to a bracelet or a ring and go out with it into the public domain. The reason for the prohibition is due to the appearance of transgression, as, in that case, it appears that he is wearing the amulet strictly for ornamental purposes, which is prohibited. בְּשֵׁיר וּבְטַבַּעַת וְיֵצֵא בּוֹ בִּרְשׁוּת הָרַבִּים. מִשּׁוּם מַרְאִית הָעַיִן.
With regard to the definition of an effective amulet as one which healed one person three times, the Gemara raises an objection. Wasn’t it taught in a baraita: Which is an effective amulet; any amulet that healed three people as one? וְהָתַנְיָא: אֵיזֶהוּ קָמֵיעַ מוּמְחֶה — כֹּל שֶׁרִיפֵּא שְׁלֹשָׁה בְּנֵי אָדָם כְּאֶחָד!
The Gemara answers: This is not difficult. This, where it was taught in the baraita that the amulet must have healed three different people, is referring to proving the expertise of the man who wrote it. Once his amulets have proven themselves by healing three different people stricken with different illnesses, clearly the one who wrote them is an expert. That, where it was taught in the Tosefta that even if the amulet healed one person three times, is referring to proving that the amulet is effective in fulfilling its designated purpose. לָא קַשְׁיָא: הָא — לִמְּחוֹיֵי גַּבְרָא, הָא — לִמְּחוֹיֵי קְמִיעָא.
Rav Pappa said: It is obvious to me in a case where three amulets were written for three people and effectively healed each three times that both the man who wrote them is proven an expert and the amulet is proven effective. Likewise, it is obvious to me that in the case of one who writes three amulets for three people and healed each one time, the man is proven to be an expert; however, the amulet is not proven effective. Similarly, if one wrote one amulet for three people and it healed them, the amulet is proven effective, while the man who wrote it is not thereby proven an expert. אָמַר רַב פָּפָּא: פְּשִׁיטָא לִי תְּלָתָא קְמֵיעֵי לִתְלָתָא גַּבְרֵי תְּלָתָא תְּלָתָא זִימְנֵי — אִיתְמַחִי גַּבְרָא וְאִתְמַחִי קָמֵיעַ. תְּלָתָא קְמֵיעֵי לִתְלָתָא גַּבְרֵי חַד חַד זִימְנָא — גַּבְרָא אִיתְמַחִי, קְמִיעָא לָא אִיתְמַחִי. חַד קָמֵיעַ לִתְלָתָא גַּבְרֵי — קְמִיעָא אִיתְמַחִי, גַּבְרָא לָא אִיתְמַחִי.
Rav Pappa raised a dilemma: Three amulets for one person, what is the status of the amulet and the one who wrote it in that case? The amulet is certainly not proven effective; however, with regard to the man who wrote it, is he proven an expert or is he not proven an expert? This is the dilemma: Do we say that the person is an expert since the amulet that he wrote healed the person who was ill? Or, perhaps we say that it was the fortune of that sick man who received the influence of the writing of the amulet, but a different person would not be healed? The Gemara concludes: Let this dilemma stand unresolved. בָּעֵי רַב פָּפָּא: תְּלָתָא קְמֵיעֵי לְחַד גַּבְרָא מַאי? קְמִיעָא וַדַּאי לָא אִיתְמַחִי. גַּבְרָא אִיתְמַחִי, אוֹ לָא אִיתְמַחִי? מִי אָמְרִינַן הָא אַסִּי לֵיהּ, אוֹ דִילְמָא מַזָּלָא דְּהַאי גַּבְרָא הוּא דְּקָא מְקַבֵּל כְּתָבָא. תֵּיקוּ.

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A dilemma was raised before the Sages: Do amulets have an element of sanctity, or perhaps they have no element of sanctity? The Gemara asks: With regard to what halakha is this dilemma relevant? If you say it is relevant with regard to rescuing them from fire on Shabbat, there is a clear resolution to the dilemma. Come and hear what was taught: The blessings and the amulets, even though there are letters of holy names and many matters that are in the Torah written in them, one may not rescue them from the fire, and they burn in their place. אִיבַּעְיָא לְהוּ: קְמֵיעִין יֵשׁ בָּהֶן מִשּׁוּם קְדוּשָּׁה, אוֹ דִילְמָא אֵין בָּהֶן מִשּׁוּם קְדוּשָּׁה? לְמַאי הִילְכְתָא? אִילֵּימָא לְאַצּוֹלִינְהוּ מִפְּנֵי הַדְּלֵיקָה, תָּא שְׁמַע: הַבְּרָכוֹת וְהַקְּמֵיעִין, אַף עַל פִּי שֶׁיֵּשׁ בָּהֶן אוֹתִיּוֹת וּמֵעִנְיָנוֹת הַרְבֵּה שֶׁבַּתּוֹרָה — אֵין מַצִּילִין אוֹתָן מִפְּנֵי הַדְּלֵיקָה, וְנִשְׂרָפִים בִּמְקוֹמָן!
