An early, tangible reminder of the goodness of God in rescuing his people from their sins (NIV: “bronze snake”). During the wilderness wanderings, the land of Edom lay in the path of the Israelites. The Israelites requested permission to pass through Edom, which the Edomites strongly denied (Num. 20:14–21). Forced to circle around Edom and head far out of their way, the Israelites began to complain yet again (Num. 21:4–5; see also Exod. 15:22–24; 16:1–3; 17:1–7). God responded by sending venomous snakes that killed many people (Num. 21:6). When the people admitted their sin and asked Moses to pray to God on their behalf, God commanded Moses to do a strange thing: he was to make a snake and put it on a pole. “Then when anyone was bitten by a snake and looked at the bronze snake, they lived” (21:9).

This seemingly insignificant and bizarre episode in Israelite history resurfaces twice in the Bible. The good king Hezekiah destroyed the bronze serpent during his purification of the land of Judah from idolatrous worship. The writer of Kings explains that the serpent, which had come to be called “Nehushtan,” had itself become an idol, as the Israelites had been burning incense to it (2 Kings 18:4). Jesus also makes mention of the bronze serpent in his famous dialogue with Nicodemus. In speak­ing of his impending death, Jesus explains to Nicodemus that he, the Son of Man, must be lifted up from the earth, “just as Moses lifted up the snake in the desert” (John 3:14). Those who believe in Jesus will have eternal life because of his being lifted up—that is, crucified (see John 12:32–34). Jesus’ reference to the bronze serpent emphasizes the simplicity of salvation through Christ. Just as the Israelites needed only to look to the bronze serpent, trusting in God’s provision for their salvation from physical death, so also those who are dying in their sins need only look to the perfect sacrifice of Jesus Christ, trusting in God’s provision for their salvation from spiritual death.

“Edom” denotes Esau (Gen. 25:30; 36:1, 8, 19), or the Edomites collectively (Num. 20:18, 20–21; Amos 1:6, 11; 9:12; Mal. 1:4), or the land occupied by Esau’s descendants, formerly the land of Seir (Gen. 32:3; 36:20–21, 30; Num. 24:18). Edom was renowned in Israel for its wisdom (Jer. 49:7; Obad. 8), and the book of Job seems to reflect an Edomite setting.

The Land of Edom

The region stretched from the Zered Valley to the Gulf of Aqabah (about one hundred miles) and extended to both sides of the Arabah, the great depression connecting the Dead Sea to the Red Sea (Gen. 14:6; Deut. 2:1, 12; Josh. 15:1; Judg. 11:17–18; 1 Kings 9:26). It is a dry, mountainous area with peaks rising to 3,500 feet. Though not a fertile land, it has cultivable areas (Num. 20:14–18). The name is derived from the Semitic root meaning “red, ruddy,” perhaps because of the reddish color of the sandstone in that region.

The earliest reference to Edom comes from Egypt, where Papyrus Anastasi VI preserves the report of an official from the reign of Mer-nep-tah (c. 1220 BC). He noted that the Bedouin tribes of Edom were trying to pass an Egyptian fortress to “the pools of Per-Atum” to keep themselves and their cattle alive.

It is possible that the Semitic place name was in use as early as the fifteenth century BC, if Edom is identified with one of the place names (’i-d-má) from the list of Thutmose III (1490–1436 BC).

The land(s) of Seir (a term often used in the OT to refer to Edom; cf. “the hill country of Seir” in Gen. 36:8–9) appears already in a letter from Amarna written by a king of Jerusalem to Amenhotep III in the first half of the fourteenth century. About a century later, Ramesses II (1290–1224 BC) claimed to have devastated the land of Shosu and plundered Mount Seir. In the next century Ramesses III (1193–1162 BC) made a similar claim.

Thus, there is considerable evidence outside the OT from the fourteenth to the twelfth centuries BC that mentions both Edom and Seir (the latter is more frequent and seems to be better known). The sources do not identify the two places, but they refer to their inhabitants as (Bedouin) shosu.

The Edomites

Following the OT, it seems that Esau’s descendants migrated to the land of Seir and in time became the dominant group, incorporating the original Horites (Gen. 14:6) and others into their number. Esau had already occupied Edom when Jacob returned from Harran (Gen. 32:3; 36:6–8; Deut. 2:4–5; Josh. 24:4). Tribal chiefs emerged here quite early (Gen. 36:15–19, 40, 43; 1 Chron. 1:51, 54), and the Edomites had kings “before any Israelite king reigned” (Gen. 36:31; 1 Chron. 1:43–51).

We know from the OT that after the exodus Israel was denied permission to travel by the King’s Highway (Num. 20:14–21; 21:4; Judg. 11:17–18). Still, Israelites were forbidden to abhor their Edomite brothers (Deut. 23:7–8). Joshua allotted the territory of Judah up to the borders of Edom (Josh. 15:1, 21), but the Israelites were not allowed to encroach on their lands.

Despite the brotherly relationship between Edom and Israel, the biblical evidence shows that the relationship between Edom and Israel was one of continuous hostility from the time of the Israelite kings. King Saul fought the Edomites (1 Sam. 14:47), and David conquered Edom and put garrisons throughout the land (2 Sam. 8:13–14). Edom was subjugated by Israel during the time of David but seems to have regained independence in the eighth century BC.

The prophets of Judah were very bitter against later Edom because of its stance in the destruction of Jerusalem by Babylon (587/586 BC), and they predicted Edom’s destruction (e.g., Obadiah). The oracle of Mal. 1:2–4 indicates that by the time of its writing, Edom was in ruin. The archaeological evidence supports the fall of Edom by the end of the sixth century BC, and there is evidence that the Nabateans (an Arabian tribe) forced their way into Edom and replaced the Edomites, many of whom went westward to southern Judea (later Idumea [cf. 1 Macc. 5:3, 65]), while others may have been absorbed by the newcomers. By 312 BC the area around Petra was inhabited by Nabateans.

Archaeological Evidence

Modern archaeology has shown that the land was occupied before Esau’s time, and recent excavations have shed new light on the history of Edom, unearthing evidence of a settled state society as early as the eleventh century BC. Surveys and excavations support the conclusion that Edom was a sophisticated, urbanized society as early as the tenth century BC, with industrial-scale production of copper at this time in that region.

This new data pushes back the archaeological chronology of this area some three centuries earlier than the prevalent scholarly consensus. At the moment, there are at least thirty-five high-precision dates from Edom dating to the tenth century BC (and some may be even earlier). Egyptian artifacts were found at the site in a layer associated with a serious disruption in production at the end of the tenth century BC, possibly tying Khirbat en-Nahas to the campaign of Pharaoh Sheshonq I (Shishak in the OT), who, following Solomon’s death, sought to crush economic activity in the area. Thus, recent archaeological and scientific data provide a real correlation to the time of Solomon and beyond, as described in the OT (1 Kings 7:46; see also 1 Kings 14:25–26).

There is also strong, and generally undisputed, archaeological evidence for many seventh- and sixth-century sites attributed to the Edomites. Modern Buseirah is generally identified with biblical Bozrah (e.g., Isa. 34:6; Jer. 49:13, 22), probably the Edomite capital. Another site of special interest is Tell el-Khe-leifeh (probably Ezion Geber = Elath [see, e.g., 1 Kings 9:26]). Period IV at this site testifies to a vigorous Edomite civilization in the seventh to sixth centuries BC. Most of the Edomite sites, however, are small villages, farms, or seminomadic sites. The Edomites usually are associated with Edomite pottery, a ware found in both southern Jordan and the Negev.

Economy and Religion

The economy of Edom was based on agriculture (possible especially in the northeast) and commerce. Its prosperity depended mostly on controlling the caravan routes from India and southern Arabia to the Mediterranean coast and Egypt. It seems that whenever Edom lost control of these routes, its civilization declined.

The religion of the Edomites, like that of the Canaanites, was devoted to the gods and goddesses of fertility. The deity peculiar to Edom was Qaus, and this name is incorporated into numerous Edomite personal names.

When the Israelites grumbled in the wilderness, God sent “venomous [lit., “burning”; Heb. serapim] snakes” that bit the people (Num. 21:4–9; cf. KJV: “fiery serpents”). In response to Moses’ prayer on their behalf, God commanded Moses to make a sarap and put it on a pole; the people who looked at it would live. Moses made a bronze serpent. Because the people worshiped the bronze serpent, Hezekiah destroyed it (2 Kings 18:4). Jesus likened the bronze serpent lifted up in the wilderness to the Son of Man being lifted up (John 3:14). From a human perspective, both a serpent and a crucified messiah were unlikely objects of faith.

“Burning snake” appears in Deut. 8:15 (NIV: “venomous snakes”); the burning aspect may refer to the effects of the venom. Isaiah employed the image of a “flying” venomous snake in referring to Ahaz’s successor (Isa. 14:29 KJV; NIV: “darting”). Serapim appeared in Isaiah’s vision of the supernatural winged creatures flying above the throne of God; one brought a burning coal to touch Isaiah’s lips (Isa. 6:2–6). See also Seraphim.

The land of Israel is strategically located on a land bridge between significant geopolitical powers. About the size of New Jersey, it is geographically diverse, ranging from fertile mountains in northern Galilee to the arid Negev steppe. It was indeed the “testing ground of faith” in which God planted his people.

The “Land Between”

The Mediterranean Sea to the west and the great Arabian Desert to the east confined the flow of military and commercial traffic to this land bridge. Throughout most of Israel’s history, Egypt and the succession of political entities in Mesopotamia were intent on expanding their empires; Israel was in between. To a lesser extent, this also involved invaders coming from or through Anatolia (modern Turkey).

The sea and the desert also affect the weather patterns as Israel is dependent on rainfall in the winter months and dew in the summer for its continued agricultural fertility. The promises regarding the “early and latter rains” (autumn and spring) indicate blessing (Deut. 11:14; Jer. 5:24; Joel 2:23). The prospects of drought and famine hover over the land. These vulnerabilities to enemy attack and potential lack of rainfall figure prominently in God’s challenge to faithful obedience (Deut. 11:10–17; 28:25).

Geographical Regions

There are four north-south longitudinal zones that help to define the geography of Israel. From west to east, they are the coastal plain, the hill country, the Jordan Rift Valley, and Trans-jordan. South of these zones lies the Negev, a marginal region between Israel proper and Sinai.

Coastal plain. The coastal plain extends almost the entire length of Israel, with the exception of Mount Carmel’s promontory, jutting out into the Mediterranean Sea. Because of the straight coastline, there are no natural good harbors as there are farther north in Lebanon. This region characteristically was controlled by more cosmopolitan and generally hostile non-Israelites, the most notable being the Philistines in the south. As a result of these factors, the Israelites generally were not a seafaring people, and in fact they seemed to view the sea as a place of chaos and danger (e.g., Pss. 42:7; 74:13–14; Jon. 2:2–7).

Much of the coastal plain was swampy in antiquity due to calcified sandstone ridges along the coastline that prevented runoff from the hills from flowing unimpeded into the sea. In addition, sand dunes along the coast were obstacles to travel. Because this region was relatively flat and easily traversed along the eastern edge, the International Coastal Highway skirted the swamps and dunes and carried the major traffic through the land. Erosion from the hill country to the east brought excellent soil to the plain. Once the swamps were drained in the twentieth century, the plains became fertile farming areas.

The coastal plain has significant subdivisions. To the north of Mount Carmel, the Plain of Akko includes a crescent-shaped area around the city of Akko and extends to Rosh HaNikra, a promontory at the boundary with Lebanon. Immediately south of Mount Carmel is the small Plain of Dor, generally under the control of foreigners and not significant in the biblical text. The Crocodile River separates the Plain of Dor from the Sharon Plain. In the early first century AD, Herod the Great built Caesarea Maritima on the site of Strato’s Tower along the coast of the Sharon Plain and constructed an immense artificial harbor (Josephus, Ant. 15.331–41). It was Herod’s intent for Caesarea to serve as the entry point for Roman culture into what he considered to be the backwaters of Palestine. In God’s plan, however, the process was reversed: Caesarea became a major Christian center, and the gospel went out through the entire Roman Empire.

The Yarqon River, with its source at Aphek, separates the Sharon and the Philistine plains. Because this created a bottleneck for the International Coastal Highway, whoever controlled Aphek had a military and commercial advantage. It is significant that the Philistines were at Aphek when the Israelites took the ark of the covenant to battle (1 Sam. 4). The Philistine Plain extends fifty miles south to Besor Wadi (dry riverbed) in the western Negev (see below). Its width ranges from about ten miles in the north to twenty-five miles in the south. The five significant Philistine cities were Gaza, Ashkelon, Ashdod, Gath, and Ekron.

Hill country. A mountainous spine runs from the north to the south, with several aberrations due to seismic activity in the distant geologic past. The hill countries of Judah, Benjamin, Ephraim, and Manasseh are in the southern two-thirds of the country. Because the terrain is rugged, with steep V-shaped valleys, these regions are somewhat more isolated and protected, especially in Judah and Ephraim. Travel in the interior is along the north-south ridge, often called the “way of the patriarchs” because Abraham, Isaac, and Jacob journeyed this route, stopping at Shechem, Bethel, Salem (Jerusalem), Hebron, and finally Beersheba at the southern end of the mountain range. Agriculture in the hill country is excellent when there is sufficient rainfall. The hard limestone bedrock means that springs are bountiful and the eroded terra rossa soil is productive. The triad of crops that appears in the Bible includes grain (“bread”), new wine, and oil (Deut. 11:14; Joel 1:10), noted in the order in which they are harvested.

West of the Judean hill country are lower, rolling foothills known as the Shephelah. Cut through by five significant east-west valleys, this region was a buffer zone between the people living in the hill country and the Philistines or other foreign forces passing through on the International Coastal Highway. When Israel was particularly vulnerable, these valleys served as invasion routes into the heartland of Judah. The most famous of these, the Elah Valley, was the site of the face-off between David and the Philistine warrior Goliath (1 Sam. 17).

On the eastern side of the hill country, especially in the tribal areas of Judah and Benjamin, lies the wilderness. Because most of the precipitation falls on the western slopes of the mountain range, rainfall for the regions right around the Dead Sea (in the “rain shadow”) is less than four inches per year. Sparsely inhabited, the wilderness was occasionally a place of refuge, as when David was fleeing from Saul (1 Sam. 23–26). Generally, it was viewed as a place to pass through. When the Israelites conquered the land, they traversed the wilderness to get to the central Benjamin Plateau (Josh. 10:9–10). David fled through the wilderness when Absalom took over the kingdom (2 Sam. 15–16). When Jesus traveled from Jericho (below sea level) to Jerusalem, he climbed through the wilderness to an elevation of about twenty-five hundred feet above sea level. Shepherds grazed their flocks in this area during the winter wet months and then migrated farther north and west as the dry season advanced. Some chose to withdraw into the wilderness, most notably the Qumran community along the northwestern shore of the Dead Sea and the later monastic communities.

The major city in the rugged hill country of Ephraim was Shiloh, a well-protected location for the tabernacle and the ark of the covenant early in Israel’s history (Judg. 18:31; 1 Sam. 1–4). In fact, the decision to take the ark out to battle against the Philistines at Aphek was catastrophic. The tribal territory of Manasseh, north of Ephraim, was more open to foreign influence. The major cities were Shechem, lying between Mount Gerizim and Mount Ebal, locations for the renewal of the covenant (Josh. 8:30–35; 24:1), and Samaria, eventually the capital of the northern kingdom. When Omri moved the capital west to Samaria (1 Kings 16:24), it was a bid for more connection with cosmopolitan coastal communities and particularly with the nation of Phoenicia to the northwest. Omri’s son Ahab married the Phoenician princess Jezebel, cementing the alliance and bringing Baal worship to Israel with even greater force.

Mount Carmel, to the northwest of Samaria, served as the effective boundary between Israel and the expanding power of the Phoenicians. It was the perfect stage for the confrontation between Elijah and the prophets of Baal and Asherah (1 Kings 18). Due to its elevation (over seventeen hundred feet at its highest point), it normally receives about thirty-two inches of rain per year. At Elijah’s word, however, the rain had ceased for more than three years (1 Kings 17:1; James 5:17), and the glory of Carmel had withered (cf. Isa. 33:9; Amos 1:2; Nah. 1:4). This was a direct challenge to the supposed powers of Baal, the god of storm and rain. The contest apparently took place near the heights of the promontory overlooking the Mediterranean Sea (1 Kings 18:42–43). There are, however, three sections in the entire twenty-four-mile range, each separated from the next by a chalk pass, providing access through the mountain range. At the southeastern end of Mount Carmel lies the Dothan Valley, location of one of the routes connecting the International Coastal Highway with the major Transjordanian highway (see Gen. 37; 2 Kings 6:8–23).

The Dothan Valley rests between Mount Carmel and Mount Gilboa to the east. These two mountains, along with the Jezreel and Harod Valleys on their northern flanks, create a natural barrier between the central hill country and Galilee. Because of the strategic importance of this region, the Israelites fought early defensive battles against the forces of Jabin king of Hazor (Judg. 4) and against the Midianites camped in the Jezreel Valley (Judg. 7). Later, the Philistines swept through this valley, dividing the southern tribes from those in the north. Saul and his sons lost their lives on Mount Gilboa in this confrontation (1 Sam. 31). The night before the battle, Saul was so troubled by God’s silence that he ventured behind enemy lines on Mount Moreh (directly north of Mount Gilboa) to the town of Endor and requested a medium to summon the prophet Samuel (1 Sam. 28). The city of Megiddo, situated on the edge of the Jezreel Valley at the base of Mount Carmel, guarded the most important pass through the mountain and was the site of numerous battles. It may be the basis for the name “Armageddon,” “Har Megiddo” in Hebrew (Rev. 16).

