(1) Samuel’s second son, who, along with his older brother Joel, served as judge in Beersheba, but whose corruption drove Israel’s elders to ask Samuel to appoint a king (1 Sam. 8:2–5). (2) Son of Jeroboam, the first king of the northern kingdom (930–909 BC). He died as a boy, in accordance with Ahijah’s prophecy, because of Jeroboam’s idolatry (1 Kings 14:1–18). (3) Son of Rehoboam, called “Abijam” in 1 Kings 15:1–8. He was the second king of the southern kingdom (913–910 BC). He followed in his father’s sinful footsteps but was allowed to rule for David’s sake. His reign was marked by warfare against Jeroboam, which is recounted in more detail and in a more positive light in 2 Chron. 13:1–22 (Abijah defeated Jeroboam, and the Lord struck Jeroboam down). He is listed in Matthew’s genealogy of Jesus (1:7). (4) The mother of Hezekiah (2 Chron. 29:1 [“Abi” in 2 Kings 18:2, the parallel passage]). (5) The wife of Hezron in the genealogy of Caleb (1 Chron. 2:24 [though some emend the name away; cf. NAB]). (6) A son of Becher, a descendant of Benjamin (1 Chron. 7:8). (7) The leader of the eighth of the twenty-four divisions of priests serving in the temple (1 Chron. 24:10). (8) One of the priests in Nehemiah’s time who signed a pledge to lead Israel in covenant obedience (Neh. 10:7). See also Abi; Abijam.

(1) The prophet from Shiloh who superintended the division of Solomon’s united kingdom (928 BC). He predicted to Jeroboam that he would tear away ten tribes from the Davidic house (1 Kings 11:29–39). This prediction was fulfilled after Solomon’s death (1 Kings 12:15; 2 Chron. 10:15). Certain events in Solomon’s reign were written up in “the prophecy of Ahijah the Shilonite” (2 Chron. 9:29). Later, Jeroboam’s wife went in disguise to Ahijah to inquire about her sick son. Ahijah predicted the death of the child and the destruction of Jeroboam’s entire house as a punishment for idolatry (1 Kings 14:1–16). Both predictions came true (1 Kings 14:17–18; 15:29). (2) An Elide priest in the service of Saul (1 Sam. 14:3, 18). (3) A secretary to King Solomon (1 Kings 4:3). (4) The father of Baasha, who conspired against Nadab, son of Jeroboam, and succeeded him as king of Israel (1 Kings 15:27, 33; 21:22; 2 Kings 9:9). (5) Son of Jerahmeel, the brother of Caleb, from the tribe of Judah (1 Chron. 2:25). (6) A Benjamite in the ancestry of Saul (1 Chron. 8:7). (7) One of David’s thirty mighty men (1 Chron. 11:36). (8) A Levite who was in charge of the treasuries in the time of David (1 Chron. 26:20 NRSV [NIV mg.]).

In 1–2 Kings there are eighteen references to the “book of the annals of the kings of Israel” (e.g., 1 Kings 14:19; 15:31) and fifteen to the “book of the annals of the kings of Judah” (e.g., 1 Kings 14:29; 15:7). These (now lost) works may identify sources from which information was extracted or at least where further information about a king may be obtained. The titles imply that it was the genius of the biblical author to combine these histories and produce a coordinated history of the two kingdoms.

A cult object as well as a goddess attested throughout the Levant.

In the OT, Asherah refers primarily to a wooden cult object (see Deut. 16:21). That these were objects and not trees is evident from descriptions of their (NIV: “Ashe­rah poles”) being “made” (1 Kings 14:15) and “set up” (14:23). The word appears in common cultic settings—upon hilltops and under leafy trees (1 Kings 14:23; 2 Kings 17:10)—and even in Yahweh’s temple (2 Kings 23:6). They appear also with other cult objects, notably altars and “sacred stones” (Exod. 34:13), and idols and incense stands (2 Chron. 34:4). Whether the Asherah poles were carved images is uncertain, though presumably they provided a stand-in for the goddess or deity.

The Israelites were instructed to destroy the Asherah poles upon entering Canaan (Exod. 34:13; also Deut. 7:5; 12:3). Instead, they fashioned their own (1 Kings 14:15, 23), assimilating them into worship of Yahweh (2 Kings 23:6). Later efforts at removing the poles were sporadic and temporary (compare 2 Kings 18:4 with 21:3, 7). Despite the apparent pervasiveness of these cult objects, archaeologists have yet to retrieve one.

In a handful of instances, “Asherah” denotes a deity. In Judg. 3:7 “the Asherahs” (here indicating “goddesses”) is grammatically parallel to “the Baals”; likewise “Asherah” corresponds to Baal and “the starry hosts,” designating a specific deity (2 Kings 23:4). In 1 Kings 18:19 Elijah speaks of the “prophets of Asherah,” who presumably spoke in the goddess’s name.

Twice Asherah is associated with her cult object: 1 Kings 15:13 (= 2 Chron. 15:16) mentions “an abominable thing” made “for Ashe­rah,” which the NIV renders as “a repulsive image for the worship of Asherah”; 2 Kings 21:7 mentions “the carved likeness of Asherah,” rendered as “the carved Asherah pole” (NIV). In 2 Kings 23:7 the narrator refers to a place where women did “weaving for Asherah.” It is unclear what these weavings were, though possibly they were cult garments or coverings for the cult image.

Outside the Bible, Asherah is attested in Mesopotamian, Hittite, and Philistine texts. The most comprehensive portrait of the goddess, however, comes from the Ras Shamra tablets (Ugarit). Designated “Athirat,” she was consort to El and Mother of the gods (who are called “the seventy sons of Athirat”). She is further designated as “Lady Athirat of the Sea” (in the Baal myth Sea is Athirat’s son); alternate renderings include “the Lady who treads on the Sea,” and “Lady Athirat of the Day.” In the Kirta Epic, Athirat is portrayed as the patron goddess of Tyre and Sidon (see Ashtaroth).

Inscriptions discovered at Khirbet el-Qom and Kuntillet ‘Ajrud (associated with Iron Age Israel) mention Yahweh and “his Asherah.” Disagreement exists over whether the term here reflects a cult object, a shrine, or the goddess. Also debated is whether this represents a combination of Yahwistic belief or a form of Yahwism predating monotheism.

In Josh. 24 “beyond the River” (NRSV; NIV: “beyond the Euphrates River”) refers to the land of Abraham’s birth, east of the Euphrates. Because Israel’s ancestors worshiped other gods there, and God took Abraham from there to bring him to Canaan, it signified a threshold in redemptive history. Joshua invoked this place and memory when he called Israel to renew the covenant.

Israel under David defeated Aramean troops from there (2 Sam. 10:16–19; 1 Chron. 19:16–19). Since prophets later said Israel would be exiled there (1 Kings 14:15), and Judah’s punishment would come from there (Isa. 7:20), the place name came to imply threat.

In 522 BC Darius I reorganized the vast Persian Empire into twenty satrapies, each comprised of provinces (Esther 1:1; 8:9). The satrapy of “Beyond the River” (Ezra 4:10–11 NRSV; NIV: “Trans-Euphrates”) extended from the Euphrates to the Mediterranean, and Yehud (Judah) was one of its provinces. In the mid-fifth century Persia built a network of fortresses there to maintain imperial control of local affairs and curtail rebellion.

The common Hebrew word for “scroll” is seper (Exod. 17:14; Num. 5:23; Deut. 17:18). The later term megillah can also refer to a scroll (Jer. 36:6; Ezek. 3:3). In a few cases megillah is combined with seper and translated as “scroll” (Ps. 40:7; Jer. 36:2; Ezek. 2:9).

The LXX commonly translates the Hebrew word seper (scroll) with the Greek word biblion (“scroll” or “book”), and the NT uses the same word. When Paul wrote to Timothy asking him to bring the parchments, he also requested that he bring ta biblia, “the books” (2 Tim. 4:13; NIV: “scrolls”). English translations often are inconsistent in the way they translate the Hebrew term seper or the Greek biblion.

Books and scrolls in antiquity. During Old and New Testament times, the two most common writing materials for ancient books or scrolls were papyrus and parchment. Papyrus was made from the papyrus reed stalk that grew abundantly in Egypt and around the Mediterranean. Two thin layers of the pith were laid at right angles to each other and pressed together, then the sheets or leaves were pasted together to form a roll. The other common type of writing material, parchment, was made of leather that had been scraped and stretched.

Text was written on the parchment or papyrus in columns, and the scroll was unrolled and rolled back up as one read through the columns. Jeremiah’s first edition of prophecy was written on a parchment scroll (Jer. 36). Parchment was also the common material used to write documents at Qumran. Scrolls made of parchment were more expensive than those made of papyrus.

It is in fact anachronistic when English translations refer to a scroll as a “book.” A “book” with pages (or leaves) and bound along the side did not appear until well after the third century BC. This new type of writing medium was called a “codex,” and its origin most likely came from wooden tablets covered with wax and bound together. Later papyrus or parchment leaves were folded and sewn together to form an inexpensive personal “notebook.” Letters and notes often were written on this early type of book.

In the Roman world the earliest codex to contain literary works dates to the first century AD. In 1930 the American collector Chester Beatty acquired a group of Greek papyrus manuscripts on the antiquities market. The collection contained portions of seven codices from the OT (Genesis, Numbers, Deuteronomy, Isaiah, Jeremiah, Daniel, Esther, Ecclesiastes) and three from the NT (the Gospels with Acts, the Pauline Epistles, Revelation). These important codices were copied in the second and third centuries AD.

Perhaps because the papyrus codex was cheaper to make, the early Christian church adopted it and made it popular. No codices have been found among the DSS. Scrolls continued to be the dominant medium for biblical books in the Jewish world until the tenth century AD. Only Torah scrolls are used in synagogues today. (See also Writing Implements and Materials.)

Books mentioned in the Bible. The Bible refers to a large number of distinct books that existed at various times and places. Unfortunately, these extrabiblical books did not survive, but the authors of Scripture knew about them and may have quoted them or employed them in writing biblical history. Below is a list of nonbiblical literary works mentioned in the Bible.

• The Book of the Covenant (Exod. 24:7; 2 Kings 23:2, 21; 2 Chron. 34:30).

• The Book of the Law (Deut. 30:10; 31:26; Josh. 1:8; 8:34; 2 Kings 22:8; Gal. 3:10). This is also called the Book of the Law of Moses (Josh. 23:6; cf. Mark 12:26) and the Book of the Law of God (Josh. 24:26).

• The Book of the Wars of the Lord (Num. 21:14). Quotations from this source may include Num. 21:14b–15, 17–18, 27–30.

• The Book of Jashar (Josh. 10:13; 2 Sam. 1:18). This text contained David’s lament for Saul and Jonathan (2 Sam. 1:19–27) and most likely Joshua’s statement (Josh. 10:12).

• The scroll of Joshua (Josh. 18:9).

• The book of the annals of Solomon (1 Kings 11:41).

• The book of the annals of the kings of Israel (1 Kings 14:19). This source is mentioned eighteen times in 1–2 Kings.

• The book of the annals of the kings of Judah (1 Kings 14:29). This scroll is mentioned fifteen times in 1–2 Kings.

• Genealogical records from the reigns of Jotham king of Judah and Jeroboam king of Israel (1 Chron. 5:17).

• The book of the kings of Israel and Judah (1 Chron. 9:1; 2 Chron. 27:7).

• The book of the kings of Israel, which includes the annals of Jehu son of Hanani (2 Chron. 20:34). This may be the same as the book of the kings of Israel and Judah in 1 Chron. 9:1 (see ESV, NRSV).

• The book of the annals of King David (1 Chron. 27:24).

• The records of Samuel the seer (1 Chron. 29:29).

• The records of Nathan the prophet (1 Chron. 29:29; 2 Chron. 9:29).

• The records of Gad the seer (1 Chron. 29:29).

• The prophecy of Ahijah the Shilonite (2 Chron. 9:29).

• The visions of Iddo the seer (2 Chron. 9:29).

• The records of Shemaiah the prophet and of Iddo the seer (2 Chron. 12:15).

• The annotations of the prophet Iddo (2 Chron. 13:22).

• The book of the kings of Judah and Israel (2 Chron. 16:11). This includes information on Hezekiah’s reign in the vision of the prophet Isaiah son of Amoz (2 Chron. 32:32).

• The annotations on the book of the kings (2 Chron. 24:27).

• The annals of the kings of Israel (2 Chron. 33:18).

• The records of the seers (2 Chron. 33:19).

• The genealogical record of those who had been the first to return (Neh. 7:5).

• The book of the annals (Neh. 12:23). This contained genealogical data and possibly other historical material on the returning exiles.

• The book of the annals of the kings of Media and Persia (Esther 10:2; cf. Esther 2:23; 6:1; Ezra 4:15).

• The book of life (Ps. 69:28; Phil. 4:3; Rev. 3:5; 13:8; 17:8; 20:12, 15; 21:27; cf. Exod. 32:32–33; Ps. 139:16).

• The Book of Truth (Dan. 10:21).

• The scroll of remembrance (Mal. 3:16).

These books originally formed a single book and were first divided into separate books in the LXX. The book of Kings recounts the history of Israel from the time of Solomon (c. 970 BC) to the destruction of Jerusalem in 586 BC. Kings continues the narrative of 2 Samuel, with 1 Kings 1:1–2:11 concluding the story of David. The book has many references back to David (see the promises to David in 2 Sam. 7:1–17; 1 Kings 8:14–26), and prophecy spoken in earlier books reaches its fulfillment only in Kings (e.g., prophecy against Jericho [Josh. 6:26; 1 Kings 16:34] and against the house of Eli [1 Sam. 2:27–36; 3:11–14; 1 Kings 2:27]), showing that it is actually part of a larger historical work beginning in Joshua and ending in 2 Kings.

Authorship and Date

The book of Kings is anonymous. From the text itself, however, we can deduce a probable situation for its composition. The end of Kings tells the story of the destruction of Jerusalem (c. 586 BC) and the beginning of the Babylonian exile, with the last event narrated (the freeing of Jehoiachin to eat with the Babylonian king) dating to around 560 BC. Therefore, Kings as we know it could not have been composed prior to these events. It is unlikely that the book was written after the exile; otherwise, the author would have referred to the return to Jerusalem. This puts the date of the composition of Kings to the period when Judah was in Babylonian exile and probably between 560 and 539 BC.

However, parts of the book clearly were written before the exile. The author of Kings drew on a variety of sources, three of which are explicitly referred to in the text (though none survive today): “the book of the annals of Solomon” (1 Kings 11:41), “the book of the annals of the kings of Israel” (1 Kings 14:19), and “the book of the annals of the kings of Judah” (1 Kings 14:29). These explicit references to sources direct the reader to information not given in Kings, leaving open the possibility that even more sources were used. The book of Chronicles suggests that prophets who were active in the reigns of the various kings of Judah and Israel were sources for the author of Kings (e.g., 2 Chron. 9:29 lists the prophets Nathan, Ahijah, and Iddo as sources for the history of Solomon). So the Bible itself tells us that multiple sources were used to compose Kings, and that some of these sources stem from God’s prophets. It is no wonder that in Jewish tradition the section of the Bible in which Kings is set has been called the “Former Prophets.”

