Sermon and Worship Resources (2024)

A federation of ten Greco-Roman city-states primarily situated east and south of the Sea of Galilee. The Decapolis was established by Pompey in 64 BC during the course of his invasion of Syria and Judea. It was to serve as a league for trade and defense.

Decapolites were among those who followed Jesus (Matt. 4:25). His healing of the deaf man by use of his own saliva also took place in this region (Mark 7:3137). Although it is not explicitly mentioned, the Decapolis could be the “distant country” (“distant region” is a better translation) of the prodigal son (Luke 15:13–16). However, Jesus’ most significant encounter in the Decapolis is his healing of the Gadarene demoniac (Matt. 8:28–34; Mark 5:1–20; Luke 8:26–39).

In Gen. 3 the serpent entices humankind to sin. Not until Rev. 12:9 are we told explicitly that the serpent is Satan.

In the OT, “evil spirit” may be a heavenly being sent by God (1Sam. 16:1423; 18:10; 19:9; cf. 1Kings 22:22–23). The OT engages in extensive rebuke of the superstitions of the surrounding nations that included belief in demons (Deut. 32:17; Ps. 106:37; perhaps Isa. 13:21; cf. Rev. 18:2).

Jesus’ encounter with the devil in the wilderness recalls Adam and Eve’s encounter with the serpent in Eden. The setting, significantly, is now a wasteland. The second man to walk the earth with no sin claims the right to take back the dominion that Adam passed to the serpent. Jesus can have the whole world (without the cross) if only he will submit to the devil’s rule (Luke 4:5–7). Jesus rejects the offer. Later, he sees Satan’s fall from heaven to earth (Luke 10:18; cf. Rev. 12:5–12). Whereas once the devil had access to God’s courtroom, now his case is lost. His only recourse is murderous persecution. Between the ascension of the Son of Man (Acts 1:9) and the final judgment, this is understood to be the experience of Christ’s people (Dan. 7:25; Rev. 12:17; cf. 1Pet. 5:8).

Whereas the OT provides sparse information about Satan and his angels/demons, the NT opens with an intensity of activity. Demons are also called “evil spirits,” and they are associated with physical illness, madness, and fortune-telling. In Acts 17:22 Paul describes his pagan Athenian listeners as “demon-fearers” (NIV: “religious”). Jesus’ miracles demonstrate his lordship over Satan’s regime as the demons flee in terror before him (Mark 1:23–26; 5:1–15). According to Paul, Christians are temples of the Holy Spirit (1Cor. 6:19), and John urges believers to “test the spirits to see whether they are from God” (1John 4:1), assuring them that they need not fear Satan or his forces, “because the one who is in you is greater than the one who is in the world.” (1John 4:4). On judgment day Satan will be cast into the lake of fire (Rev. 20:14–15) along with all of God’s enemies.

The northern region of Israel. Determining the region’s precise boundaries is difficult, but in Jesus’ time it appears to have encompassed an area of about forty-five miles north to south and twenty-five miles east to west, with the Jordan River and the Sea of Galilee forming the eastern border. Josephus divides the region into Upper and Lower Galilee. Upper Galilee contains elevations of up to about four thousand feet and is composed mostly of rugged mountains, while Lower Galilee reaches a maximum height of about two thousand feet and is characterized by numerous fertile valleys. Lower Galilee was the site of most of Jesus’ ministry.

Galilee appears several times in the OT (e.g., Josh. 20:7; 1Kings 9:11; 1Chron. 6:76). It was part of the land given to the twelve tribes (Josh. 19). Since Galilee was distant from Jerusalem, which played the most prominent part in Jewish history, much of its history is not mentioned in the OT. Many of the references that do occur are military references, such as Joshua’s defeat of the kings at the waters of Merom (Josh. 11:19) and the Assyrian removal of the northern kingdom of Israel (Isa. 9:1). However, its great beauty, particularly of mountains such as Carmel, Hermon, and Lebanon, was the source of numerous images and metaphors in the poetic and prophetic literature (e.g., Ps. 133:3; Isa. 33:9; 35:2; Jer. 46:18).

Galilee figures more prominently in the NT. Jesus came from Nazareth in Galilee and conducted much of his early ministry there. Luke specifically identifies Galilee as the place where Jesus’ ministry began before spreading to Judea (Luke 23:5; Acts 10:37). Galilee is also portrayed as the place where Jesus will reunite with his disciples following the resurrection (Mark 16:7) and where he gives them the Great Commission (Matt. 28:16–20).

The central city and capital of ancient Israel. Throughout its history, the city has also been referred to variously as Zion, Jebus, Mount Moriah, and the City of David.

The name “Jerusalem” occurs more than 650 times in the OT, particularly in the history of Israel, and in the NT more than 140 times. The OT prophets used the city as a symbol of God’s dealing with his people and his plan. Jerusalem is viewed collectively as God’s abode, his chosen place, and his sovereignty, while its destruction is also representative of God’s judgment on apostasy among his people (e.g., Jer. 7:115; 26:18–19; Mic. 3:12). The rebuilding of the city represents the hope and grace of God (e.g., Isa. 40:1–2; 52:1, 7–8; 60–62; Jer. 30:18–19; 31:38–39; Ezek. 5:5; Hag. 2:6–8; Zech. 8:3–8). Like the writers of the OT, the NT authors spoke of Jerusalem in metaphorical and eschatological terms. Paul used Jerusalem to contrast the old and the new covenants (Gal. 4:24–26), and the writer of Hebrews used it as the place of the new covenant, sealed through the blood of Jesus (Heb. 12:22–24). In Revelation the concept of a new Jerusalem is related to the future kingdom of God (Rev. 3:12; 21:1–22:5).

Jerusalem is located in the Judean hill country, about 2,700 feet above sea level. It borders the Judean desert to the east. The city expanded and contracted in size over various hills and valleys. There are two major ridges (Eastern and Western Hills) separated by the Tyropoeon Valley. The Eastern Hill contains a saddle, the Ophel Hill, and north of this is the traditional site of Mount Moriah, where later the temple was constructed. The Eastern Hill was always occupied, since the only water source is the Gihon spring, located in the Kidron Valley. Two other ridges were important for the city, as they were used for extramural suburbs, cemeteries, and quarries. To the east is the Mount of Olives, which is separated from the Eastern Hill by the Kidron Valley. To the west of the Western Hill is the Central Ridge Route, separated by the Hinnom Valley.

A kingdom signifies the reality and extent of a king’s dominion or rule (Gen. 10:10; 20:9; Num. 32:33; 2Kings 20:13; Esther 1:22). Some kingdoms were relatively small; others were concerted attempts to gain the whole world.

A kingdom presupposes monarchy, rule by an individual, human authority. Although kings only have as much authority as their armies and the general populace allow, they nevertheless exercise an almost absolute power, which invites either profound humility or hubris. Royal arrogance, unfortunately, is the primary motif characterizing kings in the Bible (e.g., Dan.3).

God originally intended Israel to be governed as a theocracy, ruled by the one, true, living God (but see Gen. 17:6; Deut. 17:1420). Israel was to be a “kingdom of priests” (Exod. 19:6), but the people demanded a king (1Sam. 8:1–22). However, even when God granted their request, God remained King over the king and even retained ownership of the land (Lev. 25:23, 42, 55). The Israelite king was nothing more than God’s viceroy, with delegated authority. With few exceptions, most of the kings of Israel and Judah were corrupted by authority and wealth and forgot God (1Sam. 13:13–14; 15:28; Matt. 14:6–11). But God made a covenant with David, so that one of his descendants would become a coregent in a restored theocracy, the kingdom of God (2Sam. 7:1–29; Pss. 89:3; 132:11). In contrast to David’s more immediate descendants, this coming king would return to Jerusalem humble and mounted on a donkey (Zech. 9:9; cf. Isa. 62:11). The Gospels present Jesus Christ as this king (Matt. 21:1–9 pars.). Those who are likewise humble will inherit the land with him (Matt. 5:5).

While in the OT suffering is regularly an indication of divine displeasure (Lev. 26:1636; Deut. 28:20–68; Ps. 44:10–12; Isa. 1:25; cf. Heb. 10:26–31), in the NT it becomes the means by which blessing comes to humanity.

The Bible often shows that sinfulness results in suffering (Gen. 2:17; 6:5–7; Exod. 32:33; 2Sam. 12:13–18; Rom. 1:18; 1Cor. 11:27–30). Job’s friends mistakenly assume that he has suffered because of disobedience (Job 4:7–9; 8:3–4, 20; 11:6). Job passionately defends himself (12:4; 23:10), and in the final chapter of the book God commends Job and condemns his friends for their accusations (42:7–8; cf. 1:1, 22; 2:10). The writer makes clear that suffering is not necessarily evidence of sinfulness. Like Job’s friends, Jesus’ disciples assume that blindness is an indication of sinfulness (John 9:1–2). Jesus rejects this simplistic notion of retributive suffering (John 9:3, 6–7; cf. Luke 13:1–5).

The NT writers reveal that Jesus’ suffering was prophesied in the OT (Mark 9:12; 14:21; Luke 18:31–32; 24:46; Acts 3:18; 17:3; 26:22–23; 1Pet. 1:11; referring to OT texts such as Ps. 22; Isa. 52:13–53:12; Zech. 13:7). The Lord Jesus is presented as the answer to human suffering: (1)Through the incarnation, God’s Son personally experienced human suffering (Phil. 2:6–8; Heb. 2:9; 5:8). (2)Through his suffering, Christ paid the price for sin (Rom. 4:25; 3:25–26), so that believers are set free from sin (Rom. 6:6, 18, 22) and helped in temptation (Heb. 2:18). (3)Christ Jesus intercedes for his suffering followers (Rom. 8:34–35). (4)Christ is the example in suffering (1Pet. 2:21; 4:1; cf. Phil. 3:10; 2Cor. 1:5; 4:10; 1Pet. 4:13), and though he died once for sins (Heb. 10:12), he continues to suffer as his church suffers (Acts 9:4–5). (5)Christ provides hope of resurrection (Rom. 6:5; 1Cor. 15:20–26; Phil. 3:10–11) and a future life without suffering or death (Rev. 21:4).

The NT writers repeatedly mention the benefits of suffering, for it has become part of God’s work of redemption. The suffering of believers accompanies the proclamation and advancement of the gospel (Acts 5:41–42; 9:15–16; 2Cor. 4:10–11; 6:2–10; Phil. 1:12, 27–29; 1Thess. 2:14–16; 2Tim. 1:8; 4:5) and results in salvation (Matt. 10:22; 2Cor. 1:6; 1Thess. 2:16; 2Tim. 2:10; Heb. 10:39), faith (Heb. 10:32–34, 38–39; 1Pet. 1:7), the kingdom of God (Acts 14:22), resurrection from the dead (Phil. 3:10–11), and the crown of life (Rev. 2:10). It is an essential part of the development toward Christian maturity (Rom. 5:3–4; 2Cor. 4:11; Heb. 12:4; James 1:3–4; 1Pet. 1:7; 4:1).

Suffering is associated with knowing Christ (Phil. 3:10); daily inward renewal (2Cor. 4:16); purity, understanding, patience, kindness, sincere love, truthful speech, the power of God (2Cor. 4:4–10); comfort and endurance (2Cor. 1:6); obedience (Heb. 5:8); blessing (1Pet. 3:14; 4:14); glory (Rom. 8:17; 2Cor. 4:17); and joy (Matt. 5:12; Acts 5:41; 2Cor. 6:10; 12:10; James 1:2; 1Pet. 1:6; 4:13). Other positive results of Christian suffering include perseverance (Rom. 5:3; James 1:3), character and hope (Rom. 5:4), strength (2Cor. 12:10), and maturity and completeness (James 1:4). Present suffering is light and momentary when compared to future glory (Matt. 5:10–12; Acts 14:22; Rom. 8:18; 2Cor. 4:17; Heb. 10:34–36; 1Pet. 1:5–7; 4:12–13).

Throughout the Bible, believers are instructed to help those who suffer. The OT law provides principles for assisting the poor, the disadvantaged, and the oppressed (Exod. 20:10; 21:2; 23:11; Lev. 19:13, 34; 25:10, 35; Deut. 14:28–29; 15:1–2; 24:19–21). Jesus regularly taught his followers to help the poor (Matt. 5:42; 6:3; 19:21; 25:34–36; Luke 4:18; 12:33; 14:13, 21). It is believers’ responsibility to show mercy (Matt. 5:7; 9:13), be generous (Rom. 12:8; 2Cor. 8:7; 1Tim. 6:18), mourn with mourners (Rom. 12:15), carry other’s burdens (Gal. 6:1–2), and visit prisoners (Matt. 25:36, 43). See also Servant of the Lord.