North of the Jezreel and Harod Valleys, Galilee can be divided into lower and upper Galilee. The latter is called “upper” because it is both farther north and significantly higher in elevation. Upper Galilee is rugged and relatively isolated. As a result, few biblical events unfolded there. In fact, Galilee is seldom mentioned in the OT, with the exception of Isa. 9:1, the passage that Matthew quotes in speaking of the inauguration of Jesus’ ministry in Galilee (Matt. 4:13–16).

The western part of lower Galilee has ridges that run east to west, providing natural conduits for the winds from the Mediterranean Sea as they sweep eastward. This contributes to sudden and strong storms on the Sea of Galilee. The town of Nazareth is nestled near the top of the southernmost ridge, overlooking the Jezreel Valley from the north. This would have afforded Jesus a panoramic view of a historical stage as he was growing up. Nearby was Gath Hepher, hometown of the prophet Jonah (2 Kings 14:25). As Jesus looked east, he would have seen Mount Tabor (Judg. 4–5) and Mount Moreh (Judg. 7; 1 Sam. 31). The “brow of the hill” at Nazareth (Luke 4:29) is a sharp precipice overlooking the Jezreel Valley. Although not mentioned in the Gospels, the Roman city of Sepphoris was only about three miles northwest of Nazareth, and it might have been the place where Joseph was employed as a builder. Eastern lower Galilee is characterized by beautiful rolling hills and valleys that slope down toward the Jordan Valley. Just west of the Sea of Galilee are the cliffs of Arbel, past which the International Coastal Highway made its way as it ran from the Jezreel Valley around Mount Tabor and down into the Jordan Rift Valley.

Jordan Rift Valley. The Jordan Rift Valley, ranging in width from about four to fourteen miles, is a remarkable geological cleft in the earth that extends well beyond the immediate area of Israel. The Arabah, the Dead Sea, the Sea of Galilee, and the Huleh Valley north of the Sea of Galilee lie in the Jordan Rift Valley. In modern times, the Arava (Arabah) refers to the wasteland between the Dead Sea and the Gulf of Eilat (Aqaba), but in the OT the term also included the barren desert north of and around the Dead Sea (Josh. 8:14; 11:2; 1 Sam. 23:24; 2 Sam. 2:29; 4:7). The Dead Sea was called the “Sea of the Arabah” in texts that indicate its role as a boundary marker (Deut. 3:17; 4:49; Josh. 12:3; 2 Kings 14:25).

In the Hebrew Bible, the Dead Sea is called the “Sea of Salt.” The mineral content exceeds 30 percent, compared to normal sea salinity of 3–5 percent. These minerals include calcium, potassium, magnesium, and sodium chlorides. Nevertheless, some algae and bacteria do survive in the sea. Bitumen (asphalt) also seeps from the sea floor, especially when there is more seismic activity in the region. The salinity varies, depending on the level of the Dead Sea, which does fluctuate with variations in rainfall. The level is currently receding rapidly, at a rate of almost three feet per year. One reason for this is the increasing demand for water from the headwaters of the Jordan River. The north end of the sea, at about thirteen hundred feet below sea level, is the lowest place on earth, and the depth of the water at that point is more than one thousand feet.

The Jordan River Valley north of the Dead Sea is approximately sixty-five miles long, and the Jordan River winds for over 120 miles. The name “Jordan” comes from the Hebrew word yarad, which means “to descend.” The Sea of Galilee is 690 feet below sea level, so there is a significant drop between that point and the north end of the Dead Sea.

Key cities in the Jordan Valley include Jericho, just north of the Dead Sea, and Beth Shan, at the junction of the Harod and Jordan valleys. The first city to be conquered (Josh. 6), Jericho represented the vulnerable “underbelly” of Canaan and paved the way for the campaigns that swept first through the south and then the north (Josh. 9–11). Beth Shan was under Philistine control in the early Israelite period. Later, it became the one Decapolis city west of the Jordan River and was known as Scythopolis.

The Jordan Valley has three sections. The entire expanse is called the “Ghor,” an Arabic name. The river valley itself is called the “Zhor,” and it includes the “pride” or thickets of the Jordan, a dense tangle of lush underbrush in which lions could be found in the biblical period (Jer. 12:5; 49:19; 50:44; Zech. 11:3). In between the Ghor and the Zhor is the Qatarra, lifeless marl terraces. In antiquity, during flood stage the Jordan River could be a mile wide. The Israelites crossed the Jordan in the springtime, near Passover, when the river was at flood stage (Josh. 3:15; 5:10).

The Jordan River has its headwaters north of the Sea of Galilee at the base of Mount Hermon. It provides a constant source of freshwater coming into the seven-by-thirteen-mile body of water. In addition, there are salt springs in the northwestern corner. These contribute to the good fishing in that part of the sea. The Hebrew name is “Yam [Sea of] Kinnereth” (Num. 34:11; Josh. 12:3; 13:27). It was also known as the Sea of Tiberias (John 6:1; 21:1) and the Lake of Gennesaret (Luke 5:1). This last name comes from the fertile plain around the northwestern corner of the lake and the city of Gennesaret on that plain.

The ministry of Jesus unfolded around the Sea of Galilee after he moved his base of operations from Nazareth to Capernaum (Matt. 4:13), at the northern end of the sea. Nearby were the cities of Bethsaida and Chorazin, which, along with Capernaum, Jesus condemned for not believing even though he worked miracles in their midst (Matt. 11:20–24). The city of Capernaum profited from the industries of fishing and oil pressing. It was also a likely place for a tax collector, as it was close to the border between Herod Antipas’s Galilee and Herod Philip’s territories to the east. Across the lake, in non-Jewish territory, was the town of Gergesa, perhaps the site where Jesus sent the legion of demons into a herd of pigs (Mark 5:1–20 pars.).

Just north of the Sea of Galilee is an elevated sill, formed by a basalt flow across the Golan Heights and over this section of the Jordan Rift Valley. Hazor, a major site of some two hundred acres, sat astride the sill and dominated the northern region in the Late Bronze and Israelite periods. Hazor is mentioned in texts from both Mari in Mesopotamia and El Amarna in Egypt.

The Huleh Valley, north of the sill, is twenty miles in length and receives about twenty-four inches of rain per year, making it a marshland swamp in antiquity that was called “Lake Semechonitis.” The International Coastal Highway made its way along the western edge of the valley, turned eastward past Mount Hermon, and continued to Damascus.

Transjordan. On the eastern side of the Jordan Rift Valley, at the very northern extent of Israel, Mount Hermon rises to nine thousand feet. Abundant precipitation percolating through the limestone results in prolific springs at its base. These are the headwaters of the Jordan River, the two most important of which are at Dan and Caesarea Philippi. With the abundance of water and lush surroundings, it is not surprising that Dan was a tempting location for the tribe of Dan to resettle, given their precarious position between the tribe of Judah and the Philistines to the west. The idols set up at that point (Judg. 18:30–31) established a precedent for Jeroboam’s choice to position one of the golden calves there as an alternative to worship in distant Jerusalem (1 Kings 12:29–30). Another name for Caesarea Philippi is “Panias” (modern Arabic, “Banias”), in celebration of the god Pan. The rock face from which the spring poured forth is covered with niches for pagan gods; Herod the Great also built a temple to Augustus. In this context, Peter declared that Jesus was the Christ, the Son of the “living” God (Matt. 16:16).

The region south of Mount Hermon was Bashan in the OT period. In the NT era it consisted of a number of small provinces. One of those was Gaulanitis, which is recognizable in the modern name “Golan.” With significant annual rainfall (about forty inches per year), the natural vegetation includes trees and rich pasture that supports large herds (cf. the “bulls of Bashan” in Ps. 22:12; Ezek. 39:18).

Separating the region of Bashan from Lower Gilead is the Yarmuk River Gorge, a significant natural boundary. There was an ongoing contest between the northern kingdom of Israel and Syria to the northeast to control the key site of Ramoth Gilead (1 Kings 22; 2 Kings 9). Cutting through the elevated Dome of Gilead is the Jabbok River, the site of Jacob’s wrestling match with God (Gen. 32).

The area to the east and south of the Dead Sea includes the plains of Moab (Mishor), extending north of the Arnon River Gorge; geopolitical Moab, between the Arnon and the Zered rivers; and Edom, reaching from the Zered down to the northern end of the Gulf of Eilat (Aqaba). To the east of the Mishor lay the kingdom of Ammon. According to Gen. 19, Moab and Ammon were descendants of Lot by his daughters. When they fled eastward from Sodom and Gomorrah, this was the general area they settled.

Transjordan was significant in the OT as the Israelites skirted Edom, conquered the cities of the Amorites and the king of Bashan, and encountered Moab en route to the promised land (Num. 20–25). The tribes of Reuben and Gad and the half-tribe of Manasseh requested the right to settle in Transjordan after the conquest of the land was completed (Num. 32). In the ensuing centuries these tribes suffered the ravages of war on the eastern front (Judg. 10:8; 1 Sam. 11:1; 2 Kings 15:29; 1 Chron. 5:23–26). In the intertestamental period most of northern and central Transjordan came under Hellenistic control. Decapolis cities were located in Bashan, Gilead, and as far south as Philadelphia, at the site of modern Amman.

Negev. To the south of the Judean hill country lies the Negev, whose name means both “dry” and “south.” The biblical Negev is a smaller region shaped somewhat like a bowtie, with Beersheba at the center, Arad in the eastern basin, and Gerar controlling the western basin. The south end of the Philistine plain merges with the western Negev. In the patriarchal period there were tensions over water rights between the herdsmen of Abraham and Isaac and those of the Philistine king Abimelek (Gen. 21:22–34; 26:12–33). Although the region only receives eight to twelve inches of rainfall per year, this was sufficient to sustain small populations, especially if they conserved water. The soil of the Negev is loess, a windblown powder from which the water simply runs off unless catch basins are constructed.

The biblical Negev is bounded by the greater Negev to the south, where rugged limestone ridges predominate. An artificial line drawn from Gaza to Eilat, at the northern end of the Gulf of Eilat, defines the southwestern boundary of the greater Negev; the Jordan Rift Valley is the eastern boundary. The Negev was historically a corridor for spice trade coming from southwestern Arabia and India on the “ship of the desert” (the camel) to reach the Mediterranean markets. The Nabateans, Arab commercial nomads who knew the secrets of the desert, flourished in the spice trade from the fourth to the first centuries BC. Once the Romans co-opted the spice trade, the Nabateans built cities, developed water conservation techniques, and grew extensive vineyards.

The Testing Ground of Faith

Because the land is marginal in terms of both sufficient rainfall and national security, God’s covenant people faced the constant challenge of obedience. The temptations to worship the Canaanite gods for agricultural fertility and to form alliances with more-powerful neighbors instead of putting their trust in God were powerful. Often they succumbed and then experienced God’s chastisement that they might return to him (Lev. 26). Even the land itself would experience pollution due to the sins of its inhabitants (Lev. 18:25). In sum, the land was much more than living space; it was an integral part of the Israelites’ identity as God’s covenant people. When it was flowing with “milk and honey,” the people experienced the shalom of God.

Poisons in the OT generally derived from reptiles, insects, or other animals and caused inflammation, fever, and frequently death. Various poisonous snakes were found in Palestine (Num. 21:6; Deut. 8:15; 32:24, 33; Job 20:14, 16; Pss. 58:4; 140:3; Prov. 23:32; Isa. 14:29; Jer. 8:17; Mark 16:18; cf. Acts 28:1–6 [on Malta]). Several plants were known to be poisonous, though few are mentioned in Scripture (Deut. 29:18; Hos. 10:4). Job 6:4 refers to the use of poison-tipped arrows to increase potency of the weapon, probably used both in hunting and combat.

Poisons in the OT generally derived from reptiles, insects, or other animals and caused inflammation, fever, and frequently death. Various poisonous snakes were found in Palestine (Num. 21:6; Deut. 8:15; 32:24, 33; Job 20:14, 16; Pss. 58:4; 140:3; Prov. 23:32; Isa. 14:29; Jer. 8:17; Mark 16:18; cf. Acts 28:1–6 [on Malta]). Several plants were known to be poisonous, though few are mentioned in Scripture (Deut. 29:18; Hos. 10:4). Job 6:4 refers to the use of poison-tipped arrows to increase potency of the weapon, probably used both in hunting and combat.

Poisons in the OT generally derived from reptiles, insects, or other animals and caused inflammation, fever, and frequently death. Various poisonous snakes were found in Palestine (Num. 21:6; Deut. 8:15; 32:24, 33; Job 20:14, 16; Pss. 58:4; 140:3; Prov. 23:32; Isa. 14:29; Jer. 8:17; Mark 16:18; cf. Acts 28:1–6 [on Malta]). Several plants were known to be poisonous, though few are mentioned in Scripture (Deut. 29:18; Hos. 10:4). Job 6:4 refers to the use of poison-tipped arrows to increase potency of the weapon, probably used both in hunting and combat.

The serpent (nakhash) initially appears in Gen. 3:1, endowed with wisdom and the capacity to speak. In addressing Eve, it intentionally changes God’s positive command to eat from all trees of the garden, with one exception, to a comprehensive prohibition and then goes on to contradict God and promise that eating will make Adam and Eve “like God, knowing good and evil” (3:5). While an explicit identity for the serpent is not given at this point, the curse pronounced against the creature (Gen. 3:14–15) has transcendent implications (cf. Rom. 16:20). By the first centuries BC and AD, the serpent became linked with the malevolent figure of Satan, the devil, the great dragon. This connection is most comprehensively articulated for the Christian community in Rev. 12:9–15; 20:2. Eve acknowledged its deceptive wiles (Gen. 3:13), a point that both Jesus (John 8:44) and Paul (2 Cor. 11:3) reinforce.

Deadly snakes were recognized and feared denizens of the great and terrible wilderness (Deut. 8:15) as the Israelites made their way toward the promised land. When the people spoke against God and Moses, God sent burning serpents that bit the people (Num. 21:6–9). Moses’ action in elevating a bronze serpent on the pole served as the paradigm for Jesus’ reference to lifting up the Son of Man (John 3:14) and the necessity of belief in the unlikely prospect of a crucified Messiah. Later, this bronze snake became an object of worship, and Hezekiah destroyed it (2 Kings 18:4). Because serpents were so dangerous, their venom was a figure for utterly destructive evil (Ps. 140:3).

Isaiah 27:1 moves the sphere of activities from barren wilderness to tumultuous water: “In that day, the Lord will punish with his sword—his fierce, great and powerful sword—Leviathan the gliding serpent, Leviathan the coiling serpent; he will slay the monster of the sea.” The same motif is evident in Ps. 74:13–14, which declares that God broke the “heads” of the sea monsters and smashed the “heads” of Leviathan (cf. Gen. 3:15). The “fleeing serpent” of Isaiah also appears in Job 26:12–13, which describes God cutting Rahab in pieces and piercing the “gliding serpent.” Around the central figure of the serpent, a land creature, are watery glimpses of the mythic and shadowy Leviathan, a sea monster, and Rahab, all of which represent a creature opposed by God. It is likely that this malevolent cosmic figure is lurking below the surface of the crocodile-infested waters of Job 41, a subtle but powerful closure to the contest with which the book commenced; although Job could not restrain Leviathan, God does.

The motifs that recur in these passages were also part of the mythologies of cultures surrounding ancient Israel. The Enuma Elish (a Babylonian creation story) depicts the violent battle between the goddess Tiamat and the god Marduk that involved monster-serpents and roaring dragons. Closer to Israelite culture, in the Canaanite myth of Baal and Anat, we read that Anat claimed to crush the crooked serpent with seven heads. Just as serpents and related figures in the biblical text occasionally crossed the flexible boundaries between good and evil, in the wider cultural context of the ancient Near East the serpent served as a metaphor for a vast complex that included life, fertility, and wisdom, as well as chaos and death.

For the Christian community receiving the Revelation of John, “the great dragon, that ancient serpent” (20:2), presented a powerful metaphor. Wise, shrewd, quick, beguiling, and terrifying, it had been in opposition to God in the age-old conflict between good and evil, the reality of which was expressed across cultural boundaries and a part of which was enveloping the church in the Roman Empire of late antiquity. Even its defeat was not instantaneous; the “head” of the serpent, struck by the death and resurrection of Jesus Christ, would bear one final blow; the cosmic evil would be ultimately and completely defeated to accomplish the purposes of God. See also Venomous Serpent.

An early, tangible reminder of the goodness of God in rescuing his people from their sins (NIV: “bronze snake”). During the wilderness wanderings, the land of Edom lay in the path of the Israelites. The Israelites requested permission to pass through Edom, which the Edomites strongly denied (Num. 20:14–21). Forced to circle around Edom and head far out of their way, the Israelites began to complain yet again (Num. 21:4–5; see also Exod. 15:22–24; 16:1–3; 17:1–7). God responded by sending venomous snakes that killed many people (Num. 21:6). When the people admitted their sin and asked Moses to pray to God on their behalf, God commanded Moses to do a strange thing: he was to make a snake and put it on a pole. “Then when anyone was bitten by a snake and looked at the bronze snake, they lived” (21:9).

