Hi,
It is appropriate to keep in mind, when reciting the middle blessing of the Yom Kippur nighttime amidah (מקדש השבת וישראל ויום הכיפורים), that this recitation fulfills the mitzvah of Kiddush for Shabbat and for Yom Kippur.
However, because the obligation to recite Kiddush is unclear, and because we do not have an established text, one who is ill and needs to eat on Yom Kippur does not recite Kiddush before eating.
(R' Akiva Eiger to Orach Chaim 271:1 and the end of Orach Chaim 618; Chatam Sofer to Orach Chaim 271; Avnei Nezer Orach Chaim 2:38; Mishneh Berurah 618:29; Har Tzvi 1:155; Moadim uZmanim 6:25; Igrot Moshe Choshen Mishpat 1:39)
Gmar tov,
Mordechai
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