A federation of ten Greco-Roman city-states primarilysituated east and south of the Sea of Galilee. The Decapolis wasestablished by Pompey in 64 BC during the course of his invasion ofSyria and Judea. It was to serve as a league for trade and defense.

Accordingto Pliny the Elder (AD 23–79), the cities were Scythopolis (BetShe’an), Hippos (Suseih), Gadara (Umm Qais), Pella (TabaqatFahl), Philadelphia (Amman), Gerasa (Jerash), Dion (Adun), Kanatha(Kanawat), Damascus, and Raphana (Abila). Of these, only Scythopolis,biblical Beth Shan (1Sam. 31:10–12), was west of theJordan.

TheDecapolis cities were populated not by Jews but rather by Greeks, whohad begun settling in the region during the intertestamental period.Hellenistic culture and practices prevailed, creating ongoingfriction, conflict, and unease with the Jews in the area. The Greekswere offended by the Jewish practice of circumcision. In turn, theJews found the Greeks’ culturally normative hom*osexualbehavior, religious idolatry, and swine herding repugnant.

Decapoliteswere among those who followed Jesus (Matt. 4:25). His healing of thedeaf man by use of his own saliva also took place in this region(Mark 7:31–37). Although it is not explicitly mentioned, theDecapolis could be the “distant country” (“distantregion” is a better translation) of the prodigal son (Luke15:13–16).

However,Jesus’ most significant encounter in the Decapolis is hishealing of the Gadarene demoniac (Matt. 8:28–34; Mark 5:1–20;Luke 8:26–39). The place name for this miracle differs amongthe Gospel writers, with textual variants occurring in all threeaccounts. Mark and Luke refer to it as “Gerasa,” one ofthe Decapolis cities with excellent name recognition, while Matthewindicates “Gadara,” a smaller city nearer the Galileecoast. Some manuscripts also identify “Gergesa,” aninsignificant town near Gadara that is very near the kind of steepcoastline featured in the account. It has been suggested that Matthewmay have been a native of the Decapolis and therefore had bettercommand of the geographic details.

The Gospels list demon possession among the maladies thatJesus and his disciples (and later the apostles) cured (e.g., Matt.4:24). While the NT does not offer an explicit theory of demonpossession or an account of how it differs from illnesses withnondemonic causes, the Gospels are rich in descriptions of thesuffering of the demon-possessed. Demons caused muteness (Matt.9:32–33; Luke 11:14), blindness (Matt. 12:22), and seizures(Matt. 17:15; Luke 4:35; 9:42), as well as symptoms that modernsassociate with various forms of mental illness, including strangeverbal outbursts (Matt. 8:28–34; Luke 4:34). The story of theGerasene demoniac is especially troubling (Luke 8:26–39 pars.).The demoniac (or demoniacs, according to Matt. 8:28) wore no clothes,lived outside his city among the tombs, howled, cut himself withstones, and shouted under the control of the demons. He was able tobreak chains that were placed on his body as restraints. Manydemoniacs who appear in the Gospels are men, but demon possessionalso affected women (Matt. 15:22–28). The Gospels do notdescribe the onset of demon possession.

Inaddition to these descriptions of demon possession, the recordedperceptions of Jesus’ contemporaries offer insight into how itwas understood in antiquity. Some thought that John the Baptist wasdemon-possessed (Matt. 11:18; Luke 7:33) because he “cameneither eating nor drinking”—that is, he adhered to anextreme ascetic diet and lifestyle. Jesus was thought to derive hispower to cast out demons from collusion with Beelzebul (Mark 3:22).In the Gospel of John, in contrast to the Synoptic Gospels, Jesus’ability to heal leads his contemporaries to the opposite conclusion,that he is not demon-possessed (John 10:20–21). Instead, thecharge of demon possession in the Gospel of John stems from theperception that Jesus’ religious teachings were unorthodox(John 8:48–52). Paul also correlates heresy with demonicinfluence (1Tim.4:1).

Itis important to note that in the NT, demon possession is almostalways portrayed as a terrible affliction. The idea of harnessing thepower of a demon for one’s own benefit, which was widespread inantiquity and the Middle Ages, is not a major focus in the NT, thoughit is reflected in the story of the girl who was possessed by afortune-telling spirit (Acts 16:16) and in cases in which Jesus’contemporaries attributed (falsely) his healing power to demonicpossession.

The Gospels list demon possession among the maladies thatJesus and his disciples (and later the apostles) cured (e.g., Matt.4:24). While the NT does not offer an explicit theory of demonpossession or an account of how it differs from illnesses withnondemonic causes, the Gospels are rich in descriptions of thesuffering of the demon-possessed. Demons caused muteness (Matt.9:32–33; Luke 11:14), blindness (Matt. 12:22), and seizures(Matt. 17:15; Luke 4:35; 9:42), as well as symptoms that modernsassociate with various forms of mental illness, including strangeverbal outbursts (Matt. 8:28–34; Luke 4:34). The story of theGerasene demoniac is especially troubling (Luke 8:26–39 pars.).The demoniac (or demoniacs, according to Matt. 8:28) wore no clothes,lived outside his city among the tombs, howled, cut himself withstones, and shouted under the control of the demons. He was able tobreak chains that were placed on his body as restraints. Manydemoniacs who appear in the Gospels are men, but demon possessionalso affected women (Matt. 15:22–28). The Gospels do notdescribe the onset of demon possession.

Inaddition to these descriptions of demon possession, the recordedperceptions of Jesus’ contemporaries offer insight into how itwas understood in antiquity. Some thought that John the Baptist wasdemon-possessed (Matt. 11:18; Luke 7:33) because he “cameneither eating nor drinking”—that is, he adhered to anextreme ascetic diet and lifestyle. Jesus was thought to derive hispower to cast out demons from collusion with Beelzebul (Mark 3:22).In the Gospel of John, in contrast to the Synoptic Gospels, Jesus’ability to heal leads his contemporaries to the opposite conclusion,that he is not demon-possessed (John 10:20–21). Instead, thecharge of demon possession in the Gospel of John stems from theperception that Jesus’ religious teachings were unorthodox(John 8:48–52). Paul also correlates heresy with demonicinfluence (1Tim.4:1).

Itis important to note that in the NT, demon possession is almostalways portrayed as a terrible affliction. The idea of harnessing thepower of a demon for one’s own benefit, which was widespread inantiquity and the Middle Ages, is not a major focus in the NT, thoughit is reflected in the story of the girl who was possessed by afortune-telling spirit (Acts 16:16) and in cases in which Jesus’contemporaries attributed (falsely) his healing power to demonicpossession.

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

A transliteration of the Greek word synagōgē,meaning “gathering, assembly, meeting.” In English, theword “synagogue” refers either to a Jewish congregationor to the place where that congregation meets. Synagogues of thebiblical era functioned as both religious and civic centers for theJewish community.

Origins

Theorigin of synagogues is uncertain. The earliest archaeologicalevidence is from Egypt in the third century BC, consisting ofinscriptions and a papyrus letter. The oldest architectural find isfrom the island of Delos in the Aegean Sea, although whether this wasconstructed as a synagogue or redesigned into one is unknown, as iswhether it was Jewish or Samaritan. The oldest structures yet foundin Israel consist of two rooms at Qumran and the synagogue at Gamla,which date from the late first century BC. In Capernaum, the basaltsynagogue was built by a Gentile centurion for the community in thefirst century AD (Luke 7:1–5).

Bythat time, synagogues were well attested in Israel, elsewhere in theRoman Empire, and in Egypt (Matt. 4:23; Luke 4:44; Acts 9:2; 17:10,16–17; 18:8, 19). Synagogues were found wherever there werecommunities of Jews, in cities and rural areas alike. Especially inDiaspora settings or remote locations, they were the heart of Jewishlife. Several hypotheses have been suggested to account for theirapparently sudden appearance.

Somebelieve that synagogues were developed during the Babyloniancaptivity as the response of the exile community to the destructionof their temple and sacrificial system. Despite these enormouslosses, the Jews still had the Torah, and from that point forwardworship and prayer based on the reading and studying of theScriptures, which could be done locally, began to gain ascendancy.Critics of this idea, however, point out that while it makes sense,there is no direct evidence to support it.

Othersthink that the spread of Hellenism in the second century BCprecipitated a crisis of identity among Jews. For example,1Maccabees reports with distress that some Jews had abandonedthe covenant and teamed with the Hellenists, even going so far as tobuild a Greek-style gymnasium in Jerusalem (1:11–15). Thus, thethought is that synagogues were a form of resistance to theoverwhelming and perversely appealing cultural changes of the day.

Morerecently, it has been suggested that synagogues were the gradualsuccessors to functions that had previously taken place at citygates. First-century synagogues served a wide range of functions forthe community. Throughout Israel’s prior history, however,these same activities—assembly, legal, social, educational, andreligious—had taken place at the city gate (Deut. 12:15; 2Sam.15:2; 2Kings 23:8; Neh. 8:1–8). The Gamla synagogue sitsagainst the east city wall next to a probable gate, and its locationcould be evidence of the slow development of the synagogue as citygates changed from multipurpose facilities to portals of ingress andegress.

First-CenturySynagogues

First-centurysynagogues served as integrated centers supporting Jewish life.Regular communal reading and exposition of Scripture, includingteaching and discussion of the law and transmission of its complexassociated traditions (Luke 4:16; Acts 13:14–15), occurredthere. Although formal liturgical rites evolved after the destructionof the temple in AD 70, synagogues were places of prayer in the firstcentury (Matt. 6:5). Synagogues also served as courtrooms and placeswhere crimes were punished (Acts 22:19), as well as locations forcommon meals and festivals (see Acts 6:2).

Synagogueswere administered by local community leaders, including a presidentand a board (Acts 13:15). Synagogue leaders named in the NT includeJairus (Mark 5:22; Luke 8:41), Crispus (Acts 18:8), and Sosthenes(Acts 18:17). The role of the leader was to preside over services, torule as the judge in court cases, to represent the community, andoften to act as a patron. The board served in an advisory role andassisted with teaching. A scribe maintained community records andtaught.

Congregationsincluded Pharisees, who advocated strict adherence to the law,although they were chided by Jesus for their false piety (Luke11:42–44). Women participated in the synagogue along with themen, and in some cases they were financial donors (cf. Luke 8:3).God-fearing Gentiles were welcomed (Acts 17:17). In Jerusalem,synagogues included both Hebrews and Jews from the Diaspora (Acts6:1, 9).

Asynagogue could be a designated room in a house or a discretebuilding. Most of the better archaeological evidence is later thanthe first century and reveals more clearly religious intentionalityin design than may have been characteristic earlier. This evidenceincludes the door facing Jerusalem, artistic temple motifs, a nichefor the Torah scrolls, and perimeter bench seating around an opencentral hall.

TheSynagogue in the Bible

Sincesynagogues were institutions with a documented history no earlierthan the third century BC, they are not mentioned in the OT. TheGreek word from which the English one is derived does appearfrequently in the LXX, but always with a general reference to agathering, assembly, or meeting.

Rabbinichistory (but not Scripture) makes reference to the “GreatSynagogue,” meaning a group of men who transmitted traditionsfrom the prophets to the earliest named rabbinic teachers. It isloosely based on Neh. 8–10, which describes the prayers andactions of the Jewish leaders who had returned from exile.

Synagoguesfrequently were locations of the teaching and healing ministry ofJesus. He began preaching the kingdom of God, teaching, andperforming healing miracles in Galilean synagogues (Matt. 4:23; 9:35;12:9; 13:54; Mark 1:21–29, 39; 3:1; 6:2; Luke 4:15–38,44; 6:6–11; 13:10–17; John 6:59; 18:20). Later, theapostle Paul customarily initiated his mission work in the localsynagogue at each of his destinations (Acts 9:19–20; 13:5,14–15; 14:1; 17:1, 10, 17; 18:1–8; 19:8).

Thelast (and, from a twenty-first-century perspective, mostcontroversial) use of the word “synagogue” in Scriptureis the difficult phrase “synagogue of Satan” (Rev. 2:9;3:9), which must be read in its context. This was written in responseto the significant persecution in Asia Minor of the churches atSmyrna and Philadelphia by Jews who were in collusion with the Romanauthorities. They were falsely accusing Jewish and Gentile Christianbelievers, creating unspeakable suffering for them. This phrase,intended to encourage Christian perseverance, implies that thechurches in view represented true Israel, while their accusers werefalse Jews. Similar language was used by the covenant-keepingcommunity in Qumran when, in the DSS, it referred to apostate Jews asa “congregation of Belial” and an “assembly ofhypocrites” (1QHa 10:22; 15:34).