This seemingly insignificant and bizarre episode in Israelite history resurfaces twice in the Bible. The good king Hezekiah destroyed the bronze serpent during his purification of the land of Judah from idolatrous worship. The writer of Kings explains that the serpent, which had come to be called “Nehushtan,” had itself become an idol, as the Israelites had been burning incense to it (2 Kings 18:4). Jesus also makes mention of the bronze serpent in his famous dialogue with Nicodemus. In speak­ing of his impending death, Jesus explains to Nicodemus that he, the Son of Man, must be lifted up from the earth, “just as Moses lifted up the snake in the desert” (John 3:14). Those who believe in Jesus will have eternal life because of his being lifted up—that is, crucified (see John 12:32–34). Jesus’ reference to the bronze serpent emphasizes the simplicity of salvation through Christ. Just as the Israelites needed only to look to the bronze serpent, trusting in God’s provision for their salvation from physical death, so also those who are dying in their sins need only look to the perfect sacrifice of Jesus Christ, trusting in God’s provision for their salvation from spiritual death.

A flag, streamer, emblem, or carved object raised on a pole. On the ancient battle field, raised banners and blown trumpets served as the primary tools for mass communication. They could indicate troop movements and serve as rallying points (Isa. 18:3). Once the battle was won, banners proclaimed victory. Cloth banners usually were colored and carried symbols to represent a particular group, whether it was a military unit, clan, tribe, or nation (Num. 2:2; Ps. 60:4). The actual appearance of Israelite banners is unknown, but the images of banners from other nations have been found carved into ancient reliefs. For example, the Narmer Palette (c. 3000 BC) shows three different kinds of banners raised above the heads of soldiers.

The earliest reference to a banner in the Bible occurs after the Israelites defeated the Amalekites at Rephidim near Mount Sinai. To commemorate the victory, Moses built an altar and named it Yahweh nissi, “The Lord is my banner” (Exod. 17:15). In a sense, Moses’ raised hands served as banners to encourage the Israelites by assuring God’s presence and victory (17:11–13).

When Moses placed the bronze serpent on a pole, he raised it as a banner for the Israelites to look upon it and be healed (Num. 21:8). Jesus drew a parallel between the raised serpent and the raising up of the Son of Man (John 3:14). Metaphorically, Jesus was a banner lifted up to proclaim salvation for the world.

An interesting use of banner is in Song 6:4, where the woman is described as “majestic as troops with banners.” The man is so in awe of his beloved that it mesmerizes him and causes his heart to race. The NIV renders Song 2:4 as “let his banner over me be love,” the idea being that the man would make his love for his beloved public.

The biblical corpus known as the Pentateuch consists of the first five books of the OT: Genesis, Exodus, Leviticus, Numbers, and Deuteronomy. The word “Pentateuch” comes from two Greek words (penta [“five”] and teuchos [“scroll case, book”]) and is a designation attested in the early church fathers. The collection is also commonly known as the “Five Books of Moses,” “the Law of Moses,” or simply the “Law,” reflecting the traditional Jewish name “Torah,” meaning “law” or “instruction.” The Torah is the first of three major sections that comprise the Hebrew Bible (Torah, Nebiim, Ketubim [Law, Prophets, Writings]); thus for both Jewish and Christian traditions it represents the introduction to the Bible as a whole as well as its interpretive foundation.

The English names for the books of the Pentateuch came from the Latin Vulgate, based on the Greek Septuagint. These appellations are mainly descriptive of their content. Genesis derives from “generations” or “origin,” Exodus means “going out,” Leviticus represents priestly (Levitical) service, Numbers refers to the censuses taken in the book, and Deuteronomy indicates “second law” because of Moses’ rehearsal of God’s commands (see Deut. 17:18). The Hebrew designations derive from opening words in each book. Bereshit (Genesis) means “in the beginning”; Shemot (Exodus), “[these are] the names”; Wayyiqra’ (Leviticus), “and he called”; Bemidbar (Numbers), “in the desert”; and Debarim (Deuteronomy), “[these are] the words.”

Referring to the Pentateuch as “Torah” or the “Law” reflects the climactic reception of God’s commands at Mount Sinai, which were to govern Israel’s life and worship in the promised land, including their journey to get there. However, calling the Pentateuch the “Law” can be a bit misleading because there are relatively few passages that simply list a set of commands, and all law passages are set within a broad narrative. The Pentateuch is a grand story that begins on a universal scale with the creation of the cosmos and ends on the plains of Moab as the reader anticipates the fulfillment of God’s plan to redeem a fallen world through his chosen people. The books offer distinct qualities and content, but they are also inherently dependent upon one another, as the narrative remains unbroken through the five volumes. Genesis ends with Jacob’s family in Egypt, and, though many years have passed, this is where Exodus begins. Leviticus outlines cultic life at the tabernacle (constructed at the end of Exodus) and even begins without a clear subject (“And he called . . .”), which requires the reader to supply “the Lord” from the last verse of Exodus. Numbers begins with an account of Israel’s fighting men as the nation prepares to leave Sinai, and Deuteronomy is Moses’ farewell address to the nation on the cusp of the promised land.

Authorship and Composition

Although the Pentateuch is technically an anonymous work, Jewish and Christian tradition attributes its authorship to Moses, the main figure of the story from Exodus to Deuteronomy. The arguments for attributing the authorship of the Pentateuch to Moses come from internal evidence within both Testaments. That Moses is responsible for at least portions of the Pentateuch is suggested by references to his explicit literary activity reflected within the narrative itself (Exod. 17:14; 24:4; 34:28; Num. 33:2; Deut. 31:9, 22, 24), if not implied in various literary formulas such as “the Lord said to Moses” (e.g., Exod. 39:1, 7, 21; Lev. 4:1; 11:1; 13:1; Num. 1:1; 2:1). Mosaic authorship receives support from the historical books, which use terms such as “the Book of the Law of Moses” in various forms and references in the preexilic history (Josh. 8:30–35; 23:6; 2 Kings 14:6) as well as the postexilic history (e.g., 2 Chron. 25:4; Ezra 6:18; Neh. 13:1). The same titles are used by NT authors (e.g., Mark 12:26; Luke 24:44; John 1:45), even referring to the Pentateuch simply by the name “Moses” at various points (e.g., Luke 16:29; 24:27; 2 Cor. 3:15).

Even with these examples, nowhere does the text explicitly state that Moses is responsible for the entire compilation of the Pentateuch or that he penned it with his own hand. Rather, a number of factors point to a later hand at work: Moses’ death and burial are referenced (Deut. 34), the conquest of Canaan is referred to as past (Deut. 2:12), and there is evidence that the names of people and places were updated and explained for later generations (e.g., “Dan” in Gen. 14:14; cf. Josh. 19:47; Judg. 18:28b–29). Based on these factors, it is reasonable to believe that the Pentateuch underwent editorial alteration as it was preserved within Jewish life and took its final shape after Moses’ lifetime.

Over the last century, the Documentary Hypothesis has dominated academic discussion of the Pentateuch’s composition. This theory was crystallized by Julius Wellhausen in his Prolegomena to the History of Israel in the late nineteenth century and posits that the Pentateuch originated from a variety of ancient sources derived from distinct authors and time periods that have been transmitted and joined through a long and complex process. Traditionally these documents are identified as J, E, D, and P. The J source is a document authored by the “Yahwist” (German, Jahwist) in Judah around 840 BC and is so called because the name “Yahweh” is used frequently in its text. The E source stands for “Elohist” because of its preference for the divine title “Elohim” and was composed in Israel around 700 BC. The D source stands for “Deuteronomy” because it reflects material found in that book; it was composed sometime around Josiah’s reform in 621 BC. The P document reflects material that priests would be concerned with in the postexilic time period, approximately 500 BC. This theory and its related forms stem from the scholarly concern over various literary characteristics such as the use of divine names; doublets and duplications in the text; observable patterns of style, terminology, and themes; and alleged discrepancies in facts, descriptions, and geographic or historical perspective.

Various documentary theories of composition have flourished over the last century of pentateuchal scholarship and still have many adherents. However, lack of scholarly agreement about the dating and character of the sources and the rise of other literary approaches to the text have many conservative and liberal scholars calling into question the accuracy and even interpretive benefit of the source theories. Moreover, if the literary observations used to create source distinctions can be explained in other ways, then the Documentary Hypothesis is significantly undermined.

In its canonical form, the pentateuchal narrative combines artistic prose, poetry, and law to tell a dramatic history spanning thousands of years. One could divide the story into six major sections: primeval history (Gen. 1–11), the patriarchs (Gen. 12–50), liberation from Egypt (Exod. 1–18), Sinai (Exod. 19:1–Num. 10:10), wilderness journey (Num. 10:11–36:13), and Moses’ farewell (Deuteronomy).

Primeval History (Gen. 1–11)

It is possible to divide Genesis into two parts based upon subject matter: the origin of creation and humankind’s call, fall, and punishment (chaps 1–11), and the origin of a family that would become God’s conduit of salvation and blessing for the world (chaps. 12–50).

The primeval history comprises essentially the first eleven chapters of Genesis, ending with the genealogy of Abraham in 11:26. Strictly speaking, 11:27 begins the patriarchal section with the sixth instance of the toledot formula found in Genesis, referencing Abraham’s father, Terah. The Hebrew phrase ’elleh toledot (“these are the generations of”) occurs in eleven places in Genesis and reflects a deliberate structural marker that one may use to divide the book into distinct episodes (2:4; 5:1; 6:9; 10:1; 11:10; 11:27; 25:12; 25:19; 36:1; 36:9; 37:2).

Genesis as we know it exhibits two distinct creation accounts in its first two chapters. Although critical scholars contend that the differing accounts reflect contradictory stories and different authors, it is just as convenient to recognize that the two stories vary in style and some content because they attempt to accomplish different aims. The first account, 1:1–2:3, is an artistic, poetic, symmetrical, and “heavenly” view of creation by a transcendent God, who spoke creation into being. In the second account, 2:4–25, God is immanently involved with creation as he is present in a garden, breathes life into Adam’s nostrils, dialogues and problem-solves, fashions Eve from Adam’s side, and bestows warnings and commands. Both perspectives are foundational for providing an accurate view of God’s interaction with creation in the rest of Scripture.

As one progresses through chapters 1–11, the story quickly changes from what God has established as “very good” to discord, sin, and shame. Chapter 3 reflects the “fall” of humanity as Adam and Eve sin in eating from the forbidden tree in direct disobedience to God. The serpent shrewdly deceives the first couple, and thus all three incur God’s curses, which extend to unlimited generations. Sin that breaks the vertical relationship between God and humanity intrinsically leads to horizontal strife between humans. Sin and disunity on the earth only intensify as one moves from the murder story of Cain and Abel in chapter 4 to the flood in chapters 5–9. Violence, evil, and disorder have so pervaded the earth that God sends a deluge to wipe out all living things, save one righteous man and his family, along with an ark full of animals. God makes the first covenant recorded in the biblical narrative with Noah (6:18), promising to save him from the flood as he commands Noah to build an ark and gather food for survival. Noah fulfills all that God has commanded (6:22; 7:5), and God remembers his promise (8:1). This is the prototypical salvation story for the rest of Scripture.

Chapter 9 reflects a new start for humanity and all living things as the creation mandate to “be fruitful and increase in number; fill the earth and subdue it,” first introduced in 1:28, is restated along with the reminder that humankind is made in God’s image (1:27). Bearing the image involves new responsibilities and stipulations in the postdiluvian era (9:2–6). There will be enmity between humans and animals, animals are now appropriate food, and yet lifeblood will be specially revered. God still requires accountability for just and discriminate shedding of blood and orderly relationships, as he has proved in the deluge, but now he relinquishes this responsibility to humankind. In return, God promises never to destroy all flesh again, and he will set the rainbow in the sky as a personal reminder. Like the covenant with Noah in 6:18, the postdiluvian covenant involves humankind fulfilling commands (9:1–7) and God remembering his covenant (9:8–17), specially termed “everlasting” (9:16).

The primeval commentary on humankind’s unabating sinful condition (e.g., 6:5; 8:21) proves true as Noah becomes drunk and naked and his son Ham (father of Canaan) shames him by failing to conceal his father’s negligence. Instead of multiplying, filling, and subduing the earth as God has intended, humankind collaborates to make a name for itself by building a sort of stairway to heaven within a special city (11:4). God foils such haughty plans by scattering the people across the earth and confusing their language. Expressed in an orderly chiastic structure, the story of the tower of Babel demonstrates that God condescends (11:5) to set things straight with humanity.

Patriarchs (Gen. 12–50)

Although the primeval history is foundational for understanding the rest of the Bible, more space in Genesis is devoted to the patriarchal figures Abraham, Isaac, Jacob, and Joseph. In general, the Abrahamic narrative spans chapters 12–25, the story of Isaac serves as a transition to the Jacob cycle of chapters 25–37, and the Joseph narrative finishes the book of Genesis in chapters 37–50.

The transition from the primeval history to the patriarchs (11:27–32) reveals how Abraham, the father of Israel, moves from the east and settles in Harran as the family ventures to settle in Canaan. In Harran, Abraham receives the call of God’s redemptive plan, which reverberates through Scripture. God will bless him with land, make him a great nation, grant him special favor, and use him as a conduit of blessings to the world (12:1–3). In 11:30 is the indication that the barrenness of Abraham’s wife (Sarah) relates to the essence of God’s magnificent promises. How one becomes great in name and number, secures enemy territory, and is to bless all peoples without a descendant becomes the compelling question of the Abrahamic narrative. The interchange between Abraham’s faith in God and his attempts to contrive covenant fulfillment colors the entire narrative leading up to chapter 22. It is there that Abraham’s faith is ultimately put to the test as God asks him to sacrifice the promised son, Isaac. Abraham passes God’s faith test, and a ram is provided to take Isaac’s place. This everlasting covenant that was previously sealed by the sign of circumcision is climactically procured for future generations through Abraham’s exemplary obedience (22:16–18; cf. 15:1–21; 17:1–27).

The patriarchal stories that follow show that the Abrahamic promises are renewed with subsequent generations (see 26:3–4; 28:13–14) and survive various threats to fulfillment. The story of Isaac serves mainly as a bridge to the Jacob cycle, as he exists primarily as a passive character in relation to Abraham and Jacob.

Deception, struggle, rivalry, and favoritism characterize the Jacob narrative, as first exemplified in the jostling of twin boys in Rebekah’s womb (25:22). Jacob supplants his twin brother, Esau, for the firstborn’s blessing and birthright. He flees to Paddan Aram (northern Mesopotamia), marries two sisters, takes their maidservants as concubines, and has eleven children, followed by a falling-out with his father-in-law. Jacob’s struggle for God’s blessing that began with Esau comes to a head in his wrestling encounter with God at Peniel. Ultimately, Jacob emerges victorious and receives God’s blessing and a name change, “Israel” (“one who struggles with God”). Throughout the Jacob story, God demonstrates his faithfulness to the Abrahamic covenant and reiterates the promises to Jacob, most notably at Bethel (chaps. 28; 35). The interpersonal strife of Jacob’s life is thus enveloped within a message of reconciliation not just with Esau (chap. 33) but ultimately with God. The reader learns from the episodes in Jacob’s life that although God works through the lives of weak and failing people, his promises for Israel remain secure.

Although Jacob and his family are already living in Canaan, God intends for them to move to Egypt and grow into a powerful nation before fulfilling their conquest of the promised land (see 15:13–16). The story of Joseph explains how the family ends up in Egypt at the close of Genesis. Joseph is specially loved by his father, which elicits significant jealousy from his brothers, who sell him off to some nomads and fabricate the alibi that he has been killed by a wild beast. Joseph winds up in Pharaoh’s household and eventually becomes his top official. When famine strikes Canaan years later, Joseph’s brothers go to Egypt to purchase food from the royal court, and Joseph reveals his identity to them in an emotional reunion. Jacob’s entire family moves to Egypt to live for a time in prosperity under Joseph’s care. The Joseph story illustrates the mysterious relationship of human decision and divine sovereignty (50:20).

Liberation from Egypt (Exod. 1–18)

Genesis shows how Abraham develops into a large family. Exodus shows how this family becomes a nation—enslaved, freed, and then taught the ways of God. Although it appears that Exodus continues a riveting story of God’s chosen people, it is actually the identity and power of God that take center stage.

Many years have passed since Joseph’s family arrived in Egypt. The Hebrews’ good standing in Egypt has also diminished as their multiplication and fruitfulness during the intervening period—just as God had promised Abraham (Gen. 17:4–8)—became a national threat to the Egyptians. Abraham’s family will spend time in Egyptian slavery before being liberated with many possessions in hand (cf. Gen. 15:13–14).

In the book of Exodus the drama of suffering and salvation serves as the vehicle for God’s self-disclosure to a single man, Moses. Moses is an Israelite of destiny even from birth, as he providentially avoids infant death and rises to power and influence in Pharaoh’s household. Moses never loses his passion for his own people, and he kills an Egyptian who was beating a fellow Hebrew. Moses flees to obscurity in the desert, where he meets God and his call to lead his people out of Egypt and to the promised land (3:7–8; 6:8). Like the days of Noah’s salvation, God has remembered his covenant with the patriarchs and responded to the groans of his people in Egypt (2:24; 6:4–5; cf. Gen. 8:1). God reveals himself, and his personal name “Yahweh” (“I am”), to Moses in the great theophany of the burning bush at Mount Horeb (Sinai), the same place where later he will receive God’s law. Moses doubts his own ability to carry out the task of confronting Pharaoh and leading the exodus, but God foretells that many amazing signs and wonders not only will make the escape possible but also will ultimately reveal the mighty nature of God to the Hebrews, Egypt, and presumably the world (6:7; 7:5).