Some scholars believe that a first edition of Kings was written before the exile and may have come out during King Josiah’s reign (c. 609 BC). Josiah is an important figure in the story: his birth is prophesied (1 Kings 13:2) three hundred years in advance, and he restores true worship, living up to the ideal set by David (2 Kings 22:2; 23:25). Josiah’s religious reforms may have originally been the climax to this first edition of Kings, which hoped that Josiah would fulfill the Davidic promises and was written to support Josiah’s reforms. After the exile, this preexilic book was updated in light of the apostasy of the later kings of Judah in order to explain that the destruction of Jerusalem resulted from the sins of these kings (e.g., 2 Kings 24:3). This second edition of Kings is what came to be the canonical book of Kings as we know it.

Genre

The genre of Kings is clearly that of historiography (history writing), as it presents an account of Israel’s past. Kings is an extraordinary literary achievement. Prior to its composition, there was nothing that can properly be called “history writing” in the ancient world. Since the writing of Samuel–Kings predates Greek historiography, many scholars view them as the first history ever written.

When treating Kings as history, we must remember that it is not history as we would write it today. The author had chiefly theological reasons for his selection of material, and at times he refers to divine causation to the exclusion of any human factors. For example, 2 Kings 15:37 says that God sent the kings of Aram and Israel against Judah, but it does not comment on the political reasons for the attack (such reasons surely would have existed). Conversely, modern historiography would focus solely on the human reasons for an event and exclude any possible divine causation. In this way, Kings does not live up to the standard of history writing as practiced today, though as ancient history writing it is an exemplar.

The history contained within Kings has been corroborated by extrabiblical material in many ways and fits well into an overall ancient Near Eastern historical context. For example, the names of many of the kings referred to in the book have also been found in ancient Assyrian sources. Kings, however, does not agree perfectly with what we otherwise know about the history of the ancient Near East, and some adjustment is necessary to make it fit with other evidence. However, if the partial nature of archaeological evidence and the acknowledgment of the selectivity of the author of Kings are taken into account, radical distrust of its history is not justified, as it proves itself quite trustworthy.

Style

Kings is brilliantly written and contains some of the most memorable stories in the Bible. Although it is a historical writing, Kings, like any good novel, contains both round (e.g., Ahab) and flat (e.g., Omri) characters. Its plot is compelling as it tells the history of the kingship in Israel from its apex under Solomon in all his glory down to the loss of the kingdom, already foreshadowed in 1 Kings 9:6–9. It begins as a story about one nation under God, but it becomes the tragic story of two nations that continually turn away from their God only to finally be judged by him.

The Plan of the Book

Kings gives an account of each of the kings of Israel and Judah, noting when he began to reign, his age at accession, the length of his reign, the name of his mother, and an evaluation of his reign. The evaluation of each king is concerned not with economics or military success; rather, the kings are judged either to have “done evil in the Lord’s sight” or to have “done what was right in the Lord’s sight,” depending on their faithfulness to God and the purity of the nation’s worship. The gauge for judging the kings is the law of Deuteronomy. According to Deuteronomy, God should be worshiped only in the “place the Lord will choose” (Deut. 12:26; see also vv. 5, 11, 14, 18), making worship at other sanctuaries illegitimate. Proper worship of God is without the use of aids such as images (e.g., “calves” [1 Kings 12:28–30] or “snakes” [2 Kings 18:4]) or poles, stone pillars, etc.). Deuteronomy heavily influenced Kings and is quoted several times (e.g., 1 Kings 11:2; 2 Kings 14:6). In fact, the law book found during Josiah’s reign (2 Kings 22:8) appears to be a form of the book of Deuteronomy (as evidenced by the character of the reforms). Due to this influence, the books of Deuteronomy through 2 Kings are widely referred to as the Deuteronomistic History.

Themes

Wholehearted reliance on God. Kings is primarily concerned with proper worship and faithfulness to God. David set the standard of having a heart “fully devoted to the Lord” (1 Kings 15:3) and is the measuring stick by which all the southern kings are judged. Thus, Solomon is contrasted with David when Solomon falls away from God (1 Kings 11:4), and when Hez-e-kiah trusts in God, he is compared with David (2 Kings 18:3). In northern Israel Jeroboam and Ahab are the models of the degenerate king. Jeroboam is known for setting up golden calves (1 Kings 12:28) in northern Israel to be used in the worship of Yahweh, and Ahab is infamous for his promotion of Baal worship in Israel (1 Kings 16:30–33). In Kings, when kings of Israel are assessed, they are often said to partake in Jeroboam’s sins (2 Kings 10:31) or judged for doing “as Ahab king of Israel had done” (2 Kings 21:3; see also 8:18, 27; 21:3). This apostasy culminates in the destruction of the northern kingdom by Assyria in 722 BC (2 Kings 17).

Exclusive commitment to Yahweh meant that the worship of other gods was the worst sin of the Israelite kings, and their fortunes were connected to their policies regarding the worship of Yahweh. Throughout its story, Kings contrasts the themes of apostasy and religious reform. Beginning with Jeroboam, most of the kings are apostates and fail to worship properly. Four Judean Kings (Asa, Jehoshaphat, Amaziah, and Azariah) undertake some religious reforms, but they fall short of the ideal. Near the end of the story, two Judean kings fulfill the ideal: Hezekiah and Josiah. Yet following their reforms the next king turns to even greater apostasy, bringing God’s judgment on the nation.

The fulfillment of the prophetic word. Prophets are prominent in the story of Kings, with both famous (Isaiah, Elijah, Elisha) and anonymous prophets (e.g., 1 Kings 13) playing important roles as bearers of the prophetic word of God. Many short-term prophecies are fulfilled in the story of Kings (e.g., 1 Kings 13:11–32), where the reader can perceive a pattern of prophecy and fulfillment that helps to structure the story of Kings. The way a prophecy is fulfilled is often surprising (see the prophecy of 1 Kings 20:42 and its fulfillment in 1 Kings 22:34–35). The prediction of Josiah’s birth and reform centuries in advance ties together the beginning of Kings with one of the most significant events near the end of the book. This shows how historical events are at the mercy of the Lord of history and his prophetic word.

New Testament Connections

Throughout Kings the southern kingdom of Judah has Davidic kings on the throne right up until the exile (compared to the northern kingdom of Israel, which changed dynasties ten times). However, the destruction of Jerusalem appears to end the Davidic dynasty. Will the promises to David ever come true? The concluding paragraph at the end of Kings, which describes Jehoiachin, the last king from David’s line, being freed from prison and allowed to eat with the Babylonian king, is messianic and holds out hope that the promises to David will be fulfilled. Jehoiachin represents the hope for the future deliverance of Israel and of the world. In 2 Kings 25:28 it is told how the new king of Babylon “spoke kindly to [Jehoiachin] and gave him a seat of honor higher than those of the other kings who were with him in Babylon.” Here, the Hebrew word for “seat of honor” is literally the word for “throne.” Thus, Kings ends with a son of David on the throne! The promises to David are still intact. The line of Judah survives, and a tiny shoot has begun to sprout from the stump of David, which will culminate in the Messiah himself. The promise that a son of David would rule is never again fulfilled, except in Jesus Christ, who is now at the right hand of the throne of God and will return one day.

Outline

I. The United Monarchy: The Reign of Solomon (1 Kings 1:1–11:25)

II. The Division of the Kingdom (1 Kings 11:26–14:31)

III. The Divided Kingdoms of Israel and Judah (1 Kings 15:1–16:22)

IV. The Dynasty of Omri and the Baal Cult in Israel and Judah (1 Kings 16:23–2 Kings 12)

V. The Divided Kingdoms of Israel and Judah (2 Kings 13–16)

VI. The Fall of Israel (2 Kings 17)

VII. The Kingdom of Judah Alone (2 Kings 18–23)

VIII. The Fall of Judah (2 Kings 24–25)

Various kinds of bread and cakes suitable for offerings appear in Lev. 2. A kind of crisp cake, “cracknel” (KJV), is mentioned in 1 Kings 14:3. Thin cakes were offered in idolatrous worship to the Queen of Heaven (Jer. 7:18; 44:19).

Various kinds of bread and cakes suitable for offerings appear in Lev. 2. A kind of crisp cake, “cracknel” (KJV), is mentioned in 1 Kings 14:3. Thin cakes were offered in idolatrous worship to the Queen of Heaven (Jer. 7:18; 44:19).

The KJV uses “cruse” to translate a group of Hebrew terms referring to a ceramic jar or vessel used to contain water (1 Sam. 26:11; 1 Kings 19:6), honey (1 Kings 14:3), oil (1 Kings 17:12), or salt (2 Kings 2:20). In two stories, a cruse of water appears at the head of a sleeping person, suggesting that the vessel was a canteen for personal use.

Many believe that dogs were scorned in ancient Israel. They are described as scavengers both within and outside cities (Ps. 59:6, 14; Rev. 22:15). To be devoured by dogs was considered a sign of covenantal curse (1 Kings 14:11; 16:4; 21:23; 2 Kings 9:10; cf. 1 Kings 21:19). The “wages of a dog” (ESV, NASB; Heb. mekhir keleb) is figuratively used to express the wages of a male temple prostitute (Deut. 23:18). The image of a dog returning to its own vomit is used to describe someone who repeats sins (Prov. 26:11).

Ironically, the name of the Israelite hero Caleb is derived from the Hebrew word for dog (keleb). Although eccentric names do exist in the OT (e.g., Hosea’s daughter Lo-Ruhamah and son Lo-Ammi [Hos. 1:6, 8]; Naomi’s sons Mahlon and Kilion, meaning “illness” and “death” respectively [Ruth 1:2]), it is striking that Caleb was named after such a purportedly disdained animal. Isaiah 56:10–11 rebukes prophets who neglect their duties instead of behaving like “dogs” that bark when there is a threat. In Exod. 11:7 God tells Moses and Aaron that whereas the Egyptians will suffer the horror of watching their firstborn die in the final plague, Israel, under divine protection, will not be troubled by so much as a barking dog. Isaiah 66:3 alludes to dogs as animals worthy of sacrifice (sacrificing dogs was a common Canaanite practice). All of this evidence cautions against rigid and sweeping generalizations about negative views of dogs on the part of people in the ancient biblical context.

Human and animal excrement, to be either disposed of because of its uncleanness or appropriated for fertilizer or fueling fires (1 Kings 14:10). Jerusalem had an entrance known as the Dung Gate (Neh. 2:13; 3:13, 14; 12:31). The rabbis required that a person be at least four cubits (about six feet) away from dung (and urine) before reciting the Shema (m. Ber. 3:5; t. Ber. 2:17–18). They avoided alleyways where chamber pots were emptied (t. Ber. 2:19–20). They taught that a person who needs to defecate should not pray (t. Ber. 2:19). The Essenes were even more stringent: they would not defecate on a Sabbath day; on other days, they left their camps, dug a hole with a shovel, and then covered the excrement (Josephus, J.W. 2.147–49; cf. Deut. 23:12–14). Appropriating this background, Paul compares his past separation from Christ to dung (Phil. 3:8 KJV, NET [NIV: “garbage”]).

In ancient Israel, as an agricultural community, the house was the center of family life. Apart from daily family activities, the basic functions of an Israelite house were for storage and stabling.

A typical house in Iron Age Palestine was basically rectangular in shape, constructed of sun-dried mud-bricks, and completely roofed. It consisted of either three or four rooms, although in some rare occasions it was a two-room house. The size of the house varied, depending on the wealth of the owner. Structurally, the most important and noticeable features were the pillars, generally made of stone. These monolithic pillars separated the rooms from the courtyard and supported the flat roof or ceiling. A three-room house usually consisted of a row of pillars in the center of the structure, while a four-room house consisted of two rows, dividing the two side rooms, with the courtyard in the middle.

Walls provided enclosure for a family unit but could also serve as partitions between adjacent houses. They were constructed of mud-brick (cf. Exod. 5:7) and erected on a stone foundation. The exterior of the walls needed regular whitewashing to prevent erosion caused by winter rain (cf. Ezek. 13:10–18), and the interior walls were decorated with painted line ornaments (Jer. 22:14). Unlike modern windows, Israelite windows were essentially slits in the walls, without glass filling (Josh. 2:15; 2 Cor. 11:33). For security and climate control, they were small, but they were good enough for natural lighting and ventilation (cf. Hos. 13:3). Oil lamps were placed in the wall niches (2 Kings 4:10; Matt. 5:15).

The entrance to the house usually was in the center of the front wall. The door, which opened inward, was mounted with three wooden doorframes on two sides and on top of the wooden door (cf. Exod. 12:7, 22–23). The door was locked from the inside with a tumbler lock and a wooden bolt (Judg. 3:25; Neh. 3:3). From outside, it was accessed through a fist-sized keyhole (Song 5:4) with a large key (Isa. 22:22). A stone threshold (1 Kings 14:17; cf. 1 Sam. 5:4–5) was laid at the base of the door.

The ceiling of the ground floor was less than six feet high. The central room was used for work such as food processing, although cooking was also done outdoors. A hearth was a hole in the ground used to set fire for cooking or for warmth (Jer. 36:22). The side rooms were used for stables (1 Sam. 28:24). At the rear of the house was a broad room (cf. Ps. 128:3; Amos 6:10) used mainly for storage purposes. The floor of the courtyard was laid with beaten earth, while the rooms had dirt floors. The upper level, which served as a place for sleeping, dining, and leisure activities (1 Kings 17:19; 2 Kings 4:10; Mark 14:15; Acts 9:37), was accessed through a wooden ladder from inside the house or through a stone staircase from the outside.

A unique feature of Israelite houses was the roof. The flat, plastered roof served as the place for domestic activities (e.g., Josh. 2:6–8; 1 Sam. 9:25–26; 2 Sam. 11:2) and religious activities (Jer. 19:13; 32:29; Zeph. 1:5; Acts 10:9), especially during hot weather. It was not uncommon for grass to grow on it (Isa. 37:27). Since it was flat, waterproofing was a pressing problem. As such, constant compacting and resurfacing of the roof with a limestone roller was needed (cf. Eccles. 10:18). For safety, parapets were built around the roof (Deut. 22:8). Since the roof was elevated and public, activities there were noticeable by people outside; thus public announcement could be made from the roof (Matt. 10:27; Luke 12:3). Absalom had sexual intercourse with David’s concubines on a rooftop, which might have been an act of public declaration of his kingship (2 Sam. 16:22).