Ben-Ammi was the son of Abraham’s nephew Lot and theyounger of Lot’s two daughters (Gen. 19:36–38). He isrepresented as the ancestor of the Ammonites, a Transjordanian peoplewho were a perennial threat to Israel from the wilderness periodthrough to David’s reign.

Thenation of Ammon was located east of the Jordan, just north of theDead Sea. Its capital was Rabbah, and it bordered Gad to the west,the half-tribe of Manasseh to the northwest, and Moab to the south(see also Deut. 3:16). Much of the source of their contention wasover the fertile land of Gilead, which encompassed the Jordan Riverand bordered Ephraim, the western tribe of Manasseh, Benjamin, andJudah.

Theexodus and the period of the judges. Accordingto the biblical record, while moving to enter Canaan, Moses and theIsraelites avoided Amman (Rabbah) and marched through Sihon instead(Num. 21:24–35). Later the Israelites were told explicitly notto attack the Ammonites, for that territory was given to thedescendants of Lot (Deut. 2:19, 37).

Thefirst conflict between the Ammonites and the Israelites is recordedin Judg. 3:13, where the Moabite king Eglon was allied with theAmmonites (and the Amalekites) against Ehud. In Judg. 10:6–7the Israelites are punished for their idolatry by being put under thethumb of the Philistines and the Ammonites. Jephthah led theGileadites against the Ammonites, who had provoked them to battle.This story is perhaps better known with respect to Jephthah’sfateful oath to Yahweh to offer up as a burnt offering whatever cameout of his door if Yahweh would give him victory over the Ammonites(Judg. 11). It was his daughter who came out to meet him. In Judg. 12the Ephraimites voiced their displeasure at not having been asked tojoin in the battle, so they came to Jephthah, threatening to burn hishouse down. Jephthah responded that he did call but they did notcome. A battle ensued between them, which sparked the famousshibboleth/sibboleth incident, in which Jephthah’s forces couldidentify Ephraimite opponents by their inability to pronounce the sh.

Themonarchy.During the early monarchic period, the Ammonite king Nahash besiegedJabesh of Gilead. Rather than negotiate, the Ammonites demanded thatthe right eye of every Jabesh*te male be put out. They appealed toSaul for help, who came and slaughtered many and scattered the rest(1 Sam. 11:1–11). Saul’s act was remembered kindlywhen, after his death at the hand of the Philistines, the men ofJabesh brought back the bodies of Saul and his sons, burned them,buried the remains, and fasted for seven days (31:11–13). In1 Sam. 12:12 Samuel refers to the Nahash incident as the impetusfor the Israelites’ desire to be ruled by a king.

In2 Sam. 10–12 David conquers the Am­mon­ite capitalof Rabbah, under the rule of Hanun son of Nahash (see also 1 Chron.19:1–20:3). This is the context in which David’s affairwith Bathsheba took place (2 Sam. 11–12). Uriah, herhusband, was killed while attacking Rabbah. During the revolt by hisson Absalom, David was given material aid from several sources, oneof which was “Shobi son of Nahash from Rabbah of the Ammonites”(2 Sam. 17:27).

Solomon’smarriages to foreign wives included Ammonites (1 Kings 11:1). Asa result, Solomon followed the foreign gods, including “Molekthe detestable god of the Ammonites” (11:5). It is notmentioned how many Ammonite wives Solomon had, but one of them,Naamah, was the mother of Rehoboam, the first king of Judah duringthe divided kingdom (14:31).

Thedivided kingdom.Later,during the divided monarchy, the Ammonites appear again. Ammon, Moab,and Edom formed a coalition against Jehoshaphat king of Judah(2 Chron. 20:1–30). Jehoshaphat was victorious with God’sassistance. Likewise, during the reign of Jehoiakim king of Judah, acoalition of Babylonian, Aramean, Moabite, and Ammonite forcesattacked him, although this time it was at God’s directionbecause “he did evil in the eyes of the Lord, just as hispredecessors had done” (2 Kings 23:36–24:6).According to 2 Chron. 26:8; 27:5, the Ammonites had earlierbrought tribute to Uzziah and his son Josiah.

TheAmmonites appear on the scene again just before the fall of Judah.During the reign of Zedekiah, a coalition of several nationsincluding Ammon was thwarted by God through Nebuchadnezzar of Babylon(Jer. 27:1–7).

Theexilic and postexilic periods.Am­mon­ite opposition to Judah continued. According to Jer.41:10, 15, governor Gedaliah’s assassin found refuge among theAmmonites. Later, under Nehemiah, the Ammonites actively resisted therebuilding of Jerusalem (Neh. 4:1–3). In the postbiblicalperiod, the Ammonites are mentioned as those among whom Jason, whoslaughtered his fellow citizens, was given refuge (1 Macc. 4:26;5:7).

Inaddition to the historical books, the Ammonites are mentionednumerous times in the prophetic books. Isaiah predicts that Ephraimand Judah will together “swoop down” and subject Edom,Moab, and the Ammonites (11:14). Jeremiah prophesies against them atsome length (49:1–6), mainly because of the worship of Molek,although God will “restore the fortunes of the Ammonites”(v. 6). Likewise, Ezekiel prophesies the destruction of Ammon(21:28–32; 25:1–7, 10).

Eventually,Rabbah became a shell of its former self (see Jer. 25:5) and wasrebuilt by Ptolemy II Philadelphus (285–246 BC), whor*named the city “Philadelphia.” It became a city of theDecapolis (a group of ten Greek cities [see Matt. 4:25; Mark 5:20;7:31]).

Ben-Ammi was the son of Abraham’s nephew Lot and theyounger of Lot’s two daughters (Gen. 19:36–38). He isrepresented as the ancestor of the Ammonites, a Transjordanian peoplewho were a perennial threat to Israel from the wilderness periodthrough to David’s reign.

Thenation of Ammon was located east of the Jordan, just north of theDead Sea. Its capital was Rabbah, and it bordered Gad to the west,the half-tribe of Manasseh to the northwest, and Moab to the south(see also Deut. 3:16). Much of the source of their contention wasover the fertile land of Gilead, which encompassed the Jordan Riverand bordered Ephraim, the western tribe of Manasseh, Benjamin, andJudah.

Theexodus and the period of the judges. Accordingto the biblical record, while moving to enter Canaan, Moses and theIsraelites avoided Amman (Rabbah) and marched through Sihon instead(Num. 21:24–35). Later the Israelites were told explicitly notto attack the Ammonites, for that territory was given to thedescendants of Lot (Deut. 2:19, 37).

Thefirst conflict between the Ammonites and the Israelites is recordedin Judg. 3:13, where the Moabite king Eglon was allied with theAmmonites (and the Amalekites) against Ehud. In Judg. 10:6–7the Israelites are punished for their idolatry by being put under thethumb of the Philistines and the Ammonites. Jephthah led theGileadites against the Ammonites, who had provoked them to battle.This story is perhaps better known with respect to Jephthah’sfateful oath to Yahweh to offer up as a burnt offering whatever cameout of his door if Yahweh would give him victory over the Ammonites(Judg. 11). It was his daughter who came out to meet him. In Judg. 12the Ephraimites voiced their displeasure at not having been asked tojoin in the battle, so they came to Jephthah, threatening to burn hishouse down. Jephthah responded that he did call but they did notcome. A battle ensued between them, which sparked the famousshibboleth/sibboleth incident, in which Jephthah’s forces couldidentify Ephraimite opponents by their inability to pronounce the sh.

Themonarchy.During the early monarchic period, the Ammonite king Nahash besiegedJabesh of Gilead. Rather than negotiate, the Ammonites demanded thatthe right eye of every Jabesh*te male be put out. They appealed toSaul for help, who came and slaughtered many and scattered the rest(1 Sam. 11:1–11). Saul’s act was remembered kindlywhen, after his death at the hand of the Philistines, the men ofJabesh brought back the bodies of Saul and his sons, burned them,buried the remains, and fasted for seven days (31:11–13). In1 Sam. 12:12 Samuel refers to the Nahash incident as the impetusfor the Israelites’ desire to be ruled by a king.

In2 Sam. 10–12 David conquers the Am­mon­ite capitalof Rabbah, under the rule of Hanun son of Nahash (see also 1 Chron.19:1–20:3). This is the context in which David’s affairwith Bathsheba took place (2 Sam. 11–12). Uriah, herhusband, was killed while attacking Rabbah. During the revolt by hisson Absalom, David was given material aid from several sources, oneof which was “Shobi son of Nahash from Rabbah of the Ammonites”(2 Sam. 17:27).

Solomon’smarriages to foreign wives included Ammonites (1 Kings 11:1). Asa result, Solomon followed the foreign gods, including “Molekthe detestable god of the Ammonites” (11:5). It is notmentioned how many Ammonite wives Solomon had, but one of them,Naamah, was the mother of Rehoboam, the first king of Judah duringthe divided kingdom (14:31).

Thedivided kingdom.Later,during the divided monarchy, the Ammonites appear again. Ammon, Moab,and Edom formed a coalition against Jehoshaphat king of Judah(2 Chron. 20:1–30). Jehoshaphat was victorious with God’sassistance. Likewise, during the reign of Jehoiakim king of Judah, acoalition of Babylonian, Aramean, Moabite, and Ammonite forcesattacked him, although this time it was at God’s directionbecause “he did evil in the eyes of the Lord, just as hispredecessors had done” (2 Kings 23:36–24:6).According to 2 Chron. 26:8; 27:5, the Ammonites had earlierbrought tribute to Uzziah and his son Josiah.

TheAmmonites appear on the scene again just before the fall of Judah.During the reign of Zedekiah, a coalition of several nationsincluding Ammon was thwarted by God through Nebuchadnezzar of Babylon(Jer. 27:1–7).

Theexilic and postexilic periods.Am­mon­ite opposition to Judah continued. According to Jer.41:10, 15, governor Gedaliah’s assassin found refuge among theAmmonites. Later, under Nehemiah, the Ammonites actively resisted therebuilding of Jerusalem (Neh. 4:1–3). In the postbiblicalperiod, the Ammonites are mentioned as those among whom Jason, whoslaughtered his fellow citizens, was given refuge (1 Macc. 4:26;5:7).

Inaddition to the historical books, the Ammonites are mentionednumerous times in the prophetic books. Isaiah predicts that Ephraimand Judah will together “swoop down” and subject Edom,Moab, and the Ammonites (11:14). Jeremiah prophesies against them atsome length (49:1–6), mainly because of the worship of Molek,although God will “restore the fortunes of the Ammonites”(v. 6). Likewise, Ezekiel prophesies the destruction of Ammon(21:28–32; 25:1–7, 10).

Eventually,Rabbah became a shell of its former self (see Jer. 25:5) and wasrebuilt by Ptolemy II Philadelphus (285–246 BC), whor*named the city “Philadelphia.” It became a city of theDecapolis (a group of ten Greek cities [see Matt. 4:25; Mark 5:20;7:31]).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

Evangelism is the proclamation of the “evangel”(Gk. euangelion), the good news, of Jesus Christ. The content of theevangel includes Jesus’ birth, which was announced as good newsto Zechariah by the angel Gabriel (Luke 1:19) and by the angels tothe shepherds (Luke 2:10). The good news speaks of the reality ofJesus’ resurrection (Acts 17:18), is described as a message ofgrace (Acts 20:24) and reconciliation to God through the sacrificedbody of Christ (Col. 1:22–23), and includes the expectation ofa day of divine judgment (Rom. 2:16). Paul preached the gospel (fromOld English gōdspel, “good news”) message, which heclaimed had its origin with God, not humans (Gal. 1:11–12). Hesummarizes this message in 1Cor. 15:3b–5: “thatChrist died for our sins according to the Scriptures, that he wasburied, that he was raised on the third day according to theScriptures, and that he appeared to Cephas, and then to the Twelve.”The introduction to the Gospel of Mark (1:1) may indicate that thiswritten gospel could serve evangelistic purposes.

Evangelisticefforts in the New Testament.Numerous figures throughout the NT participated in evangelisticendeavors. John the Baptist’s preaching about the comingMessiah is described as evangelism (Luke 3:18). Evangelism was acharacteristic activity of Jesus’ own ministry (Matt. 4:23;9:35; Mark 1:14; Luke 20:1), which focused on proclaiming the adventof the kingdom of God (Luke 4:43; 8:1) and at times was targetedtoward the poor (Matt. 11:5; Luke 4:18; 7:22). Jesus commanded thosewho follow him to engage in evangelism. He sent out the twelveapostles for evangelistic purposes (Luke 9:2), and he issued theGreat Commission to this end (Matt. 28:18–20).

