(1) The man in whose house the Ark of the Covenant rested for twenty years after it was returned by the Philistines (1 Sam. 7:1; 1 Chron. 13:7). (2) Son of Jesse and older brother of David who was passed over by Samuel when choosing a king (1 Sam. 16:8; 17:13; see also 1 Chron. 2:13). (3) One of Saul’s three sons killed by the Philistines on Mount Gilboa (1 Sam. 31:1–2; see also 1 Chron. 8:33; 9:39; 10:2). (4) Ben-Abinadab, who, according to 1 Kings 4:11, was Solomon’s son-in-law and one of Solomon’s twelve district officials. If “Ben-Abinadab” means “son of Abinadab” (David’s brother), then he is Solomon’s cousin as well.

One of five principal cities of the Philistines (Josh. 13:3). It was situated approximately midway between Ashdod (north) and Gaza (south) on the shore of the Mediterranean Sea.

Historical Overview

Evidence of settlement dates to the Neolithic period (8300–4500 BC), although the earliest references to the city stem from the Middle and Late Bronze Ages (2200–1200 BC). Ashkelon is mentioned among the Egyptian Execration texts (nineteenth century BC) as an enemy of Egypt and in the Amarna tablets (1400 BC), where the city’s ruler affirms fealty to the pharaoh. Excavation confirms an Egyptian presence at Ashkelon during the Late Bronze Age; the city remained under Egyptian control until the incursion of the Sea Peoples (early twelfth century BC), after which Ashkelon was occupied by the Philistines.

Ashkelon remained under Philistine control until Tiglath-pileser III’s campaigns against Syria and Israel (734–732 BC), when it became an Assyrian vassal. During Sennacherib’s reign Ashkelon’s king joined Hezekiah in revolt against Assyria and was deported (701 BC). In 604 BC, following Assyria’s demise, Nebuchadnezzar destroyed Ashkelon and deported the survivors, several of whom received rations at the Babylonian court (cf. Dan. 1:5).

During the Persian period Ashkelon was reestablished as a Tyrian market city, thus becoming prosperous once more. The city was never conquered by the Hasmoneans (mid-second to mid-first centuries BC; 1 Macc. 10:86; 11:60), and eventually it asserted its independence, signified by the minting of its own coins (beginning 111 BC). Herod the Great was purportedly a native of Ashkelon, and he lavished the city with public works projects. During the First Jewish Revolt, Ashkelon successfully defended itself against Jewish attack.

Excavations have located the council house and an elaborately painted tomb (Roman period), as well as the remains of a church and a synagogue (Byzantine period). Ashkelon came under Muslim control (seventh century AD), then briefly under Crusader control (AD 1153). The city was destroyed by Saladin (AD 1191) as he retreated before Richard the Lionheart.

Ashkelon in the Bible

Ashkelon was listed among the territory still to be conquered at the end of Joshua’s life (Josh. 13:3). Judah took the city but ultimately was unable to keep it (Judg. 1:18–19). The OT subsequently reckoned Ashkelon as part of Philistine territory, beginning with Judg. 14:19, which recounts one of Samson’s exploits.

Ashkelon shared in the affliction visited on the Philistines for taking the Ark of the Covenant, which they attempted to forestall by reparations or “sympathetic magic” (1 Sam. 6:17 [the “gold tumors” were likely meant to bear away the source of the Philistines’ suffering]). Ashkelon and Gath represent the Philistines overall as David anticipates their response to news of Saul’s and Jonathan’s deaths (2 Sam. 1:20).

The remaining references occur in the prophets, who portended the destruction of Ashkelon and the other Philistine cities at various times (Jer. 25:20; 47:5, 7; Amos 1:8; Zeph. 2:4, 7; Zech. 9:5). Notably, Zeph. 2:7 expected that Judah would finally take possession of Ashkelon.

One of five principal cities of the Philistines (Josh. 13:3). It was situated approximately midway between Ashdod (north) and Gaza (south) on the shore of the Mediterranean Sea.

Historical Overview

Evidence of settlement dates to the Neolithic period (8300–4500 BC), although the earliest references to the city stem from the Middle and Late Bronze Ages (2200–1200 BC). Ashkelon is mentioned among the Egyptian Execration texts (nineteenth century BC) as an enemy of Egypt and in the Amarna tablets (1400 BC), where the city’s ruler affirms fealty to the pharaoh. Excavation confirms an Egyptian presence at Ashkelon during the Late Bronze Age; the city remained under Egyptian control until the incursion of the Sea Peoples (early twelfth century BC), after which Ashkelon was occupied by the Philistines.

Ashkelon remained under Philistine control until Tiglath-pileser III’s campaigns against Syria and Israel (734–732 BC), when it became an Assyrian vassal. During Sennacherib’s reign Ashkelon’s king joined Hezekiah in revolt against Assyria and was deported (701 BC). In 604 BC, following Assyria’s demise, Nebuchadnezzar destroyed Ashkelon and deported the survivors, several of whom received rations at the Babylonian court (cf. Dan. 1:5).

During the Persian period Ashkelon was reestablished as a Tyrian market city, thus becoming prosperous once more. The city was never conquered by the Hasmoneans (mid-second to mid-first centuries BC; 1 Macc. 10:86; 11:60), and eventually it asserted its independence, signified by the minting of its own coins (beginning 111 BC). Herod the Great was purportedly a native of Ashkelon, and he lavished the city with public works projects. During the First Jewish Revolt, Ashkelon successfully defended itself against Jewish attack.

Excavations have located the council house and an elaborately painted tomb (Roman period), as well as the remains of a church and a synagogue (Byzantine period). Ashkelon came under Muslim control (seventh century AD), then briefly under Crusader control (AD 1153). The city was destroyed by Saladin (AD 1191) as he retreated before Richard the Lionheart.

Ashkelon in the Bible

Ashkelon was listed among the territory still to be conquered at the end of Joshua’s life (Josh. 13:3). Judah took the city but ultimately was unable to keep it (Judg. 1:18–19). The OT subsequently reckoned Ashkelon as part of Philistine territory, beginning with Judg. 14:19, which recounts one of Samson’s exploits.

Ashkelon shared in the affliction visited on the Philistines for taking the Ark of the Covenant, which they attempted to forestall by reparations or “sympathetic magic” (1 Sam. 6:17 [the “gold tumors” were likely meant to bear away the source of the Philistines’ suffering]). Ashkelon and Gath represent the Philistines overall as David anticipates their response to news of Saul’s and Jonathan’s deaths (2 Sam. 1:20).

The remaining references occur in the prophets, who portended the destruction of Ashkelon and the other Philistine cities at various times (Jer. 25:20; 47:5, 7; Amos 1:8; Zeph. 2:4, 7; Zech. 9:5). Notably, Zeph. 2:7 expected that Judah would finally take possession of Ashkelon.

The name “Beth She­mesh” means “house of the sun,” which suggests the presence of a temple to a sun god at that location.

(1) A city allocated to the tribe of Dan, in Josh. 19:41 it is called “Ir Shemesh,” which means “City of Shemesh.” It is also described as being located on the northern boundary of Judah (Josh. 15:10), as one of the cities that Judah allotted to the Levites (Josh. 21:16), and as being “in Judah” (2 Kings 14:11).

Beth Shemesh is best known for its role in the story of the Philistine capture of the Ark of the Covenant. After keeping the ark with disastrous consequences for seven months, the Philistines returned it to the border town of Beth Shemesh. The ark’s safe arrival was a joyous occasion for the town until some of the residents looked inside the ark and were struck down by God (1 Sam. 6).

Beth Shemesh belonged to the second administrative district of Solomon (1 Kings 4:9) and was the location where King Jehoash (Joash) of Israel engaged King Amaziah of Judah in battle. The victorious Jehoash then marched on to Jerusalem and plundered the temple (2 Kings 14:11–14; 2 Chron. 25:21–24). During the reign of King Ahaz, the Philistines seized many towns in the lowlands of Judah, including Beth Shemesh (2 Chron. 28:18).

Beth Shemesh has been identified with Tel Beth-Shemesh, located in the northeastern Shephelah (lowland) of Judah, twelve miles west of Jerusalem, overlooking the Sorek Valley. Early excavations, conducted in 1911–12 by Duncan Mackenzie for the Palestine Exploration Fund and in 1928–33 by Elihu Grant from Haverford College, uncovered six levels of occupation. Finds in Stratum VI consisted solely of pottery shards. In Stratum V (Middle Bronze Age, 2200–1550 BC) a massive city wall, a well-preserved house, and several tombs were uncovered. Stratum IV (Late Bronze Age, 1550–1200 BC) finds included several structures, a Ugaritic cuneiform tablet, an ostracon with a Proto-Canaanite inscription, and a spectacular jewelry hoard. Stratum III (Iron Age I, 1200–1000 BC) finds included many residences, bichrome Philistine pottery, and the remains of industrial metalworking. Excavations in Stratum II (Iron Age II, 1000–586 BC) showed that the city had been rebuilt in a concentric layout. Finds included jar handles, seal impressions, tombs, and evidence of olive oil production. Stratum I (Hellenistic to Medieval periods) discoveries included pottery, coins, and architectural remains.

Discoveries of the recent excavations in 1990–2000 by Shlomo Bunimovitz and Zvi Lederman for Tel Aviv University include an elaborate system of fortifications (tenth to seventh centuries BC), an ironsmith workshop, and a unique subterranean water reservoir coated with hydraulic plaster and with a capacity of eight hundred cubic meters. These excavations confirmed that Beth Shemesh was destroyed in 701 BC by the Assyrian king Sennacherib. Although Judean families resettled the city for a short time, they abandoned it when the entrance to the reservoir was deliberately blocked with 150 tons of debris by the Philistines (and/or the Assyrians), who wanted control of the area.

(2) A city within the territory of the tribe of Issachar (Josh. 19:22).

(3) A fortified city within the territory of the tribe of Naphtali (Josh. 19:38). The Israelites were unable to drive out its Canaanite inhabitants, so they used them for forced labor (Judg. 1:33).

(4) A city in Egypt also known as Heliopolis, mentioned in Jer. 43:13 (NRSV). Here the MT has beth shemesh and the LXX has Heliou poleōs (Jer. 50:1 LXX), but the NIV translates the name literally as “the temple of the sun” and places “Heliopolis” in a footnote.

The name “Beth She­mesh” means “house of the sun,” which suggests the presence of a temple to a sun god at that location.

(1) A city allocated to the tribe of Dan, in Josh. 19:41 it is called “Ir Shemesh,” which means “City of Shemesh.” It is also described as being located on the northern boundary of Judah (Josh. 15:10), as one of the cities that Judah allotted to the Levites (Josh. 21:16), and as being “in Judah” (2 Kings 14:11).

Beth Shemesh is best known for its role in the story of the Philistine capture of the Ark of the Covenant. After keeping the ark with disastrous consequences for seven months, the Philistines returned it to the border town of Beth Shemesh. The ark’s safe arrival was a joyous occasion for the town until some of the residents looked inside the ark and were struck down by God (1 Sam. 6).

Beth Shemesh belonged to the second administrative district of Solomon (1 Kings 4:9) and was the location where King Jehoash (Joash) of Israel engaged King Amaziah of Judah in battle. The victorious Jehoash then marched on to Jerusalem and plundered the temple (2 Kings 14:11–14; 2 Chron. 25:21–24). During the reign of King Ahaz, the Philistines seized many towns in the lowlands of Judah, including Beth Shemesh (2 Chron. 28:18).

Beth Shemesh has been identified with Tel Beth-Shemesh, located in the northeastern Shephelah (lowland) of Judah, twelve miles west of Jerusalem, overlooking the Sorek Valley. Early excavations, conducted in 1911–12 by Duncan Mackenzie for the Palestine Exploration Fund and in 1928–33 by Elihu Grant from Haverford College, uncovered six levels of occupation. Finds in Stratum VI consisted solely of pottery shards. In Stratum V (Middle Bronze Age, 2200–1550 BC) a massive city wall, a well-preserved house, and several tombs were uncovered. Stratum IV (Late Bronze Age, 1550–1200 BC) finds included several structures, a Ugaritic cuneiform tablet, an ostracon with a Proto-Canaanite inscription, and a spectacular jewelry hoard. Stratum III (Iron Age I, 1200–1000 BC) finds included many residences, bichrome Philistine pottery, and the remains of industrial metalworking. Excavations in Stratum II (Iron Age II, 1000–586 BC) showed that the city had been rebuilt in a concentric layout. Finds included jar handles, seal impressions, tombs, and evidence of olive oil production. Stratum I (Hellenistic to Medieval periods) discoveries included pottery, coins, and architectural remains.

Discoveries of the recent excavations in 1990–2000 by Shlomo Bunimovitz and Zvi Lederman for Tel Aviv University include an elaborate system of fortifications (tenth to seventh centuries BC), an ironsmith workshop, and a unique subterranean water reservoir coated with hydraulic plaster and with a capacity of eight hundred cubic meters. These excavations confirmed that Beth Shemesh was destroyed in 701 BC by the Assyrian king Sennacherib. Although Judean families resettled the city for a short time, they abandoned it when the entrance to the reservoir was deliberately blocked with 150 tons of debris by the Philistines (and/or the Assyrians), who wanted control of the area.

(2) A city within the territory of the tribe of Issachar (Josh. 19:22).

(3) A fortified city within the territory of the tribe of Naphtali (Josh. 19:38). The Israelites were unable to drive out its Canaanite inhabitants, so they used them for forced labor (Judg. 1:33).

(4) A city in Egypt also known as Heliopolis, mentioned in Jer. 43:13 (NRSV). Here the MT has beth shemesh and the LXX has Heliou poleōs (Jer. 50:1 LXX), but the NIV translates the name literally as “the temple of the sun” and places “Heliopolis” in a footnote.