This promise of creating a nation of his people through deliverance is succinctly conveyed in the classic covenant formula that finds significance in the rest of the OT: “I will take you as my own people, and I will be your God” (6:7). Wielding great power over nature and at times even human decision, God “hardens” Pharaoh’s heart and sends ten plagues to demonstrate his favor for his own people and wrath against their enemy nation. The tenth plague on the firstborn of all in Egypt provides the context for the Passover as God spares the firstborn of Israel in response to the placement of sacrificial blood on the doorposts of their homes. Pharaoh persists in the attempt to overtake the Israelites in the desert, where the power of God climaxes in parting the Red Sea (or Sea of Reeds). The Israelites successfully pass through, but the Egyptian army drowns in pursuit. This is the great salvation event of the OT.

The song of praise for God’s deliverance (15:1–21) quickly turns to cries of groaning in the seventy days following the exodus as the people of the nation, grumbling about their circumstances in the desert, quickly demonstrate their fleeting trust in the one who has saved them (Exod. 15:22–18:27). When a shortage of water and food confronts the people, their faith in God’s care proves shallow, and they turn on Moses. Even though the special marks of God’s protection have been evident in the wilderness through the pillars of cloud and fire, the angel of God, the provision of manna and quail, water from the rock, and the leadership of Moses, the nation continually fails God’s tests of trust and obedience (16:4; cf. 17:2; 20:20). Yet God continues to endure with his people through the leadership of Moses.

Sinai (Exod. 19:1–Num. 10:10)

Most of the pentateuchal narrative takes place at Mount Sinai. It is there that Israel receives national legislation and prescriptions for the tabernacle, the priesthood, feasts and festivals, and other covenantal demands for living as God’s chosen people. The eleven-month stay at Sinai takes the biblical reader through the center of the Pentateuch, covering approximately the last half of Exodus, all of Leviticus, and the first third of Numbers, before the nation leaves this sacred site and sojourns in the wilderness. Several key sections of the Pentateuch fall within the Sinai story: the Decalogue (Exod. 20:1–17), the Book of the Covenant (Exod. 20:22–23:33), the tabernacle prescriptions (Exod. 25–31), the tabernacle construction (Exod. 35–40), the manual on ritual worship (Lev. 1–7), and the Holiness Code (Lev. 17–27).

The events and instruction at Sinai are central to the Israelite religious experience and reflect the third eternal covenant that God establishes in the Pentateuch—this time with Israel, whereby the Sabbath is the sign (Exod. 31:16; cf. Noahic/rainbow covenant [Gen. 9:16] and the Abrahamic/circumcision covenant [Gen. 17:7, 13, 19]). The offices of prophet and priest develop into clear view in this portion of the Pentateuch. Moses exemplifies the dual prophetic function of representing the people when speaking with God and, in turn, God when speaking to the people. The priesthood is bestowed upon Aaron and his descendants in Exodus and inaugurated within one of the few narrative sections of Leviticus (Lev. 8–10). The giving of the law, the ark, the tabernacle, the priesthood, and the Sabbath are all a part of God’s making himself “known” to Israel and the world, which is a constant theme in Exodus (see, e.g., 25:22; 29:43, 46; 31:13).

The Israelites’ stay at Sinai opens with one of the greatest theophanies of the Bible: God speaks aloud to the people (Exod. 19–20) and then is envisioned as a consuming fire (Exod. 24). After communicating the Ten Commandments (“ten words”) directly to the people (Exod. 34:28; Deut. 4:13; 10:4), Moses mediates the rest of the detailed obligations that will govern the future life of the nation. The covenant is ratified in ceremonial fashion (Exod. 24), and the Israelites vow to fulfill all that has been spoken. God expects Israel to be a holy nation (Exod. 19:6) with whom he may dwell, but Moses descends Sinai only to find that the Israelites have already violated the essence of the Decalogue by fashioning a golden calf to worship as that which delivered them from Egypt (Exod. 32). This places Israel’s future and calling in jeopardy, but Moses intercedes for his people, and God graciously promises to preserve the nation and abide with it in his mercy, even while punishing the guilty. This becomes prototypical of God’s relationship with his people in the future (Exod. 34:6–7).

Exodus ends with the consecration of the tabernacle and the descent of God’s presence there. With the tent of worship in order, the priesthood and its rituals can be officially established. Leviticus reflects divine instructions for how a sinful people may live safely in close proximity to God. Holy living involves dealing with sin and minimizing the need for atonement, purification, and restitution. The sacrificial and worship system established in Leviticus is based on a worldview of order, perfection, and purity, which should characterize a people who are commanded, “Be holy because I, the Lord your God, am holy’ (Lev. 19:2; cf. 11:44–45; 20:26). With these rules in place, the Israelites can make final preparations to depart Sinai and move forward on their journey. Numbers 1–10 spans a nineteen-day period of such activities as the Israelites begin to focus on dispossessing their enemies. These chapters reflect a census of fighting men, the priority of purity, the dedication of the tabernacle, and the observance of the Passover before commencing the quest to Canaan.

Wilderness Journey (Num. 10:11–36:13)

The rest of the book of Numbers covers the remainder of a forty-year stretch of great peaks and valleys in the faith and future of the nation. Chapters 11–25 recount the various events that show the exodus generation’s lack of trust in God. Chapters 26–36 reveal a more positive section whereby a new generation prepares for the conquest. With the third section of Numbers framed by episodes involving the inheritance rights of Zelophehad’s daughters (27:1–11; 36:1–13), it is clear that the story has turned to the future possession of the land.

After the departure from Sinai, the narrative consists of a number of Israelite complaints in the desert. The Israelites have grown tired of manna and ironically crave the food of Egypt, which they recall as free fish, fruits, and vegetables. Having forgotten the hardship of life in slavery, about which they had cried out to God, now the nation is crying out for a lifestyle of old. Moses becomes so overwhelmed with the complaints of the people that God provides seventy elders, who, to help shoulder the leadership burden, will receive the same prophetic spirit given to Moses.

In chapters 13–14 twelve spies are sent out from Kadesh Barnea to peruse Canaan, but the people’s lack of faith to procure the land from the mighty people there proves costly. This final example of distrust moves God to punish and purify the nation. The unbelieving generation will die in the wilderness during a forty-year period of wandering.

The discontent in the desert involves not only food and water but also leadership status. Moses’ own brother and sister resent his special relationship with God and challenge his exclusive authority. Later, Aaron’s special high priesthood is threatened as another Levitical family (Korah) vies for preeminence. Through a sequence of signs and wonders, God makes it clear that Moses and Aaron have exclusive roles in God’s economy. Due to the deaths related to Korah’s rebellion and the fruitless staffs that represent the tribes of Israel, the nation’s concern about sudden extinction in the presence of a holy God is appeased through the eternal covenant of priesthood granted to Aaron’s family (chap. 18). He and the Levites, at the potential expense of their own lives and as part of their priestly service, will be held accountable for keeping the tabernacle pure of encroachers.

Even after the people’s significant rebellion and punishment, God continues to prove his faithfulness to his word. Hope is restored for the nation as the Abrahamic promises of blessing are rehearsed from the mouth of Balaam, a Mesopotamian seer. The Israelites will indeed one day be numerous (23:10), enjoy the presence of God (23:21), be blessed and protected (24:9), and have a kingly leader (24:17). This wonderful mountaintop experience of hope for the exodus generation is tragically countered by an even greater event of apostasy in the subsequent scene. Reminiscent of the incident of the golden calf, when pagan revelry in the camp had foiled Moses’ interaction with God on Sinai, apostasy at the tabernacle undermines Balaam’s oracles of covenant fulfillment. Fornication with Moabite women not only joins the nation to a foreign god but also betrays God’s holiness at his place of dwelling. If not for the zeal of Aaron’s grandson Phinehas, who puts an end to the sin, the ensuing plague could have finished the nation. For his righteous action, Phinehas is awarded an eternal priesthood and ensures a future for the nation and Aaron’s priestly lineage.

In chapter 26 a second census of fighting men indicates that the old, unbelieving exodus generation has officially died off (except for Joshua and Caleb), and God is proceeding with a new people. God dispossesses the enemies of the new generation; reinstates the tribal boundaries of the land; reinstates rules concerning worship, service, and bloodshed; and places Joshua at the helm of leadership. Chapters 26–36 mention no deaths or rebellions as the nation optimistically ends its journey in Moab, just east of the promised land.

Moses’ Farewell (Deuteronomy)

Although one could reasonably move into the historical books at the end of Numbers, much would be lost in overstepping Deuteronomy. Deuteronomy presents Moses’ farewell speeches as his final words to a nation on the verge of Caanan. Moses’ speeches are best viewed as sermons motivating his people to embrace the Sinai covenant, love their God, and choose life over death and blessings over cursings (30:19). Moses reviews the desert experience since Mount Horeb/Sinai (chaps. 1–4) and recapitulates God’s expectations for lawful living in the land (chaps. 5–26). The covenant code is recorded on a scroll, is designated the “Book of the Law” (31:24–26), and is to be read and revered by the future king. Finally, Moses leads the nation in covenant renewal (chaps. 29–32) before the book finishes with an account of his death (chaps. 33–34), including tributes such as “since then, no prophet has risen in Israel like Moses, whom the Lord knew face to face” (34:10).

Deuteronomy reflects that true covenant faithfulness is achieved from a right heart for God. If there were any previous doubts about the essence of covenant keeping, Moses eliminates such in Deuteronomy with the frequent use of emotive terms. Loving God involves committing to him alone and spurning idols and foreign gods. The Ten Commandments (chap. 5) are not a list of stale requirements; they reflect the great Shema with the words “Love the Lord your God with all your heart and with all your soul and with all your strength. These commandments that I give you today are to be upon your hearts” (6:5–6). God desires an unrivaled love from the nation, not cold and superficial religiosity.

Obedience by the Israelites will incur material and spiritual blessing, whereas disobedience ends in the loss of both. Although Moses strongly commends covenant obedience, and the nation participates in a covenant-renewal ceremony (chap. 27), it is clear that in the future the Israelites will fail to uphold their covenant obligations and will suffer the consequences (29:23; 30:1–4; 31:16–17). Yet Moses looks to a day when the command for circumcised hearts (10:16) will be fulfilled by the power of God himself (30:6). In the future a new king will arise from the nation (17:14–20) as well as a prophet like Moses (18:15–22). Deuteronomy thus underscores the extent of God’s own devotion to his patriarchal promises despite the sinful nature of his people.

For much of the middle and end of the twentieth century, Deuteronomy has received a significant amount of attention for its apparent resemblance in structure and content to ancient Hittite and Assyrian treaties. Scholars debate the extent of similarity, but it is possible that Deuteronomy reflects a suzerain-vassal treaty form between Israel and God much like the common format between nations in the ancient Near East. Although comparative investigation of this type can be profitable for interpretation, it is prudent to be conservative when outlining direct parallels, since Deuteronomy is not a legal document but rather a dramatic narrative of God’s redemptive interaction with the world.

An early, tangible reminder of the goodness of God in rescuing his people from their sins (NIV: “bronze snake”). During the wilderness wanderings, the land of Edom lay in the path of the Israelites. The Israelites requested permission to pass through Edom, which the Edomites strongly denied (Num. 20:14–21). Forced to circle around Edom and head far out of their way, the Israelites began to complain yet again (Num. 21:4–5; see also Exod. 15:22–24; 16:1–3; 17:1–7). God responded by sending venomous snakes that killed many people (Num. 21:6). When the people admitted their sin and asked Moses to pray to God on their behalf, God commanded Moses to do a strange thing: he was to make a snake and put it on a pole. “Then when anyone was bitten by a snake and looked at the bronze snake, they lived” (21:9).

This seemingly insignificant and bizarre episode in Israelite history resurfaces twice in the Bible. The good king Hezekiah destroyed the bronze serpent during his purification of the land of Judah from idolatrous worship. The writer of Kings explains that the serpent, which had come to be called “Nehushtan,” had itself become an idol, as the Israelites had been burning incense to it (2 Kings 18:4). Jesus also makes mention of the bronze serpent in his famous dialogue with Nicodemus. In speak­ing of his impending death, Jesus explains to Nicodemus that he, the Son of Man, must be lifted up from the earth, “just as Moses lifted up the snake in the desert” (John 3:14). Those who believe in Jesus will have eternal life because of his being lifted up—that is, crucified (see John 12:32–34). Jesus’ reference to the bronze serpent emphasizes the simplicity of salvation through Christ. Just as the Israelites needed only to look to the bronze serpent, trusting in God’s provision for their salvation from physical death, so also those who are dying in their sins need only look to the perfect sacrifice of Jesus Christ, trusting in God’s provision for their salvation from spiritual death.

An early, tangible reminder of the goodness of God in rescuing his people from their sins (NIV: “bronze snake”). During the wilderness wanderings, the land of Edom lay in the path of the Israelites. The Israelites requested permission to pass through Edom, which the Edomites strongly denied (Num. 20:14–21). Forced to circle around Edom and head far out of their way, the Israelites began to complain yet again (Num. 21:4–5; see also Exod. 15:22–24; 16:1–3; 17:1–7). God responded by sending venomous snakes that killed many people (Num. 21:6). When the people admitted their sin and asked Moses to pray to God on their behalf, God commanded Moses to do a strange thing: he was to make a snake and put it on a pole. “Then when anyone was bitten by a snake and looked at the bronze snake, they lived” (21:9).

This seemingly insignificant and bizarre episode in Israelite history resurfaces twice in the Bible. The good king Hezekiah destroyed the bronze serpent during his purification of the land of Judah from idolatrous worship. The writer of Kings explains that the serpent, which had come to be called “Nehushtan,” had itself become an idol, as the Israelites had been burning incense to it (2 Kings 18:4). Jesus also makes mention of the bronze serpent in his famous dialogue with Nicodemus. In speak­ing of his impending death, Jesus explains to Nicodemus that he, the Son of Man, must be lifted up from the earth, “just as Moses lifted up the snake in the desert” (John 3:14). Those who believe in Jesus will have eternal life because of his being lifted up—that is, crucified (see John 12:32–34). Jesus’ reference to the bronze serpent emphasizes the simplicity of salvation through Christ. Just as the Israelites needed only to look to the bronze serpent, trusting in God’s provision for their salvation from physical death, so also those who are dying in their sins need only look to the perfect sacrifice of Jesus Christ, trusting in God’s provision for their salvation from spiritual death.

A reddish metallic element valued for its appearance, malleability, ductility, and ability to alloy with other metals. Neither Hebrew nor Greek distinguished between copper and bronze, using the same words for both. Most references in the Bible should be translated “bronze,” but when referring to ore and the smelting process, the terms should be translated “copper” (Deut. 8:9; Job 28:2; Ezek. 22:18, 20).

Copper is one of the earliest known metals. The first metallic weapons and tools were made from copper. The Bible associates the origin of metalworking with Tubal-Cain (Gen. 4:22). As early as 8000 BC native copper was hammered into objects. Since most copper is found in impure forms, it has to be smelted. Evidence of smelted copper dates to as early as 5000 BC. The greatest advances in copper metallurgy came with the addition of other metals. At first, arsenic was added to improve the qualities of copper. The addition of tin formed bronze, and the addition of zinc formed brass. The resulting alloys were stronger, had lower melting points, and could be cast into more intricate forms. The Cave of Treasure, which was found in the Judean Desert about six miles southwest of Ein-Gedi, has produced some of the finest copper pieces in antiquity. This hoard of over four hundred copper pieces dates from about 3000 BC and gives evidence of the craftwork of ancient copper metallurgy.

The ancient Israelites extensively used copper/bronze for musical instruments (1 Chron. 15:19), weapons (Ps. 18:34), armor (1 Sam. 17:5), mirrors (Job 37:18), and cooking utensils (Lev. 6:28). In the tabernacle and temple many objects were made of bronze, including incense censers, tent pegs, utensils, and the altar (Exod. 27:2–3). In the temple the large water basin (the Sea) was made of bronze and rested on twelve bronze bulls (2 Kings 16:17). The bronze serpent that Moses made in the wilderness (Num. 21:9) stood in the temple until King Hezekiah destroyed it (2 Kings 18:4). Although most coins were made of silver, some small coins, including the widow’s mite, were made of copper (Mark 12:42).

The largest source of copper in antiquity was Cyprus (the word “copper” is derived from the Latin word for “Cyprus”). Closer sources of copper were Ai (1 Kings 7:45–46), Timna (in southern Israel, about twenty miles north of Eilat), and Khirbat en-Nahas (in Jordan).

(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).

(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 Bible contains many references to minerals and metals. Minerals can encompass a wide array of topics, thus the focus here is on valuable minerals such as ornamental stones as well as precious and useful metals. Gold is mentioned in the Bible as early as the garden of Eden (Gen. 2:11) and at the end is pictured as making up the streets of the new Jerusalem (Rev. 21:21). Among the metals mentioned in Scripture are gold, silver, bronze, copper, tin, lead, and iron. Precious stones and minerals also appear in Scripture, often used to adorn items, such as the high priest’s breastpiece (Exod. 28:15–21). Here these materials will be discussed in chronological order of appearance.

Copper

Copper was the first metal to be used for simple farm tools and weapons. It was used as early as the middle of the fourth millennium BC but was not in widespread use until approximately 3300 BC. Copper mines have been found on the Sinai Peninsula at places such as the Timna Valley and Faynan and also extensively on the island of Cyprus, which supplied copper to the Egyptian, Greek, and Roman empires.