Themissionary enterprise recorded in Acts demonstrates the efforts ofthe earliest Christians to spread the gospel. The apostles inJerusalem (Acts 5:42) proclaimed the gospel in spite of greatopposition and persecution, and believers who were scattered outsideJerusalem because of persecution spread the gospel in new locales(8:4). Philip evangelized Samaritans and an Ethiopian (8:12, 35). Theministry of Paul and Barnabas is characterized as preaching the goodnews (14:7, 15, 21; 15:35; 16:10; 17:18). Philip, one of the sevenchosen to distribute food (6:5), was given the name “theEvangelist” (21:8). Timothy, additionally, is said to be Paul’sfellow worker in evangelism (1Thess. 3:2; cf. 2Tim. 4:5).

Evangelismwas a central part of Paul’s ministry (Rom. 1:9; 1Cor.1:17; 15:1–2; Eph. 6:19; 1Thess. 2:2, 9). He indicated anexplicit interest in sharing the gospel with Gentiles (Rom. 15:16;Gal. 1:16; 2:7; Eph. 3:8) and with those who had never heard it (Rom.15:20; 2 Cor. 10:16), and he expressed a desire to preach the gospelat Rome (Rom. 1:15). Paul wrote of the necessity of evangelism inorder for people to be saved (Rom. 10:15), and he preached the gospelmessage free of charge (1Cor. 9:16, 18; 2Cor. 11:7). Helisted the role of the evangelist in the church along with apostles,prophets, pastors, and teachers (Eph. 4:11).

Goaland methods of evangelism.Evangelism’s goal is to spread the gospel across ethnic andreligious boundaries until it reaches all nations (Mark 13:10; Col.1:23). To this end, Acts details an intentional effort by theearliest Christians to share the gospel with those who came from bothJewish and non-Jewish backgrounds. Acts 8:25 records Peter and John’sevangelistic efforts in Samaritan villages, and Acts 15:7 identifiesPeter as an evangelist to Gentiles. An outreach specifically toGentiles is chronicled in Acts 11:20, and Paul’s intentionalprogram of traveling from city to city further contributes to thisgoal (Rom. 15:19).

Theevangelists recorded in the NT demonstrate a range of methods andapproaches to sharing the good news. They often began with a point ofcontact from the religious worldview of their audience. For instance,Philip used Scripture as a starting point in speaking with anindividual who was familiar with some portion of it (Acts 8:35).Similarly, when addressing Jews, Paul preached Jesus as thefulfillment of various OT Scriptures (Acts 13:32–41), but whenpreaching the gospel to the Greeks in Athens, he acknowledged theirreligiosity and their previous worship of one called “anunknown God” (17:22–23). Evangelists sought opportunitiesto gain an audience, and Paul even took advantage of an illness tostay with the Galatians and share the gospel with them (Gal. 4:13).Finally, much of the evangelistic work in the early church wascoupled with miraculous signs and wonders, which served toauthenticate the message being proclaimed (Rom. 15:19; 1Thess.1:5).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

In the NT the most common word used for “minister”is diakonos (e.g., 2Cor. 3:6), and for “ministry,”diakonia (e.g., 1Cor. 16:15 [NIV: “service”]).These words function as umbrella terms for NT writers to describe thewhole range of ministries performed by the church. They can describeeither a special ministry performed by an official functionary(1Cor. 3:5) or one performed by any believer (Rev. 2:19). Inthe early church, ministry was based not on institutional hierarchiesbut on services performed (1Tim. 3:1–13).

Theministry of Jesus.The church’s mind-set flows out of the way in which Jesusunderstood his ministry. He described his ministry pattern as that ofserving (Matt. 20:28; Mark 10:45; John 13:4–17). Thus, hecalled his disciples to follow a model of leadership in the newcommunity that did not elevate them above others (Matt. 20:20–28;23:8–12; cf. 1Pet. 5:3).

Jesus’ministry provides the paradigm for the ministry of the church. The NTwriters describe the threefold ministry of Jesus as preaching,teaching, and healing (Matt. 4:23; 9:35; Mark 1:14, 21–22, 39;Acts 10:36–38). The disciples carried on the earthly ministryof Jesus by the power of the Spirit. They too engaged in preaching,teaching, and healing (Matt. 10:7–8; 28:19–20).

Theministry of the church.The church, because it is the body of Christ, continues theseministry responsibilities. In 1Pet. 4:10–11 is a summaryof the overarching ministries of the church, which include speakingthe words of God and serving. As a priesthood of believers (Exod.19:4–6; 1Pet. 2:5, 9; Rev. 1:5–6), individualmembers took responsibility for fulfilling the various tasks ofservice. Thus, all Christians are called to minister (Rom. 15:27;Philem. 13; 1Pet. 2:16). Even when a member strayed, it wasanother believer’s responsibility to confront that waywardperson and, if necessary, involve others in the body to help (Matt.18:15–20).

Althoughministry was the responsibility of all believers, there were thosewith special expertise whom Christ and the church set apart forparticular leadership roles (Eph. 4:11–12). Christ set apartApollos and Paul for special ministries (1Cor. 3:5; Eph. 3:7).The church called on special functionaries to carry out specificministries. For example, the early church appointed seven individualsto serve tables (Acts 6:2). They appointed certain ones to carry therelief fund collected for the Jerusalem Christians (2Cor. 8:19,23). As special functionaries, Paul, Apollos, Timothy, Titus, theelders, as well as others accepted the responsibility of teaching andpreaching and healing for the whole church.

Allthe ministries of the church, whether performed by believers ingeneral or by some specially appointed functionary, were based ongifts received from God (Rom. 12:1–8; 1Cor. 12:4–26).God gave individuals the abilities necessary to perform works ofservice (Acts 20:24; Eph. 4:11; Col. 4:17; 1Tim. 1:12; 1Pet.4:11). The NT, however, makes it clear that when it comes to one’srelationship and spiritual status before God, all Christians areequal. Yet in equality there is diversity of gifts and talents. Paulidentifies some gifts given to individuals for special positions:apostles, prophets, evangelists, pastors, and teachers (Eph. 4:11).The description here is of special ministry roles that Christ callscertain individuals to fulfill based on the gifts given to them. Theones fulfilling these roles did not do all the ministry of the churchbut rather equipped the rest of the body to do ministry (Eph.4:12–13). No one can boast in the gifts given to him or herbecause those gifts were given for ministry to others (1Cor.4:7). Thus, gifts lead to service, and in turn service results inleadership.

Itbecomes the responsibility of those who lead to equip others forministry. When others are equipped for ministry, they in turnminister and edify the whole body (Eph. 4:15–16; 2Tim.2:1–2). The goal of all ministry, according to Paul, is tobuild up a community of believers until all reach maturity in Christ(Rom. 15:15–17; 1Cor. 3:5–4:5; Eph. 4:12–16;1Thess. 2:19–20).

In the NT the most common word used for “minister”is diakonos (e.g., 2Cor. 3:6), and for “ministry,”diakonia (e.g., 1Cor. 16:15 [NIV: “service”]).These words function as umbrella terms for NT writers to describe thewhole range of ministries performed by the church. They can describeeither a special ministry performed by an official functionary(1Cor. 3:5) or one performed by any believer (Rev. 2:19). Inthe early church, ministry was based not on institutional hierarchiesbut on services performed (1Tim. 3:1–13).

Theministry of Jesus.The church’s mind-set flows out of the way in which Jesusunderstood his ministry. He described his ministry pattern as that ofserving (Matt. 20:28; Mark 10:45; John 13:4–17). Thus, hecalled his disciples to follow a model of leadership in the newcommunity that did not elevate them above others (Matt. 20:20–28;23:8–12; cf. 1Pet. 5:3).

Jesus’ministry provides the paradigm for the ministry of the church. The NTwriters describe the threefold ministry of Jesus as preaching,teaching, and healing (Matt. 4:23; 9:35; Mark 1:14, 21–22, 39;Acts 10:36–38). The disciples carried on the earthly ministryof Jesus by the power of the Spirit. They too engaged in preaching,teaching, and healing (Matt. 10:7–8; 28:19–20).

Theministry of the church.The church, because it is the body of Christ, continues theseministry responsibilities. In 1Pet. 4:10–11 is a summaryof the overarching ministries of the church, which include speakingthe words of God and serving. As a priesthood of believers (Exod.19:4–6; 1Pet. 2:5, 9; Rev. 1:5–6), individualmembers took responsibility for fulfilling the various tasks ofservice. Thus, all Christians are called to minister (Rom. 15:27;Philem. 13; 1Pet. 2:16). Even when a member strayed, it wasanother believer’s responsibility to confront that waywardperson and, if necessary, involve others in the body to help (Matt.18:15–20).

Althoughministry was the responsibility of all believers, there were thosewith special expertise whom Christ and the church set apart forparticular leadership roles (Eph. 4:11–12). Christ set apartApollos and Paul for special ministries (1Cor. 3:5; Eph. 3:7).The church called on special functionaries to carry out specificministries. For example, the early church appointed seven individualsto serve tables (Acts 6:2). They appointed certain ones to carry therelief fund collected for the Jerusalem Christians (2Cor. 8:19,23). As special functionaries, Paul, Apollos, Timothy, Titus, theelders, as well as others accepted the responsibility of teaching andpreaching and healing for the whole church.

Allthe ministries of the church, whether performed by believers ingeneral or by some specially appointed functionary, were based ongifts received from God (Rom. 12:1–8; 1Cor. 12:4–26).God gave individuals the abilities necessary to perform works ofservice (Acts 20:24; Eph. 4:11; Col. 4:17; 1Tim. 1:12; 1Pet.4:11). The NT, however, makes it clear that when it comes to one’srelationship and spiritual status before God, all Christians areequal. Yet in equality there is diversity of gifts and talents. Paulidentifies some gifts given to individuals for special positions:apostles, prophets, evangelists, pastors, and teachers (Eph. 4:11).The description here is of special ministry roles that Christ callscertain individuals to fulfill based on the gifts given to them. Theones fulfilling these roles did not do all the ministry of the churchbut rather equipped the rest of the body to do ministry (Eph.4:12–13). No one can boast in the gifts given to him or herbecause those gifts were given for ministry to others (1Cor.4:7). Thus, gifts lead to service, and in turn service results inleadership.

Itbecomes the responsibility of those who lead to equip others forministry. When others are equipped for ministry, they in turnminister and edify the whole body (Eph. 4:15–16; 2Tim.2:1–2). The goal of all ministry, according to Paul, is tobuild up a community of believers until all reach maturity in Christ(Rom. 15:15–17; 1Cor. 3:5–4:5; Eph. 4:12–16;1Thess. 2:19–20).

Because Scripture sees all things as providentially arrangedand sustained by God’s sovereign power at all times (Heb. 1:3),miracles are not aberrations in an otherwise closed and mechanicaluniverse. Nor are miracles raw demonstrations of divinity designed toovercome prejudice or unbelief and to convince people of theexistence of God (Mark 8:11–12). Still less are they cleverconjuring tricks involving some kind of deception that can beotherwise explained on a purely scientific basis. Rather, God in hisinfinite wisdom sometimes does unusual and extraordinary things tocall attention to himself and his activity. Miracles are divinelyordained acts of God that dramatically alert us to the presence ofhis glory and power and advance his saving purposes in redemptivehistory.

Terminology

Thebiblical writers describe miracles with various terms, such as“signs,” “wonders,” and “miracles”(or “powers”), which can carry various connotations. Asthe word “sign” suggests, divine miracles are significantand should cause us to think more deeply about God in a way that goesbeyond mere amazement or curiosity (Exod. 4:30–31; John 2:11).Not all of God’s signs are miraculous. Some are given as partof his ordering of the natural world (Gen. 1:14) or as anencouragement to faith that God will do as he has said (e.g., therainbow in Gen. 9:8–17; the blood of the Passover lamb in Exod.12:13). (See also Sign.)

Oftencoupled with signs are “wonders” (Jer. 32:21; John 4:48;2Cor. 12:12). If the depiction of miracles as “signs”indicates an appeal to the intellect, that of “wonders”points to the emotions. Miracles evoke astonishment and awe at theone who did them.

TheNT word “miracle” carries the meaning of power andtherefore points to the supernatural source of these events (Luke10:13; Acts 8:13).

Miraclesin the Bible

OldTestament.In the OT, miracles are not evenly distributed but rather are foundin greater number during times of great redemptive significance, suchas the exodus and the conquest of Canaan. Miracles were performedalso during periods of apostasy, such as in the days of theninth-century prophets Elijah and Elisha. Common to both of theseeras is the powerful demonstration of the superiority of God overpagan deities (Exod. 7–12; 1Kings 18:20–40).

