Ba d

B r e at h

in

the

ta l m u d

Shira Goldstein

t is common knowledge that the Talmud and halachic

commentaries discuss a wide variety of different topics that
cover almost all areas of study. We often underestimate,
however, the extent of the Rabbis knowledge in seemingly
secular areas, such as mathematics, philosophy, and science.
In reference to science, the Rabbis exhibited an extensive
understanding of the way the world, and specifically our body,
works. This deep understanding often shaped the halachic
conclusions in the Talmud and helped form the commentators
interpretations of various texts. By taking a deeper look into the
specific physiology involved in various halachic and midrashic
discussions, one can glean a greater understanding of the
implications of the debated topics.
In Ketubot (72b, 77a), the Talmudists discussed halitosis, more
commonly known as bad breath. According to the Talmud, bad
breath is considered a serious disability, in regard to spouses and
priests. It was considered to be a ground for divorce and it disqualified a priest from carrying out his holy duties.
In a Jewish marriage, the husband gives his wife a ketuba, or
marriage contract, that dictates the financial obligations of the
husband to the wife in the case of divorce. If, however, after the
wedding, the husband finds a major disability in his wife for which
he was unaware previously, he may annul the marriage and forfeit the ketuba obligations. Bad breath is considered to be one of
these major disabilities that can allow the husband to cancel the
ketuba. In general, there are lesser grounds for a woman to unilaterally divorce her husband. Bad breath, however, is considered
such a major detriment in the husband (along with boils and engaging in foul smelling professions, such as leather curing, copper
work, and collecting dog dung), that a woman is entitled to seek
divorce (Ketubot 77a). The sages discussed whether nasal malodor
should be given the same legal stature as oral malodor. Later, the
great Jewish scholar, Maimonides (Rambam 1138-1204; Spain),
decided that both types of malodor should be considered legally
equivalent (Hilchot Ishut 25:12) [1].
Nowadays, most cases of halitosis originate from the mouth
itself (about 90%), and only in more unlikely cases (about 5-10%)
from the nasal passages. In most cases the odor is caused by bac26

Derech HaTeva

terial decay in the oral cavity. In its initial phase, glycoproteins

may be deglycosylated by Gram positive bacteria, exposing the
naked protein to proteolysis by enzymes secreted by Gram negative bacteria. The amino acids are then be further broken down,
yielding foul-smelling molecules, such as hydrogen sulfide (from
breakdown of cysteine), methyl mercaptan (from methionine),
cadaverine (from lysine), indole, and skatole (from tryptophan).
Current scientific thought believes the tongue to be the major
source for bad breath. Postnasal drip, food debris, and sloughed
off epithelial cells collect on the posterior area of the tongue
dorsum, where they are subsequently decomposed by the large
microbial population. Serious cases of gingivitis and periodontal
disease may contribute to oral malodor. Dryness of the mouth,
which increases significantly during fasting or sleeping, also contributes greatly to oral malodor. Contrary to popular belief, the
stomach does not contribute to bad breath, except in rare circumstances [1, 2].

Bad breath is considered to be one of

these major disabilities that can allow the
husband to cancel the ketuba.
Another area in halachah that involves the mouths physiology is the law to wait a given period of time between eating meat
and milk. In the Talmud Chulin 105a, Mar Ukbah stated, In this
matter of waiting between meat and cheese, I am vinegar the son
of wine, because if my father ate meat, he would not eat cheese
for 24 hours. I, however, do not eat them at the same meal, but
at the next meal, I will eat cheese. Our Rabbis used Mar Ukbahs
statement to determine the time one must wait between eating
meat and milk. Rabbeinu Tam (12th century, France) understood
Mar Ukbahs statement to mean that one must only wait until the
next meal, whenever that happens to be. According to Rabbeinu
Tam, one who eats meat, must then recite the grace after meals,
wash his hands and mouth, and can then eat cheese. Other Rabbis, however, like Rav Yoseph Kairo (16th century, Spain) quanti-

