The present pattern of Hajj was established by Muhammad. However, according to the Quran, elements of Hajj trace back to the time of Abraham. According to Islamic tradition, Abraham was ordered by God to leave his wife Hajar and his son Ishmael alone in the desert of ancient Mecca. In search of water, Hajara desperately ran seven times between the two hills of Safa and Marwah but found none. Returning in despair to Ishmael, she saw the baby scratching the ground with his leg and a water fountain sprang forth underneath his foot. Later, Abraham was commanded to build the Kaaba (which he did with the help of Ishmael) and to invite people to perform pilgrimage there.The Quran refers to these incidents in verses 2:124–127 and 22:27–30. It is said that the archangel Gabriel brought the Black Stone from Heaven to be attached to the Kaaba.
In pre-Islamic Arabia, a time known as jahiliyyah, the Kaaba became surrounded by pagan idols. In 630 AD, Muhammad led his followers from Medina to Mecca, cleansed the Kaaba by destroying all the pagan idols, and then consecrated the building to Allah. In 632 AD, Muhammad performed his only and last pilgrimage with a large number of followers, and instructed them on the rites of Hajj. It was from this point that Hajj became one of the five pillars of Islam.
During medieval times, pilgrims would gather in the big cities of Syria, Egypt, and Iraq to go to Mecca in groups and caravans comprising tens of thousands of pilgrims, often under state patronage. Hajj caravans, particularly with the advent of the Mamluk Sultanate and its successor, the Ottoman Empire, were escorted by a military force accompanied by physicians under the command of an amir al-hajj.This was done to protect the caravan from Bedouin robbers or natural hazards,and to ensure that the pilgrims were supplied with the necessary provisions. Muslim travelers like Ibn Jubayr and Ibn Battuta have recorded detailed accounts of Hajj-travels of medieval time.The caravans followed well-established routes called in Arabic darb al-hajj, lit. "pilgrimage road", which usually followed ancient routes such as the king's highway.

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