NewTestament. Inthe NT, miracles often are acts of compassion, but more significantlythey attest the exalted status of Jesus of Nazareth (Acts 2:22) andthe saving power of his word (Heb. 2:3–4). In the SynopticGospels, they reveal the coming of God’s kingdom and theconquest of Satan’s dominion (Matt. 8:16–17; 12:22–30;Mark 3:27). They point to the person of Jesus as the promised Messiahof OT Scripture (Matt. 4:23; 11:4–6). John shows a preferencefor the word “signs,” and his Gospel is structured aroundthem (John 20:30–31). According to John, the signs that Jesusperformed were such that only the one who stood in a uniquerelationship to the Father as the Son of God could do them.

Miraclesand faith.Just as entrenched skepticism is injurious to faith, so too is naivecredulity, for although signs and wonders witness to God, falseprophets also perform them “to deceive, if possible, even theelect” (Matt. 24:24). Christians are to exercise discernmentand not be led astray by such impostors (Matt. 7:15–20).

Therelationship between miracles and faith is not as straightforward assometimes supposed. Miracles do not necessarily produce faith, nordoes faith necessarily produce miracles. Miracles were intended tobring about the faith that leads to eternal life (John 20:31), butnot all who witnessed them believed (John 10:32). Additionally, Jesusregarded a faith that rested only on the miracle itself as precarious(Mark 8:11–13; John 2:23–25; 4:48), though better than nofaith at all (John 10:38). Faith that saves must ultimately find itsgrounding in the person of Jesus as the Son of God.

Itis also clear that although Jesus always encouraged faith in thosewho came to him for help (Mark 9:23), and that he deliberatelylimited his miraculous powers in the presence of unbelief (Mark 6:5),many of his miracles were performed on those who did not or could notexercise faith (Matt. 12:22; Mark 1:23–28; 5:1–20; Luke14:1–4).

Thefact that Jesus performed miracles was never an issue; rather, hisopponents disputed the source of his power (Mark 3:22). Argumentsabout his identity were to be settled by appeal not to miracles butto the word of God (Matt. 22:41–46).

Thefunction of miracles.Miracle accounts function in a symbolic and prophetic manner. Hence,the cursing of the fig tree was prophetic of the coming judgment(Mark 11:12–21). The unusual two-stage healing of the blind manof Bethsaida symbolized Peter’s incomplete understanding ofJesus’ messiahship (Mark 8:22–33).

Themiraculous element of Jesus’ ministry carries an eschatologicalsignificance, pointing to the order of things in the age to come. Forexample, the nature miracles (Mark 4:35–41) look forward to theredemption of creation itself, which is presently subject tofrustration and decay (Rom. 8:20–21); the healing miraclespoint to a day when disease and deformity will be abolished (Rev.21:4); and miracles in which the dead are raised to life anticipate atime when death itself will be no more (Rev. 20:14; 21:4). From thisperspective, the miracles are a gracious foretaste of a far moreglorious future.

Terminology

Theword “Palestine” is derived from the name of one of theSea Peoples (Heb. pelishtim) who migrated to the southern coastalregion of the Fertile Crescent from one or more of the coastalregions of the Mediterranean (see Philistines).

Theword “Palestine” has at times been used to refer to anarea as small as this southwestern coastal region (functioning attimes as a synonym for “Philistia”) and as large as theland on both sides of the Jordan River, including the Negev in thesouth.

MostEnglish versions of the Bible do not mention “Palestine,”although in the KJV the Hebrew word peleshet (usually rendered“Philistia” or “Philistines”) is translatedas “Palestina” in Exod. 15:14; Isa. 14:29, 31 and as“Palestine” in Joel 3:4.

Otherdesignations of this region within the Scripture include “Canaan”(Gen. 10:19; Josh. 22:9), “the land” (Gen. 13:17; Josh.2:1), “the land of Canaan” (Gen. 17:8; Num. 13:2), “theland of the Hebrews” (Gen. 40:15), “the land ...promised on oath” (Gen. 50:24; Deut. 6:23), in variouscombinations and order “the land of the Canaanites, Hittites,Amorites, Hivites, Periz-zites, Jebusites, and Girgash*tes”(Exod. 3:17; 13:5; 23:23), “the Lord’s land” (Josh.22:19), “the land of Israel” (1Sam. 13:19; Ezek.47:18), and “Trans-Euphrates,” which was “beyondthe river” from the perspective of those in Persia (Ezra 4:10;Neh. 2:7). Compare also “the tribes of Israel” (2Sam.24:2; Ezek. 47:13), “Israel and Judah” (2Sam. 5:5;2Chron. 30:6), and “from Dan to Beersheba” (Judg.20:1; 1Kings 4:25).

Inthe NT, this territory is usually designated by reference to theprovinces of Judea and Galilee (Matt. 2:22; John 7:1), whichsometimes are mentioned with the Decapolis (Matt. 4:25) and Samaria(Acts 9:31; cf. Luke 3:1).

Boundariesand Size

Boundaries.Palestine is in the southwestern portion of the Fertile Crescent(i.e., western Iraq, Syria, Lebanon, Jordan, and Israel). It islocated northeast of the Nile River basin and west-southwest of thebasins of the Tigris and Euphrates rivers.

Generallyspeaking, it is bounded by Lebanon to the north, the MediterraneanSea (=the Sea, the Great Sea, or the western sea) on the west,Wadi el-Arish (=the river of Egypt, the Wadi of Egypt) in thesouthwest, the Sinai Peninsula in the south, and the Transjordan inthe east (Gen. 15:18; Num. 34:3–7, 11–12; Deut. 1:7;11:24; 34:2; Josh. 1:4; 11:16; 2Kings 24:7). When theTransjordan is considered part of Palestine (cf. Deut. 34:1), theeastern boundary is the Syrian (Syro-Arabian) Desert. In severalbiblical texts the northeast boundary of this region is “thegreat river, the Euphrates” (Gen. 15:18; Deut. 1:7; 11:24;Josh. 1:4; 1Chron. 5:9; cf. 2Sam. 8:3).

Size.Becauseof fluidity in the use of the term “Palestine,” it isdifficult to speak precisely of the land area designated by it.Palestine west of the Jordan River is about six thousand squaremiles, similar to the land area of the state of Hawaii.

Adescription of “the whole land” viewed by Moses includedboth the Negev and Gilead, part of the Transjordan (Deut. 34:1–3).In the OT, the Negev is regularly included as one of the regions ofthe land on the west side of the Jordan (Deut. 1:7; Josh. 10:40;11:16; Jer. 17:26). The unity of the land on both sides of the Jordanis reflected in texts that focus on Israel’s inheritance ofland (Deut. 3:12–17), cities of refuge (Num. 35:14; Josh.20:7–8), and military victories (Josh. 12:1–8; 24:8–13).

Theland area of Palestine increases considerably if one includes theseareas, for the Transjordan region is about 4,000 square miles, whilethe Negev is about 4,600 square miles.

TopographicalRegions

Frequentseismic activity, the rising and falling of the landmass, anddeposits from the inundation and withdrawal of seas produced seventopographical regions current in Palestine.

Coastalplain.The coastal plain is the fertile terrain bordering the Mediterranean,though the coastline itself consists of beaches, sand dunes,wetlands, and rock cliffs.

Thesouthern portion of the coastal plain was once inhabited by thePhilistines (with the coastal cities of Gaza, Ashkelon, and Ashdod).Moving north of the Yarkon River, we pass through the marshy Plain ofSharon and the Dor Plain. In the north, hills rise near Carmel andextend west to the central highlands. North of the Carmel range liethe Acco Plain, the Asher Plain, and the coastlands of Phoenicia(including Tyre and Sidon).

Hillcountry.The hill country is located between, and runs parallel to, thecoastal plain on the west and the Jordan Valley on the east. Thehills, ridges, plateaus, and valleys of the hill country are thesetting for most of the OT narratives.

Thehill country is bisected by the Jezreel Valley, which runs east-westfrom the Jordan Valley to the Bay of Acco (Haifa Bay), north ofCarmel.

Thehill country south of the Jezreel Valley is called “the centralhighlands,” which consist of the rough and rocky hills ofSamaria in the north (such as Mount Gerizim and Mount Ebal) and themore arid (and, historically, less populated) Judean hill country inthe south. The highest hills of this area exceed three thousand feet.

InScripture the southern hill country (or portions of it) is called“the hill country of Judah/Judea” (Josh. 11:21; Luke1:39) and “the hill country of Bethel” (Josh. 16:1;1Sam. 13:2), while the northern (Samarian) hill country (orportions of it) is called “the hill country of Israel”(Josh. 11:21), “the hill country of Naphtali” (Josh.20:7), and, most frequently, “the hill country of Ephraim”(Josh. 17:15; Judg. 2:9; 1Kings 4:8).

Thehill country north of the Jezreel Valley consists of two parts, Lowerand Upper Galilee, divided by the fault through which runs Wadiesh-Shaghur. Lower Galilee has fertile basins and hills about twothousand feet above sea level. Farther north is Upper Galilee, withhills averaging about three thousand feet. It forms a transition tothe mountains of Lebanon, which lie to the north.

TheShephelah (“lowland” or “piedmont”) is theregion of gentle and rolling hills between five hundred and onethousand feet above sea level between the Judean hill country and thecoastal plain. These hills formerly were covered with sycamore treesand provided Judeans with protection against an attack from the west.

JezreelValley.The Jezreel Valley is often equated with the Plain of Esdraelon,though some distinguish the fault basin (Esdraelon) from the riftvalley (Jezreel).

Onits west side, this fertile plain begins north of Carmel at thecoast, moving east to the Jordan Valley. The central highlands lie tothe north (Galilee) and south (Samaria) of this plain.

Thefertile soil of this low-lying basin was valued for farming. Tradersand armies regularly passed through this great plain, and it wasoften the place of military conflict (cf. Judg. 6:33; 1Sam.29:1, 11; Hos. 1:5).

JordanValley.The Jordan Valley (also known as the Jordan Rift Valley or the DeadSea Rift) begins near the base of Mount Hermon in the north (9,232feet). Moving south, the rift continues to the Hula Valley, throughwhich the Jordan River flows to the Sea of Galilee (Sea ofGennesaret, Lake Kinnereth). The Sea of Galilee is about twelve mileslong and five miles wide, located within an area of hills andvalleys.

TheJordan River meanders south, flowing through a deep gorge and fallingthree thousand feet before coming to the Dead Sea (also called “theSea of the Arabah” [Deut. 4:49; Josh. 3:16] and “the SaltSea” [Num. 34:3, 12; Josh. 15:2, 5 ESV, NASB]), the lowestplace on earth. At its lowest point, the Dead Sea is more than 2,600feet below sea level.

TheJordan Valley rises as one continues south from the Dead Sea(forty-eight miles long and eight miles wide) through the arid Arabah(cf. Isa. 33:9; Zech. 14:10) to the Gulf of Aqaba.

Theterm “Arabah” is generally used to refer to the extensionof the rift south of the Dead Sea, though at one time in the historyof ancient Israel it referred to a region that included the JordanValley between the Sea of Galilee and the Dead Sea, on both the east(Deut. 3:17; Josh. 12:1–3) and the west (Deut. 11:30; Josh.11:2; Ezek. 47:8) sides of the Jordan River.

Transjordan.TheTransjordan region is located east of the Jordan Valley and west ofthe Syrian (Syro-Arabian) Desert. Three major rivers run across thisregion, each moving from east to west. The Yarmouk (Yarmuk) and theJabbok (Zarqa) rivers empty into the Jordan River, while the ArnonRiver (Wadi el-Mujib) flows into the Dead Sea.

Inancient Israel, regions of the Transjordan, from north to south,included Bashan (Karnaim), north of the Yarmuk River; Gilead, southof the Yarmuk; Ammon, the region of modern-day Amman, southeast ofGilead; Moab, south of the Arnon River; and Edom, south of Wadiel-Hesa (Zered River [cf. Num. 21:12; Deut. 2:13–14]).

Thecapture of the territory belonging to Sihon between the Jabbok andthe Arnon rivers was a significant event in the history of ancientIsrael (Num. 21:24; Josh. 12:1–2).

Althoughthe Transjordan is often excluded from “Palestine,” therewere times in biblical history when the land on both sides of theJordan was considered a unit. For example, “the other half ofManasseh, the Reubenites and the Gadites” received their tribalinheritance east of the Jordan (cf. Josh. 13:8–32). Theyinhabited Bashan, Gilead, and the land of the Amorites (cf. Deut.3:12–17; 34:1; Judg. 20:1).