In biblical times, a wheeled vehicle, usually drawn by animals such as oxen and cows and used in agricultural contexts (Num. 7:3; 1 Sam. 6:7; Isa. 28:27; Amos 2:13). The Hebrew word ’agalah can be translated as “cart” or “wagon.” Carts were used to transport objects, but the hilly terrain of Palestine was not conducive to their use (cf. 2 Sam. 6:3–6; 1 Chron. 13:7–9). Thus, they were used primarily in the plains of Palestine (1 Sam. 6:7–8, 10, 11–14). The cart or wagon likely was of Assyrian origin.

The KJV rendering of the Hebrew word ’argaz (1 Sam. 6:8, 11, 15), referring to a container (NIV: “chest”; NRSV: “box”) used to hold items of value such as coins, jewels, or gold.

(1) The third son of Aaron, who succeeded his father as the second high priest after his older brothers Nadab and Abihu disqualified themselves by offering incense different from that which God commanded (Lev. 10:1–7). Eleazar had assisted his father and Moses against a rebellion of other Levites who wanted equal status with the priestly family of Aaron (Num. 16:36–40). Aaron failed to enter the promised land because he and Moses rebelled against God at the rock of Meribah (Num. 20:1–13). On Mount Hor, and in the presence of Moses, Aaron took off his high priestly garments and put them on his son Eleazar. Eleazar was the high priest during the conquest and, along with Joshua, cast the sacred lots to determine where each tribe should settle (Josh. 14:1–5). Upon Eleazar’s death, his son Phinehas succeeded him as high priest.

(2) During the early judgeship of Samuel, the son of Abinadab who was consecrated to guard the ark of the covenant at his father’s house in Kiriath Jearim, where it lodged after being returned by the Philistines (1 Sam. 7:1). (3) One of David’s mighty men, renowned for his personal combat against the Philistines (2 Sam. 23:9–10; 1 Chron. 11:12). (4) A Le-vite of the clan of Merari (1 Chron. 23:21–22; 24:28). (5) The son of Phinehas who helped to weigh the silver, gold, and sacred articles at the time of Ezra (Ezra 8:33). (6) An Israelite guilty of intermarriage at the time of Ezra (Ezra 10:25). (7) A temple musician who sang on the day that Nehemiah dedicated the wall of Jerusalem (Neh. 12:42). (8) An ancestor of Joseph, the father of Jesus (Matt. 1:15).

The KJV uses the archaic word “emerod” to refer to tumors or boils (Heb. techorim). The word is used several times in 1 Sam. 5–6. This narrative describes when the Philistines captured the ark of the covenant and took it to their city of Ashdod. As a result, the inhabitants of the city were afflicted with emerods. In an effort to stave off the outbreak, the Philistines sent the ark back to Israel along with five golden images of both emerods and rats as a guilt offering. Many scholars believe that the outbreak of tumors, because of its association with rats, was a bubonic plague outbreak. In Deut. 28:27 emerods are mentioned as a potential punishment for disobeying the law.

One of the five major cities of the Philistines, each of which was ruled by its own lord (Josh. 13:3). Gath was situated close to the border of Judah. Since the Hebrew word gat means “winepress” and occurs in the names of several places (e.g., Gath Rimmon, Gath Hepher, Moresheth Gath), there may have been other towns of this name. Some of the biblical references (e.g., 1 Chron. 7:21; 8:13) may not be to Philistine Gath.

The most likely site of Philistine Gath is Tell es-Safi, overlooking the main north-south road through the Shephelah to the west of Jerusalem. Excavations here suggest that the site was inhabited in the pre-Israelite period and during the first millennium BC. Although the city was rebuilt in the Persian period after its destruction by the Babylonians, it seems to have been abandoned between the late first century BC and Crusader times.

At the time of the conquest, Gath (mentioned in the Amarna letters of the fourteenth century BC) was inhabited by the formidable Anakites, whom Joshua failed to dislodge (Josh. 11:21–22; see also Deut. 1:28; 9:2), and in David’s day it still boasted warriors of great height and strength (2 Sam. 21:19–22; 1 Chron. 20:5–8). However, it was also one of the cities that God afflicted with tumors when the captured ark of the covenant was stored there (1 Sam. 5:8–9; 6:17), and the mighty Goliath of Gath was no match for God’s anointed (1 Sam. 17:8–58).

On two occasions David fled from Saul to Achish, king of Gath. The first time, he was so scared of Achish that he feigned insanity and escaped as soon as he could (1 Sam. 21:10–22:1; cf. the superscription to Ps. 56). The second time, he settled down with six hundred men and their families to deceive Achish in a different way: he used Gath as a base to attack Israel’s other enemies (1 Sam. 27:1–30:31), all the while claiming that he was wreaking revenge on Saul. When Achish himself defeated Saul and Jonathan, David was horrified by the thought that the town of Gath would hear of their deaths and gloat (2 Sam. 1:20). His horror is poetically echoed in Micah’s eighth-century BC lament over a doomed Judah (Mic. 1:10).

David seems nevertheless to have made friends as well as enemies in Gath. Obed-Edom the Gittite was blessed rather than cursed when the ark was kept at his house before its final journey to Jerusalem (2 Sam. 6:10–11; 1 Chron. 13:3). After David had conquered Gath (1 Chron. 18:1), the six hundred Gittite mercenaries in his army were among his most loyal followers (2 Sam. 15:18–22).

Gath seems to have changed hands fairly frequently thereafter. We know that Achish ruled it in Solomon’s day, when Shimei retrieved his runaway slaves from there (1 Kings 2:39–46), and that it was again in Philistine hands when Uzziah broke down its walls (2 Chron. 26:6). In between, however, we are told that Rehoboam of Judah fortified it (2 Chron. 11:8), and that in Joash’s reign Hazael of Aram conquered it (2 Kings 12:17). The fact that Amos mentions Gath as “in Philistia” (Amos 6:2) but does not group it with the other four cities of the Philistines (1:6–8) may mean that it was under Israelite control at the time. Assyrian records from the eighth century BC describe several campaigns against rebellious Philistine cities, including the city of Gath (Annals of Sargon II).

The biblical site of Gaza is located at Tell Harube/Tell ’Azza, which is beneath the modern Palestinian city of Gaza. It is strategically situated in southern Palestine near the Egyptian border and is approximately three miles from the Mediterranean Sea. Initial excavations were led by W. J. Phythian-Adams in 1922 under the auspices of the Palestine Exploration Fund. Additional excavations were directed by Asher Ovadiah in 1967 and 1976.

In the Late Bronze Age (1550–1200 BC), Gaza was under the control of Egypt. It is first mentioned in the annals of Thutmose III as the provincial capital of Canaan, and it functioned as an Egyptian administrative center in the Amarna and Taanach letters. At the beginning of the Iron Age (1200 BC), the Sea Peoples (especially the Philistines) took control of this coastal region. This scenario is reflected in Deut. 2:23, which states that the Caphtorites (i.e., the Philistines) displaced the Avvites. Joshua 11:22 also states that after the Israelite conquest, the giant Anakim only remained in Gaza, Gath, and Ashdod (they were most likely assimilated into Philistine culture, perhaps as mercenaries). These three cities, along with Ekron and Ashkelon, comprise the Philistine Pentapolis (Josh. 13:3; 1 Sam. 6:17–18). The Pentapolis remained unconquered at the end of Joshua’s life (Josh. 13:3), even though Ekron, Ashdod, and Gaza were included in Judah’s allotment (15:45–47). The Judahites took brief control of Gaza, Ashkelon, and Ekron, which they were unable to maintain due to the Philistines’ employment of “iron chariots” on the plains (Judg. 1:18–19). During the period of the judges, Gaza is prominently featured in the exploits of Samson. The city is described as having a gate and a multistoried temple (Judg. 16:1–3, 26). After David’s conquests of the Philistines, King Solomon is said to have dominion over a vast region including Gaza (1 Kings 4:24). In the second half of the eighth century BC, Gaza became an Assyrian vassal (under Tiglath-pileser III). King Hezekiah also briefly subdued the region (2 Kings 18:8), but Gaza remained an Assyrian vassal until the end of the seventh century, when the city was briefly occupied by Pharaoh Necho II and then fell to Nebuchadnezzar (see Jer. 47:1–2, 5). Gaza is mentioned in a number of prophetic oracles against Philistia (Jer. 25:20; 47:1; Amos 1:6–7; Zeph. 2:4; Zech. 9:5). It appears only one time in the NT, when Philip is traveling toward Gaza and encounters the Ethiopian eunuch (Acts 8:26).

In addition to its most obvious anatomical meaning, “hand” may also refer to the finger (Gen. 41:42), the wrist (Gen. 24:22), or the entire arm (2 Kings 5:18).

Symbolic uses. The Bible attests to many symbolic references. To put a hand to the mouth is indicative of silence (Job 21:5). Putting it upon one’s head is a gesture of sadness and mourning (2 Sam. 13:19). Hand clapping expresses either joy (Ps. 47:1) or derision (Job 27:23). Lifting up one or both hands is a gesture accompanying an oath (Deut. 32:40), blessing (Lev. 9:22), prayer or worship (Pss. 28:2; 63:4). To shake one’s hand indicates defiance (Isa. 10:32) or derision (Zeph. 2:15). The Jews in Jesus’ time washed their hands before a meal for ritual cleansing (Matt. 15:2), while Pilate washed his hands to indicate his innocence (Matt. 27:24).

The laying on of hands is associated with many meanings in different contexts in the Bible. Its symbolic meaning in the context of sacrifice, however, is still debated. The idea of transfer of the offerer’s guilt, which is explicit in case of the scapegoat in Lev. 16:21–22, does not easily apply to the laying on of hands in the context of sacrifice. The laying on of hands, for example, is part of a fellowship offering, a sacrifice that has little concern with expiating sin. This has led some scholars to posit the idea that by laying hands on the animal the offerer either acquires the merits of the sacrifice or ensures that the sacrifice intended for specific offering will be used solely for that purpose. The laying on of hands is also associated with a nonsacrificial context: commission for a special task. Moses laid hands on Joshua when appointing him leader of the people of Israel (Num. 27:18–23). In the same way, the Israelites were instructed to lay hands on the Levites (Num. 8:10). It is also through the laying on of hands that Saul and Barnabas were appointed as missionaries for the Gentiles (Acts 13:2–3). It is also associated with miraculous healing (Matt. 9:18) and the gift of the Holy Spirit (Acts 8:17–19). (See also Laying on of Hands.)

Idiomatic and figurative uses. The term “hand” forms numerous idiomatic expressions in the Bible, some of which passed into European languages through translations of the Bible. The following are only selective examples: “To put one’s hand to” means “to undertake” (Deut. 12:7; Luke 9:62); “to slack one’s hand” is synonymous with negligence and neglect (Josh. 10:6); “to hide or bury the hand in the dish” is descriptive of the slothful (Prov. 19:24); “to put one’s life into one’s hand” means to risk one’s life (1 Sam. 19:5); “to fill the hands” means to consecrate (Exod. 32:29; NIV: “set apart”). The phrase “hand of God” or “hand of Yahweh” may denote a pestilence (1 Sam. 5:6; 6:3, 5). A similar usage of “hand of [a god]” as illness is found in both Ugaritic and Akkadian sources.

Several figurative uses of the hand occur in the Bible. The hand often connotes power or strength. When the men of Ai realized their dilemma, they had no “hand” to flee (Josh. 8:20). Also, the Israelites were commanded to bring a gift according to their “hand” at the Feast of Tabernacles (Deut. 16:17). The psalmist rebuked the Israelites for forgetting God’s “hand,” which redeemed them from their oppressor (Ps. 78:42). The hand is sometimes synonymous with “side.” The “hand” of the road refers to the side of the road, and the “hand” of a river to its bank. Used alone, “hand” can indicate a place, as in Deut. 23:12–13, where the Israelites are ordered to designate “a hand” outside the camp for a latrine. The hand may be used metonymically for the person. In this sense, the penalty is exacted “from the hand” or “at the hand” of the transgressor (Gen. 9:5; Ezek. 33:8). Finally, “the right hand” connotes a position of prestige or prominence. Jacob’s preference for Ephraim, the second son of Joseph, was expressed by the laying on of his right hand (Gen. 48:13). Yahweh ordered the messianic king to sit at his right hand (Ps. 110:1). Jesus said, referring to himself, “You will see the Son of Man sitting at the right hand of the Mighty One and coming on the clouds of heaven” (Matt. 26:64; Mark 14:62).

(1) The son of Nun and the servant of Moses. Joshua appears thirty-three times in Exodus, Numbers, Deuteronomy, and Judges. He is the principal human character of the OT book that bears his name.

As a military commander, Joshua fought against the Amalekites (Exod. 17:8–13). He became an assistant to Moses and accompanied him up and then down the mountain of God (24:13; 32:17). Joshua also kept watch over the tent of meeting (33:11).

Moses sent Joshua, Caleb, and ten others as spies to explore the land of Canaan (Num. 13). At this point, Moses also changed his name from “Hoshea” to “Joshua” (13:8, 16). Because Joshua and Caleb trusted that God would help Israel conquer Canaan, God vowed that only these two of that rebellious generation would enter the promised land (14:30). God also commanded Moses to commission Joshua as his successor. So in the presence of all Israel Moses laid his hands upon Joshua and set him apart for the task (27:15–23).

God commanded Moses to strengthen and encourage Joshua (Deut. 1:38; 3:28). Later, Moses charged Joshua with the specific task of bringing the people into the promised land (31:7, 23). Since Moses had laid his hands upon him, and he was filled with the spirit of wisdom, the children of Israel agreed to obey Joshua (34:9).

Joshua’s character as a leader is demonstrated throughout the book that bears his name. Among other things, Joshua served as a brilliant military leader (Josh. 1–12), an administrator (Josh. 13–21), and a religious leader (Josh. 24). He led the Israelites across the Jordan and presided at the allotment of land. In all of this, Joshua was “strong and courageous” (1:6), just as God and the people encouraged him to be (1:6–7, 9, 18). At the end of his life he was called, like Moses, “the servant of the Lord” (24:29). The people served God throughout the lifetime of Joshua (Judg. 2:7).