References to copper within the Bible are few. Several passages discuss the basic origins of copper, such as the gathering of ore or the smelting process (Deut. 8:9; Job 28:2; Ezek. 22:18, 20; 24:11). Several NT passages acknowledge the presence of minted copper coins as currency (Matt. 10:9; Mark 12:42; Luke 21:2). Pure copper, however, was hard to use, although it could be combined with tin to make the alloy bronze.

Bronze

The use of bronze, an alloy made of copper and tin, in biblical lands dates to about 2300 BC. Bronze, compared to pure copper, is easier to work with and has a longer life. It can be worked with hammer and anvil or poured into a mold. It has the same available applications as copper; thus it was used to make all the tools and weapons that were made of copper. Bronze was widely used during the second millennium BC, encompassing the biblical time period from Abraham to the judges, and its use continued as the raw materials were available. It was the metal of choice until the advanced technology of ironworking.

The first biblical reference to bronze is found in Gen. 4:22, in which we are told that Tubal-Cain forged tools out of bronze and iron. Next, bronze is mentioned in its use in the tabernacle built in the desert. Among the bronze items included were the many bronze clasps and bases for the tent construction (Exod. 26:11, 37; 27:10–11, 17–19). The altar and all its utensils were made of, or overlaid with, bronze (27:1–8). God also instructed Moses to make a bronze basin for washing (30:18). Moses also made a snake out of bronze and placed it on top of his staff when the Israelites were struck with an abundance of venomous snakes (Num. 21:9). Samson was bound with shackles of bronze (Judg. 16:21), and Goliath wore armor and carried weapons of bronze (1 Sam. 17:5–6). Solomon used an extensive amount of bronze in his building of the temple (2 Kings 25:16), and there was bronze in the statue that Daniel dreamed of (Dan. 2:32, 35). Many of the prophets used bronze as a way to discuss something that was to be strong or strengthened by God (Isa. 45:2; Jer. 1:18; Ezek. 40:3).

Iron and Steel

Iron originally was found in meteorites and thus was scarce and worked as a precious metal. After a permanent source of iron ore was found, iron began to be worked in a few areas around 1200 BC. It increased in popularity over time, and around 1000 BC, or roughly the time of the united monarchy, it was being extensively used. Phoenician traders were very active during this time, and they would have brought much iron from the mines of southern Spain. Around the tenth century BC the technology to work iron into steel through the quenching and carbonization of the metal became commonplace. A large number of iron-producing sites have not been found in Palestine, and no deposits of the raw material have been located. Iron deposits have been found between the Jordan and the Euphrates rivers, but whether the ancients were aware of these deposits is unknown.

Once the technology to turn iron into steel became known, both became highly valued. At the same time, it is possible that copper had become more difficult to obtain due to a change in international trading routes. The first steel implement to be unearthed in Palestine was a pick found in Upper Galilee dating to the eleventh century BC.

One of the earliest references to iron in Scripture is its use by the Canaanites to make chariots (Josh. 17:16, 18). This would have been an early use of the metal in the Iron Age I period (1200–1000 BC). Also, Goliath’s spear, which was as big as a weaver’s rod, is said to have had a head made of iron (1 Sam. 17:7). Elisha’s miracle of making a borrowed ax head float (2 Kings 6:6) shows the continued value of the metal. In his latter days, David amassed iron among the goods to give Solomon to use in building the temple (1 Chron. 22:14; 29:2); Solomon later used these materials with the help of Huram-Abi (2 Chron. 2:13–14). Ezekiel discusses the economic value of iron in the context of trading (Ezek. 27:12, 19), and Daniel uses it as a metaphor for discussing strength (Dan. 2:40–41). The NT recognizes the strength of iron when discussing Christ’s iron scepter (Rev. 2:27; 19:15).

Tin

Tin was initially used mainly to produce the copper alloy bronze. Tin was not used in its pure form until well into the Roman period, and even then seldom by itself. The sources of tin in the ancient world are currently debated. The tin from large deposits in Tarshish in southern Spain (Ezek. 27:12) was available through Phoenician traders. Tin is also found in large deposits in Anatolia, but it is currently unknown whether these deposits had been discovered and used during biblical times. A third option is modern-day Afghanistan. Archaeologists have discovered in modern Turkey the remains of a wrecked ship, dated to around 1350 BC, that was carrying ten tons of copper ingots and about one ton of tin ingots. These ingots possibly originated in the area of modern-day Afghanistan and were bound for the Mediterranean trade routes. Tin is mentioned only four times in Scripture, always within a list of other metals (Num. 31:22; Ezek. 22:18, 20; 27:12).

Lead

Lead was used early in human history, but its applications were few. It would have been mined with copper and silver ore and then extracted as a by-product. The Romans used it for various implements, most notably wine vessels. It is referenced nine times within Scripture, either in a list or in reference to its weight. The only two times it is referenced as an object is when Job mentions a lead writing implement (Job 19:24), and when Zechariah has the vision of a woman sitting in the basket with a lead cover (Zech. 5:7, 8).

Gold and Silver

Sought after for much of human history, gold and silver have been worked by humans for their ornamental value. The practical uses of these metals within the biblical setting were constrained mainly to their economic and ornamental value. Gold and silver jewelry were used as a form of payment and were minted into coins during the Greco-Roman era. Gold objects are relatively scarce in archaeological finds, mainly because most gold items would have been part of a large treasury carried off as tribute or plunder. Silver appears in the archaeological record more frequently; a remarkable hoard of silver in lump form was found at Eshtemoa (see 1 Sam. 30:26–28). This silver has been dated to the time of the kingdom of Judah, after the northern kingdom of Israel had fallen. The silver in raw lump form was most likely used as a monetary payment, even though it had not yet been minted into coins.

Gold in the ancient world came largely from Egypt and northern Africa. The Bible mentions Havilah as a land of gold (Gen. 2:11), as well as Ophir (1 Kings 9:28), but the exact location of both places is unknown. Silver was mined in southern Spain, along with other metals, and brought to the area through sea trading. The Athenians of the Classical period were also known for their vast silver-mining operations.

Silver and gold are mentioned repeatedly in the OT in reference to their uses in trading and their economic value. Most notably, the Israelites asked their Egyptian neighbors to give them gold and silver items just before they left Egypt (Exod. 3:22). The tabernacle was highly ornamented with these two metals, as was the temple built by Solomon. It is said that Solomon made the nation so wealthy that silver was considered as plentiful as stone (1 Kings 10:27). Perhaps the most notorious articles of silver within Scripture are those paid to Judas for his betrayal of Jesus (Matt. 26:15).

Precious Stones

Stones of various origins were used in and around Palestine. The Bible makes few references to their use. Like gold and silver, they were used mainly for their ornamental value. Their scarcity made them highly prized. One notable exception is turquoise. The Egyptian pharaohs were fascinated with turquoise, and they mined extensively for it on the Sinai Peninsula. The remains of several turquoise mines have been found with Canaanite markings, indicating the presence of Canaanite slaves working the Egyptian mines. There was also a line of forts along the northern edge of the Egyptian Empire, used presumably to protect the pharaohs’ turquoise interests. Precious stones were also found in Syria, where Phoenician traders would have been able to bring them from other parts of the known world.

Exodus 28:17–21 describes twelve stones set in the breastpiece worn by the Israelite high priest. Twelve stones likewise appear in the foundations of the new Jerusalem (Rev. 21:19–20). Ezekiel uses nine of these same twelve stones to discuss the adornment of the king of Tyre (Ezek. 28:13).

The Bible uses the blanket term “precious stones” to denote a hoard of riches, such as that owned by Solomon (1 Kings 10:10).

The Geography of Moab

Undisputed territory. Moab proper lies between the Arnon and the Zered valleys east of the Dead Sea. The Arnon is the deepest gorge in Jordan (seventeen hundred feet) and is two miles wide at the upper edge. It served as a natural northern boundary for geopolitical Moab, even though the nation frequently expanded its control farther north. The canyon eventually splits into four branches, “the wadis [NIV mg.: “ravines”] of the Arnon” (Num. 21:14–15 NASB). The Zered to the south is the only river in Jordan that constituted a permanent political border.

The average elevation of Moab is about thirty-two hundred feet, with some mountains nearing four thousand feet. Moab receives considerably more rain (sixteen inches per year) than do the eastern fringes of Israel, as moisture is picked up from the humid Jordan Valley and the Dead Sea by the prevailing westerly winds. The band of arable land is narrow because the terrain next to the Rift Valley is rugged. Cities in Moab were among places mentioned as suitable for livestock for the two and one-half tribes settling in Transjordan (Num. 32:1–4).

The plateau and plains of Moab. When mishor refers to the plateau of Moab, it always has the definite article in Hebrew (Deut. 3:10; 4:43; Josh. 13:9, 16, 17, 21; Jer. 48:8, 21). The plateau begins where the foothills of Gilead end and extends south to the Arnon Gorge. The desert boundary to the east fluctuates somewhat, depending on wet or dry years. The average elevation is about twenty-six hundred feet, with an average rainfall of fourteen to sixteen inches. In the biblical period, primary contenders for control of this region were Moabites and Israelites. The Moabites considered the plateau part of their territory, with their northern boundary reaching the foothills of Gilead.

The “plains [’arebot] of Moab” (Num. 22:1; 26:3; 31:12; 33:48–50; 36:13; Deut. 34:1; Josh. 13:32) could refer to the southeastern corner of the Jordan Valley below the plateau opposite Jericho. Nevertheless, because the Hebrew preposition ’al, used repeatedly in the Numbers passages, can mean “above,” it might refer to plains “above” the Jordan opposite Jericho—in other words, part of the plateau. This makes more sense in light of the events that unfolded while the Israelites were camped there. Both expressions are indicative that the name of Moab was attached to territories beyond the strictly political boundaries.

The History of Moab in the Bible

Origins of the Moabites. After the destruction of Sodom and Gomorrah, Lot’s daughters determined to carry on the family line by sleeping with their father (Gen. 19:30–38). The son of the elder daughter was named “Moab.” According to an etymology in the LXX, the name in Hebrew means “from my father” (Gen. 19:37).

The exodus and the conquest. Moses’ song refers to leaders of Moab among those whom Israel would encounter (Exod. 15:15). As the Israelites made their way past Edom (Num. 20:14–21), they may also have given a wide berth to geopolitical Moab, moving instead along the desert highway to the east (Num. 21:10–20; Deut. 2:8–9; Judg. 11:18; but see also Deut. 2:29) until they arrived at the territory that Sihon, king of the Amorites, had previously captured from the Moabites (Num. 21:21–26). This is the plateau (Heb. mishor) north of the Arnon (Deut. 2:36) stretching to Ammon (Josh. 13:10). The capital city of Sihon was Heshbon on the plateau (mishor) (Josh. 13:21). After defeating the Amorites, the Israelites camped on the “plains of Moab” (Num. 22:1; 33:48–50), where they remained until crossing the Jordan River. Most likely they did not jeopardize their security by moving down into the Jordan Valley.

Frightened by this multitude, the king of Moab and the elders of Midian sent for Balaam to curse the Israelites (Num. 21–24). Instead, Balaam pronounced four sets of blessings on Israel, and in the final one Balaam spoke of a “star . . . out of Jacob” who would “crush the foreheads of Moab” (Num. 24:17). Because the Moabites refused to welcome the Israelites and hired Balaam, the Moabites, along with Ammonites, were excluded from the assembly of the Lord for ten generations (Deut. 23:3–6). The verse immediately prior to this passage excludes those born of forbidden marriages, which might be the reason for specifying Moab and Ammon.

The plateau (mishor) was allocated to the tribes of Reuben and Gad (Num. 32:34–38; Josh. 13:8–9). Their presence enabled the Israelites to maintain a hold in the region, a fact that would be significant some three centuries later (Judg. 11:26). As the Israelites prepared to enter the land, Moses restated the covenant on the plains of Moab (Num. 36:13; Deut. 29:1). When it came time for Moses to die, he climbed Mount Nebo from the plains of Moab to the top of Pisgah, and after his death the Israelites mourned him there for thirty days (Deut. 34:1–8).

The judges through the monarchy. During the period of the judges, the Moabites pushed north across the Arnon and as far as Jericho. When Ehud killed Eglon, the Moabites were driven back and subjected to Israel for eighty years (Judg. 3). The respite was temporary, however, due to repeated apostasy on the part of the Israelites. They turned to worship the gods of the peoples around them, among them the gods of the Moabites (Judg. 10:6). At some point during the period of the judges, relations between Israel and Moab were sufficiently friendly that the family of Elimelek could take refuge there during the famine in Judah (Ruth 1). When all the men of the family died, the Moabite Ruth converted to the worship of Yahweh (Ruth 1:16), which meant that she could indeed become part of the congregation of Israel, overcoming the restriction in Deut. 23:3–6.

Ruth’s son was Obed, the father of Jesse, the father of David (Ruth 4:21). This family link with Moab may explain why David sought refuge for his father and mother in Moab in the dark days when he was fleeing from Saul (1 Sam. 22:1–4). David was appealing to a national enemy in doing this since Saul had been fighting against the Moabites along with the Ammonites, the Edomites, and the Philistines since he became king (1 Sam. 14:47). The complexity created for David by this combination of family allegiances and ongoing national concerns is evident in his later actions as king. When he defeated the Moabites, he brutally subdued them, reducing them to a vassal kingdom (2 Sam. 8:2–12). The united kingdom continued to control the plateau of Moab, evident in the towns noted in David’s census; it reached through the tribe of Gad to the city of Aroer in the Arnon Gorge (2 Sam. 24:5).

Solomon built places of worship for the gods of his wives, among them Chemosh, “the vile god of Moab” (2 Kings 23:13). As a result, God removed all but the southern kingdom of Judah from the Davidic dynasty and the plateau of Moab came under the control of the northern kingdom for more than half a century. The Moabite Stone, discovered in the nineteenth century AD at Dibon, indicated that Omri, king of Israel, conquered the plateau of Medeba and reestablished connections with the tribe of Gad. This continued until near the end of Ahab’s reign. Although the Moabite Stone indicates that Mesha revolted during the reign of Ahab, the biblical text puts it after Ahab’s death. The revolt prompted an alliance between Joram and Jehoshaphat to subdue Moab (2 Kings 3:4–27).

The prophets and after the exile. Moab is the object of stinging rebuke from several prophets (Isa. 15–16; 25:10; Jer. 48; Ezek. 25:8–11; Amos 2:1–3). Moab’s forthcoming judgment is described in grim terms, equating Moab’s end to that of Sodom and Gomorrah (Zeph. 2:9). Even so, God declares, “I will restore the fortunes of Moab in days to come” (Jer. 48:47). Moab will be humbled along with Edom and the Philistines at the word of the Lord (Pss. 60:8; 108:9). After the return from exile, Moabites were among those with whom the Israelites intermarried (Ezra 9:1; Neh. 13:1; cf. Deut. 23:3–6).

The Geography of Moab

Undisputed territory. Moab proper lies between the Arnon and the Zered valleys east of the Dead Sea. The Arnon is the deepest gorge in Jordan (seventeen hundred feet) and is two miles wide at the upper edge. It served as a natural northern boundary for geopolitical Moab, even though the nation frequently expanded its control farther north. The canyon eventually splits into four branches, “the wadis [NIV mg.: “ravines”] of the Arnon” (Num. 21:14–15 NASB). The Zered to the south is the only river in Jordan that constituted a permanent political border.

The average elevation of Moab is about thirty-two hundred feet, with some mountains nearing four thousand feet. Moab receives considerably more rain (sixteen inches per year) than do the eastern fringes of Israel, as moisture is picked up from the humid Jordan Valley and the Dead Sea by the prevailing westerly winds. The band of arable land is narrow because the terrain next to the Rift Valley is rugged. Cities in Moab were among places mentioned as suitable for livestock for the two and one-half tribes settling in Transjordan (Num. 32:1–4).

The plateau and plains of Moab. When mishor refers to the plateau of Moab, it always has the definite article in Hebrew (Deut. 3:10; 4:43; Josh. 13:9, 16, 17, 21; Jer. 48:8, 21). The plateau begins where the foothills of Gilead end and extends south to the Arnon Gorge. The desert boundary to the east fluctuates somewhat, depending on wet or dry years. The average elevation is about twenty-six hundred feet, with an average rainfall of fourteen to sixteen inches. In the biblical period, primary contenders for control of this region were Moabites and Israelites. The Moabites considered the plateau part of their territory, with their northern boundary reaching the foothills of Gilead.

The “plains [’arebot] of Moab” (Num. 22:1; 26:3; 31:12; 33:48–50; 36:13; Deut. 34:1; Josh. 13:32) could refer to the southeastern corner of the Jordan Valley below the plateau opposite Jericho. Nevertheless, because the Hebrew preposition ’al, used repeatedly in the Numbers passages, can mean “above,” it might refer to plains “above” the Jordan opposite Jericho—in other words, part of the plateau. This makes more sense in light of the events that unfolded while the Israelites were camped there. Both expressions are indicative that the name of Moab was attached to territories beyond the strictly political boundaries.

The History of Moab in the Bible

Origins of the Moabites. After the destruction of Sodom and Gomorrah, Lot’s daughters determined to carry on the family line by sleeping with their father (Gen. 19:30–38). The son of the elder daughter was named “Moab.” According to an etymology in the LXX, the name in Hebrew means “from my father” (Gen. 19:37).