Accordingto 2Sam. 8, David established control over Moab (vv. 2, 12),the Beqaa Valley (“along the Euphrates River” [v.3GW]), Aram (v.6; vv. 12–13 MT), Ammon and Amalek (v.12),and Edom (v.14; vv. 12–13 LXX, Syriac; cf. 1Chron.18:2–13).

InScripture, the central Transjordan hill country is sometimes called“the hill country of Gilead” (Gen. 31:21, 23, 25; Deut.3:12). The southern elevated region in Edom is called “the hillcountry of Seir” (Gen. 36:8–9; Deut. 2:5).

Negev.The Negev (Negeb) is shaped like an inverted triangle with its peakat the southern city of Eilat (Elath) near the biblical Ezion Geber(cf. 1Kings 9:26). It is bounded on the north by the Judeanhill country, on the west by Sinai, and on the east by the ArabahValley (which lies along the rift south of the Dead Sea).

TheNegev is an extremely dry area, with the most rain found in thenorthern (twelve inches annually) and western (ten inches annually)sections, and the least in the Arabah Valley (two inches annually).It is a place of sand dunes, rocky desert, and brown hills thatincrease in height as one moves toward Sinai.

Althoughthe Negev is described as “a land of hardship and distress, oflions and lionesses, of adders and darting snakes” (Isa. 30:6),it was also a place of wells and springs, in addition to cities andtowns such as Beersheba (Josh. 15:21–32; 2Sam. 24:7).

Sinaipeninsula.The Sinai peninsula is about twenty-three thousand square miles. Itconsists primarily of plains, plateaus, and hills (the highest ofwhich is Jebel Yiallaq, at 3,656 feet), with a coastline along theMediterranean of 145 miles.

Thelongest river in the region is the Wadi el-Arish, which runs 155miles northward from central Sinai to the Mediterranean.

Israel’sactivities in the Desert of Sinai are often mentioned in thePentateuch (e.g., Exod. 19:1–2; Num. 1:1; 9:5).

TheDesert of Sinai is distinguished from the Desert of Sin (Exod. 16:1)and the Desert of Paran (Num. 10:12). Other arid areas within theSinai Peninsula include the Desert of Zin (Num. 34:3), the Desert ofShur (Exod. 15:22), and the Desert of Etham (Num. 33:8).

Climate

Theclimate of Palestine consists of a dry and hot season from June toAugust and a wet season from mid-October to mid-April. It is commonfor the wet season to consist of two distinct periods of heavy rain,one at the beginning and one toward the end of this period (cf.“spring and autumn rains” [Deut. 11:14; Joel 2:23; James5:7]).

Twotransitional seasons of about six weeks each bridge the wet and thedry seasons. One occurs between early September and the end ofOctober, the other between early April and the middle of June.

Averagetemperatures throughout the region range from 46.5–55 degrees(Fahrenheit) in January (both the coldest and the wettest month inPalestine) to 71.5–93 degrees in August.

Mostrainfall in Palestine occurs as cyclonic storm systems (abouttwenty-five each year) bring warm air from North Africa eastward overthe Mediterranean, clashing with cooler air from Europe and Asia. Asclouds move over the land, precipitation falls heaviest on the westside of the hills, leaving the east side of the hills with less rain.

Typically,rainfall is heaviest in the northern areas of Palestine, the regionsclosest to the Mediterranean, and in the Transjordan. The area aroundthe Dead Sea is extremely dry, with evaporation exceedingprecipitation. In contrast, the northern highlands have forty inchesof annual rainfall.

InPalestine, precipitation can also take the form of both snow (cf.2Sam. 23:20; Prov. 25:13) and, in a significant way, dew (cf.Judg. 6:37–40; Song 5:2). Dew provides moisture for agricultureespecially in the coastal plain, the central highlands, and theJezreel Valley.

Duringthe transitional seasons, desiccating winds (sometimes called siroccowinds) bring warm desert air from the east (and at times from thesouth), raising the temperature and lowering the relative humiditythroughout Palestine. These winds often bring fine dust from thedesert. The effects are most onerous in the Jordan Valley. Referencesto an east wind in Scripture are common (Gen. 41:6; Hos. 13:15; Jon.4:8; see also “south wind” in Job 37:17; Luke 12:55).

Roads

Twomajor highways passed through Palestine: “the Way of the Sea,”or Via Maris (cf. Isa. 9:1; Matt. 4:15), and “the King’sHighway” (cf. Num. 20:17; 21:22).

TheWay of the Sea moved north from Egypt through the coastal plain,heading east through the Jezreel Valley. From this point it branchedout in three directions: northwest through Phoenicia, north towardDamascus, and east to join with the King’s Highway.

TheKing’s Highway was a Transjordanian route passing from the Gulfof Aqaba in the south (cf. Deut. 2:8) through Edom, Moab, Gilead, andBashan to Damascus in the north.

Merchantsand armies used these highways to pass through Palestine, while localtraffic often used east-west roads to move throughout the area.

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

A transliteration of the Greek word synagōgē,meaning “gathering, assembly, meeting.” In English, theword “synagogue” refers either to a Jewish congregationor to the place where that congregation meets. Synagogues of thebiblical era functioned as both religious and civic centers for theJewish community.

Origins

Theorigin of synagogues is uncertain. The earliest archaeologicalevidence is from Egypt in the third century BC, consisting ofinscriptions and a papyrus letter. The oldest architectural find isfrom the island of Delos in the Aegean Sea, although whether this wasconstructed as a synagogue or redesigned into one is unknown, as iswhether it was Jewish or Samaritan. The oldest structures yet foundin Israel consist of two rooms at Qumran and the synagogue at Gamla,which date from the late first century BC. In Capernaum, the basaltsynagogue was built by a Gentile centurion for the community in thefirst century AD (Luke 7:1–5).

Bythat time, synagogues were well attested in Israel, elsewhere in theRoman Empire, and in Egypt (Matt. 4:23; Luke 4:44; Acts 9:2; 17:10,16–17; 18:8, 19). Synagogues were found wherever there werecommunities of Jews, in cities and rural areas alike. Especially inDiaspora settings or remote locations, they were the heart of Jewishlife. Several hypotheses have been suggested to account for theirapparently sudden appearance.

Somebelieve that synagogues were developed during the Babyloniancaptivity as the response of the exile community to the destructionof their temple and sacrificial system. Despite these enormouslosses, the Jews still had the Torah, and from that point forwardworship and prayer based on the reading and studying of theScriptures, which could be done locally, began to gain ascendancy.Critics of this idea, however, point out that while it makes sense,there is no direct evidence to support it.

Othersthink that the spread of Hellenism in the second century BCprecipitated a crisis of identity among Jews. For example,1Maccabees reports with distress that some Jews had abandonedthe covenant and teamed with the Hellenists, even going so far as tobuild a Greek-style gymnasium in Jerusalem (1:11–15). Thus, thethought is that synagogues were a form of resistance to theoverwhelming and perversely appealing cultural changes of the day.

Morerecently, it has been suggested that synagogues were the gradualsuccessors to functions that had previously taken place at citygates. First-century synagogues served a wide range of functions forthe community. Throughout Israel’s prior history, however,these same activities—assembly, legal, social, educational, andreligious—had taken place at the city gate (Deut. 12:15; 2Sam.15:2; 2Kings 23:8; Neh. 8:1–8). The Gamla synagogue sitsagainst the east city wall next to a probable gate, and its locationcould be evidence of the slow development of the synagogue as citygates changed from multipurpose facilities to portals of ingress andegress.

First-CenturySynagogues

First-centurysynagogues served as integrated centers supporting Jewish life.Regular communal reading and exposition of Scripture, includingteaching and discussion of the law and transmission of its complexassociated traditions (Luke 4:16; Acts 13:14–15), occurredthere. Although formal liturgical rites evolved after the destructionof the temple in AD 70, synagogues were places of prayer in the firstcentury (Matt. 6:5). Synagogues also served as courtrooms and placeswhere crimes were punished (Acts 22:19), as well as locations forcommon meals and festivals (see Acts 6:2).

Synagogueswere administered by local community leaders, including a presidentand a board (Acts 13:15). Synagogue leaders named in the NT includeJairus (Mark 5:22; Luke 8:41), Crispus (Acts 18:8), and Sosthenes(Acts 18:17). The role of the leader was to preside over services, torule as the judge in court cases, to represent the community, andoften to act as a patron. The board served in an advisory role andassisted with teaching. A scribe maintained community records andtaught.

Congregationsincluded Pharisees, who advocated strict adherence to the law,although they were chided by Jesus for their false piety (Luke11:42–44). Women participated in the synagogue along with themen, and in some cases they were financial donors (cf. Luke 8:3).God-fearing Gentiles were welcomed (Acts 17:17). In Jerusalem,synagogues included both Hebrews and Jews from the Diaspora (Acts6:1, 9).

Asynagogue could be a designated room in a house or a discretebuilding. Most of the better archaeological evidence is later thanthe first century and reveals more clearly religious intentionalityin design than may have been characteristic earlier. This evidenceincludes the door facing Jerusalem, artistic temple motifs, a nichefor the Torah scrolls, and perimeter bench seating around an opencentral hall.

TheSynagogue in the Bible

Sincesynagogues were institutions with a documented history no earlierthan the third century BC, they are not mentioned in the OT. TheGreek word from which the English one is derived does appearfrequently in the LXX, but always with a general reference to agathering, assembly, or meeting.

Rabbinichistory (but not Scripture) makes reference to the “GreatSynagogue,” meaning a group of men who transmitted traditionsfrom the prophets to the earliest named rabbinic teachers. It isloosely based on Neh. 8–10, which describes the prayers andactions of the Jewish leaders who had returned from exile.

Synagoguesfrequently were locations of the teaching and healing ministry ofJesus. He began preaching the kingdom of God, teaching, andperforming healing miracles in Galilean synagogues (Matt. 4:23; 9:35;12:9; 13:54; Mark 1:21–29, 39; 3:1; 6:2; Luke 4:15–38,44; 6:6–11; 13:10–17; John 6:59; 18:20). Later, theapostle Paul customarily initiated his mission work in the localsynagogue at each of his destinations (Acts 9:19–20; 13:5,14–15; 14:1; 17:1, 10, 17; 18:1–8; 19:8).

Thelast (and, from a twenty-first-century perspective, mostcontroversial) use of the word “synagogue” in Scriptureis the difficult phrase “synagogue of Satan” (Rev. 2:9;3:9), which must be read in its context. This was written in responseto the significant persecution in Asia Minor of the churches atSmyrna and Philadelphia by Jews who were in collusion with the Romanauthorities. They were falsely accusing Jewish and Gentile Christianbelievers, creating unspeakable suffering for them. This phrase,intended to encourage Christian perseverance, implies that thechurches in view represented true Israel, while their accusers werefalse Jews. Similar language was used by the covenant-keepingcommunity in Qumran when, in the DSS, it referred to apostate Jews asa “congregation of Belial” and an “assembly ofhypocrites” (1QHa 10:22; 15:34).

The Sermon on the Mount is the inaugural sermon of Jesus inMatthew’s Gospel (5:1–7:29), which sets out Jesus’kingdom program for the people of God. Whether this was a singlesermon delivered on one occasion or Matthew’s compilation ofJesus’ teaching is uncertain. Luke’s Gospel has a similarsermon (6:17–49), which may or may not be the same event(sometimes called the “Sermon on the Plain” because ofv.17, although this may simply be a “level place”on the same hill that Matthew describes).

Luke’saccount is similar to Matthew’s on several points: samebeatitudes regarding the poor, the hungry, and the persecuted; sameteaching of loving enemies, turning the other cheek, not judging, theGolden Rule; same illustrations of removing a speck from the eye,good trees producing good fruit, wise man building a house on therock. Of course, there are many differences in Luke’s version:woes pronounced upon the rich, the satiated, and the honored; theimportance of giving; warning the blind who lead the blind; howstudents become teachers. In Luke, Jesus delivers his sermon to thetwelve disciples just chosen as well as directly to a larger crowd(Luke 6:12–20), “Blessed are you...”In Matthew, Jesus addresses the crowd (including the disciples)gathered around him because of the miracles he has performed (Matt.4:24–5:1)—note the third person, “Blessed are thepoor in spirit...” Finally, Matthew’saccount has more unique material than Luke’s: beatitudesregarding the pure in heart, peacemakers, and mourners; questionsabout the righteousness of scribes and Pharisees; the importance ofobeying the Law and the Prophets; teachings regarding murder,adultery, divorce, revenge, swearing oaths, giving alms, prayer,fasting, worry; illustrations of salt and light, dogs and pigs, fishand stones, narrow and wide gates, wolves in sheep’s clothing.That Matthew begins the story of Jesus’ earthly ministry withthis sermon is significant: he wants his readers to see Jesus as therabbi who knows more about the kingdom of heaven than any scribe orPharisee.