(2) The owner of the field in Beth Shemesh where the ark stopped after it returned from the Philistines (1 Sam. 6:14).

(3) The governor of Jerusalem during Josiah’s reign (2 Kings 23:8).

(4) A high priest and one of the leaders of Israel who survived the Babylonian captivity and was permitted by an edict of Cyrus to return to Jerusalem (Ezra 2:2; Neh. 7:7). He was a contemporary of Haggai and Zechariah. In many Bible versions, he is referred to as “Jeshua son of Jozadak” in Ezra and Nehemiah (e.g., Ezra 3:2; Neh. 12:26) and “Joshua son of Jehozadak” in Haggai and Zechariah (e.g., Hag. 1:1; Zech. 6:11) (the NIV standardizes his name to “Joshua son of Jozadak” throughout).

Together with Zerubbabel, Joshua helped to restore worship for the returned exiles (Ezra 3:2) and with the sometimes hazardous work of rebuilding the temple (Ezra 3:8–9; 4:3; 5:2). The high priests descended from him are listed in Neh. 12:10, but other descendants are named as guilty of intermarriage with foreign wives (Ezra 10:18). In the book of Zechariah he is the subject of two visions where he serves as a representative of Israel (Zech. 3:1–10) and as a type of Christ (6:9–15).

(5) An ancestor of Jesus in Luke’s genealogy (Luke 3:29).

This city, whose name means “city of forests,” is also known as Kiriatharim (Ezra 2:25 [NIV: “Kiriath Jearim”]), Baalah (Josh. 15:9), Baalah in Judah (2 Sam. 6:2), and Kiriath Baal (Josh. 15:60; 18:14). It is one of the cities of the Gibeonites, who tricked Joshua into a treaty for peace (Josh. 9:17). This city was part of the inheritance allotted to the tribe of Judah (15:9).

The tribe of Dan encamped at Kiriath Jearim when it went out to seek its inheritance (Judg. 18:12). After being returned by the Philistines, the ark of the covenant remained here for twenty years until David moved it to Jerusalem (1 Sam. 6:21–7:2). When David first attempted to relocate the ark from Kiriath Jearim to Jerusalem, Uzzah was struck dead because he touched the ark as it was moved improperly (2 Sam. 6:1–8). The faithful prophet Uriah, a contemporary of Jeremiah, was from Kiriath Jearim (Jer. 26:20). Exiles from Kiriath Jearim returned from the Babylonian captivity with Zerubbabel (Neh. 7:29). The Romans built an outpost over the ruins and garrisoned the Tenth Legion here.

This city, whose name means “city of forests,” is also known as Kiriatharim (Ezra 2:25 [NIV: “Kiriath Jearim”]), Baalah (Josh. 15:9), Baalah in Judah (2 Sam. 6:2), and Kiriath Baal (Josh. 15:60; 18:14). It is one of the cities of the Gibeonites, who tricked Joshua into a treaty for peace (Josh. 9:17). This city was part of the inheritance allotted to the tribe of Judah (15:9).

The tribe of Dan encamped at Kiriath Jearim when it went out to seek its inheritance (Judg. 18:12). After being returned by the Philistines, the ark of the covenant remained here for twenty years until David moved it to Jerusalem (1 Sam. 6:21–7:2). When David first attempted to relocate the ark from Kiriath Jearim to Jerusalem, Uzzah was struck dead because he touched the ark as it was moved improperly (2 Sam. 6:1–8). The faithful prophet Uriah, a contemporary of Jeremiah, was from Kiriath Jearim (Jer. 26:20). Exiles from Kiriath Jearim returned from the Babylonian captivity with Zerubbabel (Neh. 7:29). The Romans built an outpost over the ruins and garrisoned the Tenth Legion here.

This city, whose name means “city of forests,” is also known as Kiriatharim (Ezra 2:25 [NIV: “Kiriath Jearim”]), Baalah (Josh. 15:9), Baalah in Judah (2 Sam. 6:2), and Kiriath Baal (Josh. 15:60; 18:14). It is one of the cities of the Gibeonites, who tricked Joshua into a treaty for peace (Josh. 9:17). This city was part of the inheritance allotted to the tribe of Judah (15:9).

The tribe of Dan encamped at Kiriath Jearim when it went out to seek its inheritance (Judg. 18:12). After being returned by the Philistines, the ark of the covenant remained here for twenty years until David moved it to Jerusalem (1 Sam. 6:21–7:2). When David first attempted to relocate the ark from Kiriath Jearim to Jerusalem, Uzzah was struck dead because he touched the ark as it was moved improperly (2 Sam. 6:1–8). The faithful prophet Uriah, a contemporary of Jeremiah, was from Kiriath Jearim (Jer. 26:20). Exiles from Kiriath Jearim returned from the Babylonian captivity with Zerubbabel (Neh. 7:29). The Romans built an outpost over the ruins and garrisoned the Tenth Legion here.

“New” basically carries three senses in the Bible: (1) the beginning of a cycle of time such as the new moon, the beginning of the month; (2) fresh, pristine, or unused; (3) formerly unknown or recently coming into existence. Often, the latter two senses overlap and become difficult to distinguish. In certain cases the second sense is emphasized, and the actual age is not of primary concern: new grain (Lev. 23:16), new wine (Josh. 9:13), new ropes (Judg. 15:13), new cart (1 Sam. 6:7), new cloak (1 Kings 11:29), new bowl (2 Kings 2:20), and new tomb (Matt. 27:60). The third sense often is associated with the time of final restoration: God will do a new thing (Isa. 43:19), make a new covenant (Jer. 31:31), and create a new heavens and a new earth (Isa. 65:17).

The Bible places a high priority on the new works that God accomplishes, for there is little hope that people are capable of doing anything new (cf. Eccles. 1:9–10). These new works are contrasted with the old. There is continuity between them as the former establishes a foundation for the latter, but there is also discontinuity as the latter surpasses the former. Therefore, God will make a new (better) covenant (Jer. 31:31; Heb. 8:13), a new (better) heart (Ezek. 36:26), a new (better) creation (2 Cor. 5:17), and a new (better) heavens and earth (Isa. 65:17; Rev. 21:1).

The Philistines inhabited the southern coastal plain of Palestine as early as the time of Abraham (Gen. 21:32, 34; 26:1, 8, 14–15, 18) and of Moses (Exod. 13:17; 15:14; 23:31), and as late as the exilic (Ezek. 16:27, 57; 25:15–16) and postexilic (Zech. 9:6) periods.

History and Culture

The geographical origin(s) of the Philistines cannot be stated with certainty, though it appears likely that at least some of the Philistines came from the vicinity of the Aegean Sea. The Philistines were descendants of the Kasluhites (Gen. 10:14; cf. 1 Chron. 1:12), a group whose identity is uncertain. Since the Kasluhites are descendants of Ham listed among other peoples from Egypt (Gen. 10:6, 13–14), perhaps the Philistines migrated from the Nile Delta to one of the Mediterranean islands before moving to Canaan.

There was apparently a close association between the Kasluhites and the Caphtorites (cf. Gen. 10:14), for Amos 9:7 suggests that the Philistines were from Caphtor (cf. Deut. 2:23; Jer. 47:4), a region usually identified with Crete. The connection with Crete is seen with greater clarity in Ezek. 25:16; Zeph. 2:5–6, for both prophets refer to the Philistines and the Kerethites (= Cretans) in parallel phrases. Caution leads us to note that the authors of Samuel and Kings, though frequently referring to the Philistines, did not clearly equate the Philistines and the Kerethites (cf. 1 Sam. 30:14; 2 Sam. 8:18; 15:18; 20:7, 23; 1 Kings 1:38, 44; 1 Chron. 18:17).

The material culture of the Philistines between about 1150 and 1000 BC shows similarities to, and likely influence from, what is found in the islands of the Aegean Sea, Mycenae (southern Greece), Crete, Anatolia (south-central Turkey), Cyprus (cf. Num. 24:24), Egypt, and Canaan.

Philistine pottery of this time resembles what has been found in Mycenae (bowls, jars, and cups), Crete (cups), Cyprus (bottles, vessels, and a hollow pottery ring), and Egypt (jugs and cups). The spear and defensive gear of Goliath (1 Sam. 17:5–7) were similar to the equipment of Aegean warriors. The hearths found at Tel Miqne (Ekron) and Tell Qasile were designed like those in Anatolia and the Aegean region. Philistine mud-brick altars were likely fashioned in light of Aegean, Cyprian, and Canaanite influence. The Ashdoda (a throne representing a female deity) reflects Mycenaean, Cyprian, and Canaanite inspiration. This archaeological evidence suggests that at least some of the Philistine inhabitants of the southern coastal plain of Palestine came from Mycenae (southern Greece) and the islands of the Aegean Sea in the late thirteenth or early twelfth centuries BC, passing through Cyprus and Crete (and perhaps Anatolia and/or Egypt) en route.

The Philistines adopted Canaanite gods (cf. 1 Sam. 17:43), including Dagon (Judg. 16:23; 1 Sam. 5:2–7), Ashtoreth (1 Sam. 31:10; cf. Judg. 10:6; 1 Sam. 7:3–4), and Baal-Zebub (“lord of flies,” probably a cynical distortion of Baal-Zebul, “lord of the [heavenly] dwelling”), the god of Ekron (2 Kings 1:2–6, 16).

The Philistine Pentapolis consisted of three cities on or near the Mediterranean coast (Ashkelon, Ashdod, and Gaza) and two inland cities (Ekron and Gath) under the authority of five rulers (cf. Josh. 13:3; Judg. 3:3; 1 Sam. 6:4, 16, 18).

Papyrus Harris I describes the defeat of the Philistines and other Sea Peoples by Ram-esses III (1198–1166 BC), while the Egyptian Onomasticon of Amenope (late twelfth or early eleventh century BC) refers to the Philistines as one of the ethnic groups that settled in Palestine.

Philistines in the Bible

The mention of Philistines in Gen. 21 and 26 refers either to early inhabitants of the territory that later would be inhabited by Philistines or to peoples who later would become part of the Philistine nation. The Philistines mentioned in the Bible may constitute diverse peoples who migrated by land or by sea to the southern coastal region of Palestine over several centuries.

Prior to the influx of at least some of the Philistines from eastern Mediterranean islands, the southern coastal region was, at various times, inhabited by Canaanites (Num. 13:29; Deut. 1:7; Josh. 5:1; cf. Josh. 13:4); Anakites, who fled to Gaza, Gath, and Ashdod after being defeated by Joshua (Josh. 11:21–22); and Avvites, who were replaced by the victorious Caphtorites (Deut. 2:23; Josh. 13:3).

The migration of Judah and other tribes of Israel into Canaan resulted in several centuries of hostility with the Philistines. Judah’s allotment of land included the cities and surrounding areas of Ekron, Ashdod, and Gaza, as well as “the coastline of the Mediterranean Sea” (Josh. 15:45–47). The soldiers of Judah subsequently conquered at least part of this area (Judg. 1:18).

During the time of the judges, Shamgar “struck down six hundred Philistines with an oxgoad” (Judg. 3:31). Samson burned the grain, vineyards, and olive groves of the Philistines when he fastened torches to the tails of foxes (15:4–5). He killed a thousand Philistines with the jawbone of a donkey (15:15) and, after they had gouged out his eyes, killed many Philistine leaders when he pushed over the pillars supporting one of their temples (16:21, 29–30).

In one of their many victories over Israel (cf. Judg. 10:7; 13:1; 15:11; 1 Sam. 4:2, 10; 12:9), the Philistines captured the ark of God and placed it in the temple of Dagon in Ashdod (5:1). The next day the god was found lying on his face before the ark of God.

Saul’s reign as Israel’s king was characterized by war with the Philistines (1 Sam. 9:16; 14:52; cf. 7:13) and included both defeat (13:6–7; 23:27; 31:1) and victory (14:13, 22, 31, 47; 17:52–53; 24:1).

The military dominance of the Philistines over Israel during the time of Saul is attributed to their control of blacksmithing and ironwork (1 Sam. 13:19–22). This superiority in weapons allowed the Philistines to extend their influence beyond the region of the five cities into Judean territory (1 Sam. 4:1; 7:7; 10:5; 13:3, 16–18, 23; 17:1; 29:1, 11; 31:7–8, 10; 2 Sam. 5:18, 22; 23:14).

Saul became jealous of David after his defeat of the Philistine champion Goliath (1 Sam. 17:4, 50; 18:7–9). To win the hand of Saul’s daughter Michal, David and his men killed two hundred Philistines and presented their foreskins to Saul (18:27). When Saul later attempted to kill David, David sought refuge with the Philistines and lived with them for sixteen months (27:1, 7).

When the Philistines gathered to fight against Israel, David’s host, Achish, invited him to participate in the battle against his enemy Saul (1 Sam. 28:1). David was spared the dilemma of fighting against his own people when, fearing his betrayal, the other Philistine rulers refused to let David accompany them (29:4). In the ensuing battle between Israel and the Philistines, Saul’s sons were killed, and Saul took his own life after being critically injured by a Philistine archer (31:2–4).

David’s early success in battle against the Philistines (1 Sam. 17:50; 19:8; 23:5) continued upon his accession to kingship after the death of Saul (2 Sam. 5:20, 25; 8:1, 12), though in his old age David was too tired to fight well against the Philistines (2 Sam. 21:15).

Later battles between Judah and the Philistines took place during the reigns of Jehoram (2 Chron. 21:16–17), Uzziah (2 Chron. 26:6–7), Ahaz (2 Chron. 28:18), and Hezekiah (2 Kings 18:8). Jehoshaphat received tribute from the Philistines (2 Chron. 17:11).

A rodent that is one of the unclean animals (Lev. 11:29). A plague of rats was sent upon the Philistines who captured the ark of the covenant (1 Sam. 6:5).

