Is rejecting treatment for a terminal illness and enduring it a reason for receiving a great reward, and does this fall within the context of the noble Hadith: "Seventy thousand of my Ummah will enter Paradise without reckoning; they are those who do not seek Ruqyah, nor are branded with hot iron, nor believe in omens, and upon their Lord they rely," and the Hadith of the woman who used to have epileptic fits?
Firstly: No illness is beyond Allah the Almighty, and He, glory be to Him, is the Healer and the Restorer of health, and illness is a trial.
Secondly: Scholars differed regarding the ruling on seeking treatment. The majority held that it is not obligatory, while others deemed it obligatory if one fears perishing. The Islamic Fiqh Council adopted the view that seeking treatment is obligatory if its abandonment leads to the destruction of the soul, organs, or disability, or if the illness's harm can be transmitted to others. Accordingly, if the illness leads to the destruction of the soul or one of the organs, taking medicine becomes obligatory; otherwise, it is permissible to take or leave it, and seeking treatment is better according to the majority.
Thirdly: Seeking treatment does not contradict reliance on Allah (Tawakkul); indeed, the Prophet, peace and blessings be upon him, sought treatment and guided his Ummah to do so, and reliance on Allah necessitates taking means.
Fourthly: The Hadith about the seventy thousand who will enter Paradise without reckoning (who do not seek ruqyah, do not practice divination, and rely upon their Lord) indicates the desirability of refraining from seeking ruqyah from others. It does not pertain to medical treatment with medicines, and seeking medical treatment does not diminish reliance on Allah as long as the heart is not attached to the physician.
Fifthly: The Hadith of the epileptic woman who chose patience in exchange for Paradise indicates the permissibility of abandoning treatment for one whose resolve is strong, and that treating illnesses with supplication and recourse to Allah is more beneficial than treatment with drugs. For its efficacy, it requires the sincerity of the sick person's intention and the strength of heart of the one performing the treatment.
Summarized from the full answer at Ftawy · reviewed Sep 2, 2026
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