TheBeatitudes

Withthe first words of the sermon, commonly known as the Beatitudes,Jesus challenges the conventional wisdom that the poor, the hungry,and the meek are cursed. Instead, Jesus claims that his hearers areblessed (these poor, hungry, and meek Galileans) because the kingdomof heaven comes to those who need God. Not surprisingly, thesesubversive ideas are couched in paradoxes: the poor are kingdom rich;the hungry are satisfied with righteousness; the meek inherit theland of promise; the bereaved are comforted; the persecuted find joyin their tribulations. They are pure-hearted; they are peacemakers.These are the kind of people Jesus calls “the salt of theearth” (Matt. 5:13). They are “the light of the world”(v.14) because they reveal the glorious work of God in theirlives. They are what the kingdom of heaven looks like on earth.

Allof this may sound like the opposite of what was taught in the Torah,where it was said that material blessings are a sign of divine favorfor the obedient, and sickness and death come to those who disobeyGod (Deut. 30:1–20). But Jesus claims that he is not ignoringthe Law and the Prophets. Instead, he intends to keep the Law and theProphets better than anyone, especially the scribes and thePharisees, whom Jesus accuses of abrogating the law because they havemissed the heart of the commandments (Matt. 5:17–20; cf.23:23–24).

LoveGod and Neighbor

TheSermon on the Mount appears to be an exposition of two greatcommandments emphasized by Jesus: love God (6:1–34; Deut. 6:5)and love your neighbor (5:21–48; Lev. 19:18). In particular,Jesus challenges the experts of the law—the scribes and thePharisees—in regard to their righteousness.

Dothe experts keep the law when it comes to loving your neighbor? Theysay, “You shall not murder” (quoting the Decalogue) and“Anyone who murders will be subject to judgment” (quotingtheir tradition). But according to Jesus, they break the commandmentand their tradition when they call someone a “fool.”Their indignation is not righteous; in fact, it condemns them to helland prevents them from worshiping God (5:21–26). They say, “Youshall not commit adultery” (again quoting the Decalogue) and“Whoever divorces his wife, let him give her a certificate ofdismissal” (quoting Deut. 24). But Jesus believes that thecommandment is broken when a man lusts for a woman; so he advises mento take drastic measures in dealing with eyes and hands, theinstruments of lust (5:27–30). He even accuses husbands ofpracticing and promoting serial adultery when they abuse women bytreating them as objects, trying to justify their selfish behavior byappealing to the provision of divorce in the law of Moses (5:31–32).The scribes and Pharisees also swear oaths to cover false vows(5:33–37). They hate their neighbors when they seek revengeagainst their enemies, desiring only to help their friends (5:38–47).Instead, Jesus teaches that when it comes to the kingdom of heaven,children of God must replicate the qualities of their heavenly Father(5:48): defying injustice (unrighteousness) through love,self-sacrifice, and mercy (turning the other cheek, giving awayclothing, helping enemies, praying for persecutors). When it comes toloving your neighbor, this righteousness is picture perfect.

Certainlythe scribes and the Pharisees cannot be accused of not loving God,for their standards of holiness are considered the highest of all.Yet according to Jesus, their acts of holiness are not for God’sbenefit but for their own (6:1). When they give to the poor, it is anostentatious display designed for social approval (6:2–4). Whenthey pray, it is for human eyes, not God’s ears (6:5). Whenthey fast, they want everyone to know about it (6:16). Jesus, on theother hand, believes that acts of holiness are for God’s eyesonly. Give in secret; pray in private; fast in disguise (6:3–4,6–13, 17–18). In this way, a person is storing uptreasures in heaven. Those who seek human approval get their rewardson earth, where treasures are temporal (6:1–2, 5, 16, 19–21).Indeed, slaves of mammon worry about things that do not last (money,food, clothing). Those who seek the kingdom of heaven, on the otherhand, are anxious for nothing. They serve the master who feedssparrows and clothes fields of grass with flowers (6:24–34).God knows what kingdom seekers need before they ask, which is whythey pray for the kingdom to come, for the will of God to be done onearth as it is in heaven (6:8–13). Rather than judging others,kingdom seekers forgive their debtors (7:1–5). They aredelivered from the evil one because they make requests to a Fatherwho gives only good gifts (7:7–11). Kingdom seekers treatothers as they themselves want to be treated because they know thatthe Law and the Prophets are summed up in these two commandments:love God and love your neighbor (7:12).

TheNarrow Gate

Thesermon ends with an invitation. Two gates stand before Jesus’listeners. One is wide, and many enter this way—a broad paththat leads to destruction. It is the way of the Pharisees and thescribes. The other gate is narrow, and few enter this way, eventhough it leads to life—the way of righteousness, according toJesus (7:13–14). There are two kinds of prophets, two kinds oftrees, two kinds of builders (7:15–27). False prophets make badtrees; those who listen to them are fools. True prophets produce goodfruit; those who listen to them are wise persons who build theirlives on the rock of Jesus’ words—a Sermon on the Mount.

The stretch of land east of the Jordan River extending fromMount Hermon in the north to the Gulf of Aqaba in the south,including the biblical areas of Bashan, Gilead, Ammon, Moab, andEdom. The area is roughly that of the modern country of Jordan. Theword “Transjordan” is not found in the Bible but isderived from variations of the Hebrew ’eberhayyarden(e.g., Deut. 1:1) and the Greek perantou Iordanou(e.g., Matt. 4:25). The NIV variously translates these phrases as“east of the Jordan,” “across the Jordan,”“beyond the Jordan,” “near the Jordan,”“along the Jordan,” and “on the other side of theJordan.” Occasionally these phrases also refer to the area westof the Jordan.

Description

Transjordanis a high plateau that in general rises in height from north tosouth, although Mount Hermon, as part of the Anti-Lebanon range, doesmark the highest point of elevation at 9,230 feet above sea level.The plateau, bounded by the Sea of Galilee, the Jordan Rift Valley,the Dead Sea, and the Arabah in the west and the desert to the east,is intersected by numerous streams running east to west that have cutdeep gorges as they run toward the Jordan. A main trade route, knownas the King’s Highway, ran through Transjordan in biblicaltimes, connecting the Gulf of Aqaba and western Arabia with Damascusin the north (Num. 20:17; 21:22).

Thearea of Bashan, with mountains to the north, is largely a fertileplain known in the OT for its well-fed cattle and large oak trees(Ps. 22:12; Isa. 2:13; Ezek. 27:6). South of Bashan, between theYarmuk and the Jabbok (modern Nahr ez-Zerqa) rivers, the hills ofGilead rise to more than three thousand feet and were known for theirrich pastureland (Num. 32:1). Although Gilead’s boundaries aredefined here as between the Yarmuk and the Jabbok, it should be notedthat in the OT “Gilead” occasionally referred to a regionextending beyond these two rivers. This larger area is also roughlyequivalent to the district called “Perea” by thefirst-century AD Jewish historian Josephus. South of Gilead, betweenthe Jabbok and the Arnon (modern Seil el-Mojib) rivers lay thecountry of Ammon, although the political borders of this region werealso somewhat fluid. Between the Arnon River and the Zered River(probably modern Wadi el-Hesa) lay the country of Moab, with awell-watered plateau rising to about 3,200 feet. This area was highlysuitable for raising sheep (2Kings 3:4). From the Zered Riversouthward to the Gulf of Aqaba, the mountains of Edom rise to about5,500 feet above sea level.

History

Biblicalmention of Transjordan begins in Gen. 13, when Lot saw the fertilevalley of the Jordan and chose to settle in Sodom. Although Sodom’sexact location is unknown, it may have been near the Dead Sea.Similarly, the battle of five kings against Kedorlaomer and hisallies, which took place in the Valley of Siddim, may have beenlocated near the south end of the Dead Sea (Gen. 14). Later, Jacob’sflight from Laban took him to the hill country of Gilead andeventually to the bank of the Jabbok River, where he wrestled withthe angel (Gen. 31:22–25; 32:22–32).

Transjordantook center stage in the events following Israel’s exodus fromEgypt. When the Israelites left Kadesh Barnea in Sinai, Mosesrequested passage through Edom on the King’s Highway, but theEdomite king refused (Num. 20:14–21). So the Israelites took amore easterly route, along the edge of the desert borderingTransjordan, thus bypassing both Edom and Moab (Num. 21). When theyreached the Arnon River and attempted to rejoin the King’sHighway, Sihon king of the Amorites refused them passage and engagedthem in battle, only to lose his territory to the Israelites (Num.21:21–32). The Israelites continued farther north to Bashan,where they fought successfully against Og king of Bashan and claimedhis land as well (Num. 21:33–35). When Balak king of Moab heardnews of Israel’s victories, he feared for his own country andhired Balaam to curse Israel. However, by God’s prompting,Balaam blessed Israel and cursed Moab instead (Num. 22–23).

BeforeIsrael crossed the Jordan to enter Canaan, the tribes of Reuben andGad, which owned large numbers of livestock and were impressed by therich pastureland of Gilead, requested that the land east of theJordan be given to them (Num. 32:1–5). Thus, Reuben tookpossession of Ammon north of the Arnon River (Josh. 13:15–23),Gad’s tribe settled the northern parts of Ammon into Gilead(13:24–28), and the half-tribe of Manasseh settled in the hillsof Gilead northward through Bashan (13:29–31).

Despitethe Israelites’ victories over Sihon and Og and theirsettlement of Transjordan, hostilities continued between Israel andthe remaining inhabitants of the land. Jephthah, for example, aGileadite, fought successfully against the Ammonites, who wantedtheir land returned to them (Judg. 11:1–34). Saul alsosuccessfully fought the Ammonites when they threatened the town ofJabesh Gilead (1Sam. 11:1–14). Saul’s courage wonthe gratitude of the town’s inhabitants, and it was they wholater recovered Saul’s body from Beth Shan after thePhilistines killed him (1Sam. 31:7–13). During David’sreign, Israel’s territory was expanded throughout Transjordanfrom Damascus in the north and through Edom in the south (2Sam.8:1–14).

Solomon’sreign and the period of the divided kingdom saw ongoing struggles forcontrol over the regions of Transjordan. Damascus, for example,gained independence during Solomon’s reign (1Kings11:23–25), and later Hazael of Syria (r. 842–806 BC)extended the Aramean Empire through Bashan and into Gilead (2Kings10:32–33). Later Jehoash and JeroboamII of Israel wereable to recapture this territory (2Kings 13:25; 14:28). Andwhen Ahab of Israel died, Mesha of Moab, who had been paying tributeto Israel, rebelled. This rebellion prompted Jehoram of Israel toinvade and attempt to reassert control over Moab, but he wasunsuccessful (2Kings3).

In733/732 BC the Assyrian king Tiglath-pileserIII annexed thenorthern parts of Trans-jor-dan, while Ammon, Moab, and Edom remainedsemiautonomous, likely paying tribute. The Babylonian and Persianempires also extended throughout Transjordan.

Duringthe Hellenistic and Roman periods (332 BC–AD 324), Transjordanwas controlled by the Ptolemies (c. 333–198 BC), the Seleucids(c. 198–153 BC), the Hasmoneans (c. 153–63 BC), and thenthe Romans. This era saw the emergence of the Decapolis, aconfederation of ten cities settled by Greeks, nine of which werelocated east of the Jordan. The Romans continued dominance throughthe Byzantine period (AD 324–638).

Theregion of Transjordan is mentioned a few times in the NT inconnection with Jesus’ ministry. The Gospels note that Jesus’travels took him across the Jordan (Matt. 19:1–2; Mark 10:1),and that among the crowds who followed him were many from theDecapolis and beyond the Jordan (Matt. 4:25; Mark 3:8). Although thelocation of his healing of the demoniac is uncertain, in the countryof either the Gadarenes (Matt. 8:28) or the Gerasenes (Mark 5:1; Luke8:26), it was in the Decapolis region that the healed man proclaimedwhat Jesus had done for him (Mark 5:20).

A “type” (from Gk. typos) can be defined as abiblical event, person, or institution that serves as an example orpattern for events, persons, or institutions in the later OT or inthe NT. Typology is based on the assumption that there is a patternin God’s work in the OT and in the NT that forms apromise-fulfillment relationship. In the OT there are shadows ofthings that will be more fully revealed in the NT. Thus, the OT flowsinto the NT as part of a continuous story of salvation history. Whatis promised in the OT is fulfilled in the NT. This can beaccomplished through prophetic word or through propheticaction/event. The use of prophetic action/event to predict orforeshadow future actions/events involves typology. Typology is partof the promise-fulfillment scheme that connects the two Testaments.