The exodus and the conquest. Moses’ song refers to leaders of Moab among those whom Israel would encounter (Exod. 15:15). As the Israelites made their way past Edom (Num. 20:14–21), they may also have given a wide berth to geopolitical Moab, moving instead along the desert highway to the east (Num. 21:10–20; Deut. 2:8–9; Judg. 11:18; but see also Deut. 2:29) until they arrived at the territory that Sihon, king of the Amorites, had previously captured from the Moabites (Num. 21:21–26). This is the plateau (Heb. mishor) north of the Arnon (Deut. 2:36) stretching to Ammon (Josh. 13:10). The capital city of Sihon was Heshbon on the plateau (mishor) (Josh. 13:21). After defeating the Amorites, the Israelites camped on the “plains of Moab” (Num. 22:1; 33:48–50), where they remained until crossing the Jordan River. Most likely they did not jeopardize their security by moving down into the Jordan Valley.

Frightened by this multitude, the king of Moab and the elders of Midian sent for Balaam to curse the Israelites (Num. 21–24). Instead, Balaam pronounced four sets of blessings on Israel, and in the final one Balaam spoke of a “star . . . out of Jacob” who would “crush the foreheads of Moab” (Num. 24:17). Because the Moabites refused to welcome the Israelites and hired Balaam, the Moabites, along with Ammonites, were excluded from the assembly of the Lord for ten generations (Deut. 23:3–6). The verse immediately prior to this passage excludes those born of forbidden marriages, which might be the reason for specifying Moab and Ammon.

The plateau (mishor) was allocated to the tribes of Reuben and Gad (Num. 32:34–38; Josh. 13:8–9). Their presence enabled the Israelites to maintain a hold in the region, a fact that would be significant some three centuries later (Judg. 11:26). As the Israelites prepared to enter the land, Moses restated the covenant on the plains of Moab (Num. 36:13; Deut. 29:1). When it came time for Moses to die, he climbed Mount Nebo from the plains of Moab to the top of Pisgah, and after his death the Israelites mourned him there for thirty days (Deut. 34:1–8).

The judges through the monarchy. During the period of the judges, the Moabites pushed north across the Arnon and as far as Jericho. When Ehud killed Eglon, the Moabites were driven back and subjected to Israel for eighty years (Judg. 3). The respite was temporary, however, due to repeated apostasy on the part of the Israelites. They turned to worship the gods of the peoples around them, among them the gods of the Moabites (Judg. 10:6). At some point during the period of the judges, relations between Israel and Moab were sufficiently friendly that the family of Elimelek could take refuge there during the famine in Judah (Ruth 1). When all the men of the family died, the Moabite Ruth converted to the worship of Yahweh (Ruth 1:16), which meant that she could indeed become part of the congregation of Israel, overcoming the restriction in Deut. 23:3–6.

Ruth’s son was Obed, the father of Jesse, the father of David (Ruth 4:21). This family link with Moab may explain why David sought refuge for his father and mother in Moab in the dark days when he was fleeing from Saul (1 Sam. 22:1–4). David was appealing to a national enemy in doing this since Saul had been fighting against the Moabites along with the Ammonites, the Edomites, and the Philistines since he became king (1 Sam. 14:47). The complexity created for David by this combination of family allegiances and ongoing national concerns is evident in his later actions as king. When he defeated the Moabites, he brutally subdued them, reducing them to a vassal kingdom (2 Sam. 8:2–12). The united kingdom continued to control the plateau of Moab, evident in the towns noted in David’s census; it reached through the tribe of Gad to the city of Aroer in the Arnon Gorge (2 Sam. 24:5).

Solomon built places of worship for the gods of his wives, among them Chemosh, “the vile god of Moab” (2 Kings 23:13). As a result, God removed all but the southern kingdom of Judah from the Davidic dynasty and the plateau of Moab came under the control of the northern kingdom for more than half a century. The Moabite Stone, discovered in the nineteenth century AD at Dibon, indicated that Omri, king of Israel, conquered the plateau of Medeba and reestablished connections with the tribe of Gad. This continued until near the end of Ahab’s reign. Although the Moabite Stone indicates that Mesha revolted during the reign of Ahab, the biblical text puts it after Ahab’s death. The revolt prompted an alliance between Joram and Jehoshaphat to subdue Moab (2 Kings 3:4–27).

The prophets and after the exile. Moab is the object of stinging rebuke from several prophets (Isa. 15–16; 25:10; Jer. 48; Ezek. 25:8–11; Amos 2:1–3). Moab’s forthcoming judgment is described in grim terms, equating Moab’s end to that of Sodom and Gomorrah (Zeph. 2:9). Even so, God declares, “I will restore the fortunes of Moab in days to come” (Jer. 48:47). Moab will be humbled along with Edom and the Philistines at the word of the Lord (Pss. 60:8; 108:9). After the return from exile, Moabites were among those with whom the Israelites intermarried (Ezra 9:1; Neh. 13:1; cf. Deut. 23:3–6).

In 2 Kings 18:4 the name given to the bronze snake that Moses made during the wilderness journey. In one of many incidents in which the Israelites grumbled against Moses, God sent poisonous snakes against the people (Num. 21:4–9). When they confessed their sin and cried out to Moses for relief, God directed him to make the bronze snake and erect it on a pole. Anyone who looked at it would live. Apparently, this object was kept and preserved over the centuries, for it still existed in King Hezekiah’s time. Being a sacred relic, it had become an object of idolatry. The king destroyed it as part of his spiritual reforms.

(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 biblical corpus known as the Pentateuch consists of the first five books of the OT: Genesis, Exodus, Leviticus, Numbers, and Deuteronomy. The word “Pentateuch” comes from two Greek words (penta [“five”] and teuchos [“scroll case, book”]) and is a designation attested in the early church fathers. The collection is also commonly known as the “Five Books of Moses,” “the Law of Moses,” or simply the “Law,” reflecting the traditional Jewish name “Torah,” meaning “law” or “instruction.” The Torah is the first of three major sections that comprise the Hebrew Bible (Torah, Nebiim, Ketubim [Law, Prophets, Writings]); thus for both Jewish and Christian traditions it represents the introduction to the Bible as a whole as well as its interpretive foundation.

The English names for the books of the Pentateuch came from the Latin Vulgate, based on the Greek Septuagint. These appellations are mainly descriptive of their content. Genesis derives from “generations” or “origin,” Exodus means “going out,” Leviticus represents priestly (Levitical) service, Numbers refers to the censuses taken in the book, and Deuteronomy indicates “second law” because of Moses’ rehearsal of God’s commands (see Deut. 17:18). The Hebrew designations derive from opening words in each book. Bereshit (Genesis) means “in the beginning”; Shemot (Exodus), “[these are] the names”; Wayyiqra’ (Leviticus), “and he called”; Bemidbar (Numbers), “in the desert”; and Debarim (Deuteronomy), “[these are] the words.”

Referring to the Pentateuch as “Torah” or the “Law” reflects the climactic reception of God’s commands at Mount Sinai, which were to govern Israel’s life and worship in the promised land, including their journey to get there. However, calling the Pentateuch the “Law” can be a bit misleading because there are relatively few passages that simply list a set of commands, and all law passages are set within a broad narrative. The Pentateuch is a grand story that begins on a universal scale with the creation of the cosmos and ends on the plains of Moab as the reader anticipates the fulfillment of God’s plan to redeem a fallen world through his chosen people. The books offer distinct qualities and content, but they are also inherently dependent upon one another, as the narrative remains unbroken through the five volumes. Genesis ends with Jacob’s family in Egypt, and, though many years have passed, this is where Exodus begins. Leviticus outlines cultic life at the tabernacle (constructed at the end of Exodus) and even begins without a clear subject (“And he called . . .”), which requires the reader to supply “the Lord” from the last verse of Exodus. Numbers begins with an account of Israel’s fighting men as the nation prepares to leave Sinai, and Deuteronomy is Moses’ farewell address to the nation on the cusp of the promised land.

Authorship and Composition

Although the Pentateuch is technically an anonymous work, Jewish and Christian tradition attributes its authorship to Moses, the main figure of the story from Exodus to Deuteronomy. The arguments for attributing the authorship of the Pentateuch to Moses come from internal evidence within both Testaments. That Moses is responsible for at least portions of the Pentateuch is suggested by references to his explicit literary activity reflected within the narrative itself (Exod. 17:14; 24:4; 34:28; Num. 33:2; Deut. 31:9, 22, 24), if not implied in various literary formulas such as “the Lord said to Moses” (e.g., Exod. 39:1, 7, 21; Lev. 4:1; 11:1; 13:1; Num. 1:1; 2:1). Mosaic authorship receives support from the historical books, which use terms such as “the Book of the Law of Moses” in various forms and references in the preexilic history (Josh. 8:30–35; 23:6; 2 Kings 14:6) as well as the postexilic history (e.g., 2 Chron. 25:4; Ezra 6:18; Neh. 13:1). The same titles are used by NT authors (e.g., Mark 12:26; Luke 24:44; John 1:45), even referring to the Pentateuch simply by the name “Moses” at various points (e.g., Luke 16:29; 24:27; 2 Cor. 3:15).

Even with these examples, nowhere does the text explicitly state that Moses is responsible for the entire compilation of the Pentateuch or that he penned it with his own hand. Rather, a number of factors point to a later hand at work: Moses’ death and burial are referenced (Deut. 34), the conquest of Canaan is referred to as past (Deut. 2:12), and there is evidence that the names of people and places were updated and explained for later generations (e.g., “Dan” in Gen. 14:14; cf. Josh. 19:47; Judg. 18:28b–29). Based on these factors, it is reasonable to believe that the Pentateuch underwent editorial alteration as it was preserved within Jewish life and took its final shape after Moses’ lifetime.

Over the last century, the Documentary Hypothesis has dominated academic discussion of the Pentateuch’s composition. This theory was crystallized by Julius Wellhausen in his Prolegomena to the History of Israel in the late nineteenth century and posits that the Pentateuch originated from a variety of ancient sources derived from distinct authors and time periods that have been transmitted and joined through a long and complex process. Traditionally these documents are identified as J, E, D, and P. The J source is a document authored by the “Yahwist” (German, Jahwist) in Judah around 840 BC and is so called because the name “Yahweh” is used frequently in its text. The E source stands for “Elohist” because of its preference for the divine title “Elohim” and was composed in Israel around 700 BC. The D source stands for “Deuteronomy” because it reflects material found in that book; it was composed sometime around Josiah’s reform in 621 BC. The P document reflects material that priests would be concerned with in the postexilic time period, approximately 500 BC. This theory and its related forms stem from the scholarly concern over various literary characteristics such as the use of divine names; doublets and duplications in the text; observable patterns of style, terminology, and themes; and alleged discrepancies in facts, descriptions, and geographic or historical perspective.

Various documentary theories of composition have flourished over the last century of pentateuchal scholarship and still have many adherents. However, lack of scholarly agreement about the dating and character of the sources and the rise of other literary approaches to the text have many conservative and liberal scholars calling into question the accuracy and even interpretive benefit of the source theories. Moreover, if the literary observations used to create source distinctions can be explained in other ways, then the Documentary Hypothesis is significantly undermined.

In its canonical form, the pentateuchal narrative combines artistic prose, poetry, and law to tell a dramatic history spanning thousands of years. One could divide the story into six major sections: primeval history (Gen. 1–11), the patriarchs (Gen. 12–50), liberation from Egypt (Exod. 1–18), Sinai (Exod. 19:1–Num. 10:10), wilderness journey (Num. 10:11–36:13), and Moses’ farewell (Deuteronomy).

Primeval History (Gen. 1–11)

It is possible to divide Genesis into two parts based upon subject matter: the origin of creation and humankind’s call, fall, and punishment (chaps 1–11), and the origin of a family that would become God’s conduit of salvation and blessing for the world (chaps. 12–50).

The primeval history comprises essentially the first eleven chapters of Genesis, ending with the genealogy of Abraham in 11:26. Strictly speaking, 11:27 begins the patriarchal section with the sixth instance of the toledot formula found in Genesis, referencing Abraham’s father, Terah. The Hebrew phrase ’elleh toledot (“these are the generations of”) occurs in eleven places in Genesis and reflects a deliberate structural marker that one may use to divide the book into distinct episodes (2:4; 5:1; 6:9; 10:1; 11:10; 11:27; 25:12; 25:19; 36:1; 36:9; 37:2).

Genesis as we know it exhibits two distinct creation accounts in its first two chapters. Although critical scholars contend that the differing accounts reflect contradictory stories and different authors, it is just as convenient to recognize that the two stories vary in style and some content because they attempt to accomplish different aims. The first account, 1:1–2:3, is an artistic, poetic, symmetrical, and “heavenly” view of creation by a transcendent God, who spoke creation into being. In the second account, 2:4–25, God is immanently involved with creation as he is present in a garden, breathes life into Adam’s nostrils, dialogues and problem-solves, fashions Eve from Adam’s side, and bestows warnings and commands. Both perspectives are foundational for providing an accurate view of God’s interaction with creation in the rest of Scripture.

As one progresses through chapters 1–11, the story quickly changes from what God has established as “very good” to discord, sin, and shame. Chapter 3 reflects the “fall” of humanity as Adam and Eve sin in eating from the forbidden tree in direct disobedience to God. The serpent shrewdly deceives the first couple, and thus all three incur God’s curses, which extend to unlimited generations. Sin that breaks the vertical relationship between God and humanity intrinsically leads to horizontal strife between humans. Sin and disunity on the earth only intensify as one moves from the murder story of Cain and Abel in chapter 4 to the flood in chapters 5–9. Violence, evil, and disorder have so pervaded the earth that God sends a deluge to wipe out all living things, save one righteous man and his family, along with an ark full of animals. God makes the first covenant recorded in the biblical narrative with Noah (6:18), promising to save him from the flood as he commands Noah to build an ark and gather food for survival. Noah fulfills all that God has commanded (6:22; 7:5), and God remembers his promise (8:1). This is the prototypical salvation story for the rest of Scripture.

Chapter 9 reflects a new start for humanity and all living things as the creation mandate to “be fruitful and increase in number; fill the earth and subdue it,” first introduced in 1:28, is restated along with the reminder that humankind is made in God’s image (1:27). Bearing the image involves new responsibilities and stipulations in the postdiluvian era (9:2–6). There will be enmity between humans and animals, animals are now appropriate food, and yet lifeblood will be specially revered. God still requires accountability for just and discriminate shedding of blood and orderly relationships, as he has proved in the deluge, but now he relinquishes this responsibility to humankind. In return, God promises never to destroy all flesh again, and he will set the rainbow in the sky as a personal reminder. Like the covenant with Noah in 6:18, the postdiluvian covenant involves humankind fulfilling commands (9:1–7) and God remembering his covenant (9:8–17), specially termed “everlasting” (9:16).

The primeval commentary on humankind’s unabating sinful condition (e.g., 6:5; 8:21) proves true as Noah becomes drunk and naked and his son Ham (father of Canaan) shames him by failing to conceal his father’s negligence. Instead of multiplying, filling, and subduing the earth as God has intended, humankind collaborates to make a name for itself by building a sort of stairway to heaven within a special city (11:4). God foils such haughty plans by scattering the people across the earth and confusing their language. Expressed in an orderly chiastic structure, the story of the tower of Babel demonstrates that God condescends (11:5) to set things straight with humanity.

Patriarchs (Gen. 12–50)

Although the primeval history is foundational for understanding the rest of the Bible, more space in Genesis is devoted to the patriarchal figures Abraham, Isaac, Jacob, and Joseph. In general, the Abrahamic narrative spans chapters 12–25, the story of Isaac serves as a transition to the Jacob cycle of chapters 25–37, and the Joseph narrative finishes the book of Genesis in chapters 37–50.

The transition from the primeval history to the patriarchs (11:27–32) reveals how Abraham, the father of Israel, moves from the east and settles in Harran as the family ventures to settle in Canaan. In Harran, Abraham receives the call of God’s redemptive plan, which reverberates through Scripture. God will bless him with land, make him a great nation, grant him special favor, and use him as a conduit of blessings to the world (12:1–3). In 11:30 is the indication that the barrenness of Abraham’s wife (Sarah) relates to the essence of God’s magnificent promises. How one becomes great in name and number, secures enemy territory, and is to bless all peoples without a descendant becomes the compelling question of the Abrahamic narrative. The interchange between Abraham’s faith in God and his attempts to contrive covenant fulfillment colors the entire narrative leading up to chapter 22. It is there that Abraham’s faith is ultimately put to the test as God asks him to sacrifice the promised son, Isaac. Abraham passes God’s faith test, and a ram is provided to take Isaac’s place. This everlasting covenant that was previously sealed by the sign of circumcision is climactically procured for future generations through Abraham’s exemplary obedience (22:16–18; cf. 15:1–21; 17:1–27).

The patriarchal stories that follow show that the Abrahamic promises are renewed with subsequent generations (see 26:3–4; 28:13–14) and survive various threats to fulfillment. The story of Isaac serves mainly as a bridge to the Jacob cycle, as he exists primarily as a passive character in relation to Abraham and Jacob.

Deception, struggle, rivalry, and favoritism characterize the Jacob narrative, as first exemplified in the jostling of twin boys in Rebekah’s womb (25:22). Jacob supplants his twin brother, Esau, for the firstborn’s blessing and birthright. He flees to Paddan Aram (northern Mesopotamia), marries two sisters, takes their maidservants as concubines, and has eleven children, followed by a falling-out with his father-in-law. Jacob’s struggle for God’s blessing that began with Esau comes to a head in his wrestling encounter with God at Peniel. Ultimately, Jacob emerges victorious and receives God’s blessing and a name change, “Israel” (“one who struggles with God”). Throughout the Jacob story, God demonstrates his faithfulness to the Abrahamic covenant and reiterates the promises to Jacob, most notably at Bethel (chaps. 28; 35). The interpersonal strife of Jacob’s life is thus enveloped within a message of reconciliation not just with Esau (chap. 33) but ultimately with God. The reader learns from the episodes in Jacob’s life that although God works through the lives of weak and failing people, his promises for Israel remain secure.