(1) The first ruler of the northern kingdom (r. 928–907 BC) (1 Kings 11:26–14:20). The son of Nebat, he was a hardworking royal servant, so Solomon gave him responsibility over the northern labor force. The prophet Ahijah declared to Jeroboam that to punish Solomon for apostasy, God would give him the ten northern tribes, leaving Solomon’s son Rehoboam with only Judah and Benjamin. When Solomon sought to kill him, Jeroboam fled to Egypt. After Solomon’s death, he returned and requested that Rehoboam reduce the workload for the Israelite laborers. Rehoboam, ignoring the advice of the elders and following the counsel of his peers, rudely refused the request of Jeroboam and the people. The ten northern tribes rebelled and made Jeroboam king, and he reigned for twenty-two years.

Jeroboam set up two golden calves, one in Bethel and one in Dan (for the wilderness parallel, see Exod. 32:4), to prevent the northerners from traveling to the temple in Jerusalem to worship. A man of God condemned the sanctuary at Bethel, prophesying that a future king named “Josiah” would destroy it. When he attempted to seize the prophet, Jeroboam’s hand was stricken, but after the king’s entreaty the prophet restored it. When Jeroboam’s son Abijah became ill, the prophet Ahijah delivered a judgment against his son, who soon died, and against his dynasty. After Jeroboam’s death, his son Nadab ruled for only two years before being killed by the usurper Baasha. Jeroboam’s sanctuaries are mentioned in the condemnation of fifteen other evil northern rulers; they survived the fall of Samaria in 722 BC, but eventually Josiah destroyed the Bethel sanctuary as prophesied (2 Kings 23:15).

(2) The thirteenth ruler of the northern kingdom (r. 784–748 BC; 2 Kings 14:23–29). He was the son of Jehoash and a great-grandson of Jehu. Despite doing “evil in the eyes of the Lord” (v. 24), he received a favorable prophecy from the prophet Jonah, restored the borders of the northern kingdom, and was one of the longest-reigning rulers of Israel or Judah (forty-one years). During his reign, Aramean and Assyrian domination over Israel subsided, which resulted in wealth and prosperity for the upper classes, but oppression and injustice of the marginalized. Amos condemned these practices and prophesied the end of Jeroboam’s house (Amos 7:8–11), which was fulfilled when his son Zechariah was killed by the usurper Shallum after reigning only six months.

(1) The firstborn son of Aaron (Exod. 6:23). He served in the priesthood with his father and his brother Abihu (Exod. 24:1). Leviticus 10 notes that Nadab and Abihu offered forbidden fire with the incense. God subsequently destroyed them with fire. Since Nadab and Abihu had no sons, Eleazar and Ithamar, the other two sons of Aaron, served in their stead (1 Chron. 24:1–2). (2) The son of Jeroboam, he became king of Israel upon his father’s death in the second year of King Asa of Judah (1 Kings 14:20; 15:25). Nadab did evil, as did his father, in his two-year reign. Baasha of the tribe of Issachar assassinated him and reigned in his stead (1 Kings 15:25–28). (3) A son of Shammai and the father of Seled and Appaim (1 Chron. 2:28–30), from the tribe of Judah. (4) A son of Jeiel, his brother Ner was the grandfather of King Saul (1 Chron. 8:29–33).

Rivers in Cosmology

Genesis 2:10–14 describes the garden in Eden as the source of an unnamed river that subsequently divided into four “headwaters”: the Pishon, the Gihon, the Tigris, and the Euphrates. This description defies any attempt to locate the purported site of Eden in terms of historical geography. The Tigris and the Euphrates do not diverge from a common source, but instead converge before emptying into the Persian Gulf. Moreover, the Gihon, if it is to be identified with the sacred spring of the same name in Jerusalem (1 Kings 1:45), is several hundred miles away from the Tigris and the Euphrates. The Pishon is otherwise unknown. If, as various commentators since antiquity have suggested, the Gihon and the Pishon are to be identified with other great rivers in the same class of importance as the Tigris and the Euphrates (the Nile, the Ganges, etc.), then this would further confound any attempt to understand Gen. 2:10–14 in terms of historical geography. The image of four rivers emanating from a primordial garden and dividing unnaturalistically from a common source is attested in ancient Near Eastern art, notably in the eighteenth-century BC wall painting illustrating the investiture of Zimri-Lim. In this image, two goddesses stand in a paradisiacal garden, guarded by mythical, sphinxlike creatures (cf. the cherubim in Gen. 3:24), holding vessels from which four rivers flow.

In his vision of the restored land of Israel, Ezekiel sees a great river emanating from the temple in Jerusalem, flowing into the Judean desert, and ultimately turning the Dead Sea into freshwater (Ezek. 47:1–12). Along the banks of the river, Ezekiel sees fishermen and perpetually fruitful trees. Similarly, the vision of the new Jerusalem in Rev. 22:1–2 describes a river of the “water of life” flowing through the city and watering trees that bear fruit in every month. In both cases, the visions draw on the notion that Jerusalem is the cultic and religious center of the world and therefore endow its spring—geologically speaking, an insignificant body of water—with a cosmological significance. It was perhaps this same impulse that led the author of Gen. 2:13, probably himself a Jerusalemite, to mention the Gihon in the same class as the Tigris and the Euphrates.

In Ps. 89:25, in the context of a poem describing the adoption of the Davidic king as a divine son, God is described as promising to “set his hand over the sea, his right hand over the rivers.” Like the sea, a symbol of cosmic chaos in ancient Near Eastern mythology, the rivers represent a force that is overcome by the divine warrior and then placed under the subjection of his human representative, the beloved king. In this connection, it is significant that the exodus—in many ways the preeminent foundational moment of the Israelite religion—involved the splitting of both a sea (Exod. 14:21–22) and a river (Josh. 3:16; Ps. 114:3) and the subsequent passage of the Israelites on dry ground. This people-creating deliverance, in turn, is comparable to the account of creation in Gen. 1, where the Creator God drives back the waters to prepare a dry-ground habitation for humanity (vv. 9–10). In Ugaritic mythology, Yamm, the sea god, also bore the epithet “judge river,” underscoring the cosmological connection between sea and river. As we will see, prophetic oracles of divine judgment, especially when they are directed against the river-based civilization of Egypt, often recapitulate the theme of the God of Israel fighting against the river.

The Nile River

The Nile (Heb. ye’or) is fed by two major tributaries: the White Nile, which begins at Lake Victoria, and the Blue Nile, which begins in Ethiopia. At over four thousand miles, the Nile is the longest river in the world. The ancient civilization of Egypt depended entirely on the flow of the Nile and upon its annual flood (the “gift of the Nile”) for irrigation of crops. Even today, arable land along the Nile is confined in some places to an area no more than a few miles from its banks.

Given the dependence of Egyptian civilization on the Nile, especially its annual flood and the accompanying deposit of silt, it is not surprising that the river figured prominently in Egyptian mythology and religion. In particular, the story of the dying and rising god Osiris was linked with the annual ebb and flow of the great river. The annual inundation is still impressive today; an ancient impression may be gleaned from Amos 9:5, where the prophet appeals to the rising and falling of the Nile as a description of divine, earth-melting judgment.

Two of the plagues sent by God upon the Egyptians took place at the Nile, an appropriate setting for a confrontation between the God of Israel and the Egyptian pharaoh, himself a living representation of the Egyptian pantheon. In Ezek. 29:3 the God of Israel says to Pharaoh, “I am against you, Pharaoh king of Egypt, you great monster lying among your streams. You say, ‘The Nile belongs to me; I made it for myself.’  ” Since the Nile was perhaps the preeminent natural or environmental symbol of Egyptian culture, the God of Israel’s assertion of control of that river would have been understood as an unmistakable claim to sovereignty. At the time of the birth of Moses, the Nile was a place of extinction for the Israelites, for Pharaoh had commanded that every boy born to the Hebrews be thrown into the Nile (Exod. 1:22). Ironically, Moses was saved when his mother put him in the Nile in a pitch-coated basket, where he was found by the royal daughter of Pharaoh, who had come to the Nile to bathe (2:3, 5).

God told Moses to confront Pharaoh at the Nile (Exod. 7:15), and the first plague with which God afflicted the Egyptians consisted of turning the Nile into blood, causing its fish to die and rendering its water unsuitable for drinking. The Egyptians were forced to dig wells along its banks (7:20–21). The second plague involved the multiplication of frogs in the Nile, to the point of great inconvenience (8:3).

Isaiah continues the theme of God punishing the Egyptians by attacking the Nile: “The waters of the river will dry up, and the riverbed will be parched and dry. The canals will stink; the streams of Egypt will dwindle and dry up. The reeds and rushes will wither, also the plants along the Nile” (Isa. 19:5–7). The passage goes on to underscore the importance of the Nile as a source of irrigation water and fishing and the devastation that results from the failure of the Nile to flood as expected. In other texts, where the emphasis is on the better fortunes of Egypt, the power of Egypt is symbolized by the mighty Nile: “Who is this that rises like the Nile, like rivers of surging waters? Egypt rises like the Nile. . . . She says, ‘I will rise and cover the earth; I will destroy cities and their people’  ” (Jer. 46:7–8).

The Euphrates River

The Euphrates is the westernmost of the two great rivers of Mesopotamia (along with the Tigris [see below]), the land “between the rivers.” As mentioned above, the Euphrates was one of the four rivers flowing from the garden of Eden, according to Gen. 2:14. Along the Euphrates were located the ancient cities of Carchemish, Emar (Tell Meskeneh), Mari, Babylon, and Ur. The Euphrates runs over seventeen hundred miles from northwest to southeast, beginning in the mountains of eastern Turkey before joining with the Tigris and entering the Persian Gulf.

In the Bible, the Euphrates represents the northern boundary of the territory granted to Abraham (Gen. 15:18; see also Exod. 23:31). David extended his territory as far as the Euphrates when he fought the Aramean king Hada-de-zer (2 Sam. 8:3), and so the dimensions of Israel at its apex under Solomon are described as controlling all the kingdoms “from the Euphrates River to the land of the Philistines, as far as the border of Egypt [i.e., the southern limit of his realm]” (1 Kings 4:21).

In addition to its significance as a political boundary, the Euphrates marked an important cultural boundary in Israelite thought. Abraham and his family are remembered as having come from “beyond the Euphrates River” (Josh. 24:2). The exile was described as a scattering “beyond the Euphrates River,” an expression that underscores complete dispossession from Israel’s own land (1 Kings 14:15). Interestingly, the cultures to the east of the Euphrates shared the notion that this river marked a major boundary, as evident from the convention among the Neo-Assyrians and the Persians of referring to western lands by the name “Beyond the River” or “Trans-Euphrates” (Akk. eber-nari; Aram. abar nahara). This was the name of the province encompassing the land of Israel in the time of Ezra (see Ezra 4:10).

Isaiah made use of the association between the Euphrates and the Mesopotamian empires when he likened the king of Assyria to the mighty waters of the river (Isa. 8:7). The Euphrates figures prominently in Revelation, where it restrains punishment from the north, a punishment that is released when God dries up the river, allowing “kings from the East” to cross over (Rev. 9:14; 16:12).

The Tigris River

Along with the Euphrates, the Tigris (Heb. khiddeqel ) was one of the two rivers of ancient Mesopotamia. The Tigris lies east of the Euphrates and runs over a course of approximately 1,150 miles from northwest to southeast, finally joining with the Euphrates and emptying into the Persian Gulf. In antiquity, the cities of Calah, Nineveh, and Ashur lay along the Tigris. The Tigris is mentioned twice in the Bible: first, as one of the four headwaters emanating from the garden of Eden (Gen. 2:14) and, second, as the location of Daniel’s visionary experience (Dan. 10:4).

The Jordan River

The Jordan (Heb. yarden) runs southward from the Hula Valley into the Sea of Galilee (also known as the Sea of Tiberias; modern Lake Kinneret) and from there through a river valley (the “plain of the Jordan” [see Gen. 13:10]) to the Dead Sea. Over its course of approximately 150 miles, it descends dramatically from an elevation of approximately 200 feet in the Hula Valley to an elevation of 690 feet below sea level at the Sea of Galilee, and then farther downward to an elevation of 1,385 feet below sea level at the Dead Sea. Fittingly, the name “Jordan” is related to the Hebrew word yarad (“to go down”).

In the story of the exodus and conquest, the Jordan River marked the boundary of the “promised land,” despite the fact that two and a half tribes received inheritances on the eastern side of the river (the Transjordan [see Num. 32:32; 34:12, 15]). For those living in the land of Israel, the river marked the boundary between them and what they termed “the other side of the Jordan” (Heb. ’eber hayyarden [Num. 32:19; Deut. 1:5]).

In the OT, several memorable stories are set near the Jordan. In addition to Joshua’s dramatic crossing of the Jordan (Josh. 3:1–17), the “fords of the Jordan” were strategic locations, and it was there that the Gileadites slaughtered forty-two thousand Ephraimites as they attempted to return to their territory on the western side of the Jordan (Judg. 12:5). Elisha instructed Naaman, the leprous Aramean general, to bathe seven times in the Jordan for the healing of his condition (2 Kings 5:10). When Elisha’s companions wished to build shelters for themselves, they went to the Jordan, where they knew they would find abundant vegetation and poles (2 Kings 6:2; cf. Zech. 11:3). When one of them dropped an iron ax head into the water, Elisha caused it to float to the surface (2 Kings 6:6–7).

In the NT, the Jordan was the site of much of John the Baptist’s ministry (Matt. 3:5–6; Mark 1:5; Luke 3:3). John 1:28 specifies that John was on the eastern bank (also John 3:26; 10:40). It was in the waters of the Jordan that he baptized those who came to him, including Jesus (Matt. 3:13; Mark 1:9; Luke 3:21).

Tributaries of the Jordan

South of the Sea of Galilee, the Jordan is fed by several tributaries. The Yarmuk River joins the Jordan just south of the lake, draining the biblical region of Bashan to the east. The Wadi Far’ah joins the Jordan from the west, halfway between the Sea of Galilee and the Dead Sea, and drains the hill country of Ephraim. Nearly across from the Wadi Far’ah, the biblical Jabbok River (Wadi Zerqa) enters the Jordan from the east. In biblical times, the Jabbok was the limit of Ammonite territory (Num. 21:23–24). The Arnon River (Wadi Mujib), not a tributary of the Jordan, enters the Dead Sea from the east, opposite En Gedi. It was the border between the Moabites and the Amorites (Num. 21:13).

The Wadi of Egypt

In a number of texts the “wadi of Egypt” (or “brook of Egypt”) represents the far southern limit of Israelite territory. Some ancient interpreters understood this as referring to the Pelusian branch of the Nile River delta, while most modern scholars favor the Besor River, farther east, in present-day Israel. Besides the Bible, Assyrian texts also refer to the Wadi of Egypt. In 733 BC Tiglath-pileser III set up a victory stela there, perhaps to advertise to the Egyptians the southern extent of the territory that he claimed for Assyria.

Several biblical passages refer to the Shihor River as marking a boundary between Egypt and Israelite territory (Josh. 13:3; 19:26; 1 Chron. 13:5; Isa. 23:3; Jer. 2:18).