fied Mar Ukbahs statement with a requirement to wait six hours-the time it takes for the taste of meat to completely leave ones
mouth. Rashi (eleventh century, France) explained the taste of
meat as the coating of fat that remains in ones mouth and throat
after eating meat. Rambam explained the taste of meat as the
particles of meat that remain between ones teeth after eating [3].
The Rabbis concern of the remainder of the taste of
meat can be better understood when explored physiologically.
Digestion of all foods begins in the oral cavity. The first step is
a physical digestive step, called mastication, or chewing food into
smaller pieces to increase the foods surface area and to allow for
easier swallowing. Mastication is controlled by powerful muscles
called the massester and temporalis that move the mandible, or
lower jaw, against the upper, in a motion which can crush even
the toughest foods. Mastication causes exocrine glands under the
tongue and in the back of the mouth to secrete a watery substance called saliva. The saliva moistens the crushed foods and
allows the tongue to compact the food into a small, easily swallowed ball, called a bolus. The saliva contains digestive enzymes,
like salivary amylase, that begins chemical digestion of foods in
the mouth. The salivary amylase is able to break down carbohydrates to simple sugars at a relatively fast rate, as the foods surface
area is repeatedly increased by mastication. Almost no proteins
or fats are digested in the mouth, with the exception of a small
amount of fats broken down by lingual lipase, an enzyme secreted
by Ebners gland on the dorsal side of the tongue [4].
Rashis concern of a layer of fat remaining in the mouth after
eating meat is very likely, because little fat breakdown is accomplished in the mouth. Any fat residue in the mouth would remain
in its lipid form until is eventually broken down by lingual lipase
enzyme, well after one has finished eating. Rambams concern involves the process of mastication. Despite the sophistication of

our oral digestive systems, the small string like pieces that result
when meat is chewed can often become stuck in ones teeth for
many hours after a meal. Apparently during the waiting period the
pieces of meat are decomposed, perhaps by bacteria in the oral
cavity, to an extent where they are no longer considered meat according to the halachah.
Practically, we take into consideration both Rashi and Rambams reasons for waiting between meat and milk. It is important
to note, however, that the amount of time waited between meat
and milk differs among Jews based on differences in traditions.
Many other properties of the mouth are discussed throughout
the Talmud and Midrash. The lubricating characteristic of saliva is
mentioned in Shemot Rabbah (24:1), If a man ate bread as it is, it
would go down into his digestive tract and scratch him, but Hashem created a well in the throat which conducts the bread safely
down. Bamidbar Rabbah (18:22) hinted to the oral digestion of
carbohydrates, the water of the mouth is sweet. This referred
to the taste of the simple sugars that result from the breakdown
of carbohydrates by enzymes (salivary amylase) in the saliva secreted by exocrine glands in the mouth. The Talmud (Bava Batra
126b; Shabbat 108b) noted the therapeutic treatment of applying
spit to an eye infection. The medicinal properties of saliva may
be related to lysozyme, an agent that prevents cell wall synthesis
of bacteria, which leads to the osmotic lysis of bacterial cells.
Another approach attributed the remedial properties of saliva to
potassium sulfocyanide, present in highest concentrations in the
saliva of a fasting person [5, 6].
Allusions to the physiological workings of the mouth permeate the Talmud and commentaries. Gaining insight into the
intricacies of our physiological makeup helps us acquire a deeper
understanding of halacha and Torah in general and enhances our
appreciation of the miracle that our bodies are. g

Acknowledgements
I would like to thank my parents for constantly motivating and inspiring me to strive higher in my pursuit of education, as well as my husband, Yochanan,
for providing me with endless support and encouragement. Thank you Dr. Babich for your help with researching this topic.

References
[1] Orenbuch, S., Rosenber, M., and Shifman, A. (2002). Bad Breath- A Major disability According to the Talmud. Medicus Judaicus 4:843-845.
[2] Van den Velde, S., Van Steenberghe, D., Van Hee, P., Quirynen, M., Detection of Odorous Compounds in Breath. Journal of Dental Research 88.
(2009): n. pag. Web.
[3] Friedfertig, M. (2002). Teeth and Torah: Jewish Law and the Requirement to Wait Between Eating Meat and Milk. Alpha Omegan 95:22-23.
[4] Burns, W. and Hamosh. (1977). Lipolytic activity of human lingual glands. Lab. Invest. 37: 603-608
[5] Babich, H. (1998). Teaching science to the Torah-observant student. Derech Hateva, a Journal of Torah and Science. VOLUME 3 1 0-13.
[6] Rosner, F. (1978). Julius Preuss Biblical and Talmudic Medicine, Sanhedrin Press, NY, NY.

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