Although Jacob and his family are already living in Canaan, God intends for them to move to Egypt and grow into a powerful nation before fulfilling their conquest of the promised land (see 15:13–16). The story of Joseph explains how the family ends up in Egypt at the close of Genesis. Joseph is specially loved by his father, which elicits significant jealousy from his brothers, who sell him off to some nomads and fabricate the alibi that he has been killed by a wild beast. Joseph winds up in Pharaoh’s household and eventually becomes his top official. When famine strikes Canaan years later, Joseph’s brothers go to Egypt to purchase food from the royal court, and Joseph reveals his identity to them in an emotional reunion. Jacob’s entire family moves to Egypt to live for a time in prosperity under Joseph’s care. The Joseph story illustrates the mysterious relationship of human decision and divine sovereignty (50:20).

Liberation from Egypt (Exod. 1–18)

Genesis shows how Abraham develops into a large family. Exodus shows how this family becomes a nation—enslaved, freed, and then taught the ways of God. Although it appears that Exodus continues a riveting story of God’s chosen people, it is actually the identity and power of God that take center stage.

Many years have passed since Joseph’s family arrived in Egypt. The Hebrews’ good standing in Egypt has also diminished as their multiplication and fruitfulness during the intervening period—just as God had promised Abraham (Gen. 17:4–8)—became a national threat to the Egyptians. Abraham’s family will spend time in Egyptian slavery before being liberated with many possessions in hand (cf. Gen. 15:13–14).

In the book of Exodus the drama of suffering and salvation serves as the vehicle for God’s self-disclosure to a single man, Moses. Moses is an Israelite of destiny even from birth, as he providentially avoids infant death and rises to power and influence in Pharaoh’s household. Moses never loses his passion for his own people, and he kills an Egyptian who was beating a fellow Hebrew. Moses flees to obscurity in the desert, where he meets God and his call to lead his people out of Egypt and to the promised land (3:7–8; 6:8). Like the days of Noah’s salvation, God has remembered his covenant with the patriarchs and responded to the groans of his people in Egypt (2:24; 6:4–5; cf. Gen. 8:1). God reveals himself, and his personal name “Yahweh” (“I am”), to Moses in the great theophany of the burning bush at Mount Horeb (Sinai), the same place where later he will receive God’s law. Moses doubts his own ability to carry out the task of confronting Pharaoh and leading the exodus, but God foretells that many amazing signs and wonders not only will make the escape possible but also will ultimately reveal the mighty nature of God to the Hebrews, Egypt, and presumably the world (6:7; 7:5).

This promise of creating a nation of his people through deliverance is succinctly conveyed in the classic covenant formula that finds significance in the rest of the OT: “I will take you as my own people, and I will be your God” (6:7). Wielding great power over nature and at times even human decision, God “hardens” Pharaoh’s heart and sends ten plagues to demonstrate his favor for his own people and wrath against their enemy nation. The tenth plague on the firstborn of all in Egypt provides the context for the Passover as God spares the firstborn of Israel in response to the placement of sacrificial blood on the doorposts of their homes. Pharaoh persists in the attempt to overtake the Israelites in the desert, where the power of God climaxes in parting the Red Sea (or Sea of Reeds). The Israelites successfully pass through, but the Egyptian army drowns in pursuit. This is the great salvation event of the OT.

The song of praise for God’s deliverance (15:1–21) quickly turns to cries of groaning in the seventy days following the exodus as the people of the nation, grumbling about their circumstances in the desert, quickly demonstrate their fleeting trust in the one who has saved them (Exod. 15:22–18:27). When a shortage of water and food confronts the people, their faith in God’s care proves shallow, and they turn on Moses. Even though the special marks of God’s protection have been evident in the wilderness through the pillars of cloud and fire, the angel of God, the provision of manna and quail, water from the rock, and the leadership of Moses, the nation continually fails God’s tests of trust and obedience (16:4; cf. 17:2; 20:20). Yet God continues to endure with his people through the leadership of Moses.

Sinai (Exod. 19:1–Num. 10:10)

Most of the pentateuchal narrative takes place at Mount Sinai. It is there that Israel receives national legislation and prescriptions for the tabernacle, the priesthood, feasts and festivals, and other covenantal demands for living as God’s chosen people. The eleven-month stay at Sinai takes the biblical reader through the center of the Pentateuch, covering approximately the last half of Exodus, all of Leviticus, and the first third of Numbers, before the nation leaves this sacred site and sojourns in the wilderness. Several key sections of the Pentateuch fall within the Sinai story: the Decalogue (Exod. 20:1–17), the Book of the Covenant (Exod. 20:22–23:33), the tabernacle prescriptions (Exod. 25–31), the tabernacle construction (Exod. 35–40), the manual on ritual worship (Lev. 1–7), and the Holiness Code (Lev. 17–27).

The events and instruction at Sinai are central to the Israelite religious experience and reflect the third eternal covenant that God establishes in the Pentateuch—this time with Israel, whereby the Sabbath is the sign (Exod. 31:16; cf. Noahic/rainbow covenant [Gen. 9:16] and the Abrahamic/circumcision covenant [Gen. 17:7, 13, 19]). The offices of prophet and priest develop into clear view in this portion of the Pentateuch. Moses exemplifies the dual prophetic function of representing the people when speaking with God and, in turn, God when speaking to the people. The priesthood is bestowed upon Aaron and his descendants in Exodus and inaugurated within one of the few narrative sections of Leviticus (Lev. 8–10). The giving of the law, the ark, the tabernacle, the priesthood, and the Sabbath are all a part of God’s making himself “known” to Israel and the world, which is a constant theme in Exodus (see, e.g., 25:22; 29:43, 46; 31:13).

The Israelites’ stay at Sinai opens with one of the greatest theophanies of the Bible: God speaks aloud to the people (Exod. 19–20) and then is envisioned as a consuming fire (Exod. 24). After communicating the Ten Commandments (“ten words”) directly to the people (Exod. 34:28; Deut. 4:13; 10:4), Moses mediates the rest of the detailed obligations that will govern the future life of the nation. The covenant is ratified in ceremonial fashion (Exod. 24), and the Israelites vow to fulfill all that has been spoken. God expects Israel to be a holy nation (Exod. 19:6) with whom he may dwell, but Moses descends Sinai only to find that the Israelites have already violated the essence of the Decalogue by fashioning a golden calf to worship as that which delivered them from Egypt (Exod. 32). This places Israel’s future and calling in jeopardy, but Moses intercedes for his people, and God graciously promises to preserve the nation and abide with it in his mercy, even while punishing the guilty. This becomes prototypical of God’s relationship with his people in the future (Exod. 34:6–7).

Exodus ends with the consecration of the tabernacle and the descent of God’s presence there. With the tent of worship in order, the priesthood and its rituals can be officially established. Leviticus reflects divine instructions for how a sinful people may live safely in close proximity to God. Holy living involves dealing with sin and minimizing the need for atonement, purification, and restitution. The sacrificial and worship system established in Leviticus is based on a worldview of order, perfection, and purity, which should characterize a people who are commanded, “Be holy because I, the Lord your God, am holy’ (Lev. 19:2; cf. 11:44–45; 20:26). With these rules in place, the Israelites can make final preparations to depart Sinai and move forward on their journey. Numbers 1–10 spans a nineteen-day period of such activities as the Israelites begin to focus on dispossessing their enemies. These chapters reflect a census of fighting men, the priority of purity, the dedication of the tabernacle, and the observance of the Passover before commencing the quest to Canaan.

Wilderness Journey (Num. 10:11–36:13)

The rest of the book of Numbers covers the remainder of a forty-year stretch of great peaks and valleys in the faith and future of the nation. Chapters 11–25 recount the various events that show the exodus generation’s lack of trust in God. Chapters 26–36 reveal a more positive section whereby a new generation prepares for the conquest. With the third section of Numbers framed by episodes involving the inheritance rights of Zelophehad’s daughters (27:1–11; 36:1–13), it is clear that the story has turned to the future possession of the land.

After the departure from Sinai, the narrative consists of a number of Israelite complaints in the desert. The Israelites have grown tired of manna and ironically crave the food of Egypt, which they recall as free fish, fruits, and vegetables. Having forgotten the hardship of life in slavery, about which they had cried out to God, now the nation is crying out for a lifestyle of old. Moses becomes so overwhelmed with the complaints of the people that God provides seventy elders, who, to help shoulder the leadership burden, will receive the same prophetic spirit given to Moses.

In chapters 13–14 twelve spies are sent out from Kadesh Barnea to peruse Canaan, but the people’s lack of faith to procure the land from the mighty people there proves costly. This final example of distrust moves God to punish and purify the nation. The unbelieving generation will die in the wilderness during a forty-year period of wandering.

The discontent in the desert involves not only food and water but also leadership status. Moses’ own brother and sister resent his special relationship with God and challenge his exclusive authority. Later, Aaron’s special high priesthood is threatened as another Levitical family (Korah) vies for preeminence. Through a sequence of signs and wonders, God makes it clear that Moses and Aaron have exclusive roles in God’s economy. Due to the deaths related to Korah’s rebellion and the fruitless staffs that represent the tribes of Israel, the nation’s concern about sudden extinction in the presence of a holy God is appeased through the eternal covenant of priesthood granted to Aaron’s family (chap. 18). He and the Levites, at the potential expense of their own lives and as part of their priestly service, will be held accountable for keeping the tabernacle pure of encroachers.

Even after the people’s significant rebellion and punishment, God continues to prove his faithfulness to his word. Hope is restored for the nation as the Abrahamic promises of blessing are rehearsed from the mouth of Balaam, a Mesopotamian seer. The Israelites will indeed one day be numerous (23:10), enjoy the presence of God (23:21), be blessed and protected (24:9), and have a kingly leader (24:17). This wonderful mountaintop experience of hope for the exodus generation is tragically countered by an even greater event of apostasy in the subsequent scene. Reminiscent of the incident of the golden calf, when pagan revelry in the camp had foiled Moses’ interaction with God on Sinai, apostasy at the tabernacle undermines Balaam’s oracles of covenant fulfillment. Fornication with Moabite women not only joins the nation to a foreign god but also betrays God’s holiness at his place of dwelling. If not for the zeal of Aaron’s grandson Phinehas, who puts an end to the sin, the ensuing plague could have finished the nation. For his righteous action, Phinehas is awarded an eternal priesthood and ensures a future for the nation and Aaron’s priestly lineage.

In chapter 26 a second census of fighting men indicates that the old, unbelieving exodus generation has officially died off (except for Joshua and Caleb), and God is proceeding with a new people. God dispossesses the enemies of the new generation; reinstates the tribal boundaries of the land; reinstates rules concerning worship, service, and bloodshed; and places Joshua at the helm of leadership. Chapters 26–36 mention no deaths or rebellions as the nation optimistically ends its journey in Moab, just east of the promised land.

Moses’ Farewell (Deuteronomy)

Although one could reasonably move into the historical books at the end of Numbers, much would be lost in overstepping Deuteronomy. Deuteronomy presents Moses’ farewell speeches as his final words to a nation on the verge of Caanan. Moses’ speeches are best viewed as sermons motivating his people to embrace the Sinai covenant, love their God, and choose life over death and blessings over cursings (30:19). Moses reviews the desert experience since Mount Horeb/Sinai (chaps. 1–4) and recapitulates God’s expectations for lawful living in the land (chaps. 5–26). The covenant code is recorded on a scroll, is designated the “Book of the Law” (31:24–26), and is to be read and revered by the future king. Finally, Moses leads the nation in covenant renewal (chaps. 29–32) before the book finishes with an account of his death (chaps. 33–34), including tributes such as “since then, no prophet has risen in Israel like Moses, whom the Lord knew face to face” (34:10).

Deuteronomy reflects that true covenant faithfulness is achieved from a right heart for God. If there were any previous doubts about the essence of covenant keeping, Moses eliminates such in Deuteronomy with the frequent use of emotive terms. Loving God involves committing to him alone and spurning idols and foreign gods. The Ten Commandments (chap. 5) are not a list of stale requirements; they reflect the great Shema with the words “Love the Lord your God with all your heart and with all your soul and with all your strength. These commandments that I give you today are to be upon your hearts” (6:5–6). God desires an unrivaled love from the nation, not cold and superficial religiosity.

Obedience by the Israelites will incur material and spiritual blessing, whereas disobedience ends in the loss of both. Although Moses strongly commends covenant obedience, and the nation participates in a covenant-renewal ceremony (chap. 27), it is clear that in the future the Israelites will fail to uphold their covenant obligations and will suffer the consequences (29:23; 30:1–4; 31:16–17). Yet Moses looks to a day when the command for circumcised hearts (10:16) will be fulfilled by the power of God himself (30:6). In the future a new king will arise from the nation (17:14–20) as well as a prophet like Moses (18:15–22). Deuteronomy thus underscores the extent of God’s own devotion to his patriarchal promises despite the sinful nature of his people.

For much of the middle and end of the twentieth century, Deuteronomy has received a significant amount of attention for its apparent resemblance in structure and content to ancient Hittite and Assyrian treaties. Scholars debate the extent of similarity, but it is possible that Deuteronomy reflects a suzerain-vassal treaty form between Israel and God much like the common format between nations in the ancient Near East. Although comparative investigation of this type can be profitable for interpretation, it is prudent to be conservative when outlining direct parallels, since Deuteronomy is not a legal document but rather a dramatic narrative of God’s redemptive interaction with the world.

(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 of the stopping points for the Israelites during their desert wanderings (Num. 33:42–43). The site usually is identified with modern Khirbet Feinan in the Wadi Arabah, an area famed in antiquity as a copper-mining district. Mining occurred at this site as early as the Chalcolithic period (4500–3500 BC), then in the Early Bronze period (3500–2250 BC) and the Iron Age (1200–586 BC), through the Roman period. This is attested archaeologically by the presence of numerous copper mines and smelting sites. During the OT period, many of these locations likely belonged to the Edomites, since the area was in ancient Edom. Interestingly, the incident in which Moses makes a snake out of bronze is placed at about the same time the Israelites stopped here (Num. 21:4–9).

Terminology. The modern scientific category of reptiles (air-breathing, cold-blooded vertebrates) has no precise equivalent in the biblical vocabulary. The Hebrews described creatures by the way they moved, as “crawling things” (zakhal [Deut. 32:24; Mic. 7:17]), “creeping things” (remes [Gen. 1:25–26]), and “swarming things” (sherets [Gen. 7:21]). All these terms, which probably overlapped, included both reptiles and small mammals.

Nakhash (e.g., Gen. 3) is the commonest general term for snakes and other reptiles. Rarer terms are tannin (translated “snake” in Exod. 7:9, but more usually meaning a mythical “dragon”) and sarap (used, on its own or qualifying nakhash, of the fiery serpents in Num. 21:6, 8; Isa. 14:29; 30:6). In Greek, herpeton (Acts 10:12; 11:6; Rom. 1:23; James 3:7) includes snakes and lizards, while the generic word for snake is ophis (e.g., Matt. 7:10).

Besides these general terms, Scripture mentions the following: (1) the crocodile (liwyatan) found in Egypt and Israel and sometimes portrayed in poetry as a mythical monster (Job 3:8; 41:1; Pss. 74:14; 104:26; Isa. 27:1); (2) a variety of lizards, probably including geckos, skinks, and chameleons (Lev. 11:29, 30; Prov. 30:28); (3) a variety of poisonous snakes, including the cobra, or asp (Deut. 32:33; Rom. 3:13), and the viper, or adder (Isa. 59:5; Acts 28:3).

Although tortoises are common in the Middle East, the KJV translation of the Hebrew word tsab as “tortoise” in Lev. 11:29 almost certainly is wrong. However, since at least eighty kinds of reptile are found in Israel, precise identifications beyond this are difficult.

Reptiles in the Bible. The snake is an important image in Scripture. It is a snake that tempts Adam and Eve (Gen. 3:1; 2 Cor. 11:3), and in the first promise of salvation God says that the seed of woman will crush the snake’s head (Gen. 3:15). From that moment, the snake is condemned to crawl on its belly and eat dust (Gen. 3:14; Isa. 65:25).

All such crawling creatures were unclean in OT law (Lev. 11:29–31). Although some Middle Eastern snakes are nonpoisonous, the OT always portrays snakes as harmful as well as unclean (Deut. 8:15; 32:24, 33; Job 20:14, 16; Eccles. 10:8, 11; Isa. 30:6; Amos 5:19; Matt. 7:10; Luke 11:11). Because the venom was associated with the snake’s tongue, the snake was a symbol of treacherous, lying speech as well as of physical danger (Gen. 49:17; Pss. 58:4; 140:3; Prov. 23:32; Isa. 14:29; Jer. 8:17; 51:34; Matt. 23:33; Rev. 9:19), shrewdness (Matt. 10:16), and degradation (Mic. 7:17). For snakes to be rendered harmless was a sign of divine intervention (Ps. 91:13) and of the messianic age (Isa. 11:8; Luke 10:19; Mark 16:18). Paul and John identify the snake in Eden with Satan and look forward to his total destruction in the last days (Rom. 16:20; Rev. 12:9–17; 20:2–3).