The Orontes River

Although it is not mentioned in the Bible, the Orontes marked an important international boundary in the biblical world. The Orontes begins in the Bekaa Valley in present-day Lebanon, then flows northward between the Lebanon and the Anti-Lebanon mountain ranges before turning sharply westward to empty into the Mediterranean Sea. Along the Orontes lay the kingdom of Hamath (see, e.g., 2 Sam. 8:9; 2 Chron. 8:3; Jer. 39:5). Because it ran through a valley that was an artery of travel from north to south, the Orontes was the perennial focus of strategic interest, and several important battles were fought at or near the Orontes. In 1274 BC the Egyptian pharaoh Ramesses II fought the Hittite king Muwatallis II at the Battle of Kadesh. In 853 BC the Assyrian king Shalmaneser III was challenged at Qarqar on the Orontes by a coalition led by Hadadezer of Damascus and including King Ahab of Israel.

The word “root” occurs in a literal sense in Job 30:4, but ordinarily it is used in a figurative sense. Its most prevalent connotation refers to the foundation or core of a matter or one’s life (Job 28:9; Prov. 12:3, 12; Isa. 14:30). It also, by analogy, signifies that which gives life to the plant (Matt. 13:6; Rom. 11:17). When pictured near water, roots symbolize prosperity (Job 29:19; Ezek. 31:7), even a blessing of the Lord (Job 8:17; Jer. 17:8).

The term sometimes indicates the lowest part or depth (Job 36:30). It can also carry the idea of origin, as in that of bitterness or evil (Deut. 29:18; 1 Tim. 6:10; Heb. 12:15), or the cause of a matter (Job 19:28).

Frequently, the word is used to describe something established, as in a kingdom (Ps. 80:9, 15; Isa. 27:6; 37:31; 40:24; Jer. 12:2). It emphasizes positively that which is secure (Prov. 12:3, 12) or negatively that which is uprooted or destroyed (1 Kings 14:15).

Finally, the word may refer to the offspring of a family (Judg. 5:14; Ps. 80:15), ultimately pointing to the coming Messiah (Isa. 11:1, 10; 53:2; Rev. 5:5; 22:16) as the heir through whom the dynasty is completed.

Protected in the hill country of Ephraim, Shiloh was a secure location for the tabernacle and the ark of the covenant in the early centuries of Israel’s presence in the land. Judges 21:19 gives a remarkably precise location for Shiloh. It was “north of Bethel, east of the road that goes from Bethel to Shechem, and south of Lebonah.” This means that it was centrally located in the hill country just off the internal north-south ridge route.

The Israelites established their worship center at Shiloh after the conquest of the land (Josh. 18:1), and it was there that the assembly gathered in order to apportion the rest of the tribal allotments after Judah’s apportionment (18:8–10). When the tribes west of the Jordan faced the possibility of war with the two and one-half tribes that had returned to Transjordan, Shiloh was the central meeting place (Josh. 22:9–12). The “house of God” continued to be at Shiloh during the period of the judges (Judg. 18:31), and annual festivities were celebrated there (21:19–21).

The apparatus of the cult was in place at Shiloh when Eli was the high priest. Elkanah brought his two wives, Hannah and Peninnah, to Shiloh to worship each year. When Samuel was born to Hannah, she dedicated him to God at Shiloh (1 Sam. 1). Because Eli’s sons abused their privileges as priests (1 Sam. 2:14), God told Samuel that he would remove the priesthood from Eli’s family. That word is affirmed in 1 Kings 2:27: “So Solomon removed Abiathar from the priesthood of the Lord, fulfilling the word the Lord had spoken at Shiloh about the house of Eli.” God “continued to appear at Shiloh, and there he revealed himself to Samuel through his word” (1 Sam. 3:21).

When the Philistines were encamped at Aphek on the coastal plain, the Israelites engaged them in battle and lost. Viewing the ark of God as a magic box, the Israelites took it from Shiloh out to the battle, abusing the sanctity of that symbol. The ark was captured, and a man of the tribe of Benjamin ran uphill from Aphek through the rugged Shiloh wadi system and arrived at Shiloh to announce the news (1 Sam. 4:12).

Although it is uncertain when the sanctuary at Shiloh was destroyed, it was likely by the Philistines as they later encroached well into Israelite territory (1 Sam. 13). Nevertheless, Shiloh remained a significant location. As the northern kingdom broke away from the south, Ahijah from Shiloh prophesied to Jeroboam son of Nebat (1 Kings 11:29–40) and later addressed Jeroboam’s wife (1 Kings 14:2–4). Jeremiah reminded the inhabitants of Jerusalem that God destroyed Shiloh, the first dwelling place for his name in the land, because of the wickedness of Israel and would do the same again to the temple in Jerusalem (Jer. 7:12–14; 26:6–9). Even the psalmist noted the tragedy: “He abandoned the tabernacle of Shiloh” (Ps. 78:60).

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(1) Joshua conquered the city of Tirzah (Josh. 12:24), which then was inherited by the half-tribe of Manasseh in its Cisjordan territory. The city became important as the capital of the northern tribes after Israel divided between north and south. Jeroboam’s son died in Tirzah, and Baasha, Ehud, and Zimri ruled Israel from there (1 Kings 14:17; 15:33; 16:6, 15). When Omri became king, he built the city of Samaria, and six years into his reign he moved the capital to there (1 Kings 16:23).

The Bible treats Tirzah again as politically important only in the last failing years of the northern kingdom, in connection with Menahem (2 Kings 15:14–16). The city enjoyed a reputation for particular beauty, and it is used in Song of Songs as a positive comparison with the young woman: “You are as beautiful as Tirzah, my darling, as lovely as Jerusalem, as majestic as troops with banners” (Song 6:4).

(2) One of the five daughters of Zelophehad (Num. 26:33; Josh. 17:3), who died with no sons. His daughters successfully lobbied the leaders of Israel for a share of the family inheritance (Num. 27:1–11).

(1) Samuel’s second son, who, along with his older brother Joel, served as judge in Beersheba, but whose corruption drove Israel’s elders to ask Samuel to appoint a king (1 Sam. 8:2–5). (2) Son of Jeroboam, the first king of the northern kingdom (930–909 BC). He died as a boy, in accordance with Ahijah’s prophecy, because of Jeroboam’s idolatry (1 Kings 14:1–18). (3) Son of Rehoboam, called “Abijam” in 1 Kings 15:1–8. He was the second king of the southern kingdom (913–910 BC). He followed in his father’s sinful footsteps but was allowed to rule for David’s sake. His reign was marked by warfare against Jeroboam, which is recounted in more detail and in a more positive light in 2 Chron. 13:1–22 (Abijah defeated Jeroboam, and the Lord struck Jeroboam down). He is listed in Matthew’s genealogy of Jesus (1:7). (4) The mother of Hezekiah (2 Chron. 29:1 [“Abi” in 2 Kings 18:2, the parallel passage]). (5) The wife of Hezron in the genealogy of Caleb (1 Chron. 2:24 [though some emend the name away; cf. NAB]). (6) A son of Becher, a descendant of Benjamin (1 Chron. 7:8). (7) The leader of the eighth of the twenty-four divisions of priests serving in the temple (1 Chron. 24:10). (8) One of the priests in Nehemiah’s time who signed a pledge to lead Israel in covenant obedience (Neh. 10:7). See also Abi; Abijam.

Old Testament

Students of biblical history must work with several overlapping systems of chronology. This section defines several approaches and describes how they are interconnected.

Absolute and relative dates. Absolute dates consist of a numerical value falling in one of two eras, BC (“Before Christ”; also referred to as BCE, “Before the Common Era”) or AD (Anno Domini, “in the year of our Lord”; also referred to as CE, “Common Era”). For example, Samaria fell to the Assyrians in 722 BC. This system of absolute dating, a commonplace of modern life, was devised only in the sixth century AD, so it is unknown in biblical and other ancient sources. Instead of absolute dates, the Bible and other ancient historiographic sources give relative dates; that is, events are dated in relation to other recorded events, as in 1 Kings 15:1: “In the eighteenth year of the reign of Jeroboam son of Nebat, Abijah became king of Judah.” The system of relative dates in the OT can be collated to form a single relative chronology.

Using royal histories. For the purposes of constructing a unified chronology, the royal history in Samuel-Kings and Chronicles is of central importance, with its tabulations of the ages of the kings at accession and the lengths of their reigns. The biblical chronology can then be assigned to absolute dates by establishing synchronisms with other historical chronicles (most usefully, from Mesopotamia), which in turn can be fixed to a handful of absolute dates. Of particular importance are records (all nonbiblical cuneiform texts) of observed astronomical phenomena, the appearance of which in history can now be calculated with a high degree of mathematical certainty. Annalistic sources (documents that record an entry for each passing year, such as the cuneiform eponym chronicles) are particularly valuable. The Bible contains no annalistic sources, but rather is made up of chronistic sources—that is, texts that record and quantify the passage of time, but without a separate accounting of each year. When miscalculations or textual corruptions affect chronistic records, they are difficult to correct (see 1 Sam. 13:1). The biblical data, consisting of summary figures, probably go back to annalistic sources that were compiled from year to year (perhaps the records mentioned in, e.g., 1 Kings 11:41; 14:19).

The assembly of a unified biblical chronology on the basis of the royal histories is further complicated by the fact that several calendars—royal, agricultural, cultic—were in simultaneous use. There may also have been a discrepancy between Israel and Judah with regard to the reckoning of the cultic New Year. Added to this, in several cases the biblical data imply a period of coregency, during which the reigns of the outgoing king and his appointed successor overlapped, creating the potential for the years of the coregency to be counted twice. In biblical times there were two systems of reckoning dates based on royal succession: the “accession-year” system, which omitted from the length of a king’s reign any partial year from his accession to the first New Year, and the “nonaccession-year” system, which began counting the years of a king’s reign as soon as he acceded. In nonaccession-year dating, any year in which there are two kings gets counted twice: once as the last year of the former king, and once as the first year of the new king. The biblical chronologies appear to use both systems, with a movement from the nonaccession-year system to the accession-year system in later centuries. Obviously, the choice of systems dictates the significance of the figures presented in the Bible and must be taken into account in the collation of data.

Combining royal regnal data and various genealogical tables (based on, e.g., Gen. 5; 11; the summary figures in Exod. 12:41; 1 Kings 6:1), it is possible to reconstruct a putative world chronology from the creation of Adam to the exile. Famously, in 1650 James Ussher followed this procedure, working backward from absolute dates known from classical sources, to determine that the world was created on the night before October 23, 4004 BC. In its day, this was a work of impressive scholarship, but Ussher’s chronology is too short to encompass not only archaeological findings (from the land of Israel itself, there are Neolithic and Chalcolithic artifacts going back ten thousand years), but also findings in all branches of the sciences that corroborate the age of the earth at about 4.5 billion years and the appearance of modern humans approximately two hundred thousand years before the present. Beginning in the first millennium BC, however, the Bible provides chronological data that, with modest adjustments, agree with other historical and archaeological findings.

Weighing the sources. Because of the variety of materials in the OT, it is crucial to determine which sources are of historical value, weighing each in terms of internal and external coherence. As noted above, the backbone of OT chronology is the series of regnal data for the kings of Israel and Judah found in Samuel-Kings and Chronicles. These data are useful because they provide a continuous chronology of several hundred years that can be anchored at several points to datable events in external historical sources. In addition, the history of the kings of Judah and Israel contains references to historical figures known from extrabiblical records. In contrast, the chronology of the OT prior to the period of judges, while internally coherent, cannot be correlated to known absolute dates. Where non-Israelite figures are mentioned, they are often unnamed (e.g., the pharaohs of the eras of Abraham and Moses), anachronistically described (e.g., Abraham’s contacts with the Philistines [Gen. 21:34], a group that did not appear in Palestine until long after the ostensible Middle Bronze Age date of Abraham), or do not correspond to known historical figures (e.g., Abimelek, Nimrod). Although cultural-historical investigation may shed light on the patriarchal narratives and their historical setting, such an approach yields nothing more than vague chronological findings. In some cases, the late date of the biblical texts has obscured chronological indicators, interfering with the project of cultural history. Setting aside questions of the historicity of the patriarchal narratives, apart from the reports of their ages, there is little data to work with when it comes to constructing a chronology of the patriarchs.

The story of the exodus from Egypt presents an event that, in principle, should be datable on the basis of external data. The mass migration of millions of persons, the destruction of the army of a geopolitical superpower, and the subsequent conquest of a small but powerful country are events that promise to provide a chronological anchor for the beginning of Israel’s history. Unfortunately, the event recorded in the Bible has not left a clear mark, either in the historiography of Egypt or in the archaeology of Palestine. On closer inspection, the biblical text contains a number of features that frustrate any attempt to date the events on their basis. Unlike in the histories of the biblical monarchs, the pharaoh of the Exodus, a figure of international stature in his own day, is never named in the Bible. Some have attempted to fix a date to the exodus on the basis of the occurrence of the name “Rameses” in Exod. 1:11; 12:37. This name was not current in Egypt before the thirteenth century BC. If it provides a clue as to the date of the exodus, it does so only at the expense of broader biblical chronology, according to which the exodus occurred in the fifteenth century BC (in particular, based on the figures given in Exod. 12:41; 1 Kings 6:1). It is not until we get into the monarchic period, when the history of Israel is intertwined with that of named international figures, that absolute dates can be established with certainty.

Biblical events that can be assigned absolute dates based on cuneiform historical records include the following. Ahab was king of Israel at the time of the battle of Qarqar in 853 BC. The Kurkh monolith of Shalmaneser III records his participation in the coalition of Hadadezer, though the event is not mentioned in the Bible. Jehu was on the throne of Judah in 841 BC, when Shalmaneser III recorded that he gave tribute to Assyria. Joash was king of Israel in 796 BC, when he rendered tribute to Adad-nirari III. Menahem was king in 740 and 738 BC (see 2 Kings 15:19), when he paid tribute to Tiglath-pileser III (the biblical Pul). Ahaz paid tribute to Tiglath-pileser in 734 BC, and Manasseh to Esarhaddon around 674 BC. These synchronisms provide in each case upper and lower limits for fixing the reign of the kings of Israel and Judah. In some cases, the chronology of the book of Kings must be adjusted to fit these dates, on the assumption that the Deuteronomistic Historian lacked firsthand knowledge about the history of the northern kingdom, was attempting to work with conflicting sources, or made errors in calculation. Other important synchronisms include Hoshea’s coup against Pekah (2 Kings 15:30), dated based on an inscription of Tiglath-pileser III to 732 BC; the fall of Samaria (2 Kings 17:6), dated based on the Babylonian Chronicle to 722 BC; Sennacherib’s Judean campaign in 701 BC (2 Kings 18:13–19:36); the Battle of Carchemish in 605 BC (Jer. 46:2); the capture of Jerusalem in 597 BC (2 Kings 24:12); and the release of Jehoiachin from captivity in 561 BC, coinciding with the accession of Amel-Marduk (2 Kings 25:27).

Periodization of history. In addition to relative and absolute chronologies, biblical scholars refer to several schemes of periodization defined by technological and political developments.