A wooden crosspiece fastened to the neck and shoulders of one or, more often, two animals (e.g., 1 Sam. 6:7) to facilitate labor. Yokes were also used by individuals to balance a load suspended from the shoulders (Num. 4:10, 12; 13:23). As such, the yoke also functioned as a symbol of subjection (Gen. 27:40; Lev. 26:13; Deut. 28:48; Jer. 27:2–7; Gal. 5:1; 1 Tim. 6:1), sometimes of joint labor (2 Cor. 6:14; Phil. 4:3), and is closely associated with pairs of animals (Luke 14:19; 1 Sam. 11:7). See also Weights and Measures.

A sacred cultic object, in the shape of a box, that represented the presence of God among the Israelites. The ark (Heb. ’aron), constructed in wood, measured 45 inches long, 27 inches wide, and 27 inches high (Exod. 25:10), and it was transported by means of two poles inserted on either side of the ark. The most important aspects of the ark were the cover and the cherubim attached to the ark cover. Blood was ritually sprinkled on the cover, which was the designated place of atonement. In the earliest accounts, the ark became the place of atonement, meeting, and revelation between God and Israel.

In a few instances the Hebrew word ’aron also denotes a collection box (NIV: “chest”) in the temple (2 Kings 12:9–10; 2 Chron. 24:8, 10–11), and in one case it refers to Joseph’s sarcophagus, or coffin (Gen. 50:26). The Scriptures mention the ark 195 times, frequently (82 times) in association with the Lord or God, resulting in expressions such as “the Ark of the Covenant of the Lord,” the “ark of the God of Israel,” and the “ark of God.”

The Function and Locations of the Ark

The ark was housed first in the portable sanctuary or tabernacle used for worship in early Israelite history, and Exodus and Deuteronomy note that it served as a receptacle for the “testimony” or two tablets of the Ten Commandments. Consequently, the ark is often referred to as the “ark of the testimony,” since the Hebrew word for “testimony” is synonymous with the common Hebrew word for “covenant” (Pss. 25:10; 132:12), and the designations of the container as the “Ark of the Covenant” (Deut. 9:9, 15) and as “the ark of the testimony” (Exod. 27:8; 31:18) seem interchangeable. The NT notes that the ark also contained a gold jar of manna and Aaron’s blossoming rod (Heb. 9:4; cf. Exod. 16:32–34; Num. 17:8–10). The location of the ark became associated with the centralized place of gathering and worship by the Israelites. Moses composed what has come to be called the “Song of the Ark” (Num. 10:35–36), signifying the ark’s role in preceding the nomadic Israelites in the wilderness and indicating where they should rest.

In the book of Joshua, the ark led the people in conquest (3:1–5:1; 6:1–25). The crossing of the Jordan (3:7–11) amid dry ground, when carrying the ark into the river caused the waters to be swept in a heap, depicts the supernatural relationship between the ark and the presence of God. The ark became so closely associated with the divine presence that the Israelites assumed that the presence of God resided within the ark. Only the consecrated Levitical priests could carry the ark, which was covered by three layers of cloth in order to conceal it from the people (Num. 4:5–6, 15, 18–20), who had to remain at least a thousand yards away. In 2 Sam. 6:2–7 the oxen carrying the ark stumbled, and Uzzah, who was not a priest, reached out and touched the ark to steady it, resulting in his death (cf. 1 Chron. 13:7–10). Following the entry into the Promised Land, the ark abided at the Gilgal sanctuary, and eventually it shifted from Bethel to Shiloh.

The function of the ark as the place where the tribal confederacy sought divine counsel for holy war led also to employing the ark as a war symbol, carried forth into battle to assure victory (Josh. 6:4–21). This use of the ark most likely originates from ancient Near Eastern religious concepts and practices that associated the presence of a god with an emblematic war throne useful for divination and success in battle. The expression “the Lord Almighty, who is enthroned between the cherubim” links God’s roles as king and warrior, reinforcing the ark as God’s throne or his “footstool” (1 Sam. 4:4), symbolic of the invisibly enthroned deity. Other Canaanite deities, including El, had footstools that resembled gold-plated and ornate boxes upon which to rest their feet, signifying their regal authority and military power. In 1 Chron. 28 the ark is referred to as God’s “footstool,” and the psalmist enjoins the people to gather and worship at God’s footstool (Ps. 99:5). Similarly, Ps. 132, a liturgical poem linked to the formal procession of the ark, refers to the “footstool of [God]” as the centralized place of worship.

The Ark of the Covenant rested in the Shiloh temple in the custody of Eli until it was captured by the Philistines, who possessed it in their territory for seven months (1 Sam. 4–6). The loss of the ark was mourned as symbolizing the abandonment or departure of God’s presence, and yet its capture emphasized the Israelites’ false presumptions concerning the ark as a guarantor of military success and reinforced the fact that God could not be manipulated. Following a plague inflicted by God upon the Philistines, the ark was returned and remained at Kiriath Jearim for twenty years (6:21–7:2).

Eventually, King David transported the ark to the city of Jerusalem, reinforcing the political and cultic importance of the location. Here it remained in a “tent” until it was placed in Solomon’s temple (2 Sam. 6:17; 7:2). The ark disappeared sometime during the late monarchical period; its capture is not listed in the temple assets seized by Nebuchadnezzar (2 Kings 25:13–17). The ark was never replaced after the return from the Babylonian exile, and Jeremiah declared that the ark should not be remade (Jer. 3:16). The ark is not mentioned in Ezekiel’s description of the new temple (Ezek. 40–48).

The book of Hebrews mentions the ark in relation to its prominence and purpose in the temple (9:4–5). In addition, Heb. 9:1–14 contrasts the application of Christ’s own blood in the heavenly holy place with the priestly sprinkling of blood on the “mercy seat” (NIV: “atonement cover”) of the ark. Revelation 11:19 speaks of the ark of God’s covenant being located in the heavens.

The Ark and the Holiness of God

The Ark of the Covenant underscores the holiness of God and his necessary separation from sin. The holiness or consecration of those who approach God at the ark signifies the importance of cleansing from impurity as a prerequisite to maintaining the covenant relationship with God. Although the ark and the presence of God became inseparably linked in the minds of the Israelites, God’s promise to be present among them did not imply a spatial or corporeal limitation. The law tablets contained in the ark are inextricably linked with the glory of God’s presence and the point of covenant accessibility through the word of God. The portable nature of the ark, and the tent in which it was housed, emphasizes that God’s presence or revelation is not limited to a specific location.

The NT also concretizes the ark to the holiness of God and his law. God is both merciful and just; his holiness requires propitiation for sin, and his mercy provides it through the blood atonement accomplished through the death and resurrection of Christ. Christ’s sufficient and efficacious vicarious sacrifice on the cross replaced the yearly ritual necessary to secure the salvation and forgiveness of God’s people, highlighting the superiority of Christ and salvation by grace through faith in his redemptive work on the cross. The sacrificial death of Christ provides infinite atonement and reconciliation for believers, who affirm God’s immanence while at the same time acknowledging his sovereignty and transcendence. Believers look forward to the literal and physical return of Christ, when they will realize the fulfillment of God’s promise to live with and among them eternally.

A sacred cultic object, in the shape of a box, that represented the presence of God among the Israelites. The ark (Heb. ’aron), constructed in wood, measured 45 inches long, 27 inches wide, and 27 inches high (Exod. 25:10), and it was transported by means of two poles inserted on either side of the ark. The most important aspects of the ark were the cover and the cherubim attached to the ark cover. Blood was ritually sprinkled on the cover, which was the designated place of atonement. In the earliest accounts, the ark became the place of atonement, meeting, and revelation between God and Israel.

In a few instances the Hebrew word ’aron also denotes a collection box (NIV: “chest”) in the temple (2 Kings 12:9–10; 2 Chron. 24:8, 10–11), and in one case it refers to Joseph’s sarcophagus, or coffin (Gen. 50:26). The Scriptures mention the ark 195 times, frequently (82 times) in association with the Lord or God, resulting in expressions such as “the Ark of the Covenant of the Lord,” the “ark of the God of Israel,” and the “ark of God.”

The Function and Locations of the Ark

The ark was housed first in the portable sanctuary or tabernacle used for worship in early Israelite history, and Exodus and Deuteronomy note that it served as a receptacle for the “testimony” or two tablets of the Ten Commandments. Consequently, the ark is often referred to as the “ark of the testimony,” since the Hebrew word for “testimony” is synonymous with the common Hebrew word for “covenant” (Pss. 25:10; 132:12), and the designations of the container as the “Ark of the Covenant” (Deut. 9:9, 15) and as “the ark of the testimony” (Exod. 27:8; 31:18) seem interchangeable. The NT notes that the ark also contained a gold jar of manna and Aaron’s blossoming rod (Heb. 9:4; cf. Exod. 16:32–34; Num. 17:8–10). The location of the ark became associated with the centralized place of gathering and worship by the Israelites. Moses composed what has come to be called the “Song of the Ark” (Num. 10:35–36), signifying the ark’s role in preceding the nomadic Israelites in the wilderness and indicating where they should rest.

In the book of Joshua, the ark led the people in conquest (3:1–5:1; 6:1–25). The crossing of the Jordan (3:7–11) amid dry ground, when carrying the ark into the river caused the waters to be swept in a heap, depicts the supernatural relationship between the ark and the presence of God. The ark became so closely associated with the divine presence that the Israelites assumed that the presence of God resided within the ark. Only the consecrated Levitical priests could carry the ark, which was covered by three layers of cloth in order to conceal it from the people (Num. 4:5–6, 15, 18–20), who had to remain at least a thousand yards away. In 2 Sam. 6:2–7 the oxen carrying the ark stumbled, and Uzzah, who was not a priest, reached out and touched the ark to steady it, resulting in his death (cf. 1 Chron. 13:7–10). Following the entry into the Promised Land, the ark abided at the Gilgal sanctuary, and eventually it shifted from Bethel to Shiloh.

The function of the ark as the place where the tribal confederacy sought divine counsel for holy war led also to employing the ark as a war symbol, carried forth into battle to assure victory (Josh. 6:4–21). This use of the ark most likely originates from ancient Near Eastern religious concepts and practices that associated the presence of a god with an emblematic war throne useful for divination and success in battle. The expression “the Lord Almighty, who is enthroned between the cherubim” links God’s roles as king and warrior, reinforcing the ark as God’s throne or his “footstool” (1 Sam. 4:4), symbolic of the invisibly enthroned deity. Other Canaanite deities, including El, had footstools that resembled gold-plated and ornate boxes upon which to rest their feet, signifying their regal authority and military power. In 1 Chron. 28 the ark is referred to as God’s “footstool,” and the psalmist enjoins the people to gather and worship at God’s footstool (Ps. 99:5). Similarly, Ps. 132, a liturgical poem linked to the formal procession of the ark, refers to the “footstool of [God]” as the centralized place of worship.

The Ark of the Covenant rested in the Shiloh temple in the custody of Eli until it was captured by the Philistines, who possessed it in their territory for seven months (1 Sam. 4–6). The loss of the ark was mourned as symbolizing the abandonment or departure of God’s presence, and yet its capture emphasized the Israelites’ false presumptions concerning the ark as a guarantor of military success and reinforced the fact that God could not be manipulated. Following a plague inflicted by God upon the Philistines, the ark was returned and remained at Kiriath Jearim for twenty years (6:21–7:2).

Eventually, King David transported the ark to the city of Jerusalem, reinforcing the political and cultic importance of the location. Here it remained in a “tent” until it was placed in Solomon’s temple (2 Sam. 6:17; 7:2). The ark disappeared sometime during the late monarchical period; its capture is not listed in the temple assets seized by Nebuchadnezzar (2 Kings 25:13–17). The ark was never replaced after the return from the Babylonian exile, and Jeremiah declared that the ark should not be remade (Jer. 3:16). The ark is not mentioned in Ezekiel’s description of the new temple (Ezek. 40–48).

The book of Hebrews mentions the ark in relation to its prominence and purpose in the temple (9:4–5). In addition, Heb. 9:1–14 contrasts the application of Christ’s own blood in the heavenly holy place with the priestly sprinkling of blood on the “mercy seat” (NIV: “atonement cover”) of the ark. Revelation 11:19 speaks of the ark of God’s covenant being located in the heavens.

The Ark and the Holiness of God

The Ark of the Covenant underscores the holiness of God and his necessary separation from sin. The holiness or consecration of those who approach God at the ark signifies the importance of cleansing from impurity as a prerequisite to maintaining the covenant relationship with God. Although the ark and the presence of God became inseparably linked in the minds of the Israelites, God’s promise to be present among them did not imply a spatial or corporeal limitation. The law tablets contained in the ark are inextricably linked with the glory of God’s presence and the point of covenant accessibility through the word of God. The portable nature of the ark, and the tent in which it was housed, emphasizes that God’s presence or revelation is not limited to a specific location.

The NT also concretizes the ark to the holiness of God and his law. God is both merciful and just; his holiness requires propitiation for sin, and his mercy provides it through the blood atonement accomplished through the death and resurrection of Christ. Christ’s sufficient and efficacious vicarious sacrifice on the cross replaced the yearly ritual necessary to secure the salvation and forgiveness of God’s people, highlighting the superiority of Christ and salvation by grace through faith in his redemptive work on the cross. The sacrificial death of Christ provides infinite atonement and reconciliation for believers, who affirm God’s immanence while at the same time acknowledging his sovereignty and transcendence. Believers look forward to the literal and physical return of Christ, when they will realize the fulfillment of God’s promise to live with and among them eternally.

The biblical site of Gaza is located at Tell Harube/Tell ’Azza, which is beneath the modern Palestinian city of Gaza. It is strategically situated in southern Palestine near the Egyptian border and is approximately three miles from the Mediterranean Sea. Initial excavations were led by W. J. Phythian-Adams in 1922 under the auspices of the Palestine Exploration Fund. Additional excavations were directed by Asher Ovadiah in 1967 and 1976.