Snakes feature three times in biblical miracles. First, Aaron’s rod was transformed into a serpent that, when Pharaoh’s magicians replicated the feat, devoured the magicians’ serpents (Exod. 7:10–15; cf. 4:3–4). This would have impressed Pharaoh all the more because the snake was a symbol of the pharaoh’s power. Second, when God sent poisonous snakes to punish the Israelites, who repented, God told Moses to set up a bronze snake on a pole; anyone who looked at the bronze snake (which only much later became an object of idolatry) was saved (Num. 21:6–9; 2 Kings 18:4). This prefigured the cross, on which Christ became a curse for us (John 3:14; 1 Cor. 10:9; Gal. 3:10). Third, Paul was bitten by a snake and suffered no harm (Acts 28:3–6).

Seraphim appear in Isa. 6:2, 6. The prophet sees God on his throne, and over him fly the seraphim. They have six wings: with two they cover their faces, with two they cover their feet, and with two they fly. The Hebrew word sarap means “to burn”; thus, the serapim are “burning ones” (cf. sarap in Num. 21:6, 8; Deut. 8:15; Isa. 14:29; 30:6 in reference to venomous serpents). They are living bolts of lightning, and their cries of “Holy, Holy, Holy,” are peals of thunder, which shake the heavenly temple and fill it with smoke.

(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 symbol is that which stands for something beyond itself. It is usually something material that represents something immaterial, either visually or conceptually. The implied comparison that a symbol presents is far more universal in association than that of a metaphor. The Bible is replete with symbols, using a person, place, number, action, event, object, or image to point beyond itself to reality. As such, symbol is a powerful vehicle of communication, and it is a common feature of all religions. But a symbol may not always reveal the significance to which it refers, since the reality that it represents may not always be apparent. A symbol is conditioned by the culture, history, and context in which it is situated and is capable of multiple meanings. Thus, to fully appreciate the significance that a symbol connotes, interpreters must pay careful attention to its linguistic and cultural-historical background.

Examples of the symbolic presence of God are plentiful in the Bible. In the OT, the rainbow was viewed as a symbol of God’s covenantal promise to preserve his created being (Gen. 9:13). The bronze serpent made by Moses symbolized God’s healing and wisdom (Num. 21:9). In Israelite worship the altar symbolized the meeting place of God; the ark, the presence of God; and the temple, the divine abode. Similarly, priestly vestments were symbolic, from the rope to the ephod to the turban, which made the priest himself the extension of God’s presence. In the NT, Christ’s incarnation made visible the presence of God. Christ is not a symbol, for he is the image of God. Many Christians understand the Lord’s Supper to symbolize Christ’s presence. The cross and the fish (ichthys, which in Greek is an anagram for “Jesus Christ, Son of God, Savior”) are two remarkable symbols, both representing the Christian faith in church history.

Symbolic actions are common in the Bible. Certain actions introduce new meaning beyond their immediate contexts. In the OT, for example, an Israelite slave allowed his owner to pierce his ear to symbolize his total and permanent slavery (Exod. 21:6). Also, the surrendering of a shoe symbolized the surrendering of all personal rights of inheritance (Ruth 4:7). In the OT, circumcision was a symbol of the covenant that God made with Abraham (Gen. 17:1–14) and of initiation into the covenant community (Ezek. 28:10; 31:18; 32:19). In the NT, this symbolic meaning is described by new actions. Water baptism had become a ritual symbol of the new covenant (Col. 2:11) and of incorporation into the Christian community (1 Cor. 12:13). Also, the prophetic messages were told in symbols. The prophets performed actions to reveal the will and message of God (Isa. 20:2; Jer. 13; Ezek. 4:1–3; Acts 21:10–11). In the NT, the miracles of Jesus were not simply deeds of sympathy; they demonstrated the coming of the kingdom of God (Luke 9:11).

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

Description

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

The area of Bashan, with mountains to the north, is largely a fertile plain known in the OT for its well-fed cattle and large oak trees (Ps. 22:12; Isa. 2:13; Ezek. 27:6). South of Bashan, between the Yarmuk and the Jabbok (modern Nahr ez-Zerqa) rivers, the hills of Gilead rise to more than three thousand feet and were known for their rich pastureland (Num. 32:1). Although Gilead’s boundaries are defined here as between the Yarmuk and the Jabbok, it should be noted that in the OT “Gilead” occasionally referred to a region extending beyond these two rivers. This larger area is also roughly equivalent to the district called “Perea” by the first-century AD Jewish historian Josephus. South of Gilead, between the Jabbok and the Arnon (modern Seil el-Mojib) rivers lay the country of Ammon, although the political borders of this region were also somewhat fluid. Between the Arnon River and the Zered River (probably modern Wadi el-Hesa) lay the country of Moab, with a well-watered plateau rising to about 3,200 feet. This area was highly suitable for raising sheep (2 Kings 3:4). From the Zered River southward to the Gulf of Aqaba, the mountains of Edom rise to about 5,500 feet above sea level.

History

Biblical mention of Transjordan begins in Gen. 13, when Lot saw the fertile valley of the Jordan and chose to settle in Sodom. Although Sodom’s exact location is unknown, it may have been near the Dead Sea. Similarly, the battle of five kings against Kedorlaomer and his allies, which took place in the Valley of Siddim, may have been located near the south end of the Dead Sea (Gen. 14). Later, Jacob’s flight from Laban took him to the hill country of Gilead and eventually to the bank of the Jabbok River, where he wrestled with the angel (Gen. 31:22–25; 32:22–32).

Transjordan took center stage in the events following Israel’s exodus from Egypt. When the Israelites left Kadesh Barnea in Sinai, Moses requested passage through Edom on the King’s Highway, but the Edomite king refused (Num. 20:14–21). So the Israelites took a more easterly route, along the edge of the desert bordering Transjordan, thus bypassing both Edom and Moab (Num. 21). When they reached the Arnon River and attempted to rejoin the King’s Highway, Sihon king of the Amorites refused them passage and engaged them in battle, only to lose his territory to the Israelites (Num. 21:21–32). The Israelites continued farther north to Bashan, where they fought successfully against Og king of Bashan and claimed his land as well (Num. 21:33–35). When Balak king of Moab heard news of Israel’s victories, he feared for his own country and hired Balaam to curse Israel. However, by God’s prompting, Balaam blessed Israel and cursed Moab instead (Num. 22–23).

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

Despite the Israelites’ victories over Sihon and Og and their settlement of Transjordan, hostilities continued between Israel and the remaining inhabitants of the land. Jephthah, for example, a Gileadite, fought successfully against the Ammonites, who wanted their land returned to them (Judg. 11:1–34). Saul also successfully fought the Ammonites when they threatened the town of Jabesh Gilead (1 Sam. 11:1–14). Saul’s courage won the gratitude of the town’s inhabitants, and it was they who later recovered Saul’s body from Beth Shan after the Philistines killed him (1 Sam. 31:7–13). During David’s reign, Israel’s territory was expanded throughout Transjordan from Damascus in the north and through Edom in the south (2 Sam. 8:1–14).

Solomon’s reign and the period of the divided kingdom saw ongoing struggles for control over the regions of Transjordan. Damascus, for example, gained independence during Solomon’s reign (1 Kings 11:23–25), and later Hazael of Syria (r. 842–806 BC) extended the Aramean Empire through Bashan and into Gilead (2 Kings 10:32–33). Later Jehoash and Jeroboam II of Israel were able to recapture this territory (2 Kings 13:25; 14:28). And when Ahab of Israel died, Mesha of Moab, who had been paying tribute to Israel, rebelled. This rebellion prompted Jehoram of Israel to invade and attempt to reassert control over Moab, but he was unsuccessful (2 Kings 3).

In 733/732 BC the Assyrian king Tiglath-pileser III annexed the northern parts of Trans-jor-dan, while Ammon, Moab, and Edom remained semiautonomous, likely paying tribute. The Babylonian and Persian empires also extended throughout Transjordan.

During the Hellenistic and Roman periods (332 BC–AD 324), Transjordan was controlled by the Ptolemies (c. 333–198 BC), the Seleucids (c. 198–153 BC), the Hasmoneans (c. 153–63 BC), and then the Romans. This era saw the emergence of the Decapolis, a confederation of ten cities settled by Greeks, nine of which were located east of the Jordan. The Romans continued dominance through the Byzantine period (AD 324–638).

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

When the Israelites grumbled in the wilderness, God sent “venomous [lit., “burning”; Heb. serapim] snakes” that bit the people (Num. 21:4–9; cf. KJV: “fiery serpents”). In response to Moses’ prayer on their behalf, God commanded Moses to make a sarap and put it on a pole; the people who looked at it would live. Moses made a bronze serpent. Because the people worshiped the bronze serpent, Hezekiah destroyed it (2 Kings 18:4). Jesus likened the bronze serpent lifted up in the wilderness to the Son of Man being lifted up (John 3:14). From a human perspective, both a serpent and a crucified messiah were unlikely objects of faith.

“Burning snake” appears in Deut. 8:15 (NIV: “venomous snakes”); the burning aspect may refer to the effects of the venom. Isaiah employed the image of a “flying” venomous snake in referring to Ahaz’s successor (Isa. 14:29 KJV; NIV: “darting”). Serapim appeared in Isaiah’s vision of the supernatural winged creatures flying above the throne of God; one brought a burning coal to touch Isaiah’s lips (Isa. 6:2–6). See also Seraphim.

In the biblical account of the exodus, Israel’s departure from Egypt begins in Exod. 12:37. The original intention was for the Israelites to go to Mount Sinai to receive the law and instructions for the tabernacle and then to proceed to Canaan. But Israel’s trip was not to be quite that simple. Because of the Israelites’ disobedience in the desert, they were condemned to a forty-year period of wilderness wandering, enough time for those twenty years of age or older during the rebellion to die in the wilderness (see Num. 14, which describes what is actually the final rebellion in a series of grumbling incidents that go back to Exod. 15:22–27).

Technically, the wilderness period began immediately after the crossing of the Red Sea. The Israelites passed through the Desert of Shur, the Desert of Sin, Rephidim, and then Sinai itself. These locations, however, were only stations on the way to Sinai, and so they do not pertain to the specific forty-year period of punishment, which begins in Num. 14. Their wandering period would not be officially over until they crossed the Jordan River and entered Canaan (Josh. 3:17).

Mapping the Route

The wilderness wandering, like the exodus and the passage through the Red Sea, are very difficult to outline precisely from a geographical and archaeological point of view. Many of the places named in the lists have not been located. Moreover, the two itinerary lists, one in Num. 33 and the other at various points in Num. 11–22, do not agree on every point. Although the two lists do not directly conflict, Num. 33 includes many more sites than Num. 11–22 and leaves out relatively few. One reason for this difference may be that only Num. 33 is actually intended to be an itinerary, whereas the sites mentioned elsewhere in Numbers are injected in the course of a narrative.

What contributes to difficulties in locating the wilderness route is that biblical names are not those used today, not to mention that many of these places no longer exist at all. Moreover, similarities between some names then and now have no necessary bearing on the issue. Also, it seems that at least some of the biblical names are symbolic. For example, “Meribah” means “quarreling,” and “Massah” means “testing.” These names seem to reflect the events recorded in Exod. 17 rather than being original names.

One of the most contested issues concerning the wilderness wandering is where it began: the location of Mount Sinai. It is commonly accepted that this mountain is located somewhere in the Sinai Peninsula, although numerous places have been suggested. Best known, perhaps, is Jebel Musa, the location of St. Catherine’s monastery, located in the southern portion of the peninsula. This is based not so much on historical evidence, however, as on church tradition. Another theory puts Mount Sinai in the eastern portion of the peninsula, near Midian. One factor in favor of this theory is that Moses first met God on Mount Sinai when he was living in Midian (with Zipporah, his wife, and Jethro, his father-in-law). According to Exod. 3:1, Moses left Jethro’s house to tend his sheep and it was on this journey that he came to Mount Sinai for the first time. Unless one presumes that he herded the sheep over one hundred miles in a southwesterly direction, into the desert, one might conclude that Mount Sinai is perhaps a more reasonable distance from Midian. But as with all theories regarding Sinai’s location, conclusive evidence is lacking.

Reminder of Rebellion and Its Consequences

Interest in the wilderness wanderings, however, extends beyond understanding ancient geography. There is also a powerful theological dimension, and this seems to be of greater importance for biblical writers. Wandering in the wilderness is Israel’s punishment for disobedience and rebellion. As such, it stands as a reminder for later Israelites to encourage them not to repeat that mistake. Indeed, the events of Numbers are not recounted merely to catalog arcane events but are preserved in writing to be a reminder for subsequent generations.

Israel’s wilderness experience is referenced in various portions of the OT. The rebellion is mentioned in Ps. 106:14, 26, and wilderness is associated with a place of death. Elsewhere the desert represents a place of God’s protection and provision for the new generation of Israelites living in the desert (Deut. 8:15–16; 29:5; 32:10; Ps. 136:16; Hos. 13:5).

Another example of a later appropriation of the wilderness tradition is found in Ps. 95, where the Israelites, perhaps in an exilic setting, are warned not to rebel as the exodus generation did (vv. 7–11). This same warning of Ps. 95 is picked up by the writer of Hebrews and applied to the church (Heb. 3:1–4:13). The author argues that since a greater mediator than Moses has come, the past warning holds all the more as the church goes through its period of wilderness wandering (which lasts until the church’s entrance into its heavenly promised land). The main difference Hebrews introduces is that the church’s period of wilderness wandering is not characterized by God’s wrath but rather is a time of God’s activity in redeeming the world.

In the biblical account of the exodus, Israel’s departure from Egypt begins in Exod. 12:37. The original intention was for the Israelites to go to Mount Sinai to receive the law and instructions for the tabernacle and then to proceed to Canaan. But Israel’s trip was not to be quite that simple. Because of the Israelites’ disobedience in the desert, they were condemned to a forty-year period of wilderness wandering, enough time for those twenty years of age or older during the rebellion to die in the wilderness (see Num. 14, which describes what is actually the final rebellion in a series of grumbling incidents that go back to Exod. 15:22–27).

Technically, the wilderness period began immediately after the crossing of the Red Sea. The Israelites passed through the Desert of Shur, the Desert of Sin, Rephidim, and then Sinai itself. These locations, however, were only stations on the way to Sinai, and so they do not pertain to the specific forty-year period of punishment, which begins in Num. 14. Their wandering period would not be officially over until they crossed the Jordan River and entered Canaan (Josh. 3:17).

Mapping the Route

The wilderness wandering, like the exodus and the passage through the Red Sea, are very difficult to outline precisely from a geographical and archaeological point of view. Many of the places named in the lists have not been located. Moreover, the two itinerary lists, one in Num. 33 and the other at various points in Num. 11–22, do not agree on every point. Although the two lists do not directly conflict, Num. 33 includes many more sites than Num. 11–22 and leaves out relatively few. One reason for this difference may be that only Num. 33 is actually intended to be an itinerary, whereas the sites mentioned elsewhere in Numbers are injected in the course of a narrative.

What contributes to difficulties in locating the wilderness route is that biblical names are not those used today, not to mention that many of these places no longer exist at all. Moreover, similarities between some names then and now have no necessary bearing on the issue. Also, it seems that at least some of the biblical names are symbolic. For example, “Meribah” means “quarreling,” and “Massah” means “testing.” These names seem to reflect the events recorded in Exod. 17 rather than being original names.

One of the most contested issues concerning the wilderness wandering is where it began: the location of Mount Sinai. It is commonly accepted that this mountain is located somewhere in the Sinai Peninsula, although numerous places have been suggested. Best known, perhaps, is Jebel Musa, the location of St. Catherine’s monastery, located in the southern portion of the peninsula. This is based not so much on historical evidence, however, as on church tradition. Another theory puts Mount Sinai in the eastern portion of the peninsula, near Midian. One factor in favor of this theory is that Moses first met God on Mount Sinai when he was living in Midian (with Zipporah, his wife, and Jethro, his father-in-law). According to Exod. 3:1, Moses left Jethro’s house to tend his sheep and it was on this journey that he came to Mount Sinai for the first time. Unless one presumes that he herded the sheep over one hundred miles in a southwesterly direction, into the desert, one might conclude that Mount Sinai is perhaps a more reasonable distance from Midian. But as with all theories regarding Sinai’s location, conclusive evidence is lacking.

Reminder of Rebellion and Its Consequences

Interest in the wilderness wanderings, however, extends beyond understanding ancient geography. There is also a powerful theological dimension, and this seems to be of greater importance for biblical writers. Wandering in the wilderness is Israel’s punishment for disobedience and rebellion. As such, it stands as a reminder for later Israelites to encourage them not to repeat that mistake. Indeed, the events of Numbers are not recounted merely to catalog arcane events but are preserved in writing to be a reminder for subsequent generations.

Israel’s wilderness experience is referenced in various portions of the OT. The rebellion is mentioned in Ps. 106:14, 26, and wilderness is associated with a place of death. Elsewhere the desert represents a place of God’s protection and provision for the new generation of Israelites living in the desert (Deut. 8:15–16; 29:5; 32:10; Ps. 136:16; Hos. 13:5).

Another example of a later appropriation of the wilderness tradition is found in Ps. 95, where the Israelites, perhaps in an exilic setting, are warned not to rebel as the exodus generation did (vv. 7–11). This same warning of Ps. 95 is picked up by the writer of Hebrews and applied to the church (Heb. 3:1–4:13). The author argues that since a greater mediator than Moses has come, the past warning holds all the more as the church goes through its period of wilderness wandering (which lasts until the church’s entrance into its heavenly promised land). The main difference Hebrews introduces is that the church’s period of wilderness wandering is not characterized by God’s wrath but rather is a time of God’s activity in redeeming the world.