The most ancient scheme of periodization is implied in the Bible itself, which conceives of periods of judges (Judg. 17:6), united monarchy, divided monarchy, and exile. The transitions between phases in this scheme are defined by dramatic social and political discontinuities. Another approach to the periodization of Israelite history involves defining the major transitions in terms of the material culture. Prior to the fall of Jerusalem, modern biblical scholars and archaeologists divide Syro-Palestinian history into several periods, named for developments in metallurgical technology. While there is some variety of opinion among scholars regarding the exact dates used, the following scheme is widely used (given with rough correlations to the biblical periods):

Early Bronze Age – 3300 to 2200 BC (Primeval period?)

Middle Bronze Age – 2200 to 1550 BC (Patriarch)

Late Bronze Age – 1550 to 1200 BC (Period in Egypt, exodus)

Iron Age – 1200 to 586 BC (Judges monarchy)

The Iron Age is further subdivided as follows:

Iron Age – 1200 to 1000 BC (Judges)

Iron Age IIA – 1000 to 900 BC (United monarchy)

Iron Age IIB – 900 to 700 BC (Divided monarchy)

Iron Age IIC – 700 to 586 BC (Fall of Samaria to fall of Jerusalem

The divisions between these periods are heuristic and do not correspond to precisely dated developments in metallurgy. For instance, some iron artifacts may be dated to the Bronze Age, though not widespread iron metalworking on an industrial scale. Especially in the various subdivisions of the Iron Age, transitions begin to be defined by political events rather than the metal sequence: Iron IA corresponds to the biblical period of the judges, Iron IIA to the united monarchy, Iron IIB to the divided monarchy, and Iron IIC to the period between the falls of Samaria and Jerusalem, when the southern kingdom alone had political autonomy. Some scholars round off the dates to avoid a periodization based on short-term political events and to emphasize the gradual rate of change in material culture and technology (e.g., using the round dates 900, 700, 600).

For events and dates after the fall of Jerusalem, historians employ a scheme of periodization based heavily on political factors. The series of periods are named for the dominant geopolitical powers in Syria-Palestine:

Neo-Babylonian period – 622 to 539 BC (Late Judean monarchy, exile)

Persian period – 539 to 330 BC (Return from exile)

Hellenistic period – 330 to 63 BC (Intertestamental)

Roman period – 63 BC to AD 324 (New Testament events

Although there was significant redaction (and, according to some, composition) of biblical texts in the Hellenistic period, no biblical narratives are ostensibly set in the period. Thus, the internal periodization of history in the Hebrew Bible ends with the return from exile (the Persian period).

New Testament

The birth of Jesus. According to Matt. 2:1 (see also Luke 1:5), Jesus was born during the lifetime of Herod the Great, who, as we know from Josephus, died in 4 BC (see Matt. 2:15–19). In his attempt to kill Jesus, Herod ordered the slaughter of male children up to the age of two, based on information that he obtained from the magi concerning the appearance of the star heralding Jesus’ birth (Matt. 2:16). Thus, Matthew’s account implies a date no later than 4 BC, but possibly several years earlier. Some scholars have attempted to correlate the magi’s observance of a star with one of several striking celestial phenomena, including a conjunction of Jupiter, Saturn, and Mars in 7 BC (so Johannes Kepler). Such attempts, however, are weakened by the fact that Matthew’s description of the star is vague, unnaturalistic, and difficult to identify certainly with a planetary alignment or any other known phenomenon (in particular, the star is said to move and then come to rest over Jesus’ location). Another line of investigation involves Luke’s correlation of Jesus’ birth with a Roman census that he dates to the time of Quirinius (Luke 2:1–2). This report, however, contradicts the testimony of Josephus, according to whom Quirinius became governor in AD 6 (a decade after the death of Herod). Most likely, Jesus was born shortly before 4 BC, during the reign of Herod.

The beginning and duration of Jesus’ public ministry. According to Luke 3:23, Jesus was “about thirty years old” at the time of his baptism and the beginning of his public ministry. In John 8:57, Jesus is challenged: “You are not yet fifty years old.” These two round numbers provide reasonable limits for the age of Jesus during his ministry. Owing to a paucity of chronological indicators in the Synoptic Gospels, the ministry of Jesus as depicted in Matthew, Mark, and Luke could have taken place within the space of a single year. In contrast, John narrates postbaptism events during three occurrences of the annual Passover festival (John 2:13; 6:4; 11:55), suggesting that Jesus’ ministry lasted for three years or longer. Unfortunately, the chronology of John appears in some instances to be at odds with the other Gospels. Most significantly, he places Jesus’ cleansing of the temple at the beginning, rather than the end, of his ministry (John 2:13–22; cf. Mark 11:15–19 pars.). It is unclear to what degree strict chronology has been modified in the interest of other concerns in each of the Gospels. According to John’s account, the cleansing of the temple occurred forty-six years after the beginning of its construction, an event that Josephus dates to either the eighteenth or the fifteenth year of Herod’s reign (John 2:20), placing the incident in the year AD 28 or 31. Ultimately, there are two sources of uncertainty pertaining to the chronology of Jesus’ ministry: the imprecise (and possibly symbolic) report of his age in Luke 3:23 and the indeterminate length of his ministry.

The death of Jesus. All four Gospels agree that Pontius Pilate, the Roman procurator of Judea, was instrumental in the trial and execution of Jesus. Pilate governed from AD 26 to 36; this provides a latest possible date for the death of Jesus. To refine the chronology beyond this, scholars have attempted to date the end of Jesus’ life based on its occurrence during the Feast of Passover (15 Nisan in the Jewish calendar) and by trying to determine in which year the feast would have coincided with his crucifixion on a Friday. This approach is complicated by the discrepancy between John, according to whom the Passover meal was eaten in the evening following the crucifixion (John 19:14), and Mark, who appears to have an imperfect knowledge of Passover customs (Mark 14:12–16) and thus describes Jesus’ final supper with his disciples as a Passover meal (i.e., on 14 Nisan). Following John’s chronology yields a date for the crucifixion of Friday, April 7 (Nisan 14), AD 30, or Friday, April 3 (Nisan 14), AD 33.

Of these two options, the AD 30 date conforms more closely to Luke 3:23, and it suggests that following a ministry of about three years, Jesus was in his mid- to late thirties at the time of his crucifixion.

Paul’s career. The chronology of Paul’s career remains a difficult question in biblical studies. There are two major sources for this chronology: the letters of Paul (esp. Galatians) and the book of Acts. When independent chronologies are constructed from each of these sources, several difficulties arise, including the absence of absolute anchors in Paul’s letters, lack of clear agreement between Acts and the letters regarding the number of visits to Jerusalem, and, by implication, the periodization of Paul’s career into distinct phases of concerted activity or “missionary journeys.” These data must in turn be synchronized, sometimes requiring some ingenuity, with other historically documented events such as the dating of Claudius’s edict (Acts 18:2), the dates of Aretas’s control of Damascus (2 Cor. 11:32–33), the death of Herod Agrippa in AD 44 (mentioned in Acts 12:23), the presence of Sergius Paulus in Cyprus during Paul’s first missionary journey (Acts 13:7 [this figure is known from inscriptions, but none of them clearly bears on the question]), and Festus’s succession of Felix as the procurator of Palestine (Acts 23–26), which Josephus puts in AD 53.

If we grant a fair measure of historical reliability to the outline of Acts, Paul experienced his conversion around AD 33, visited Jerusalem in AD 36 (Gal. 1:18), completed his first missionary journey and then visited Jerusalem to confer with the other apostles (Acts 15:1–29; Gal. 2:1) in the late 40s, conducted his second and third missionary journeys in the first half of the 50s before being finally arrested in Jerusalem around AD 57, and was taken to Rome in AD 59–60.

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

Devotion or service that is improper. Worship, whether false or true, generally consists of two aspects that are distinct but not necessarily separate: (1) the performance of certain rituals, including sacrifice, circumcision, baptism, and so forth; (2) the attitudes and activities that reflect devotion to a person or object. The first aspect shows worship as ritual, consisting of formal, regulated elements. The second aspect shows worship as devotion, consisting of a life of piety. False worship occurs when a worshiper fails in one or both of these aspects.

Forms of False Worship

The Bible describes false worship occurring in three different ways: (1) the worshiper demonstrates devotion to anything other than God, (2) the worshiper performs a ritual contrary to its instructed observance, and (3) the worshiper performs a ritual while leading a life of unrepentant disobedience to God.

The most severe form of false worship is when a worshiper demonstrates devotion to anything other than God. This type of false worship may include worship as ritual in which a rite or ceremony is performed directly for another god. Some rituals are specifically mentioned in the Bible: passing children through fire (2 Kings 16:3; 17:17; 21:6), consorting with shrine prostitutes (esp. Hos. 4:14), and offering sacrifices to idols (esp. Lev. 17:7). This type of false worship may also include attitudes and actions that demonstrate a higher degree of devotion to something other than the true God. This devotion may be to another god or object, even material wealth (cf. Col. 3:5, where Paul equates greed with idolatry).

The second form of false worship involves performing a ritual contrary to its instructed observance. At Mount Sinai, God gives a code of laws that regulate the practice of making sacrifices and offerings, confining them to certain personnel (priests and Levites), certain circumstances (cleanness), certain animals or plants (depending on the sacrifice and the wealth of the offerer), certain times (Passover, Day of Atonement), and a certain location (tent of meeting, later the temple). On occasion, the law requires death as the penalty for failure to observe the rituals correctly (Exod. 30:20–38; Lev. 10:1–3; 16:2). This type of false worship is basically limited to the OT because of the highly regulated and ritualistic nature of Israel’s worship. Although the NT contains rituals of worship, there is no indication of a censured method of observation, only of an improper attitude (1 Cor. 11:27–33).

The third form of false worship involves performing a ritual while living a life of unrepentant disobedience to God. The Bible addresses this type of false worship in several passages (1 Sam. 15:22; Isa. 1; Amos 4–5; Mic. 6). They demonstrate that even if the ritual is performed correctly and toward the true God rather than another god, a sinful lifestyle of the worshiper will invalidate the worship. Worship is not automatically accepted simply because it is performed in the right way by the right official at the right time for the right God; it has ethical demands (esp. Isa. 1:11–23; Jer. 14:7–10; Amos 4:4–13; 5:21–27). The prophets make it clear that God not only rejects worship from wicked, unrepentant worshipers but also abhors it (esp. Isa. 1:11–23; Amos 5:21–27).

Ritual and Ethical Aspects of False Worship

Regardless of the form of false worship, God takes it seriously. Ritual and ethical aspects of worship are both important. The deaths of Nadab and Abihu provide a good example of the importance of the ritual aspects of worship; they died because they performed a ritual contrary to its prescribed manner (Lev. 10:1). The text does not connect their death to some ethical failing but rather states that they profaned God by their ritual disobedience (cf. 10:1–3).

On other occasions, the lack of proper ritual observance accompanies serious ethical failings. For instance, Hophni and Phinehas committed two great transgressions. First, they performed the sacrifices contrary to regulation for their selfish gain, falling short both ritually and ethically. Second, they committed acts of fornication at the place of worship (1 Sam. 2:13–17, 22). The judgment upon them was a result of both transgressions. Malachi rebukes the Israelites of his day because the animals that they brought for sacrifice, being diseased or disabled, were unacceptable according to regulation (Mal. 1:7–14). The ritual transgression revealed their lack of devotion to God, which was reflected in their ethical failings as well (2:8–12).

On the other hand, the Bible emphasizes the priority of the ethical aspects of worship over the ritual. When Saul does not wait for Samuel as Samuel commanded him but instead makes an offering before Samuel arrives, Samuel rebukes Saul because of his disobedience to Samuel’s instruction (delivered as a word of the Lord), not because of his method for carrying out the ritual (1 Sam. 15:22). When Jeremiah speaks of the covenant at Mount Sinai, he emphasizes God’s demand for devotion instead of the ritual observances (Jer. 7:22–23).

Other passages show that proper worship is possible even without a ritual element. Micah defines proper worship without ritual elements, but purely in ethical terms (Mic. 6:8). When asked about the proper place of worship, Jesus tells the Samaritan woman that the location is irrelevant, only that worship must occur in spirit and truth (John 4:19–24).

Idolatry

The most serious and most widespread form of false worship is idolatry. In a technical sense, idolatry is creating a physical representation of a deity. In a more general sense, idolatry involves any sign of devotion to anything other than the one true God. Idolatry in the OT consists of both making an image of God and making images of other deities. Both practices are forbidden in the Ten Commandments, which are a succinct presentation of God’s ethical demands. The incident of the golden calf is a paradigmatic case of idolatry. Israel created a physical representation of the God who brought them up from Egypt (Exod. 32:1–8). Jeroboam followed this example by erecting two golden calves in Israel, again as images of the God who brought Israel up from Egypt (1 Kings 12:25–33). Although these cases involve an image of God, idolatry is usually closely connected with the worship of other gods (1 Kings 14:9; 2 Kings 17:7–12; 22:17). Idolatry is one of the main reasons for the exile of both the northern and the southern kingdoms (2 Kings 17:7–12; Isa. 2:8–22; Jer. 1:14–16).

In biblical and systematic theology, “inspiration” is one of several descriptions of God’s involvement in the production of Scripture. It is not an exhaustive description of the many ways in which divine revelation is mediated.

Taken as a description of “all Scripture” (as in 2 Tim. 3:16), inspiration must necessarily encompass such diverse modes of revelation as words audibly spoken or dictated by God and written down by humans (i.e., dictation: “the Lord said to Moses,” “thus says the Lord”), words spoken by angels, texts in which a divine or angelic voice is entirely obscured by the voice and identity of the human author (e.g., the letters of Paul), and, in the vast majority of cases, texts that are essentially anonymous, invoking no human author or divine author in particular. Moreover, any catalog of divinely inspired texts must include not only direct quotations of God’s speech but also occasional letters (the NT Epistles), prayers directed to God by humans (the Psalter), divine oracles given through prophets, the results of historical research (e.g., Luke 1:1–4; 1 Kings 14:19), and anthological texts that were collected and edited over a long period of time, often by unnamed individuals or groups of individuals.

Thus, the inspiration of Scripture must be regarded as a concept that is applied in the broadest possible way to the materials of Scripture. While the doctrine of inspiration constitutes a strong statement concerning the authority and divine authorship of Scripture, it must remain highly flexible with regard to the particular modes and literary products of divine revelation in Scripture.

God-Breathed (theopneustos) in 2 Timothy 3:16

The idea of divine inspiration is stated most clearly in 2 Tim. 3:16–17: “All Scripture is God-breathed [theopneustos] and is useful for teaching, rebuking, correcting and training in righteousness, so that the servant of God may be thoroughly equipped for every good work.” Here, the fact of divine inspiration serves the apostle’s interest in the authority and relevance of Scripture, especially as Scripture undergirds Timothy’s religious education (2 Tim. 3:14–15). This sole biblical use of the term theopneustos says little about how inspiration is accomplished, and the emphasis is entirely on the consequences of the fact. Because it is inspired, all Scripture is useful and authoritative for a variety of purposes.