In the Late Bronze Age (1550–1200 BC), Gaza was under the control of Egypt. It is first mentioned in the annals of Thutmose III as the provincial capital of Canaan, and it functioned as an Egyptian administrative center in the Amarna and Taanach letters. At the beginning of the Iron Age (1200 BC), the Sea Peoples (especially the Philistines) took control of this coastal region. This scenario is reflected in Deut. 2:23, which states that the Caphtorites (i.e., the Philistines) displaced the Avvites. Joshua 11:22 also states that after the Israelite conquest, the giant Anakim only remained in Gaza, Gath, and Ashdod (they were most likely assimilated into Philistine culture, perhaps as mercenaries). These three cities, along with Ekron and Ashkelon, comprise the Philistine Pentapolis (Josh. 13:3; 1 Sam. 6:17–18). The Pentapolis remained unconquered at the end of Joshua’s life (Josh. 13:3), even though Ekron, Ashdod, and Gaza were included in Judah’s allotment (15:45–47). The Judahites took brief control of Gaza, Ashkelon, and Ekron, which they were unable to maintain due to the Philistines’ employment of “iron chariots” on the plains (Judg. 1:18–19). During the period of the judges, Gaza is prominently featured in the exploits of Samson. The city is described as having a gate and a multistoried temple (Judg. 16:1–3, 26). After David’s conquests of the Philistines, King Solomon is said to have dominion over a vast region including Gaza (1 Kings 4:24). In the second half of the eighth century BC, Gaza became an Assyrian vassal (under Tiglath-pileser III). King Hezekiah also briefly subdued the region (2 Kings 18:8), but Gaza remained an Assyrian vassal until the end of the seventh century, when the city was briefly occupied by Pharaoh Necho II and then fell to Nebuchadnezzar (see Jer. 47:1–2, 5). Gaza is mentioned in a number of prophetic oracles against Philistia (Jer. 25:20; 47:1; Amos 1:6–7; Zeph. 2:4; Zech. 9:5). It appears only one time in the NT, when Philip is traveling toward Gaza and encounters the Ethiopian eunuch (Acts 8:26).

The books of Samuel tell the story of how kingship began in Israel and was subsequently secured under David. Almost all of David’s own story is recounted in Samuel, including God’s promise to him of a dynasty. This promise became a key seedbed for the messianic hope within the OT, which finds its fulfillment in Jesus as David’s son (Matt. 1:1).

Genre and Purpose

Samuel is part of a block of texts running from Joshua through Kings (excluding Ruth), which is known in the Hebrew Bible as the Former Prophets. This block offers a more or less continuous account of Israel’s life in the land of promise from its entry under Joshua until the exile after Jerusalem was captured by the Babylonians (2 Kings 25). Any assessment of the genre and purpose of Samuel must consider its relationship to these surrounding texts, though it should also recognize the distinctive elements of Samuel itself.

At its simplest, Samuel is a work of narrative prose that tells how kingship began in Israel and was secured under David after the failure of Saul, though it also contains a number of important poems. Although contemporary history writing would not be done in the same way, since Samuel points to the ways in which God is active throughout this time, Samuel certainly offers a testimony to this crucial period in Israel’s history. It is not the whole story of the period, as its testimony is concerned with a specific set of issues, and that testimony is related through God’s purposes for Samuel, Saul, and David. But this observation is vital for appreciating that Samuel is not just the story of how kingship came to Israel but is specifically a theological examination of it. It explores how God was at work, fulfilling the hope for kingship that had been expressed through Judg. 17–21, while also providing hope that the exile was not the end of his purposes for Israel as a whole and the kings of David’s line in particular. We should not think of this as a dry piece of history writing, for an important element is also that the telling of this story should entertain and grip those who either read or (perhaps more likely) heard it. Knowing that God had acted in the past for his people and that these actions continued to be important was not enough; the excitement that this should generate also needed to be apparent in the skill with which the story was told.

Outline

I. The Rise of Samuel (1 Sam. 1–7)

II. The Birth of Monarchy (1 Sam. 8–12)

III. Saul’s Early Reign and Rejection (1 Sam. 13–15)

IV. Long Rivalry Narrative: David and Saul (1 Sam.16–2 Sam. 1)

A. David’s anointing and arrival at court (1 Sam. 16–17)

B. David within Saul’s court (1 Sam. 18–20)

C. David as an outlaw in Judah (1 Sam. 21–26)

D. David in Philistine territory and Saul’s death (1 Sam. 27–2 Sam. 1)

V. Short Rivalry Narrative: David and Ish-Bosheth (2 Sam. 2:1–5:5)

VI. First Summary of David’s Reign (2 Sam. 5:6–8:18)

VII. Narrative of David’s Court (2 Sam. 9–20)

A. David accepts Mephibosheth (2 Sam. 9)

B. The war with Ammon and David’s sin (2 Sam. 10–12)

C. Long rebellion narrative: Absalom against David (2 Sam. 13–19)

D. Short rebellion narrative: Sheba against David (2 Sam. 20)

VIII. Second Summary of David’s Reign (2 Sam. 21–24)

Composition

Authorship and sources. The books of Samuel are anonymous, and any assessment of their authorship needs to start with this basic fact. There is a tradition in the Talmud (b. B. Bat. 14b; 15a) that associates the book with Samuel, Nathan, and Gad, presumably concluding that the books of Samuel constitute the source mentioned by 1 Chron. 29:29. But this reference is only to information on David’s life and thus is unlikely to refer to the whole of Samuel. Since Samuel’s own death is recorded in 1 Sam. 25:1, the book’s title in our tradition (in the LXX the books of Samuel are the first two books of Kingdoms, which continue into Kings) is unlikely to refer to authorship. Rather, it is more likely that a later author has drawn together a range of source materials in order to offer a coherent testimony about the origins of kingship.

For some time, the main sources behind Samuel seemed to have been identified, and they included a series of Shiloh traditions concerning the end of the house of Eli and the rise of Samuel (1 Sam. 1:1–4:1a), an ark narrative (2 Sam. 4:1b–7:1; 6), traditions concerning Saul and the origins of kingship (1 Sam. 7:2–15:35), a history of David’s rise (1 Sam. 16:1–2 Sam. 5:5), a succession narrative (2 Sam. 9–20), and a Samuel appendix (2 Sam. 21–24). Within this analysis, the place of 2 Sam. 5:6–25 and 2 Sam. 7:1–8:17 remained unclear, but the general thought was that the sources were more or less placed one after the other in their chronological sequence. But the probability of this conclusion has been challenged in recent times because the various sections of the books are clearly aware of information in other parts, so that the whole is actually well integrated. In addition, the actual boundaries of the sources remained unclear. An unfortunate effect of the source theories is that they tended to downplay some parts of the book, especially 2 Sam. 21–24, as being of less importance, whereas some recent studies have shown that they are closely integrated into the rest of the book, tying together themes developed elsewhere while also showing the structural integrity of the whole of Samuel.

Samuel is likely the end product of several stages of material collected together, rather than being the product of sources that are kept intact, but it is still a unified work. Possibly the oldest material is the collection of longer poems in 1 Sam. 2:1–10; 2 Sam. 1:17–27; 22:1–23:7, all of which draws on common themes and language and comments on the nature of kingship. The opening and closing blocks form the bookends, raising the hope of kingship (1 Sam. 2:1–10) and then commenting on how the king must submit to God’s reign (2 Sam. 22:1–23:7). In the central poem (2 Sam. 1:17–27) David laments the deaths of Saul and Jonathan. It is likely that these poems were joined with the stories about Samuel, Saul, and David in the ninth century BC but were then carefully placed to comment on the stories and yet also be commented on by them. Further editing may have continued until the time of Hezekiah in the late eighth century BC. Later on, more or less the whole of Samuel as we know it was included in the Former Prophets, perhaps during the exile. The important point to note here is that Samuel is a carefully composed whole and not simply a collection of source materials.

Literary devices. Evidence for the nature of the book’s composition can be seen in how it employs certain literary devices throughout. Two that are worth noting are the way the text plays with narrative chronology and employs repetition in various forms. The play with narrative chronology means that although the movement of the book is broadly chronological (moving from the origins of the monarchy to the latter period of David’s reign), not every element is recorded in its actual chronological sequence, since at some points other factors were more important. Alternatively, at some points different narrative strands are brought into a chronological relationship with one another, most notably in comparing the locations of David and Saul in 1 Sam. 27–2 Sam. 1. A simple example of relating material outside its chronological sequence occurs in 1 Sam. 26:12, where it is said that God had caused Saul’s soldiers to sleep so that David could enter Saul’s camp only after David had reached Saul, though clearly the soldiers must already have been asleep.

At other points, the breaks with chronological sequence cover different stories about David. For example, in 2 Sam. 5:17–8:14 there are four accounts about David, two in which he overcomes enemies (5:17–25; 8:1–14) and two associated with events in Jerusalem and public worship (6:1–7:29). Since 7:1 tells us that David’s desire to build a temple came after God had delivered him from all his enemies, it follows that the events of chapter 7 must have come after those of 8:1–14. Here, arranging the material to highlight the theme of public worship was more important than placing it in chronological sequence.

This same section also demonstrates the use of repetition. Hence, 5:17–25 recounts two nearly identical defeats of the Philistines in which David must trust God, while the victories in 8:1–14 are twice said to come about because God gave David victory wherever he went (8:6, 14). Similarly, both 6:1–23 and 7:1–29 depend upon interest in the ark and thus mutually interpret each other. Other large-scale repetitions include two announcements of the coming of kingship (1 Sam. 2:10, 34), two announcements of the end of Eli and his family in the sanctuary at Shiloh (1 Sam. 2:27–36; 3:10–14), and two times when David does not kill Saul (1 Sam. 24; 26). In an oral culture, such repetitions are not evidence of poor composition but rather are a crucial tool for emphasizing the central themes being developed. In addition, variations within each repetition are a tool for increasing the audience’s interest, showing that the authors of Samuel were interested in both giving historical testimony and entertaining their audience.

Text

It is generally agreed that the text of Samuel poses more than its fair share of difficulties, something that can be seen in the often significant differences between the received Hebrew text (MT) and the early translations, especially the main Greek translation (LXX). For example, in 1 Sam. 17 the best-regarded edition of the LXX lacks vv. 12–31, 50, 55–58, and even in shared material it is sometimes significantly shorter. It is generally agreed that the Greek version resolves a number of anomalies, but is this because the MT has been expanded or because the LXX has been abbreviated? In addition, three significant Samuel manuscripts were found at Qumran. Although two of these are only fragmentary, one covers significant portions of Samuel. Although the disputed portions of 1 Sam. 17 are absent from it, there are some points where it appears to support the LXX and others where it agrees with the MT while also introducing some other issues of its own.

It is clear, therefore, that complex issues are involved in determining the text of Samuel, and one must avoid taking a doctrinaire position and allow each point to be resolved on its own merits. At the same time, the difficulties should not be magnified beyond reason, since large sections of the text can be established with reasonable certainty, and for all the problems, the MT remains a reliable guide. One might suggest in the case of 1 Sam. 17, for example, that the LXX text represents an early attempt to address apparent difficulties in the narrative (especially the question of when Saul met David) that nevertheless failed to realize that not everything in Samuel is narrated in exact chronological order. Nevertheless, anyone who compares different translations of Samuel (e.g., NIV and NRSV) will notice variants and should make use of good commentaries at that point.

Central Themes

The reign of God. Kingship lies at the heart of Samuel. But although it is concerned with the story of Israel’s first two kings (Abimelek in Judg. 9 is an aberration and probably only a local figure), it places their story within the framework of God’s reign. No matter what authority a king in Israel might claim, it was always subject to God’s greater authority. Indeed, Samuel makes clear that God did not need a king but rather chose the monarchy as the means by which his own reign might be demonstrated.

An important way in which God’s reign is demonstrated is through the motif of the reversal of fortunes, in which the powerful are brought down and the weak raised. This is announced in Hannah’s Song (1 Sam. 2:4–8) and is then demonstrated when God removed the corrupt family of Eli from their position of power in the sanctuary at Shiloh (2:27–36; 4:1–18). On the other hand, Samuel himself came to prominence even though he had no position of power. Saul, likewise, although a member of a relatively wealthy family (9:1–2), knew that he was not someone who had automatic power (9:21) but still was raised up to be king by God. Yet when he, like Eli before him, became corrupt and clung to power rather than submit to God, he too was removed so that he could be replaced (15:28–29).

David also came from a humble position as the youngest son in his family (1 Sam. 16:11), but unlike Eli and Saul, he would not grasp power for himself. Indeed, he twice refused to kill Saul when he had the chance (1 Sam. 24; 26) and punished those who claimed that they could exercise violence on his behalf (2 Sam. 1:11–16; 4:9–12). Even when it seemed that David had later lost all to Absalom, he held to the fact that he could reign only as long as he had God’s support (2 Sam. 15:25–26). This, in fact, is a central theme in 2 Sam. 7 when David wanted to build a temple for God, for there it is made clear that David cannot act without God’s authority, and that his descendants will have authority as long as they too submit to God (2 Sam. 7:11b–15). David’s closing songs (22:1–23:7) make clear that the king has no authority apart from God.

Kingship. Kingship in Israel is closely related to the theme of God’s reign. The possibility of kingship first arises in Hannah’s Song (1 Sam. 2:10) and is confirmed by the man of God who announces the judgment against Eli’s family (2:34). Both references occur before Israel’s elders requested a king because of the failure of Samuel’s sons (8:1–9), indicating that the request for a king did not take God by surprise. In addition, it indicates that authentic kingship in Israel could only be that which was initiated by God.

