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If the illness of the body has spread out to all body parts then the healer lets blood out of both arms. This means that when the evil is growing in the world then all righteous people suffer to bring healing to the world.
When the evil is little then only one righteous suffers while the rest are in peace. If people repent and become good, then the sufferings stop.
Some Tzadikim are in a state of sickness and pain throughout their entire lives in order to protect the generation. They also die if the transgressions of the people increase.
We are all connected as parts of one body. The Tzadik is like the heart inside that feels all aches and ills. They study Torah to bring light into the heart and remove some of the pain from the people.
The Torah begins with the letter ב and ends with the letter ל. Together is לב, meaning heart and the numerical value is 32 as the number of times the name ELHYM אלהים appears in the story of creation.
When we take our Torah and Zohar study into our hearts, we strengthen the entire body (world) and the Tzadikim can improve and protect our lives.