In some older English translations, the key term, theopneustos, was translated as “inspired,” following the ancient tradition of rendering the term in Latin as divinitus inspirata. Strictly speaking, “inspiration” is not a biblical term. In one classic Protestant evangelical exposition of the text and doctrine, B. B. Warfield noted that the Greek word denotes not so much a “breathing in” as a “breathing out” on God’s part. Scripture is not simply a container into which God has breathed his word (so that Scripture merely “contains” God’s word), nor is Scripture only “inspiring,” in the sense that it works an effect on the reader (taking theopneustos in an active rather than a passive sense: “God-breathing” rather than “God-breathed”). Scripture is not the product of inspiration, as if produced by inspired authors but not itself inspired. Rather than all these things, it is most correct to say that Scripture is, in the strictly literal sense of the word, “expired”—breathed out by God himself. This view of the matter is reflected in, among other places, the NIV translation of theopneustos as “God-breathed.”

The translation by the NIV—“all Scripture is God-breathed and is useful . . .”—takes theopneustos as a grammatical predicate. Others have suggested that theopneustos can be understood attributively: “all God-breathed Scripture is useful.” This interpretation remains a minority position, especially among evangelical scholars, both on grammatical grounds and because it implies a distinction between inspired and noninspired Scriptures. There is little other evidence for such a notion in the NT.

The application of the notion of inspiration to the whole of the Christian canon (OT and NT) inevitably involves some extension of the original meaning of 2 Tim. 3:16. By no account were the NT writings either composed or collected prior to the writing of 2 Timothy, and the final shape of the Christian OT canon may also have been undecided at the time 2 Tim. 3:16 was written. In postbiblical Christian theology, however, what is said of “all Scripture” (pāsa graphē) in 2 Tim. 3:16 is applied to all Christian Scripture, regardless of what was directly in view when the verse was written. It is likely that by “all Scripture,” the apostle meant nothing more than the Christian OT—that is, the books that lay before Timothy as he was educated in the faith from his infancy (2 Tim. 3:14–15). In systematic theology, the application of inspiration and other descriptors of “Scripture” to the NT writings owes much to a comment in 2 Pet. 3:16 that places the letters of Paul in the same class as “the other Scriptures” (tas loipas graphas).

Why “Inspiration”?

The sheer diversity of the modes of revelation described in the Bible raises a question: Why is “inspiration” (or, as Warfield argued, “expiration” or “breathing out”) a particularly appropriate description of God’s involvement in the production of the scriptural text? At the root of theopneustos, Greek pneuma (as well as its Hebrew cognate, ruakh) denotes several related concepts ranging from “wind” or “breath” to “spirit,” as in “the Holy Spirit.” It is from this complex of meanings that the relevance of theopneustos is evident.

Physiologically, several of the speech organs are also organs of respiration, so that the spoken word can be thought of as a kind of breathing, as in Acts 9:1: “Saul was still breathing out [empneuōn] murderous threats against the Lord’s disciples.” To speak of Scripture as “God-breathed,” then, is simply to identify it as God’s spoken utterance or word, as in the many biblical texts that introduce a scriptural utterance as “the word of the Lord” or with the phrase “thus says the Lord.” To the extent that 2 Tim. 3:16 has in view the physiological dimension of “breathing,” it extends these explicit statements of divine speaking to the whole of Scripture. In one sense, theopneustos is an anthropomorphism: God does not speak as a human, with lungs, throat, and mouth. Scripture is not God-breathed as opposed to being written by humans; the figurative breathing or speaking of God does not circumvent other processes of textual production. Again, the idea of inspiration pertains more to the authority of Scripture as revelation than to the mode of the mediation of God’s word.

As with the concept of “inspiration” itself, to speak of Scripture as the “word of God” specifies its divine authority without exhaustively describing how that word is mediated to the human author who then commits it to writing. To speak of Scripture as the “breathing out” of God is to invoke the broader concept of God’s (anthropomorphic) breath, and thus to place scriptural production among the other phenomena that are so described. These include the divine creation of life (Gen. 2:7; Job 33:4; Ezek. 37:5) and the cosmos (Ps. 33:6), divine judgment and destruction (Job 4:9; Isa. 30:33; 2 Thess. 2:8), the impartation of divine wisdom (Job 32:8), the impartation of the Holy Spirit (John 20:22), and the continuing action of God in creation (Exod. 15:10; Job 37:10; Isa. 40:7). In contrast to the living God of Israel, the idols lack breath (ruakh) and are therefore false gods (Jer. 10:14).

Equally important as the anthropomorphic description of God’s role as exhalation or speaking is the fact that pneuma refers not only to bodily breathing but also to the spirit of God—that is, the Holy Spirit. The inspiration of scriptural revelation is the particular work of the Holy Spirit, as comes to light particularly in 2 Pet. 1:20–21: “You must understand that no prophecy of Scripture came about by the prophet’s own interpretation of things. For prophecy never had its origin in the human will, but prophets, though human, spoke from God as they were carried along by the Holy Spirit.” Unlike 2 Tim. 3:16, this verse gives a description of the mechanism by which God is involved in scriptural production: the Holy Spirit “carries along” humans speaking from God. Again, however, if this is to be taken as a description of the entirety of the Christian Bible, it must encompass a wide variety of literary phenomena.

As in 2 Tim. 3:16, the emphasis is on the authority and divine origin of Scripture rather than on the worldly history of the Bible. Like the adjective “God-breathed,” the Holy Spirit’s “carrying along” of the prophets is figurative and anthropomorphic, and the expression leaves many questions unanswered regarding the mode of revelation. Nevertheless, the specific mention of the role of the Holy Spirit as the divine agent of scriptural production sheds light on the term theopneustos in 2 Tim. 3:16. This is consistent with the citation formula in Acts 4:25, which quotes Ps. 2:1–2 by saying, “You [God] spoke by the Holy Spirit through the mouth of your servant, our father David.” This verse highlights several facets of the notion of the inspiration of Scripture: its character as divine speech, the agency of the Holy Spirit, and the concurrence of divine and human authorship.

The concept of justice pervades the Bible, especially, though not exclusively, the OT. The key biblical terms that convey this concept include mishpat, tsedeq/tsedaqah, yashar in the OT and the dik- word group in the NT (whose noun and verb forms are translated respectively as “righteous” and “justify” or their respective cognates). The biblical concept of justice is an embodiment of two contemporary concepts: righteousness and justice. The former designates compliance with the divine norm, while the latter emphasizes conformity to a societal standard of what is right and equitable. Focusing exclusively on the latter hinders the correct understanding of justice in the biblical sense. Additionally, the biblical understanding of this concept is encumbered by the use of differing English terms to translate the same Hebrew or Greek terms.

Mishpat and Tsedaqah

Mishpat inherently encompasses the idea of judicial activism consisting in the provision of standard criteria (legislation, instructions, directives) for conduct and adjudication, and/or the actual arbitration between parties with the goal of ascertaining culpability or otherwise and administering the requisite sanctions or acquittal. Tsedaqah, on the other hand, emphasizes the established norm of just order for right conduct both in the larger society and for individuals. Whereas mishpat emphasizes the action that seeks to establish or enforce right patterns of behavior for the common good, tsedaqah stresses the practice (or lack thereof) of such a norm in society, or between individuals, or an individual’s compliance with such a norm.

When used in combination as a hendiadys (or word pair), these two terms signify an inherent requirement for conformity to an established norm (whether in the religious sphere or in civil society) or the requirement of loyalty or right conduct between individuals. To the person who stands to benefit from this norm, it approximates a right (i.e., a claim). Conversely, implicit duty is placed upon the person who ensures the conformity to such an established norm. This fact is better appreciated when we reckon with the covenantal nature of requirements for justice in the ancient world, in which both parties have both claim and responsibility. Broadly speaking, this concept also implies good governance, which accrues order to life and common benefits to all members of the community.

This idea is exemplified even in passages that do not use this precise phraseology (mishpat utsedaqah). Judah’s widowed daughter-in-law, Tamar, had an inherent right to be provided with a (kinsman-redeemer) husband to raise up progeny for her deceased husband, while Judah had the incumbent duty of giving her in levirate marriage to his surviving son. When Judah failed to execute his duty, Tamar entrapped him into an incestuous relationship, from which she conceived. When condemned to die for adultery in a clannish court setting, Tamar revealed the identity of her unborn child’s father, to which Judah responded by saying, “She is more righteous than I, since I wouldn’t give her to my son Shelah” (Gen. 38:26). That is, she acted more in conformity to the norm than he did. In another instance, Yahweh, while challenging the Judeans concerning their loyalty to him in a covenant lawsuit setting, asks, “A son honors his father, and a slave his master. If I am a father, where is the honor due me? If I am a master, where is the respect due me?” (Mal. 1:6). It is Yahweh’s right as father and master to receive honor and respect, while it is their duty to give him both.

God as the Source and Model of Justice

To be just, then, implies conformity to that which is right—yashar (the standard or norm). In Scripture, this standard is the revealed divine will and character. Compliance to it is often expressed in biblical narrative as doing what is “right [or good] in the Lord’s sight” (Deut. 6:18; 12:28; 1 Kings 14:8; 22:43), while its antithesis is doing what is “evil in the eyes of the Lord” (Judg. 2:11; 1 Kings 11:6; 14:22) or doing what some human figure(s) “saw fit” (Deut. 12:8; Judg. 17:6; 21:25).

Therefore, the source of justice is God himself. It flows from his essential character as one who is both just and righteous, whose actions are flawless, perfect, upright, and just (Deut. 32:4; 1 Sam. 12:7; 2 Sam. 22:31; Job 37:23; Ps. 89:14). God is the righteous lawgiver, hence the one who establishes the norm for right conduct (Deut. 4:4–8; Ps. 19:7–9). He requires justice of all his creatures (cf. Gen. 9:5–6; Exod. 21:12, 28–29). God also judges righteously (Gen. 18:25; 1 Kings 8:32; Ps. 9:4, 9; Jer. 9:24) and defends and vindicates the weak and oppressed (Deut. 10:18; Ps. 103:6). The responsibility of maintaining justice in the human community, however, he delegates to its leaders, such as civil magistrates or political officials, and requires them to execute this responsibility with integrity, equity, and impartiality (Deut. 1:16–17; 16:18–20; Ps. 82:2–4; Prov. 31:8–9; John 7:24; 1 Pet. 2:13–14). God’s requirement of justice in the human community is not limited to its leaders only; it is incumbent upon everyone therein (Ps. 15:1–5; Mic. 6:8; Zech. 7:9; 8:17; Matt. 23:23).

Executing justice requires doing all that is essential to bring about the divine order implicit in creation and explicit in revealed truth, to produce harmony in all relationships in which humankind is involved (divine-human, human-human, and human-nature). This has the twofold result of restraining evil and advancing the benefits of just living within the human society. Thus, the fruits of justice are to be seen in all spheres of human life, such as spirituality (2 Cor. 5:17–21), morality and ethics (Phil. 4:8; Col. 3:5–9; Titus 2:11–13), social justice (Exod. 22:21–24; Isa. 56:1; Amos 2:6–7; Ezek. 22:7–29; James 2:1–9), and economic justice (Amos 5:11; 8:4–6; James 5:1–6), as well as in the environment (Deut. 20:19–20; Pss. 96:9–13; 104:1–31; Eccles. 2:5–6; Rom. 8:19–22).

Additionally, the outworking of justice produces (re)distribution and retribution. Distribution means that those blessed materially share of their blessings with those in need (Deut. 15:1–15; Ps. 112:5–9; Prov. 28:27; Isa. 58:1–11; 2 Cor. 8–9). Retribution relates to the vindication and deliverance of the oppressed and judgment on the wicked (1 Sam. 2:7–10; Job 36:5–10; Ps. 72:4; Luke 4:17–20). This is both attested in biblical Israel’s experience (Isa. 1:17–20; 5:1–9; Jer. 5:26–29; Mic. 2:1–3) and is being anticipated at the final judgment (Isa. 66:24; Dan. 12:1–3; Matt. 25:31–46; 2 Thess. 1:5–10). The vindicated obtain God’s love and grace, while the judged receive his justice. Justice and love, therefore, are the two sides of God’s holiness.

Ancient libraries played an important role in the transmission and preservation of the Bible. Our knowledge of the size and scope of ancient libraries continues to increase. Ancient libraries differed in size, ranging from small collections contained in well-to-do private residences to massive temple and palace archives. The larger collections usually contained texts in several different languages. The texts themselves could include various modes of writing, such as clay impressed with a stylus; broken pottery (potsherds) etched with a sharp tool; or papyrus or vellum (animal hide) inscribed with ink.

Old Testament Period

The most extensive libraries maintained during the time period of the OT consisted of cuneiform collections of clay tablets. We know of approximately three hundred libraries and archives dating from 1500 to 300 BC, extending over the entire Fertile Crescent from Elamite Anshan (northeast of the Arabian Gulf) at the southeast extremity, to Hittite Shapinuwa in modern Turkey at the northern extremity, to Egyptian Akhetaten at the southwestern extremity. Most of the Mesopotamian buildings were designed around a large inner courtyard, and the library most often was located in a room adjacent to this courtyard, which provided important access to good reading light. The lifetimes of these libraries also varied from those used only for a couple of years to two libraries used for 140 years.

Assyria and Babylonia. The largest collection of texts consisted of about thirty thousand clay tablets and fragments found in the libraries of Nineveh. The palace of Sennacherib (704–681 BC), located by the western wall on the northern side of the river that transected the city, included three libraries. The main library consisted of two adjacent rooms that housed most of the literary texts found in the city. Within a second library, around 450 clay seal impressions (bullae), with royal seal impressions on one side and indications of rope fasteners on the other side, were discovered that likely were attached to administrative documents written on scrolls or papyri that have long since disintegrated. The third library contained cuneiform documents, some of which contained Aramaic summaries of their contents. The palace of Ashurbanipal (668–627 BC) was located north of Sennacherib’s. This palace also contained one main library with a large number of literary texts and one smaller library housing documents for military officials. Although Ashurbanipal’s library received donations of texts from individuals such as Ashurbanipal’s brother and from the crown prince’s chief eunuch, it is unclear whether any policy of acquisition was in place.

The Assyrian capital city of Assur contained fifty-three different libraries and archives. In the temple to the god Assur, one library was kept by the supervisor of the temple offerings. One large library of 420 clay tablets, located in an administrative building near two of the prominent city temples, was kept by the stewards of several kings from Shalmaneser I (1273 BC) to Ashur-bel-kala (1056 BC). One small administrative archive with receipts and the like belonged to the cattle and sheep fattener. One small library of only 6 tablets appears to have been the handbook library for the exorcist of the king. One library of 140 clay tablets belonged to a prominent family in the city and consisted of various legal documents, such as loans, adoption certificates, inheritance contracts, and receipts. One of the city’s governors maintained a personal library with loan documents, inventory lists, and other administrative documents.

