), both the seller and the buyer have legal grounds to retract. The Talmud then discusses the names for these colors: what we call red and white are called "like the sun" and "like the moon." Rav Pappa (the Babylonian sage who died in 375CE) took this a step further:

בבא בתרא פד, א

שחמתית ונמצאת לבנה כו': אמר רב פפא מדקתני לבנה ש"מ האי שמשא סומקתי היא תדע  דקא סמקא צפרא ופניא והאי דלא קא חזינן כוליה יומא נהורין הוא דלא ברי

Rav Pappa said: From the fact that the Mishnah refers to one type of wheat as white, we should conclude from this that the sun is red, not white. We know that this is the case, because the sun is red in the morning and in the evening. The reason that we do not see the red color all day is because our eyesight is not strong and we cannot discern the redness of the sun.

Shmuel ben Meir, known as Rashbam (d. ~1158) explained that "our eyes are not able to discern the colors very well because in the middle of the day the light is blinding. But in the morning and the evening, when the sun is less bright, we can see the redness of the sun."

 מאור עינינו אינו ברור כל כך מתוך אור היום שמכהה עינינו אבל צפרא ופניא שהיום חשוך ניכר אדמומית החמה ורב פפא לפרש משנתנו בא אמאי מקרי שחמתית

According to Rav Pappa, the true color of the sun is red - but this true color can be seen only when the sun is at its least intense - in the evening and the morning. We have all experienced Rav Pappa's description: who cannot be moved by the sight of a blazing red sunrise or sunset? But what is the scientific explanation of these colors?

The Color of the Sun in Space, and on Earth

According to NASA experts (who really are rocket scientists, among other things), the sun emits all colors of the visible light spectrum. And when you mix all these colors together you get...white. If you were to look at the sun from high in space, (perhaps aboard the International Space Station), it would indeed appear to be a pure white.  Like this:

Courtesy of NASA.

Courtesy of NASA.

It was in the seventeenth century that Isaac Newton used a prism to split the sun's light into its constituent colors. Before then it was raindrops that did the same thing, forming a rainbow as a result.

Isaac Newton divided &nbsp;a ray of sunlight with a prism in a series of experiements published in 1672. &nbsp;Lego recreation is from here.

Isaac Newton divided  a ray of sunlight with a prism in a series of experiements published in 1672.  Lego recreation is from here.

The white light of the sun changes as it passes through our atmosphere, which absorbs and scatters much of the shorter wavelength blue light. (That is why the sky is blue, whatever else your dad may have told you.) However the longer wavelength red light is not absorbed, and passes pretty much unchanged.  So we see the sun as more red than blue.  This effect is especially apparent at sunrise and sunset, when in order to reach our eyes, the sunlight has to pass through more of our atmosphere. More of the shorter wavelength blue light is then absorbed, leaving even more of that longer wavelength red light. And as a result, we see those glorious red sunsets (and for those who can get up early enough, red sunrises too).

Here on Earth, the atmosphere plays a role in the color of the sun. Since shorter wavelength blue light is scattered more efficiently than longer wavelength red light, we lose some of the blue tint of the sun as sunlight passes through the atmosphere. In addition, all wavelengths of visible light passing through our atmosphere are attenuated so that the light that reaches our eyes does not immediately saturate the cone receptors. This allows the brain to perceive color from the image with a little less blue – yellow.
— NASA

 

The Cultural determinants of the Sun's Color

On their website, the NASA scientists claim that "sometimes the display color of the Sun is culturally determined. If a kindergartener in the USA colors a picture of the Sun, they will usually make it yellow. However, a kindergartener in Japan would normally color it red!"  The rabbis of the Talmud had their own cultural explanation of the colors of the sun.  After later suggesting that the color of the sun may actually be white (because that is the color of a patch of skin with zora'at, usually identified as a kind of leprosy), the Talmud then explains the cause of the red sunrises and sunsets:  

ולמאי דסליק דעתין מעיקרא הא קא סמקא צפרא ופניא בצפרא דחלפא אבי וורדי דגן עדן בפניא דחלפא אפתחא דגיהנם

In the morning it becomes red as it passes over the site of the roses of the Garden of Eden, whose reflections give the light a red hue. In the evening the sun turns red because it passes over the entrance of Gehenna, whose fires redden the light...

Without the scientific understanding we have today, the Talmud claimed that the red color of sunrise and sunset was due to the light filtering though the red roses of the Garden of Eden, and fires of Hell.

is the Garden of Eden real or metaphorical?

It would seem that the Talmud's description of the locations of the Garden of Eden and the Gates of Hell is to be taken literally, for it is given as an explanation for physical phenomena.  But here is where things can get tricky. The famous rabbi Joseph Hayyim of Baghdad (1834–1909) wrote a work that is widely read by Sephardic Jews to this day called Ben Ish Hai. He also  published three volumes of responsa between 1901 and 1905 called Rav Pe’alim. (A fourth volume was posthumously published in 1912.) In an undated question, R. Hayyim was asked about the location of the Garden of Eden. In one tradition, the garden was located “on the other side of the world,” somewhere below the equator in the southern hemisphere. However, the questioner continued, the world has been circumnavigated, and the Garden of Eden has not been identified. Where then is it located?

In his answer, R. Hayyim digressed into the truth claims of science, and then returned to the location of the Garden of Eden. He noted that although it may be located on the Earth itself, it existed on a different spiritual plane and would therefore not be perceived by the human senses. I suppose many moderns would agree with the suggestion that the Garden of Eden is not to be found in a geographic location. But today's page of Talmud reminds us that at least in talmudic Babylon, the Garden of Eden was not just a metaphor.  It determined the very colors of the sun.

 

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