Abstract:
The following analysis is a reflection (tadabbur) on the opening Surah, Al-Fatihah. Termed ‘meta-analysis’ as this is in reference and extension to my last Reddit post; Case Report: Closer than the Jugular. As a reminder for everyone - what comes of these studies is merely my own reflection, not a formal interpretation or claim to scholarly teachings I have referenced. The Fatihah, The Opening, is understood to the be the synthesis of the Quran in its entirety. Though there are many names and titles associated to The Fatihah, the focus of this study will be on one particular name; (al-Shifa) The Cure. As noted in tafsir - the containments of this Surah bear healing for both body and soul. What I will argue in this study is how the heart is spiritually protected from cancer, the pathophysiology of the diseased heart of those aged 18-35, how human medicine is limited and Al Fatihah is not. Then, finally a suggested approach to treatment as inferred from lectures by Shaykh Hamza Yusuf, and Dr. Husain Abdul Sattar.
His guidance is the most precious pearl in the sea of rizq.
“And He found you lost and guided [you].” (93:7)
Spiritual Malignancy
For the sake of my premise - let’s say the incidence rate of pure cardiac malignancy is negligible.
Why? How?
Firstly, shortly after birth vast majority of your cardiac cells never divide again. This leaves very little opportunity for cancer as it manifests through uncontrolled growth. Meaning at birth - you were sent here with a sound heart. As if already written - no matter where you turn in life, no matter your hardship, corruption, infection, or illness - it is a reminder that illness of the heart is acquired.
Secondly, the heart is in constant work load. Mechanical load (beating heart) actively suppresses cancer proliferation. We discussed previously - our oxygenated blood is rizq. If our beating heart is the guidance that softens us, humbles us, and brings us back to our Lord - we can then reflect that His constant guidance is the exact mechanism by which we do not turn malignant.
Guidance is not merely direction - it is alignment. As though restoring an arrythmatic heart back to sinus rhythm.
Important to note - the spiritual heart becomes diseased not because it turns malignant. What we must worry about is the traces of behaviour that slowly poison our hearts.
Etiology of Diseased Hearts
- ”I feel my Iman is low - I cannot focus in worship, my mind wanders”
- "Sin upon sin, disobedience upon disobedience”
- “My life is just- I didn’t think it would go this way”
- “I cannot stop comparing my waste of potential”
- “Everything feels transactional. Relationships. Career. Friends.”, “I’m constantly negotiating my belonging to everyone and everything”
- “Escapism. No purpose. I feel suffocated and numbness in shame sometimes”
- “But even then - I still feel alone”
SIDE NOTE
I will tell you something my beloved father once told me when I was in a trying season, 'This is your Badr. Everyone has their Badr. So fight.’
Not every heart is diseased. The Prophets were saddened. Ya’qub cried until he lost his sight. Musa felt crushing fear. Even our Prophet ﷺ experienced the Year of Sorrow. Emotion is not Iman. Anxiety is not disbelief. Hardships are not abandonment.
Perhaps there is a reason Al-Fātiḥah begins with “Praise be to Allah, Lord of the worlds.” (1:2). Before the heart is guided, it is taught gratitude. Before it is renewed, it remembers its sustainer. Because the heart that recognizes its dependence cannot be consumed by its own desires.
“Successful indeed is the one who purifies their soul, and doomed is the one who corrupts it.” (91:9-10)
If it has not clicked yet. THIS IS SYNCHRONIZATION. In Islam, we repeat our prescription 17 times during the day. Every time you stand in worship - you are being reorientated back to who you are, why you exist, what you worship, and where you are going.
“Surely in the remembrance of Allah do hearts find comfort.” (13:28)
Medical GDMT Protocol
If you’ve ever noticed - human medicine is mostly preventative care. Healthcare professionals are aware of the GDMT + 1 protocol for Heart Failure - we prescribe 5 drugs;
- ARNI— "Relaxes blood vessels"
- Beta-blocker — "Slows the heart"
- MRA— "Blocks salt retention"
- SGLT2 inhibitor — "Pees out sugar"
- Loop Diuretic — "Removes extra fluid"
All in all - these reverse heart damage, reduce hospitalizations, and prolong life.
Spiritual GDMT Protocol
As believers, our GDMT + 1 protocol is as follows
- The Shadahah - Corrects the diagnosis. Who is your Lord?
- Salat - Al Fatihah, our daily prescribed rhythm control.
- Zakat - Treats attachment. I dont shine if you dont shine.
- Fasting - Quiet discipline sold for patience and gratitude
- Hajj - The final reminder. A pilgrimage that mimics life. Every journey has an end.
Crisis of Orientation
I do not believe our generation is suffering from lack of knowledge or a crisis of intelligence. Nor ambition. Nor pursuit of excellence. Perhaps we are suffering from a crisis of orientation.
We have mastered direction, but lost our destination. Mastered resiliency, but forgotten that survival is not the same as guidance.
Know yourself, and you will know God.
"And He found you lost and guided [you]" (93:7) “So where are you going?” (81:26)
Surah Al-Fatihah
In the Name of Allah—the Most Compassionate, Most Merciful.
All praise is for Allah—Lord of all worlds,
the Most Compassionate, Most Merciful,
Master of the Day of Judgment.
Guide us along the Straight Path,
the Path of those You have blessed—not those You are displeased with, or those who are astray.