Rather, the dilemma is relevant with regard to the matter of interment of sacred documents. Must an amulet no longer in use be buried, or may it be discarded? However, with regard to the matter of interment as well, come and hear a resolution from what was taught: If one of the names of God was written even on the handles of the vessels and even on legs of the bed, he must cut off the name and bury it, as one must be exacting with regard to the name of God, wherever it is written. אֶלָּא לְעִנְיַן גְּנִיזָה. תָּא שְׁמַע: הָיָה כָּתוּב עַל יְדוֹת הַכֵּלִים וְעַל כַּרְעֵי הַמִּטָּה — יָגוֹד וְיִגְנְזֶנּוּ!
Rather, the dilemma was raised with regard to whether or not it is permitted to enter the bathroom with them. What is the halakha? Do they have sanctity, and it is therefore prohibited? Or, perhaps they have no sanctity, and it is permitted? Come and hear a resolution from that which we learned in our mishna: Nor with an amulet, when it is not from an expert. By inference: If it is from an expert, he may go out with it. אֶלָּא לִיכָּנֵס בָּהֶן בְּבֵית הַכִּסֵּא. מַאי? יֵשׁ בָּהֶן קְדוּשָּׁה — וַאֲסִיר, אוֹ דִילְמָא אֵין בָּהֶן קְדוּשָּׁה — וּשְׁרֵי? תָּא שְׁמַע וְלֹא בְּקָמֵיעַ בִּזְמַן שֶׁאֵינוֹ מִן הַמּוּמְחֶה: הָא מִן הַמּוּמְחֶה — נָפֵיק.
And, if you say that amulets have an element of sanctity, at times he will need to go to the bathroom, will be required to remove the amulets, forget that he removed them, and come to carry them four cubits in the public domain. Since the mishna did not address these complications, apparently amulets do not have an element of sanctity in that regard and one may enter the bathroom with them. The Gemara rejects this: With what we are dealing here? With an amulet made of herbal roots that certainly has no sanctity. וְאִי אָמְרַתְּ קְמֵיעִין יֵשׁ בָּהֶן מִשּׁוּם קְדוּשָּׁה, זִמְנִין דְּמִיצְטְרִיךְ לְבֵית הַכִּסֵּא, וְאָתֵי לְאֵיתוֹיִינְהוּ אַרְבַּע אַמּוֹת בִּרְשׁוּת הָרַבִּים. הָכָא בְמַאי עָסְקִינַן — בְּקָמֵיעַ שֶׁל עִיקָּרִין.
The Gemara asks: Wasn’t it taught in a baraita: This is the case with regard to both a written amulet and an amulet of herbal roots, indicating that their halakhot are equal? Rather, with what we are dealing here? With a person who is dangerously ill. Because of the life-threatening situation, he is permitted to enter the bathroom with his amulet, despite the resulting degradation of the Holy Name. Wasn’t it taught in the same baraita that the halakha applies to both a sick person who is dangerously ill and a sick person who is not dangerously ill, indicating that they share the same status in this regard? וְהָתַנְיָא: אֶחָד קָמֵיעַ שֶׁל כְּתָב וְאֶחָד קָמֵיעַ שֶׁל עִיקָּרִין! אֶלָּא הָכָא בְמַאי עָסְקִינַן — בְּחוֹלֶה שֶׁיֵּשׁ בּוֹ סַכָּנָה. וְהָתַנְיָא: אֶחָד חוֹלֶה שֶׁיֵּשׁ בּוֹ סַכָּנָה וְאֶחָד חוֹלֶה שֶׁאֵין בּוֹ סַכָּנָה.
Rather, since the amulet heals, even though he holds it in his hand, he may well go out with it too. In terms of healing, there is no difference whether the amulet is hanging around his neck or whether it is in his hand; just as they permitted him to wear it around his neck on Shabbat, so too they permitted him to carry it in his hand. אֶלָּא כֵּיוָן דְּמַסֵּי, אַף עַל גַּב דְּנָקֵיט לֵיהּ בִּידֵיהּ — (נָמֵי) שַׁפִּיר דָּמֵי.