The story of Saul’s rise to the throne needs to be read in light of this. Although the human move to kingship stemmed from the request of the elders for a king (1 Sam. 8:4–9), it was still the case that Saul could become king only because of God’s decision. Although 1 Sam. 8–12 often has been broken down into supposedly conflicting sources, it is better to read it as a unified text but to note that the narrator’s voice is not equivalent to any of the characters that speak through it. When the text is understood in this way, it is possible to appreciate that kingship was part of God’s purposes for Israel, but it needed to follow his model. Kings in Israel could prosper only when they submitted to the greater reign of God. It was Saul’s mistake that he did not recognize this. David, although he made some terrible mistakes, always understood this truth, and his closing songs (2 Sam. 22:1–23:7) reflect on it. David learned what Saul never did: power is never something to be grasped; rather, it can only be accepted as a gracious gift from God to be used for his purposes.

New Testament Connections

The importance of the books of Samuel for the NT is far greater than its five direct citations there (Acts 13:22; Rom. 15:9; 2 Cor. 6:18 [2×]; Heb. 1:5) might indicate. The theme of kingship and the associated promise to David in 2 Sam. 7 are fundamental to the messianic hope throughout the OT and are picked up in the NT. Even when the NT cites other OT texts (such as Ps. 2) with reference to Jesus, it is still the books of Samuel that lie behind the citation. In addition, the NT frequently indicates that Jesus was a son of David (e.g., Matt. 1:1). Although such texts do not cite Samuel directly, they clearly allude to it because of God’s promise that David’s throne would be established forever (2 Sam. 7:16). Jesus’ ministry transcends that of David in every way, but we cannot understand his ministry apart from David and God’s promise to him.

A sacred cultic object, in the shape of a box, that represented the presence of God among the Israelites. The ark (Heb. ’aron), constructed in wood, measured 45 inches long, 27 inches wide, and 27 inches high (Exod. 25:10), and it was transported by means of two poles inserted on either side of the ark. The most important aspects of the ark were the cover and the cherubim attached to the ark cover. Blood was ritually sprinkled on the cover, which was the designated place of atonement. In the earliest accounts, the ark became the place of atonement, meeting, and revelation between God and Israel.

In a few instances the Hebrew word ’aron also denotes a collection box (NIV: “chest”) in the temple (2 Kings 12:9–10; 2 Chron. 24:8, 10–11), and in one case it refers to Joseph’s sarcophagus, or coffin (Gen. 50:26). The Scriptures mention the ark 195 times, frequently (82 times) in association with the Lord or God, resulting in expressions such as “the Ark of the Covenant of the Lord,” the “ark of the God of Israel,” and the “ark of God.”

The Function and Locations of the Ark

The ark was housed first in the portable sanctuary or tabernacle used for worship in early Israelite history, and Exodus and Deuteronomy note that it served as a receptacle for the “testimony” or two tablets of the Ten Commandments. Consequently, the ark is often referred to as the “ark of the testimony,” since the Hebrew word for “testimony” is synonymous with the common Hebrew word for “covenant” (Pss. 25:10; 132:12), and the designations of the container as the “Ark of the Covenant” (Deut. 9:9, 15) and as “the ark of the testimony” (Exod. 27:8; 31:18) seem interchangeable. The NT notes that the ark also contained a gold jar of manna and Aaron’s blossoming rod (Heb. 9:4; cf. Exod. 16:32–34; Num. 17:8–10). The location of the ark became associated with the centralized place of gathering and worship by the Israelites. Moses composed what has come to be called the “Song of the Ark” (Num. 10:35–36), signifying the ark’s role in preceding the nomadic Israelites in the wilderness and indicating where they should rest.

In the book of Joshua, the ark led the people in conquest (3:1–5:1; 6:1–25). The crossing of the Jordan (3:7–11) amid dry ground, when carrying the ark into the river caused the waters to be swept in a heap, depicts the supernatural relationship between the ark and the presence of God. The ark became so closely associated with the divine presence that the Israelites assumed that the presence of God resided within the ark. Only the consecrated Levitical priests could carry the ark, which was covered by three layers of cloth in order to conceal it from the people (Num. 4:5–6, 15, 18–20), who had to remain at least a thousand yards away. In 2 Sam. 6:2–7 the oxen carrying the ark stumbled, and Uzzah, who was not a priest, reached out and touched the ark to steady it, resulting in his death (cf. 1 Chron. 13:7–10). Following the entry into the Promised Land, the ark abided at the Gilgal sanctuary, and eventually it shifted from Bethel to Shiloh.

The function of the ark as the place where the tribal confederacy sought divine counsel for holy war led also to employing the ark as a war symbol, carried forth into battle to assure victory (Josh. 6:4–21). This use of the ark most likely originates from ancient Near Eastern religious concepts and practices that associated the presence of a god with an emblematic war throne useful for divination and success in battle. The expression “the Lord Almighty, who is enthroned between the cherubim” links God’s roles as king and warrior, reinforcing the ark as God’s throne or his “footstool” (1 Sam. 4:4), symbolic of the invisibly enthroned deity. Other Canaanite deities, including El, had footstools that resembled gold-plated and ornate boxes upon which to rest their feet, signifying their regal authority and military power. In 1 Chron. 28 the ark is referred to as God’s “footstool,” and the psalmist enjoins the people to gather and worship at God’s footstool (Ps. 99:5). Similarly, Ps. 132, a liturgical poem linked to the formal procession of the ark, refers to the “footstool of [God]” as the centralized place of worship.

The Ark of the Covenant rested in the Shiloh temple in the custody of Eli until it was captured by the Philistines, who possessed it in their territory for seven months (1 Sam. 4–6). The loss of the ark was mourned as symbolizing the abandonment or departure of God’s presence, and yet its capture emphasized the Israelites’ false presumptions concerning the ark as a guarantor of military success and reinforced the fact that God could not be manipulated. Following a plague inflicted by God upon the Philistines, the ark was returned and remained at Kiriath Jearim for twenty years (6:21–7:2).

Eventually, King David transported the ark to the city of Jerusalem, reinforcing the political and cultic importance of the location. Here it remained in a “tent” until it was placed in Solomon’s temple (2 Sam. 6:17; 7:2). The ark disappeared sometime during the late monarchical period; its capture is not listed in the temple assets seized by Nebuchadnezzar (2 Kings 25:13–17). The ark was never replaced after the return from the Babylonian exile, and Jeremiah declared that the ark should not be remade (Jer. 3:16). The ark is not mentioned in Ezekiel’s description of the new temple (Ezek. 40–48).

The book of Hebrews mentions the ark in relation to its prominence and purpose in the temple (9:4–5). In addition, Heb. 9:1–14 contrasts the application of Christ’s own blood in the heavenly holy place with the priestly sprinkling of blood on the “mercy seat” (NIV: “atonement cover”) of the ark. Revelation 11:19 speaks of the ark of God’s covenant being located in the heavens.

The Ark and the Holiness of God

The Ark of the Covenant underscores the holiness of God and his necessary separation from sin. The holiness or consecration of those who approach God at the ark signifies the importance of cleansing from impurity as a prerequisite to maintaining the covenant relationship with God. Although the ark and the presence of God became inseparably linked in the minds of the Israelites, God’s promise to be present among them did not imply a spatial or corporeal limitation. The law tablets contained in the ark are inextricably linked with the glory of God’s presence and the point of covenant accessibility through the word of God. The portable nature of the ark, and the tent in which it was housed, emphasizes that God’s presence or revelation is not limited to a specific location.

The NT also concretizes the ark to the holiness of God and his law. God is both merciful and just; his holiness requires propitiation for sin, and his mercy provides it through the blood atonement accomplished through the death and resurrection of Christ. Christ’s sufficient and efficacious vicarious sacrifice on the cross replaced the yearly ritual necessary to secure the salvation and forgiveness of God’s people, highlighting the superiority of Christ and salvation by grace through faith in his redemptive work on the cross. The sacrificial death of Christ provides infinite atonement and reconciliation for believers, who affirm God’s immanence while at the same time acknowledging his sovereignty and transcendence. Believers look forward to the literal and physical return of Christ, when they will realize the fulfillment of God’s promise to live with and among them eternally.

(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).

The economic life of the biblical world rested on the precepts of improvement of one’s standing, stable interaction between individuals and nations, and the fact that all of life belonged first to God. The ability to create a stable economy was driven by international standing, military strength, and environmental conditions. As a state, Israel was far more successful in creating and sustaining wealth during periods with little upheaval in the monarchy and when there was little threat from outside forces. The reign of Solomon in the united monarchy and the coterminous reigns of Uzziah in Judah and Jeroboam II in Israel, therefore, represent the periods with the most favorable economic conditions, and indeed these two periods are generally considered to be golden ages of economic and cultural strength.

The Economy of Israel

Before the monarchy. The economic life of the Bible begins with the creation account and the reflections communicated there about humankind’s stewardship of that which belongs to God. Humankind is placed in the world as the caregiver and protector of the rest of creation. This purpose will have ramifications for the remainder of the biblical story. Throughout the Bible, God expresses a deep concern for economic justice and economic well-being among his people. The law given by God sets out an economic and political framework that builds on this idea of justice and human stewardship of God’s creation, including some rather striking passages meant to assure a just distribution and maintenance of resources and equality (Lev. 25:1–55; Deut. 10:17–18; 15:1–11). The emphasis on economic and social justice is closely related to spiritual faithfulness throughout the prophetic texts. Isaiah speaks of economic prosperity and peace as an integral part of God’s desire for Israel. Amos, Jeremiah, and Micah denounce the economic injustices within Israel. This attitude and emphasis continue into the NT, where Jesus talks as much about economics in his teachings as he does about the rest of the Christian life. Jesus’ primary emphases in discussing economic matters suggest a need to recognize both the priority of the heavenly economy over the earthly and the fact that one’s economic activities must communicate a sense of justice and mercy as well.

The lack of a centralized government and industry in the early years of Israel’s existence meant that much of the economy revolved around private ownership and agrarian realities. In conquering the land of Canaan, the Israelites were transformed from seminomads into agriculturists, but they were still largely on their own in economic matters. They dwelled in villages and towns and lived off of what they raised in their fields and the milk and meat of their livestock. There was limited trade during this period, primarily existing only through opportunities provided by traveling merchants from Phoenicia and elsewhere. The modifications that took place in the Canaanite material culture when they were assumed by Israel were slight in nature in this early period. The period of the judges reveals a brutal culture, and the people would have remained somewhat constrained economically in the days prior to the monarchy. As stated above, the laws certainly are important in understanding how Israel viewed itself before God; however, it must be admitted that there were relatively few requisites concerning business contained in its precepts (Lev. 19:35–36; 25:36–37, 44–45; Deut. 15:2; 23:20). This may in fact reflect the more individualized nature of the early economic systems of Israel.

The monarchy. With the beginning of the monarchy, and especially the reign of Solomon, signs of extensive external trade begin to manifest themselves within Israel. The primary exports seem still to have been agricultural in nature, as Solomon is said to have sent grains and oil to Tyre in exchange for their timber and workers (1 Kings 5). Horses were a significant sign of wealth in the ancient world, and during his reign, Solomon apparently was able to import quite a few from Egypt (1 Kings 10:28–29). Solomon is even said to have sent ships to the far reaches of the known world to acquire gold, silver, iron, apes, and peacocks (1 Kings 10:22). Solomon also saw the development of an extensive system of internal economic prosperity through division of the land into districts and through establishing firm control of the major arteries of travel within Israel (1 Kings 4). Unfortunately, Solomon’s successors lacked his economic acumen. Due to inner turmoil and outside forces, Israel was unable to regain the standing that it held under Solomon, except for a brief period during the reign of Uzziah. Interestingly, the prophets often equated merchants with the Canaanites (Hos. 12:7; Zeph. 1:11; Zech. 14:21). The kings of the northern kingdom of Israel seem to have fared slightly better in economic matters than did the kings of Judah. Ahab obtained a special standing in the markets of Damascus (1 Kings 20:34), and Jeroboam II raised Israel to powerful status in the world’s economic perspectives.

After the exile. Following the return from the exile, the Jewish community was severely impoverished and had very little business activity except in its larger cities (Neh. 3:31–32). Hellenism brought with it a renewal of trade capabilities, and Josephus reports that by the mid-second century BC, Athenian merchants came regularly to Judea. The Maccabees captured Joppa, and Herod built Caesarea, which ultimately improved the economic standing of the Jews because they then controlled port locations.

Life in the NT seems not to have varied much from that in the OT, the most important exception being the stability and ease of transport resulting from Roman control of the region. This stability was often offset, however, by the imposition of high taxes. The NT relates the vast disparity of economic lifestyle between the enormously wealthy and the severely impoverished. There were also political and religious ramifications to be found in the struggle to find a proper response to taxation. This dilemma is reflected in the two opposing viewpoints among the twelve apostles, including the views of a tax collector and of a Zealot. The early church seems to have dealt with economic matters with various degrees of success (Rev. 2:9; 3:17).

Coinage

The monetary system of Israel seems to have always been based primarily on gold and silver. In fact, the Hebrew word most often translated “money,” kesep, is the word for “silver.” It is unclear exactly when coinage started in Israel. Opinions vary from the period just before the exile to several years after the exile. Up until that point, worth was assessed not by the value of the coin but rather by the weight of the metal. People carried their own weights in a bag that were used to determine the value of an exchange (Deut. 25:13; 2 Sam. 18:12); thus, the focus for ensuring fair trade was almost always on guarding against the use of false weights and scales (Lev. 19:36). The precursors to coinage seem to have been pieces of silver and gold that were considered to be a certain weight, though the emphasis was still on the weight of the product (Josh. 7:21; 1 Sam. 9:8). The basic standard of weight was the shekel.

The Persians developed a more fixed system of coinage. Darius first introduced a reformed currency system around 520–480 BC. The basic standard was the daric, which was comparable to a Babylonian shekel in weight. Because of the inherent value of coins, the purity of the metals used became more important. This resulted in a slight shift in monetary imagery related to purity versus fair weight. In the Roman era, the denarius was the basic unit of money.

