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 precept, one should violate the prohibition rather than be killed. The   fish, which is prohibited on Shabbos, so that he should never withhold
 Nimukei Yosef’s proof, based on the aforementioned Gemara, is not   from acting in a case of pikuach nefesh. Therefore, in our case, if there
 really proof, since, in that case, the man brought the danger upon   is a possibility that a legal fine or a legal battle will stop someone from
 himself. “It is the foolishness of man that perverts his path” (Mishlei   saving a life in the future, perhaps we can allow bringing the husband
 19:3). He should have conquered his inclination and calmed himself.   to the hospital on Shabbos.
 Furthermore, it was not clear that merely speaking to her behind a   One can perhaps reject this line of reasoning, however, because
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 partition would save him from danger. (See there in Shach :10)    trapping fish, as described above, is only a Rabbinic prohibition.
 The Shem Aryeh rules that when it says one should be killed for   Pulling in the net is necessary, and the intention of also obtaining fish
 the prohibition of forbidden relations, this relates to prohibitions of   cannot turn the act into a Shabbos prohibition. In our case, however,
 sexual misconduct that involve the punishment of kareis (premature   there is an additional Shabbos prohibition in bringing the husband to
 death or extinction), but negative precept prohibitions and certainly   the hospital.
 those prohibitions for which there is not even a negative precept, are   It seems though, that we should not make this claim, since it does
 suspended for pikuach nefesh. This is in accordance with the principle   not hold up if we explain the words of the Ran as follows: The Sages                                 11
 that a positive precept sets aside a negative precept, and saving lives   allowed a person to cast his net in a way that also traps fish in order
 is included in the postive mitzvah of returning a lost object (Devarim   for him not to think that he is violating a Torah prohibition at the
 22:2), while saving oneself is included the mitzvah of “And watch well   time he is saving the drowning child. Therefore, they permitted doing
 over your lives” (Devarim 4:15). Thus these positive commandments   so even if his intent is clearly only to trap fish and violate a Shabbos
 will take precedence to the negative precepts connected to forbidden   prohibition, and at the very least, to violate the prohibition against
 relations.  “marbeh b’shi’urim” (increasing quantities) which, according to the
 Regarding the man whose heart was filled with lust, the Sages ruled   Ran, is a Torah prohibition. (Thus it turns out that he is doing a com-
 that he should die rather than speak to the woman. This is because   plete act of trapping fish. Nonetheless, our Sages permitted this, and
 in his case, the positive precept of saving his own life resulted from   the same would apply in our case.) Even if we explain that the Sages
 his own sin in setting eyes on the wife of another. A positive precept   only allowed him to intend to trap fish, meaning that they did not
 that results from one’s sins does not suspend a negative precept, as   obligate him to have the intention of discarding the fish after saving
 explained in Tosfos in Tractate Eruvin (100a, s.v. matan). In our case,   the child, thus violating only a Rabbinic prohibition, even so, it still
 however, the midwife is trying to save lives. Certainly the prohibition   seems, based on the Bi’ur Halacha (#316:8, s.v. u’lehav Rambam) that
 of yichud is set aside for the positive precept of “You shall return a lost   this intention turns the act into a Torah prohibition. Yet in spite of
 object” [including one’s lost health].  all this, the Sages permitted it. If so, the same applies to our case, as
 Despite this, the Shem Aryeh concludes that it is preferrable to   explained above.
 send along a Jewish watchman to accompany her, so she can avoid   We can also explain the Ran as follows: The Sages’ intention here
 transgressing the prohibition of yichud. He explains that the prohi-  was to give a person an “incentive” to save the drowning child. So that
 bition of techumin (walking or traveling on Shabbos more than 2000   the person not hesitate to jump into the water on a cold day, our Sages
 cubits from the city limits even more than twelve mil) is ruled by   ruled that the fish that come up in his net upon saving the child are
 many Rishonim to be only a Rabbinic prohibition, and the wagons   permitted to him. This explains the terminology used in the braisa
 are above ten tefachim high, where the Torah prohibition of techumin   in Yoma (84b): “If one sees a child falling into the sea, one casts a




 314   1  Medical-HalacHic Responsa of Rav ZilbeRstein  Demanding relatives' consent on Shabbos  2   331
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