The city of Babylon contained some twenty libraries. One of these libraries, thought to be located near the famous hanging gardens of the south palace, contained 290 administrative rec-ords from Nebuchadnezzar’s reign (605–562 BC). Among these records is a list of prisoners of war mentioning King Jehoiachin of Judah, deported by Nebuchadnezzar. The north palace also contained a large library containing 950 loan and real-estate cuneiform documents from the Persian period (specifically, 465–404 BC). About 21 of these cuneiform documents have summary notes in Aramaic on them. There was also, unsurprisingly, a large library in the temple of Nabû, the patron god of scribes. The 1,500 school tablets found in this temple suggest that it was used as a scribal training school.

Ugarit. The seventeen archives and libraries discovered at Ugarit are significant for our knowledge of the Canaanites because it is from these texts that we have access to the myths of Baal and El written in the local language of Ugaritic. Most of the texts in this archive span a very short period (1230–1175 BC) during the reigns of three successive kings. There were eight different libraries in the royal palace, with the largest of these holding some 254 clay tablets, while the smallest contained only 14 clay tablets. Although most tablets were written in the local language of Ugaritic, many of the letters and administrative documents were written in Akkadian, the commercial lingua franca throughout the region at that time. In addition, a number of religious texts were written in Hittite or Hurrian. In this set of libraries we see the importance of bilingualism for the scribes, as evidenced in the exchange at the aqueduct with the Assyrian field commander (2 Kings 18:17–37, esp. v. 26).

Hebrew and Aramaic collections. In addition to the cuneiform libraries, a number of libraries have been discovered with Hebrew and Aramaic preserved on ostraca (broken pieces of pottery used for writing). The palace in the northern capital of Samaria contained an administrative library with 102 Hebrew ostraca from the eighth century BC. These documents are often referred to as the Samaria ostraca and are receipts and logs of the delivery of oil and wine to different locations. The city of Lachish had a small military library of letters, located to the right of the outer gate; the library was maintained by Yaosh, the commander of the city shortly prior to its invasion in 587/586 BC. Dating even later, from the fifth century BC, are documents left by a small Jewish community on the island of Elephantine, at the southern border of Egypt; this small group of private documents written both on ostraca and papyrus concern everything from dreams to payment of debts, and include a note about a garment left in the temple of Yahweh.

Certainly the royal palace at Jerusalem also contained libraries and archives, as was common throughout the region. The OT mentions various books that most likely were housed in libraries or archives of this sort. The Chronicler refers to “the book of the kings of Judah and Israel,” which the reader may consult for more information on a given king (e.g., 2 Chron. 25:26). Other books mentioned include “the Book of the Wars of the Lord” (Num. 21:14), “the Book of Jashar” or literally “the Book of the Upright” (Josh. 10:13), “the book of the annals of Solomon” (1 Kings 11:41), “the book of the annals of the kings of Israel” (1 Kings 14:19), and “the book of the annals of the kings of Judah” (1 Kings 14:29).

Alexandria. Whereas much of our knowledge about the aforementioned libraries comes from archaeological excavations of the sites, our knowledge of the library at Alexandria is only textual in nature, though it is varied and plentiful enough to provide credibility for its existence. Two main features that distinguish this library from its predecessors and make it more comparable to modern libraries are its use of full-time librarians and the focus of these librarians on acquisitions. The position of head librarian at Alexandria was by royal appointment and was held in high esteem. Ptolemy III (246–221 BC) borrowed books from rulers the world over for copying. Galen reports that customs officials in Alexandria had orders to confiscate any books that were aboard passing ships, which would then be copied. More often than not, the original texts were then deposited in the library, and it was the copies that were returned to the original owners, with Alexandria forfeiting the bond money that had been deposited for “borrowing” the books. This practice enabled the library at Alexandria to collect some four hundred thousand mixed scrolls with multiple works and another ninety thousand single scrolls by the time of Callimachus (305–240 BC).

This practice is also mentioned in the Letter of Aristeas as the motivation for Demetrius of Phalerum, the librarian of Alexandria, to commission the translation of the Pentateuch into Greek. Whether or not there is any historical validity to this claim in relation to the Pentateuch itself, the emphasis of the library at Alexandria on acquisitions and copying clearly was well known.

New Testament Period

One of the most important libraries related to the history of the Bible is the Dead Sea Scrolls, an archive of nine hundred parchment scrolls first discovered in caves near Qumran in 1947. These texts date from 150 BC to AD 70, overlapping the period of the NT. Although many scholars think that these caves served as a type of offsite storage facility for the library of the community that produced them, other scholars have suggested, on the basis of remains of a shelving system found within the caves, that these caves served as permanent libraries for the community. Biblical manuscripts make up about 40 percent of the archive (including portions of every OT book except Esther), and an additional 30 percent of the manuscripts are apocryphal or pseudepigraphical manuscripts. The remaining 30 percent of the archive has been classified as sectarian documents, including commentaries on different books of the OT and rules for proper living within the community.

Human and animal excrement, to be either disposed of because of its uncleanness or appropriated for fertilizer or fueling fires (1 Kings 14:10). Jerusalem had an entrance known as the Dung Gate (Neh. 2:13; 3:13, 14; 12:31). The rabbis required that a person be at least four cubits (about six feet) away from dung (and urine) before reciting the Shema (m. Ber. 3:5; t. Ber. 2:17–18). They avoided alleyways where chamber pots were emptied (t. Ber. 2:19–20). They taught that a person who needs to defecate should not pray (t. Ber. 2:19). The Essenes were even more stringent: they would not defecate on a Sabbath day; on other days, they left their camps, dug a hole with a shovel, and then covered the excrement (Josephus, J.W. 2.147–49; cf. Deut. 23:12–14). Appropriating this background, Paul compares his past separation from Christ to dung (Phil. 3:8 KJV, NET [NIV: “garbage”]).

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

Divine pronouncements given to humankind that are either unsolicited (Isa. 7:3–9; Hag. 1:2–11; Zech. 12:1) or a response to an inquiry (2 Kings 8:8). It was common practice throughout the ancient Near East to seek pronouncements from deities and to identify holy sites where sacred individuals could query the deities (e.g., the shrine of Apollo at Delphi). How much time elapsed between the transmission of an oracle and its inscription is uncertain. Inscriptions from the surrounding Near Eastern milieu attest that messages received from a deity often were transcribed immediately upon reception, with the prophet’s name attached.

Reception and Delivery of Oracles

The Hebrew word massa’ (derived from nasa’, “to lift, take, carry”), variously translated “oracle” (Isa. 17:1; 19:1; 21:1; 30:6), “burden” (Isa. 17:1 JPS, KJV), or “prophecy” (Prov. 30:1; 31:1 KJV), is used in this figurative sense primarily in prophetic speech (Prov. 30:1; 31:1 are the exceptions) to refer to threatening pronouncements against Israel (Hab. 1:1; Zech. 12:1; Mal. 1:1), its neighbors (Isa. 13:1; 14:28; 15:1; Nah. 1:1), or an individual (2 Kings 9:25; 2 Chron. 24:27). Although the word itself is used infrequently, the prophetic activity of delivering divine pronouncements was prevalent throughout Israel’s history, rising in prominence during the monarchy and ceasing at the beginning of the intertestamental period.

Priests, judges (Deut. 17:9), and prophets (1 Sam. 9:9) could be the recipients and deliverers of divine oracles, although as the duties of these offices became more differentiated over time, delivery of oracles became more the province of the prophet (2 Kings 22:11–14; Jer. 21:2). A few oracles found in the OT are attributed to non-Israelites (Balaam [Num. 22–24]; Agur [Prov. 30:1]; King Lemuel [Prov. 31:1]). The Israelites were commanded to seek Yahweh (Isa. 55:6; Hos. 10:12), and they (Isa. 9:13) and their leaders (Jer. 10:21) were condemned both for failure to do so and for their dismissive response to a prophetic oracle once it had been delivered, whether solicited (Ezek. 33:30–32) or not (Zech. 7:12).

Prophets were often sought to inquire about obtaining an oracle (1 Sam. 9:9; 2 Kings 3:11; 22:13) during times of crisis or need. Such oracles were for the benefit of either an individual (Exod. 18:15; 2 Kings 8:8) or the nation (1 Kings 22:5; 2 Kings 3:11; 2 Chron. 18:6) and were sought by commoners (Gen. 25:22; Exod. 18:15; Ezek. 33:30), elders (Ezek. 14:1–3; 20:1; see also 8:1), royalty (1 Kings 14:5; 22:5–8; 2 Kings 22:18; 2 Chron. 26:5), army officials (Jer. 42:1–3), and foreigners (2 Kings 8:7; Isa. 14:32). Prophetic response to oracular inquiry was not automatic. Deliverance of an oracle after an inquiry could be immediate (Jer. 37:17), delayed for an extended period of time (Jer. 42:7 [ten days]), or the prophet could refuse to deliver an oracle (Jer. 23:33; Ezek. 14:1). A previous oracle could be superseded (Isa. 38 [compare v. 1 with vv. 4–6]). Various commodities could be used for payment, including silver (1 Sam. 9:7–8), food (1 Kings 14:3), and foreign goods (2 Kings 8:7–9).

Oracles could be pronounced publicly in various places, including the palace (2 Kings 20:4–5), the temple (Jer. 7:2; 26:2), the city gates (1 Kings 22:10; 2 Chron. 18:9), the roadside (1 Kings 20:38–43), or privately to individuals, including royalty (Jer. 37:17), officials (Isa. 22:15), and foreigners (Jer. 39:15–17). There are several mentions in Scripture of oracles that are not part of the canonical record (e.g., 2 Chron. 24:27).

Oracular pronouncements could be brief (1 Kings 17:1) or lengthy (the books of Nahum and Malachi), and they consisted of a variety of genres, including satire (Isa. 44:9–20), parable (2 Sam. 12:1–14), and lament (Jer. 9:20; Ezek. 19; Amos 5:1), to produce the desired rhetorical effect. The prophetic introductory or concluding oracular formulas “thus says the Lord” and “declares the Lord” echo the messenger terminology of the broader culture, in which a similar introductory “thus says X” was used by messengers delivering public proclamations on behalf of the one who commissioned them (2 Chron. 36:23). In this way, the prophet presented an oracle as God’s message to the people, not his own.

Nominal Israel was condemned for seeking pronouncements from false gods (2 Kings 1:3–4, 6, 16; 2 Chron. 25:15; Hos. 4:12), necromancy (Isa. 8:19), and failure to inquire of the true God of Israel (Zeph. 1:6). False prophets could also claim to have received communication from God (Deut. 13:1–11; 18:20; Ezek. 13), but they were indicted for delivering their own message without divine sanction (Jer. 23:34–39; 28; Lam. 2:14; Ezek. 13), turning the people away from the true God to worship false gods (Deut. 13:1–11) and delivering oracular pronouncements in order to enjoy personal pleasure (Mic. 2:11) and gain (Jer. 6:13–15; 8:10–12).

Often Scripture simply notes that a prophet received a “word of the Lord” (Jer. 1:2; Hos. 1:1; Joel 1:1; cf. Isa. 14:28; Hab. 1:1) without explicitly stating the means by which the divine pronouncement was received. The prophetic witness mentions both seeing (Isa. 1:1; 13:1; Amos 8:1; Hab. 1:1) and hearing (Ezek. 1:24–25, 28) divine communication, but what actually happened to the prophet is not easily determined. The references to the Spirit coming upon an individual (Num. 11:25; 24:2; 1 Sam. 10:6, 10; Ezek. 8:1; 11:5; 37:1) point to some sort of divine intervention that seized the prophet’s consciousness in such a way as to prepare the prophet for a revelation from God.

Prophets were known to have ecstatic or visionary experiences that marked them as operating under divine influence. In addition, several of the prophets (Isa. 20; Jer. 13:1–11; Ezek. 5:1–4) acted out demonstrations (sign-acts) as part of their oracular ministry. These ecstatic experiences and peculiar actions offended many of their contemporaries (2 Kings 9:11; Jer. 29:26; Hos. 9:7). These phenomena were concentrated around the two great crises faced by Israel: the demise of the northern kingdom in 722 BC and of the southern kingdom in 586 BC. Having been given warning that national judgment was imminent, these prophets were led to augment their preaching with dramatizations in order to convey more persuasively to the audience the urgency of heeding their message (Ezek. 12:8–11).

Types of Oracles

Form critics have identified three main types of prophetic oracles: oracles of salvation, judgment, and repentance. The first is further divided into subcategories: individual salvation oracles (1 Kings 17:8–16) and community salvation oracles (1 Sam. 7:3–15). The prophets, however, were not tightly bound to the traditional forms, and they demonstrated great creativity in modifying the forms to fit their personal style and the situation before them.

These various types of oracles were not arbitrary pronouncements; they were founded on Israel’s covenantal relationship with Yahweh (Jer. 34:18). The prophets served as covenant prosecutors, and their oracles were part of the prosecution’s case on behalf of Yahweh against the people. Behavior, whether an individual’s or the nation’s, was evaluated in light of the demands of the covenant. So too, Yahweh’s response—judgment or salvation—was cast in terms of his faithfulness to the covenant(s) that he made with Israel.

Salvation oracles announced Yahweh’s glorious deliverance and restoration, mostly in response to the catastrophe of 586 BC (Ezek. 11:16–21; 36:24–38; 37:15–28; Amos 9:11–15; Zeph. 3:14–20), and they could include in the salvific pronouncement the destruction of the enemy (Zeph. 3:19). They often open with the formulaic “in that day” (Amos 9:11; Mic. 4:6), focusing Israel’s attention on a future time when all its enemies would be subdued and covenantal blessings would be established and enjoyed by the redeemed community.

Judgment oracles typically were introduced with an interjection, often translated into English as “woe,” followed by a formal address and accusation accompanied by an announcement of the punishment to be inflicted (Isa. 1:4; 5:8, 11, 18, 20, 21, 22; Jer. 22:13; Ezek. 34:2). These oracles could take the form of a lawsuit. In Isa. 1:2 “heaven and earth” are summoned as witnesses, harking back to Deut. 30:19; 31:28; 32:1, where these elements of nature were invoked by Moses to be witnesses of God’s covenant with Israel. Some oracles state explicitly that a case has been brought against the people (Isa. 3:13; Jer. 2:9; Hos. 4:1; 12:2; Mic. 6:1–2).

Repentance oracles specifically summon the addressee to repentance and a recommitment to the covenant in order to avoid destruction (Isa. 31:6; Jer. 4:1; Hos. 12:6).