Anumber of biblical interpreters note that three primarycharacteristics of types can be identified. First, there must be somenotable point of resemblance or analogy between the type and itsantitype. Second, there must be evidence that the type was appointedby God to represent the thing typified. Here one must avoid the twoextremes of, on the one hand, saying that a type is a type only whenthe Scripture explicitly calls it such, and, on the other hand, offinding a type “behind every tree.” Third, a type shouldprefigure something in the future. Thus, antitypes in the NT mustpresent truth more fully realized than in the OT.

Typologicalinterpretation of the OT is different from allegorizing a text. Theformer restricts itself to the meaning intended by the originalauthor, whereas the latter reads things into the OT passage (usuallyin connection with messianic prophecy) not initially intended. On theother hand, it should be noted that the OT authors may not alwayshave fully comprehended the long-range fulfillment of theirprophecies. Thus, for example, Ps. 22 reveals King David’strials and tribulations that are later viewed by NT authors asapplicable to the crucifixion of Christ (e.g., the quotation of Ps.22:18 in John 19:24 regarding the soldiers casting lots for Jesus’clothes). David probably did not envision his situation as predictiveof the sufferings of the coming Christ. But the Holy Spirit did, andhe allowed the Gospel authors to make the connection. Thus, typologyis a special form of biblical prophecy, which Jesus seemed to useextensively. Hence, the type is found in the OT, and its antitypeoccurs in the NT.

Moreparticularly, Jesus seemed to perceive himself as the antitype to allthree of the aforementioned possible types. First, Jesus fulfilled inhimself persons in the OT who were types. Thus, Jesus is the ultimateDavid, Solomon, Elijah, Elisha, Jonah, the heavenly Son of Man ofDan. 7, and the Suffering Servant of Isa. 52:13–53:12. Second,with regard to famous OT events, Jesus reenacted the new exodus andpassed the test in the new wilderness wanderings (Matt. 4:1–11pars.), and then he proclaimed a new law from the mountain, as didMoses (Matt. 5–7). Third, Jesus revised or replaced OTinstitutions such as the sacrificial system and the feasts of Yahweh(most notably Passover) at his death, and at his resurrection hebecame the new temple of God.

TheNT continues Jesus’ typological interpretation of the OT,seeing in him the supreme antitype of OT symbolism. Thus, forexample, Paul sees Christ as the second Adam (Rom. 5:12–21),whose church is the new Israel, the eschatological people of God(1Cor. 10:1–13). Matthew perceives Jesus to be the newMoses (Matt. 1–10). Note the following comparisons:

Moses,the Old Testament Type vs. Jesus, Matthew’s Antitype to Moses:

Moseswas born to deliver his people. Jesus was born to save his people.

Pharoahtried to kill the infant Moses. Herod tried to kill the infant Jesus.

Moseswas “baptized” in the exodus. Jesus was baptized in thenew “exodus.”

Moseswas tempted in the wilderness. Jesus was tempted in the wildnerness.

Mosesperformed ten plagues. Jesus performed ten miracles.

Mosesreceived the law on the mount. Jesus gave a new law on the mount.

Lukeunderstands Jesus to be the new David (Luke 1:32). Hebrews assertsthat Jesus has inaugurated the new covenant (chap. 8), the truepriesthood (chaps. 7–8; 10), whose death is the fulfillment andreplacement of the sacrificial system of the OT (chaps. 9–10).But perhaps the most extensive usage of typology in the NT occurs inRev. 21–22 (cf. Rev. 19), where the new creation is theantitype of the old creation of Gen. 1–3 (see table 10).

Table10. New Creation Typology in Revelation 21–22

Sinfulpeople are scattered (Gen. 1-3). God’s people unite to singhis praises (Rev. 21-22; cf. 19:6-7).

The“marriage” of Adam and Eve takes place in the garden(Gen. 1-3). The marriage of the second Adam and his bride, thechurch has come (Rev. 21-22; cf. 19:7, 21:2, 9).

Godis abandoned by sinful people (Gen. 1-3). God’s people (newJerusalem, bride of Christ) are made ready for God; marriage of theLamb. (Rev. 21-22; cf. 19:7-8, 21:2, 9-21).

Exclusionfrom bounty of Eden (Gen. 1-3). Invitation to marriage supper ofLamb (Rev. 21-22; cf. 19:9).

Satanintroduces sin into world (Gen. 1-3). Satan and sin are judged (Rev.21-22; cf. 19:11-21, 20:7-10).

Theserpent deceives humankind (Gen. 1-3). The ancient serpent is bound“to keep him from deceiving the nations (Rev. 21-22; cf.20:2-3).

Godgives humans dominion over the earth (Gen. 1-3). God’s peoplewill reign with him forever (Rev. 21-22; cf. 20:4, 6, 22:5).

Peoplerebel against the true God, resulting in physical and spiritual death(Gen. 1-3). God’s people risk death to worship the true Godand thus experience life (Rev. 21-22; cf. 20:4-6).

Sinfulpeople are sent away from life (Gen. 1-3). God’s people havetheir names written in the book of life (Rev. 20:4-6, 15; 21:6, 27).

Deathenters the world (Gen. 1-3). Death is put to death (Rev. 20:14;21:4).

Godcreates the first heaven and earth, eventually cursed by sin (Gen.1-3). God creates a new heaven and earth, where sin is nowhere to befound (Rev. 21:1)/

Watersymbolizes chaos (Gen. 1-3). There is no longer any sea (Rev. 21:1).

Sinbrings pain and tears (Gen. 1-3). God comforts his people andremoves crying and pain (Rev. 21:4).

Sinfulhumanity is cursed with wandering (exile) (Gen. 1-3). God’speople are given a permanent home (Rev. 21:3).

Communityis forfeited (Gen. 1-3). Genuine community is experienced (Rev.21-22; cf. 21:3, 7).

Sinfulpeople are banished from the presence of God (Gen. 1-3). God livesamong his people (Rev. 21:3, 7, 22; 22:4).

Creationbegins to grow old and die (Gen. 1-3). All things are made new (Rev.21:5).

Wateris used to destroy wicked humanity (Gen. 1-3). God quenches thirstwith water from the spring of life (Rev. 21:6; 22:1).

“Inthe beginning, God…” (Gen. 1-3). “I am the Alphaand the Omega, the beginning and the end.” (Rev. 21:6).

Sinfulhumanity suffers a wandering exile in the land (Gen. 1-3). God giveshis children an inheritance (Rev. 21:7).

Sinenters the world (Gen. 1-3). Sin is banished from God’s city(Rev. 21:8, 27; 22:15).

Sinfulhumanity is separated from the presence of the holy God (Gen. 1-3). God’s people experience God’s holiness (cubed city = holyof holies) (Rev. 21:15-21).

Godcreates light and separates it from darkness (Gen. 1-3). No morenight or natural light; God himself is the source of light (Rev.21:23; 22:5)

Languagesof sinful humanity are confused (Gen. 1-3). God’s people is amulticultural people (Rev. 21:24, 26; 22:2).

Sinfulpeople are sent away from the garden (Gen. 1-3). The newheaven/earth includes a garden (Rev. 22:2).

Sinfulpeople are forbidden to eat from the tree of life (Gen. 1-3). God’speople may eat freely from the tree of life (Rev. 22:2, 14).

Sinresults in spiritual sickness (Gen. 1-3). God heals the nations(Rev. 22:2).

Sinfulpeople are cursed (Gen. 1-3). The curse is removed from redeemedhumanity, and people become a blessing (Rev. 22:3).

Sinfulpeople refuse to serve/obey God (Gen. 1-3). God’s people servehim (Rev. 22:3).

Sinfulpeople are ashamed in God’s presence (Gen. 1-3). God’speople will “see his face” (Rev. 22:4).

Because Scripture sees all things as providentially arrangedand sustained by God’s sovereign power at all times (Heb. 1:3),miracles are not aberrations in an otherwise closed and mechanicaluniverse. Nor are miracles raw demonstrations of divinity designed toovercome prejudice or unbelief and to convince people of theexistence of God (Mark 8:11–12). Still less are they cleverconjuring tricks involving some kind of deception that can beotherwise explained on a purely scientific basis. Rather, God in hisinfinite wisdom sometimes does unusual and extraordinary things tocall attention to himself and his activity. Miracles are divinelyordained acts of God that dramatically alert us to the presence ofhis glory and power and advance his saving purposes in redemptivehistory.

Terminology

Thebiblical writers describe miracles with various terms, such as“signs,” “wonders,” and “miracles”(or “powers”), which can carry various connotations. Asthe word “sign” suggests, divine miracles are significantand should cause us to think more deeply about God in a way that goesbeyond mere amazement or curiosity (Exod. 4:30–31; John 2:11).Not all of God’s signs are miraculous. Some are given as partof his ordering of the natural world (Gen. 1:14) or as anencouragement to faith that God will do as he has said (e.g., therainbow in Gen. 9:8–17; the blood of the Passover lamb in Exod.12:13). (See also Sign.)

Oftencoupled with signs are “wonders” (Jer. 32:21; John 4:48;2Cor. 12:12). If the depiction of miracles as “signs”indicates an appeal to the intellect, that of “wonders”points to the emotions. Miracles evoke astonishment and awe at theone who did them.

TheNT word “miracle” carries the meaning of power andtherefore points to the supernatural source of these events (Luke10:13; Acts 8:13).

Miraclesin the Bible

OldTestament.In the OT, miracles are not evenly distributed but rather are foundin greater number during times of great redemptive significance, suchas the exodus and the conquest of Canaan. Miracles were performedalso during periods of apostasy, such as in the days of theninth-century prophets Elijah and Elisha. Common to both of theseeras is the powerful demonstration of the superiority of God overpagan deities (Exod. 7–12; 1Kings 18:20–40).

NewTestament. Inthe NT, miracles often are acts of compassion, but more significantlythey attest the exalted status of Jesus of Nazareth (Acts 2:22) andthe saving power of his word (Heb. 2:3–4). In the SynopticGospels, they reveal the coming of God’s kingdom and theconquest of Satan’s dominion (Matt. 8:16–17; 12:22–30;Mark 3:27). They point to the person of Jesus as the promised Messiahof OT Scripture (Matt. 4:23; 11:4–6). John shows a preferencefor the word “signs,” and his Gospel is structured aroundthem (John 20:30–31). According to John, the signs that Jesusperformed were such that only the one who stood in a uniquerelationship to the Father as the Son of God could do them.

Miraclesand faith.Just as entrenched skepticism is injurious to faith, so too is naivecredulity, for although signs and wonders witness to God, falseprophets also perform them “to deceive, if possible, even theelect” (Matt. 24:24). Christians are to exercise discernmentand not be led astray by such impostors (Matt. 7:15–20).

Therelationship between miracles and faith is not as straightforward assometimes supposed. Miracles do not necessarily produce faith, nordoes faith necessarily produce miracles. Miracles were intended tobring about the faith that leads to eternal life (John 20:31), butnot all who witnessed them believed (John 10:32). Additionally, Jesusregarded a faith that rested only on the miracle itself as precarious(Mark 8:11–13; John 2:23–25; 4:48), though better than nofaith at all (John 10:38). Faith that saves must ultimately find itsgrounding in the person of Jesus as the Son of God.

Itis also clear that although Jesus always encouraged faith in thosewho came to him for help (Mark 9:23), and that he deliberatelylimited his miraculous powers in the presence of unbelief (Mark 6:5),many of his miracles were performed on those who did not or could notexercise faith (Matt. 12:22; Mark 1:23–28; 5:1–20; Luke14:1–4).

Thefact that Jesus performed miracles was never an issue; rather, hisopponents disputed the source of his power (Mark 3:22). Argumentsabout his identity were to be settled by appeal not to miracles butto the word of God (Matt. 22:41–46).

Thefunction of miracles.Miracle accounts function in a symbolic and prophetic manner. Hence,the cursing of the fig tree was prophetic of the coming judgment(Mark 11:12–21). The unusual two-stage healing of the blind manof Bethsaida symbolized Peter’s incomplete understanding ofJesus’ messiahship (Mark 8:22–33).

Themiraculous element of Jesus’ ministry carries an eschatologicalsignificance, pointing to the order of things in the age to come. Forexample, the nature miracles (Mark 4:35–41) look forward to theredemption of creation itself, which is presently subject tofrustration and decay (Rom. 8:20–21); the healing miraclespoint to a day when disease and deformity will be abolished (Rev.21:4); and miracles in which the dead are raised to life anticipate atime when death itself will be no more (Rev. 20:14; 21:4). From thisperspective, the miracles are a gracious foretaste of a far moreglorious future.