Villages and Cities

The OT distinguished in size between villages and cities. The smallest measure of communal living seems to have been farming settlements or homesteads (Exod. 8:9; Neh. 11:25; Ps. 10:8). Larger settlements were referred to as villages (Gen. 25:16; 1 Sam. 6:18) or cities (Gen. 4:17; 19:25, 29). Cities were usually built along a lake or river (Tiberius and Beth Shan) or where natural springs were sufficient to sustain a large population (Jerusalem and Jericho). Streets in the cities seemed to have been named after the place to which they led or by the industry represented on them (Neh. 11:35; Isa. 7:3; Jer. 37:21). Open squares were found mainly at the gates of the city, where most of the commerce took place and which tended to be the centers of city life. The gate and the adjoining open area constituted the marketplace, hence, names such as “Sheep Gate” (Neh. 3:1, 3, 32; 12:39; Zeph. 1:10). The wells sometimes were situated here (2 Sam. 23:15–16). News from the outside was announced first at the gate (1 Sam. 4:18). Finally, court and council sessions were held at the gate (Deut. 13:17; Ruth 4:11; 2 Kings 7:1; Job 29:7; cf. Gen. 19:7).

Economic Issues Addressed in the Bible

Slavery. Slavery was considered legitimate in various circumstances, but since individual possession of a slave was somewhat rare, it never became a centerpiece of the Israelite economic structures. It was a capital offense to kidnap people for the purpose of enslaving them (Exod. 20:10–16; Deut. 24:7). When held by individual families, slaves were to be treated as part of an extended family, and they were permitted to partake in important festivals and to observe the Sabbath (Exod. 20:10; Deut. 16:14). Ideally, slaves in debt bondage and Israelite slaves owned by foreign residents were automatically freed at the Jubilee. If they had not already purchased their freedom, male Israelite slaves were automatically freed once they had worked for six years (Exod. 21:2; Lev. 25:39–55); however, the prophet Jeremiah’s denunciation of the permanent enslavement of Hebrew men and women by their masters (Jer. 34:8–22) suggests that these practices were not faithfully executed within Israel’s history.

Death, marriage, and redemption. The economic impact of death is addressed to some degree in the biblical texts. Daughters who received an inheritance of land because of the lack of a male heir were required to marry within the tribe in order to preserve the tribal allotments outlined by God in his gift of land to the people (Num. 27:7–8; 36:6–9). If the deceased had no children of his own, his closest male relative would receive the land (Num. 27:9–11). The levirate and go’el (“redeemer”) systems seem to have been enacted in order to protect both widows and the property rights of the family. Marriage with a brother’s widow was forbidden as a general rule (Lev. 20:21), but when no male heir was present, the act was considered obligatory (Deut. 25:5–10). Although there is some disagreement, most would consider the case of Ruth to be not one of levirate marriage, but instead an expression of the go’el (Lev. 25:25; Jer. 32:6–9). The two systems apparently are related, with the latter being an extension of the former. But the important distinction is that the go’el’s duties included redemption in much broader terms, including redemption from slavery (Lev. 25:47–55) and vengeance in the case of wrongful death (Deut. 19:6). One clear case of levirate marriage is found in the attempts of Tamar to bear a child with the brother of Er, her deceased husband, and then eventually with Er’s father (Gen. 38).

Tithing. Tithing one’s possessions was a very ancient custom that actually predates the law codes and is found in the time of the patriarchs. Abraham gave Melchizedek “a tenth of everything” (Gen. 14:20), and Jacob made a vow that if he returned to his father’s house in safety, he would acknowledge Yahweh as his Lord and would give him a tenth of all that he possessed (Gen. 28:20–22). The tithe that was applied to the seed of the land or to the fruit of the tree was redeemable. The tithe of cattle, on the other hand, was not redeemable. Determining which animal was the tithe involved counting each animal singly, and every tenth one that passed under the rod became the tithe animal (Lev. 27:30–33). There is apparently some disparity in the biblical texts relating to a tithe. Nehemiah 10:37–38 seems to clearly indicate that there was only one prescribed tithe taken in the OT era. However, there are three texts regulating the tithe in the OT (Lev. 27:30–33; Num. 18:21–32; Deut. 14:22–29). It would seem, then, that each law gives only a partial picture of the regulations involving the tithe, as each assumes both the presence and the regulations of the others. The practice of the tithe in Israel involved a yearly gift to the temple, with the gifts of every third year kept in the community for the care of the poor and oppressed. These laws, then, were a reminder of Israel’s holy status before God and that its enjoyment of the rewards of that status was a consequence of their election. Consequently, the tithe demanded recognition of God’s ownership of all the land. Furthermore, by being allowed to consume part of the tithe (Deut. 14:23), participants were reminded of the priority of God in their economy and lives.

One of five principal cities of the Philistines (Josh. 13:3). It was situated approximately midway between Ashdod (north) and Gaza (south) on the shore of the Mediterranean Sea.

Historical Overview

Evidence of settlement dates to the Neolithic period (8300–4500 BC), although the earliest references to the city stem from the Middle and Late Bronze Ages (2200–1200 BC). Ashkelon is mentioned among the Egyptian Execration texts (nineteenth century BC) as an enemy of Egypt and in the Amarna tablets (1400 BC), where the city’s ruler affirms fealty to the pharaoh. Excavation confirms an Egyptian presence at Ashkelon during the Late Bronze Age; the city remained under Egyptian control until the incursion of the Sea Peoples (early twelfth century BC), after which Ashkelon was occupied by the Philistines.

Ashkelon remained under Philistine control until Tiglath-pileser III’s campaigns against Syria and Israel (734–732 BC), when it became an Assyrian vassal. During Sennacherib’s reign Ashkelon’s king joined Hezekiah in revolt against Assyria and was deported (701 BC). In 604 BC, following Assyria’s demise, Nebuchadnezzar destroyed Ashkelon and deported the survivors, several of whom received rations at the Babylonian court (cf. Dan. 1:5).

During the Persian period Ashkelon was reestablished as a Tyrian market city, thus becoming prosperous once more. The city was never conquered by the Hasmoneans (mid-second to mid-first centuries BC; 1 Macc. 10:86; 11:60), and eventually it asserted its independence, signified by the minting of its own coins (beginning 111 BC). Herod the Great was purportedly a native of Ashkelon, and he lavished the city with public works projects. During the First Jewish Revolt, Ashkelon successfully defended itself against Jewish attack.

Excavations have located the council house and an elaborately painted tomb (Roman period), as well as the remains of a church and a synagogue (Byzantine period). Ashkelon came under Muslim control (seventh century AD), then briefly under Crusader control (AD 1153). The city was destroyed by Saladin (AD 1191) as he retreated before Richard the Lionheart.

Ashkelon in the Bible

Ashkelon was listed among the territory still to be conquered at the end of Joshua’s life (Josh. 13:3). Judah took the city but ultimately was unable to keep it (Judg. 1:18–19). The OT subsequently reckoned Ashkelon as part of Philistine territory, beginning with Judg. 14:19, which recounts one of Samson’s exploits.

Ashkelon shared in the affliction visited on the Philistines for taking the Ark of the Covenant, which they attempted to forestall by reparations or “sympathetic magic” (1 Sam. 6:17 [the “gold tumors” were likely meant to bear away the source of the Philistines’ suffering]). Ashkelon and Gath represent the Philistines overall as David anticipates their response to news of Saul’s and Jonathan’s deaths (2 Sam. 1:20).

The remaining references occur in the prophets, who portended the destruction of Ashkelon and the other Philistine cities at various times (Jer. 25:20; 47:5, 7; Amos 1:8; Zeph. 2:4, 7; Zech. 9:5). Notably, Zeph. 2:7 expected that Judah would finally take possession of Ashkelon.

The biblical site of Gaza is located at Tell Harube/Tell ’Azza, which is beneath the modern Palestinian city of Gaza. It is strategically situated in southern Palestine near the Egyptian border and is approximately three miles from the Mediterranean Sea. Initial excavations were led by W. J. Phythian-Adams in 1922 under the auspices of the Palestine Exploration Fund. Additional excavations were directed by Asher Ovadiah in 1967 and 1976.

In the Late Bronze Age (1550–1200 BC), Gaza was under the control of Egypt. It is first mentioned in the annals of Thutmose III as the provincial capital of Canaan, and it functioned as an Egyptian administrative center in the Amarna and Taanach letters. At the beginning of the Iron Age (1200 BC), the Sea Peoples (especially the Philistines) took control of this coastal region. This scenario is reflected in Deut. 2:23, which states that the Caphtorites (i.e., the Philistines) displaced the Avvites. Joshua 11:22 also states that after the Israelite conquest, the giant Anakim only remained in Gaza, Gath, and Ashdod (they were most likely assimilated into Philistine culture, perhaps as mercenaries). These three cities, along with Ekron and Ashkelon, comprise the Philistine Pentapolis (Josh. 13:3; 1 Sam. 6:17–18). The Pentapolis remained unconquered at the end of Joshua’s life (Josh. 13:3), even though Ekron, Ashdod, and Gaza were included in Judah’s allotment (15:45–47). The Judahites took brief control of Gaza, Ashkelon, and Ekron, which they were unable to maintain due to the Philistines’ employment of “iron chariots” on the plains (Judg. 1:18–19). During the period of the judges, Gaza is prominently featured in the exploits of Samson. The city is described as having a gate and a multistoried temple (Judg. 16:1–3, 26). After David’s conquests of the Philistines, King Solomon is said to have dominion over a vast region including Gaza (1 Kings 4:24). In the second half of the eighth century BC, Gaza became an Assyrian vassal (under Tiglath-pileser III). King Hezekiah also briefly subdued the region (2 Kings 18:8), but Gaza remained an Assyrian vassal until the end of the seventh century, when the city was briefly occupied by Pharaoh Necho II and then fell to Nebuchadnezzar (see Jer. 47:1–2, 5). Gaza is mentioned in a number of prophetic oracles against Philistia (Jer. 25:20; 47:1; Amos 1:6–7; Zeph. 2:4; Zech. 9:5). It appears only one time in the NT, when Philip is traveling toward Gaza and encounters the Ethiopian eunuch (Acts 8:26).

The biblical site of Gaza is located at Tell Harube/Tell ’Azza, which is beneath the modern Palestinian city of Gaza. It is strategically situated in southern Palestine near the Egyptian border and is approximately three miles from the Mediterranean Sea. Initial excavations were led by W. J. Phythian-Adams in 1922 under the auspices of the Palestine Exploration Fund. Additional excavations were directed by Asher Ovadiah in 1967 and 1976.

In the Late Bronze Age (1550–1200 BC), Gaza was under the control of Egypt. It is first mentioned in the annals of Thutmose III as the provincial capital of Canaan, and it functioned as an Egyptian administrative center in the Amarna and Taanach letters. At the beginning of the Iron Age (1200 BC), the Sea Peoples (especially the Philistines) took control of this coastal region. This scenario is reflected in Deut. 2:23, which states that the Caphtorites (i.e., the Philistines) displaced the Avvites. Joshua 11:22 also states that after the Israelite conquest, the giant Anakim only remained in Gaza, Gath, and Ashdod (they were most likely assimilated into Philistine culture, perhaps as mercenaries). These three cities, along with Ekron and Ashkelon, comprise the Philistine Pentapolis (Josh. 13:3; 1 Sam. 6:17–18). The Pentapolis remained unconquered at the end of Joshua’s life (Josh. 13:3), even though Ekron, Ashdod, and Gaza were included in Judah’s allotment (15:45–47). The Judahites took brief control of Gaza, Ashkelon, and Ekron, which they were unable to maintain due to the Philistines’ employment of “iron chariots” on the plains (Judg. 1:18–19). During the period of the judges, Gaza is prominently featured in the exploits of Samson. The city is described as having a gate and a multistoried temple (Judg. 16:1–3, 26). After David’s conquests of the Philistines, King Solomon is said to have dominion over a vast region including Gaza (1 Kings 4:24). In the second half of the eighth century BC, Gaza became an Assyrian vassal (under Tiglath-pileser III). King Hezekiah also briefly subdued the region (2 Kings 18:8), but Gaza remained an Assyrian vassal until the end of the seventh century, when the city was briefly occupied by Pharaoh Necho II and then fell to Nebuchadnezzar (see Jer. 47:1–2, 5). Gaza is mentioned in a number of prophetic oracles against Philistia (Jer. 25:20; 47:1; Amos 1:6–7; Zeph. 2:4; Zech. 9:5). It appears only one time in the NT, when Philip is traveling toward Gaza and encounters the Ethiopian eunuch (Acts 8:26).

(1) A town located within the borders of the tribe of Benjamin. Gibeah is infamous as the setting where the men of the city raped and murdered the concubine of a Levite who had lodged in the city for the night. In response to this brutal act, an army of Israelites from all the other tribes engaged in battle against Gibeah and the Benjamites, killing all but six hundred men and burning the city (Judg. 19–20). Hosea refers to these events when he compares the sins of Israel in his time to the depravity of Gibeah (Hos. 9:9; 10:9).

Gibeah was the hometown of Saul (1 Sam. 10:26; 15:34; Isa. 10:29), and as such it played a central role during his reign. It was to Gibeah that the elders of Jabesh sent messengers to Saul requesting help (1 Sam. 11:1–5), and from Gibeah that Saul directed his campaign against the Philistines (1 Sam. 13–14). Later, David handed over two of Saul’s sons and five of his grandsons to the Gibeonites to be hanged in Gibeah in retaliation for Saul’s misdeeds (2 Sam. 21:5–6). The final biblical references to Gibeah appear in Isaiah and Hosea in connection with the impending invasion of Assyria (Isa. 10:29; Hos. 5:8).