Means of Oracles

Various objects were sanctioned for use in discerning God’s will. Scripture is silent on many of the details regarding the manipulation of these objects, but the validity of their use for discerning the divine will is not questioned. The mysterious Urim and Thummim, two stonelike objects kept in the high priest’s breastpiece, appear to have operated to give a “yes or no” response (Exod. 28:30; Lev. 8:8; Deut. 33:8; 1 Sam. 14:41), though sometimes there is no response at all (1 Sam. 28:6). The ephod, some sort of two-piece linen apron or loin cloth worn by priests under the breastpiece (Exod. 28:4, 6; 1 Sam. 23:9–12; 1 Sam. 30:7–8; but note that Samuel was wearing one as he assisted the high priest Eli [1 Sam. 2:18], and David, as he led the procession returning the ark of the covenant to Jerusalem [2 Sam. 6:14]), was also pressed into service for discerning God’s will. Another method, the casting of lots, is shrouded in mystery. This method was used to determine the scapegoat on the Day of Atonement (Lev. 16:8–10), the guilty party in the loss at Ai (Josh. 7:14), land allotment in Canaan (Josh. 14–19; 21), priestly assignments in the temple (1 Chron. 24:5; 25:8; 26:13), residency in Jerusalem in the postexilic community (Neh. 11:1), the day to massacre the Jews in Persia as plotted by Haman (Esther 3:7; 9:24), and dividing the Messiah’s clothing (Ps. 22:18; cf. John 19:24).

Oracles against the Foreign Nations

A special group of oracles are those addressed to Israel’s historic enemies, commonly referred to as “oracles against the [foreign] nations.” Blocks of these oracles are found in Amos 1–2; Isa. 13–23; Jer. 46–51; Ezek. 25–32 and the entire books of Nahum and Obadiah. These oracles were addressed to a specific foreign nation (the putative audience) but were heard by Israel. During a time when most people’s conception of deity was tied to a specific land, these oracles maintained that Yahweh was sovereign over the whole earth, and that his purposes included all humankind. All the nations do his bidding. These oracles were to be understood against the backdrop of Israel’s infidelity to Yahweh and its futile reliance on the support of foreign nations. The oracles demonstrated that Yahweh would bring down all that was haughty and would order events so that he alone would be high and exalted in the day of his coming. Those nations that cursed Israel would themselves be cursed (Gen. 12:1–3; 27:29).

New Testament Usage

In the NT, “oracle” (Gk. logion) occurs four times, always in the plural (logia [NIV: “words”]). It refers to the Mosaic law (Acts 7:38) and unspecified portions of revelation (Rom. 3:2; Heb. 5:12; 1 Pet. 4:11).

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

Rivers in Cosmology

Genesis 2:10–14 describes the garden in Eden as the source of an unnamed river that subsequently divided into four “headwaters”: the Pishon, the Gihon, the Tigris, and the Euphrates. This description defies any attempt to locate the purported site of Eden in terms of historical geography. The Tigris and the Euphrates do not diverge from a common source, but instead converge before emptying into the Persian Gulf. Moreover, the Gihon, if it is to be identified with the sacred spring of the same name in Jerusalem (1 Kings 1:45), is several hundred miles away from the Tigris and the Euphrates. The Pishon is otherwise unknown. If, as various commentators since antiquity have suggested, the Gihon and the Pishon are to be identified with other great rivers in the same class of importance as the Tigris and the Euphrates (the Nile, the Ganges, etc.), then this would further confound any attempt to understand Gen. 2:10–14 in terms of historical geography. The image of four rivers emanating from a primordial garden and dividing unnaturalistically from a common source is attested in ancient Near Eastern art, notably in the eighteenth-century BC wall painting illustrating the investiture of Zimri-Lim. In this image, two goddesses stand in a paradisiacal garden, guarded by mythical, sphinxlike creatures (cf. the cherubim in Gen. 3:24), holding vessels from which four rivers flow.

In his vision of the restored land of Israel, Ezekiel sees a great river emanating from the temple in Jerusalem, flowing into the Judean desert, and ultimately turning the Dead Sea into freshwater (Ezek. 47:1–12). Along the banks of the river, Ezekiel sees fishermen and perpetually fruitful trees. Similarly, the vision of the new Jerusalem in Rev. 22:1–2 describes a river of the “water of life” flowing through the city and watering trees that bear fruit in every month. In both cases, the visions draw on the notion that Jerusalem is the cultic and religious center of the world and therefore endow its spring—geologically speaking, an insignificant body of water—with a cosmological significance. It was perhaps this same impulse that led the author of Gen. 2:13, probably himself a Jerusalemite, to mention the Gihon in the same class as the Tigris and the Euphrates.

In Ps. 89:25, in the context of a poem describing the adoption of the Davidic king as a divine son, God is described as promising to “set his hand over the sea, his right hand over the rivers.” Like the sea, a symbol of cosmic chaos in ancient Near Eastern mythology, the rivers represent a force that is overcome by the divine warrior and then placed under the subjection of his human representative, the beloved king. In this connection, it is significant that the exodus—in many ways the preeminent foundational moment of the Israelite religion—involved the splitting of both a sea (Exod. 14:21–22) and a river (Josh. 3:16; Ps. 114:3) and the subsequent passage of the Israelites on dry ground. This people-creating deliverance, in turn, is comparable to the account of creation in Gen. 1, where the Creator God drives back the waters to prepare a dry-ground habitation for humanity (vv. 9–10). In Ugaritic mythology, Yamm, the sea god, also bore the epithet “judge river,” underscoring the cosmological connection between sea and river. As we will see, prophetic oracles of divine judgment, especially when they are directed against the river-based civilization of Egypt, often recapitulate the theme of the God of Israel fighting against the river.

The Nile River

The Nile (Heb. ye’or) is fed by two major tributaries: the White Nile, which begins at Lake Victoria, and the Blue Nile, which begins in Ethiopia. At over four thousand miles, the Nile is the longest river in the world. The ancient civilization of Egypt depended entirely on the flow of the Nile and upon its annual flood (the “gift of the Nile”) for irrigation of crops. Even today, arable land along the Nile is confined in some places to an area no more than a few miles from its banks.

Given the dependence of Egyptian civilization on the Nile, especially its annual flood and the accompanying deposit of silt, it is not surprising that the river figured prominently in Egyptian mythology and religion. In particular, the story of the dying and rising god Osiris was linked with the annual ebb and flow of the great river. The annual inundation is still impressive today; an ancient impression may be gleaned from Amos 9:5, where the prophet appeals to the rising and falling of the Nile as a description of divine, earth-melting judgment.

Two of the plagues sent by God upon the Egyptians took place at the Nile, an appropriate setting for a confrontation between the God of Israel and the Egyptian pharaoh, himself a living representation of the Egyptian pantheon. In Ezek. 29:3 the God of Israel says to Pharaoh, “I am against you, Pharaoh king of Egypt, you great monster lying among your streams. You say, ‘The Nile belongs to me; I made it for myself.’  ” Since the Nile was perhaps the preeminent natural or environmental symbol of Egyptian culture, the God of Israel’s assertion of control of that river would have been understood as an unmistakable claim to sovereignty. At the time of the birth of Moses, the Nile was a place of extinction for the Israelites, for Pharaoh had commanded that every boy born to the Hebrews be thrown into the Nile (Exod. 1:22). Ironically, Moses was saved when his mother put him in the Nile in a pitch-coated basket, where he was found by the royal daughter of Pharaoh, who had come to the Nile to bathe (2:3, 5).

God told Moses to confront Pharaoh at the Nile (Exod. 7:15), and the first plague with which God afflicted the Egyptians consisted of turning the Nile into blood, causing its fish to die and rendering its water unsuitable for drinking. The Egyptians were forced to dig wells along its banks (7:20–21). The second plague involved the multiplication of frogs in the Nile, to the point of great inconvenience (8:3).

Isaiah continues the theme of God punishing the Egyptians by attacking the Nile: “The waters of the river will dry up, and the riverbed will be parched and dry. The canals will stink; the streams of Egypt will dwindle and dry up. The reeds and rushes will wither, also the plants along the Nile” (Isa. 19:5–7). The passage goes on to underscore the importance of the Nile as a source of irrigation water and fishing and the devastation that results from the failure of the Nile to flood as expected. In other texts, where the emphasis is on the better fortunes of Egypt, the power of Egypt is symbolized by the mighty Nile: “Who is this that rises like the Nile, like rivers of surging waters? Egypt rises like the Nile. . . . She says, ‘I will rise and cover the earth; I will destroy cities and their people’  ” (Jer. 46:7–8).

The Euphrates River

The Euphrates is the westernmost of the two great rivers of Mesopotamia (along with the Tigris [see below]), the land “between the rivers.” As mentioned above, the Euphrates was one of the four rivers flowing from the garden of Eden, according to Gen. 2:14. Along the Euphrates were located the ancient cities of Carchemish, Emar (Tell Meskeneh), Mari, Babylon, and Ur. The Euphrates runs over seventeen hundred miles from northwest to southeast, beginning in the mountains of eastern Turkey before joining with the Tigris and entering the Persian Gulf.

In the Bible, the Euphrates represents the northern boundary of the territory granted to Abraham (Gen. 15:18; see also Exod. 23:31). David extended his territory as far as the Euphrates when he fought the Aramean king Hada-de-zer (2 Sam. 8:3), and so the dimensions of Israel at its apex under Solomon are described as controlling all the kingdoms “from the Euphrates River to the land of the Philistines, as far as the border of Egypt [i.e., the southern limit of his realm]” (1 Kings 4:21).

In addition to its significance as a political boundary, the Euphrates marked an important cultural boundary in Israelite thought. Abraham and his family are remembered as having come from “beyond the Euphrates River” (Josh. 24:2). The exile was described as a scattering “beyond the Euphrates River,” an expression that underscores complete dispossession from Israel’s own land (1 Kings 14:15). Interestingly, the cultures to the east of the Euphrates shared the notion that this river marked a major boundary, as evident from the convention among the Neo-Assyrians and the Persians of referring to western lands by the name “Beyond the River” or “Trans-Euphrates” (Akk. eber-nari; Aram. abar nahara). This was the name of the province encompassing the land of Israel in the time of Ezra (see Ezra 4:10).

Isaiah made use of the association between the Euphrates and the Mesopotamian empires when he likened the king of Assyria to the mighty waters of the river (Isa. 8:7). The Euphrates figures prominently in Revelation, where it restrains punishment from the north, a punishment that is released when God dries up the river, allowing “kings from the East” to cross over (Rev. 9:14; 16:12).

The Tigris River

Along with the Euphrates, the Tigris (Heb. khiddeqel ) was one of the two rivers of ancient Mesopotamia. The Tigris lies east of the Euphrates and runs over a course of approximately 1,150 miles from northwest to southeast, finally joining with the Euphrates and emptying into the Persian Gulf. In antiquity, the cities of Calah, Nineveh, and Ashur lay along the Tigris. The Tigris is mentioned twice in the Bible: first, as one of the four headwaters emanating from the garden of Eden (Gen. 2:14) and, second, as the location of Daniel’s visionary experience (Dan. 10:4).

The Jordan River

The Jordan (Heb. yarden) runs southward from the Hula Valley into the Sea of Galilee (also known as the Sea of Tiberias; modern Lake Kinneret) and from there through a river valley (the “plain of the Jordan” [see Gen. 13:10]) to the Dead Sea. Over its course of approximately 150 miles, it descends dramatically from an elevation of approximately 200 feet in the Hula Valley to an elevation of 690 feet below sea level at the Sea of Galilee, and then farther downward to an elevation of 1,385 feet below sea level at the Dead Sea. Fittingly, the name “Jordan” is related to the Hebrew word yarad (“to go down”).

In the story of the exodus and conquest, the Jordan River marked the boundary of the “promised land,” despite the fact that two and a half tribes received inheritances on the eastern side of the river (the Transjordan [see Num. 32:32; 34:12, 15]). For those living in the land of Israel, the river marked the boundary between them and what they termed “the other side of the Jordan” (Heb. ’eber hayyarden [Num. 32:19; Deut. 1:5]).

In the OT, several memorable stories are set near the Jordan. In addition to Joshua’s dramatic crossing of the Jordan (Josh. 3:1–17), the “fords of the Jordan” were strategic locations, and it was there that the Gileadites slaughtered forty-two thousand Ephraimites as they attempted to return to their territory on the western side of the Jordan (Judg. 12:5). Elisha instructed Naaman, the leprous Aramean general, to bathe seven times in the Jordan for the healing of his condition (2 Kings 5:10). When Elisha’s companions wished to build shelters for themselves, they went to the Jordan, where they knew they would find abundant vegetation and poles (2 Kings 6:2; cf. Zech. 11:3). When one of them dropped an iron ax head into the water, Elisha caused it to float to the surface (2 Kings 6:6–7).

In the NT, the Jordan was the site of much of John the Baptist’s ministry (Matt. 3:5–6; Mark 1:5; Luke 3:3). John 1:28 specifies that John was on the eastern bank (also John 3:26; 10:40). It was in the waters of the Jordan that he baptized those who came to him, including Jesus (Matt. 3:13; Mark 1:9; Luke 3:21).

Tributaries of the Jordan

South of the Sea of Galilee, the Jordan is fed by several tributaries. The Yarmuk River joins the Jordan just south of the lake, draining the biblical region of Bashan to the east. The Wadi Far’ah joins the Jordan from the west, halfway between the Sea of Galilee and the Dead Sea, and drains the hill country of Ephraim. Nearly across from the Wadi Far’ah, the biblical Jabbok River (Wadi Zerqa) enters the Jordan from the east. In biblical times, the Jabbok was the limit of Ammonite territory (Num. 21:23–24). The Arnon River (Wadi Mujib), not a tributary of the Jordan, enters the Dead Sea from the east, opposite En Gedi. It was the border between the Moabites and the Amorites (Num. 21:13).

The Wadi of Egypt

In a number of texts the “wadi of Egypt” (or “brook of Egypt”) represents the far southern limit of Israelite territory. Some ancient interpreters understood this as referring to the Pelusian branch of the Nile River delta, while most modern scholars favor the Besor River, farther east, in present-day Israel. Besides the Bible, Assyrian texts also refer to the Wadi of Egypt. In 733 BC Tiglath-pileser III set up a victory stela there, perhaps to advertise to the Egyptians the southern extent of the territory that he claimed for Assyria.

Several biblical passages refer to the Shihor River as marking a boundary between Egypt and Israelite territory (Josh. 13:3; 19:26; 1 Chron. 13:5; Isa. 23:3; Jer. 2:18).

The Orontes River

Although it is not mentioned in the Bible, the Orontes marked an important international boundary in the biblical world. The Orontes begins in the Bekaa Valley in present-day Lebanon, then flows northward between the Lebanon and the Anti-Lebanon mountain ranges before turning sharply westward to empty into the Mediterranean Sea. Along the Orontes lay the kingdom of Hamath (see, e.g., 2 Sam. 8:9; 2 Chron. 8:3; Jer. 39:5). Because it ran through a valley that was an artery of travel from north to south, the Orontes was the perennial focus of strategic interest, and several important battles were fought at or near the Orontes. In 1274 BC the Egyptian pharaoh Ramesses II fought the Hittite king Muwatallis II at the Battle of Kadesh. In 853 BC the Assyrian king Shalmaneser III was challenged at Qarqar on the Orontes by a coalition led by Hadadezer of Damascus and including King Ahab of Israel.