Some references to Gibeah are problematic. Since gibe’ah is the Hebrew word for “hill,” there is some question whether “Gibeah of God” in 1 Sam. 10:5 (NIV) is a reference to Saul’s hometown or to a high place and should thus be translated as the “hill of God” (KJV, NASB). Similarly, the word gibe’ah in the Benjamite town list in Josh. 18:28 might better be translated as “hill.” Although the NIV translates “Gibeah and Kiriath” here, indicating two distinct towns, the Hebrew MT reads gibe’at qiryat and may refer to the hill of Kiriath Jearim, where the ark of the covenant was located for several years (1 Sam. 7:1–2). Finally, Gibeah occasionally is mentioned in close connection with a town called “Geba,” and some uncertainty exists whether these are distinct cities or linguistic variants of the same name (cf. Judg. 20:10; 1 Sam. 13:3, 16).

Gibeah is identified by most scholars with modern Tel el-Fûl, located about three miles north of Jerusalem. Excavations by W. F. Albright in 1922–23 and 1933 and by P. W. Lapp in 1964 identified five periods of occupation dating from Iron Age I (1200–1000 BC) to the early Roman era (c. AD 70). Finds from the second period (Iron Age IIA, 1000–900 BC) include the remains of a fortress that Albright attributed to Saul, although others suggest it was built by the Philistines and later occupied by Saul. Remains of a second fortress from Iron Age IIA and a third from Iron Age IIB–C (900–586 BC) were also found.

(2) A town located within the borders of the tribe of Judah (Josh. 15:57).

(3) A town located in the hill country of Ephraim that had been given to Phinehas, the son of Eleazar and the grandson of Aaron. Eleazar was buried there (Josh. 24:33).

Hemorrhoids result from the painful swelling of veins in the region of the anus, often accompanied with bleeding. God may have inflicted the Philistines with this condition—what the biblical writer calls “tumors” (1 Sam. 5:6, 9, 12; 6:4–5, 11, 17)—as punishment for capturing the ark of the covenant from the Israelites and setting it beside their agricultural god, Dagon. But most scholars now presume that a form of bubonic plague is being described. The KJV translation “emerods” is probably responsible for this traditional interpretation.

A place about ten miles west of Jerusalem (Ps. 132:6) whose name means “forest.” The description “fields of Jaar” refers to Kiriath Jearim (“Jearim” is the plural of “Jaar”), where the ark of the covenant, after its time with the Philistines, lay for twenty years before David brought it to Jerusalem (see 1 Sam. 6:21–7:2; 1 Chron. 13:6).

(1) The son of Nun and the servant of Moses. Joshua appears thirty-three times in Exodus, Numbers, Deuteronomy, and Judges. He is the principal human character of the OT book that bears his name.

As a military commander, Joshua fought against the Amalekites (Exod. 17:8–13). He became an assistant to Moses and accompanied him up and then down the mountain of God (24:13; 32:17). Joshua also kept watch over the tent of meeting (33:11).

Moses sent Joshua, Caleb, and ten others as spies to explore the land of Canaan (Num. 13). At this point, Moses also changed his name from “Hoshea” to “Joshua” (13:8, 16). Because Joshua and Caleb trusted that God would help Israel conquer Canaan, God vowed that only these two of that rebellious generation would enter the promised land (14:30). God also commanded Moses to commission Joshua as his successor. So in the presence of all Israel Moses laid his hands upon Joshua and set him apart for the task (27:15–23).

God commanded Moses to strengthen and encourage Joshua (Deut. 1:38; 3:28). Later, Moses charged Joshua with the specific task of bringing the people into the promised land (31:7, 23). Since Moses had laid his hands upon him, and he was filled with the spirit of wisdom, the children of Israel agreed to obey Joshua (34:9).

Joshua’s character as a leader is demonstrated throughout the book that bears his name. Among other things, Joshua served as a brilliant military leader (Josh. 1–12), an administrator (Josh. 13–21), and a religious leader (Josh. 24). He led the Israelites across the Jordan and presided at the allotment of land. In all of this, Joshua was “strong and courageous” (1:6), just as God and the people encouraged him to be (1:6–7, 9, 18). At the end of his life he was called, like Moses, “the servant of the Lord” (24:29). The people served God throughout the lifetime of Joshua (Judg. 2:7).

(2) The owner of the field in Beth Shemesh where the ark stopped after it returned from the Philistines (1 Sam. 6:14).

(3) The governor of Jerusalem during Josiah’s reign (2 Kings 23:8).

(4) A high priest and one of the leaders of Israel who survived the Babylonian captivity and was permitted by an edict of Cyrus to return to Jerusalem (Ezra 2:2; Neh. 7:7). He was a contemporary of Haggai and Zechariah. In many Bible versions, he is referred to as “Jeshua son of Jozadak” in Ezra and Nehemiah (e.g., Ezra 3:2; Neh. 12:26) and “Joshua son of Jehozadak” in Haggai and Zechariah (e.g., Hag. 1:1; Zech. 6:11) (the NIV standardizes his name to “Joshua son of Jozadak” throughout).

Together with Zerubbabel, Joshua helped to restore worship for the returned exiles (Ezra 3:2) and with the sometimes hazardous work of rebuilding the temple (Ezra 3:8–9; 4:3; 5:2). The high priests descended from him are listed in Neh. 12:10, but other descendants are named as guilty of intermarriage with foreign wives (Ezra 10:18). In the book of Zechariah he is the subject of two visions where he serves as a representative of Israel (Zech. 3:1–10) and as a type of Christ (6:9–15).

(5) An ancestor of Jesus in Luke’s genealogy (Luke 3:29).

(1) A town located within the borders of the tribe of Benjamin. Gibeah is infamous as the setting where the men of the city raped and murdered the concubine of a Levite who had lodged in the city for the night. In response to this brutal act, an army of Israelites from all the other tribes engaged in battle against Gibeah and the Benjamites, killing all but six hundred men and burning the city (Judg. 19–20). Hosea refers to these events when he compares the sins of Israel in his time to the depravity of Gibeah (Hos. 9:9; 10:9).

Gibeah was the hometown of Saul (1 Sam. 10:26; 15:34; Isa. 10:29), and as such it played a central role during his reign. It was to Gibeah that the elders of Jabesh sent messengers to Saul requesting help (1 Sam. 11:1–5), and from Gibeah that Saul directed his campaign against the Philistines (1 Sam. 13–14). Later, David handed over two of Saul’s sons and five of his grandsons to the Gibeonites to be hanged in Gibeah in retaliation for Saul’s misdeeds (2 Sam. 21:5–6). The final biblical references to Gibeah appear in Isaiah and Hosea in connection with the impending invasion of Assyria (Isa. 10:29; Hos. 5:8).

Some references to Gibeah are problematic. Since gibe’ah is the Hebrew word for “hill,” there is some question whether “Gibeah of God” in 1 Sam. 10:5 (NIV) is a reference to Saul’s hometown or to a high place and should thus be translated as the “hill of God” (KJV, NASB). Similarly, the word gibe’ah in the Benjamite town list in Josh. 18:28 might better be translated as “hill.” Although the NIV translates “Gibeah and Kiriath” here, indicating two distinct towns, the Hebrew MT reads gibe’at qiryat and may refer to the hill of Kiriath Jearim, where the ark of the covenant was located for several years (1 Sam. 7:1–2). Finally, Gibeah occasionally is mentioned in close connection with a town called “Geba,” and some uncertainty exists whether these are distinct cities or linguistic variants of the same name (cf. Judg. 20:10; 1 Sam. 13:3, 16).

Gibeah is identified by most scholars with modern Tel el-Fûl, located about three miles north of Jerusalem. Excavations by W. F. Albright in 1922–23 and 1933 and by P. W. Lapp in 1964 identified five periods of occupation dating from Iron Age I (1200–1000 BC) to the early Roman era (c. AD 70). Finds from the second period (Iron Age IIA, 1000–900 BC) include the remains of a fortress that Albright attributed to Saul, although others suggest it was built by the Philistines and later occupied by Saul. Remains of a second fortress from Iron Age IIA and a third from Iron Age IIB–C (900–586 BC) were also found.

(2) A town located within the borders of the tribe of Judah (Josh. 15:57).

(3) A town located in the hill country of Ephraim that had been given to Phinehas, the son of Eleazar and the grandson of Aaron. Eleazar was buried there (Josh. 24:33).

(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).

A word of late medieval European origin referring to people of comparatively low social standing who inhabit agrarian regions and work the soil as farmers and laborers. In the OT, a few versions use “peasantry” to translate the Hebrew word perazon, for which others use “villagers,” specifically meaning those who live in unwalled villages in the open country (Judg. 5:7, 11 NASB; cf. 1 Sam. 6:18).

(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).

One Hebrew word (’akbar) covers rats, mice, and similar small rodents, which sometimes formed plagues (1 Sam. 6). The OT also mentions rodentlike weasels (kholed [sometimes translated as “rat” or “mole rat”]), hyraxes (shapan), and rabbits or hares (’arnebet). All these animals were unclean because they “swarm,” and hyraxes and rabbits also appear to chew cud. The rendering, in some translations, of qippod as “hedgehog” or “porcupine” is probably incorrect (Isa. 14:23; 34:11 NRSV; Zeph. 2:14 ASV), as is the KJV translation of tanshemet (Lev. 11:30) and khepor (Isa. 2:20) as “mole” (Israel has no moles). Bats, as flying creatures, were grouped with the unclean birds. No rodents are mentioned in the NT.

Samuel oversaw the transition from the period of judges to the time of the monarchy. He was the final judge (1 Sam. 7:6, 15–16; cf. 8:1 NIV mg.). He also was a priest (2:18) and functioned as a prophet (3:20).

The account of his life begins when his mother, Hannah, desperately prayed that God would open her barren womb. The situation in Israel was not good. Eli, the high priest, was incompetent and spiritually dull. He even mistook her sincere prayers for the blabbering of a drunkard (1 Sam. 1:12–16). In answer to her prayers and her vow to dedicate her future child as a Nazirite (cf. Num. 6:1–21), God opened her womb, and Samuel was born. Upon his birth, he was committed to the service of Yahweh at the tabernacle.

Samuel was quite different from Eli’s wicked sons, Hophni and Phinehas. While they stole from the sacrifices and slept with the women who ministered at the tabernacle, Samuel “was ministering before the Lord” (1 Sam. 2:18). The narrative even draws a contrast between Samuel and Eli in that the latter was dull and did not immediately recognize that God was speaking to Samuel one evening (1 Sam. 3).

Sometime after the death of Eli, Samuel found himself in the position of leadership as a judge in Israel (1 Sam. 7). God used him to inflict a serious, but not decisive, defeat against the Philistines. Afterward Samuel set up a stone called “Ebenezer” (“stone of help”) to commemorate the event.

The people, however, felt that Israel needed a stronger central leader to expel the Philistines from their land, so they requested that Samuel anoint a king over them (1 Sam. 8:5). This worried and angered Samuel, who took it as a personal affront, and in reality it was more seriously an insult toward God. The people should have trusted God to provide the victory over the Philistines. Even so, God directed Samuel to anoint a king over the people, and Saul was chosen.

After this event, Samuel no longer was judge over Israel, but he was a priest and a prophet. As such, he led the people in a covenant renewal ritual whereby they reaffirmed their allegiance to God, the heavenly king, even though they now had an earthly king (1 Sam. 12).

As part of his duties, Samuel operated as the conscience of King Saul. He confronted Saul on numerous occasions when the king chose to go his own way rather than obey the commands of Yahweh (1 Sam. 13; 15).

Saul greatly disappointed God and his representative Samuel. Accordingly, God commissioned Samuel to anoint the next king, even before the death of Saul. In Bethlehem, God directed Samuel to anoint David as the future king of Israel.

Samuel died and was buried at Ramah before David’s kingship became a reality (1 Sam. 25:1). Even with death, the story of Samuel does not end. Toward the end of Saul’s life, God cut off communication with him. Desperate to control the outcome of a battle with the Philistines, Saul showed his spiritual perversity by consulting a necromancer. The latter summoned Samuel from the dead (1 Sam. 28), and Samuel pronounced Saul’s demise.

Samuel was remembered as an important and faithful spiritual leader, compared favorably even to Moses (Jer. 15:1; Acts 13:20; Heb. 11:32). He is honored as a prophet whose words anticipated the coming of Jesus Christ (Acts 3:24).

(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).

This name is a shortened form of “Uzziah.” (1) The son of Abinadab and brother of Ahio. The brothers were guiding the cart on which the ark of the covenant was being transported to Jerusalem. Uzzah touched the ark and was stricken by God (2 Sam. 6:1–11; 1 Chron. 13:7–11). Here, “Uzzah” might be a nickname for the Eleazar of 1 Sam. 7:1. (2) The son of Shimei, a Merarite Levite (1 Chron. 6:29).

One of four major valleys draining water runoff from the central hill country watershed westward through the Shephelah to the coastal plains (the other three are Aijalon, Elah, and Guvrin). The ridges between these valleys provide the approach routes to the hill country from the coast. A remnant of the Danites lived on either side of the Valley of Sorek; their cities were Eshtaol, Zorah, and Beth Shemesh. The Philistine city Timnah (the city of Samson’s first love escapade with a Philistine woman [Judg. 14]) lay downstream in the Valley of Sorek. It also was the location of Samson’s debacle at Delilah’s bosom (Judg. 16:4–30). The cow-drawn cart returning the ark of the covenant from Philistine captivity came up the Valley of Sorek from Ekron to Beth Shemesh (1 Sam. 6:10–12).

In biblical times, a wheeled vehicle, usually drawn by animals such as oxen and cows and used in agricultural contexts (Num. 7:3; 1 Sam. 6:7; Isa. 28:27; Amos 2:13). The Hebrew word ’agalah can be translated as “cart” or “wagon.” Carts were used to transport objects, but the hilly terrain of Palestine was not conducive to their use (cf. 2 Sam. 6:3–6; 1 Chron. 13:7–9). Thus, they were used primarily in the plains of Palestine (1 Sam. 6:7–8, 10, 11–14). The cart or wagon likely was of Assyrian origin.