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Translation
King James Version
The living, the living, he shall praise thee, as I do this day: the father to the children shall make known thy truth.
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KJV (with Strong's)
The living H2416, the living H2416, he shall praise H3034 thee, as I do this day H3117: the father H1 to the children H1121 shall make known H3045 thy truth H571.
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Complete Jewish Bible
The living, the living - they can thank you, as I do today; fathers will make their children know about your faithfulness.
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Berean Standard Bible
The living, only the living, can thank You, as I do today; fathers will tell their children about Your faithfulness.
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American Standard Version
The living, the living, he shall praise thee, as I do this day: The father to the children shall make known thy truth.
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World English Bible Messianic
The living, the living, he shall praise you, as I do this day. The father shall make known your truth to the children.
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Geneva Bible (1599)
But the liuing, the liuing, he shall confesse thee, as I doe this day: the father to the children shall declare thy trueth.
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Young's Literal Translation
The living, the living, he doth confess Thee.
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Study This Verse

SUMMARY

Isaiah 38:19 stands as a profound declaration from King Hezekiah's psalm of thanksgiving, composed after God miraculously extended his life. This verse powerfully articulates the primary purpose of continued human existence: to actively praise and worship God in the land of the living. Simultaneously, it underscores the vital intergenerational responsibility of parents and the community of faith to faithfully transmit divine truth, the knowledge of God's character, and His saving acts to their children, thereby ensuring a living legacy of faith and worship for generations to come.

CONTEXT

  • Literary Context: This verse is deeply embedded within Hezekiah's personal psalm of thanksgiving, recorded in Isaiah 38:9-20, which immediately follows the narrative of his miraculous recovery from a terminal illness. The prophet Isaiah had delivered a dire message from the Lord, stating that Hezekiah would die (Isaiah 38:1). In profound distress, Hezekiah turned to the Lord in fervent prayer, appealing to God's faithfulness and reminding Him of his upright walk (Isaiah 38:3). In response to this heartfelt plea, God, through Isaiah, miraculously promised to add fifteen years to his life and deliver Jerusalem from the impending Assyrian threat (Isaiah 38:5). The psalm, therefore, is Hezekiah's heartfelt expression of gratitude, reflecting on the stark contrast between the silence and inactivity of the grave and the vibrant capacity for praise and worship granted by renewed life. Verse 19 specifically encapsulates his solemn commitment to utilize his extended life for God's glory and to ensure the continuation of God's praise and truth through future generations.
  • Historical & Cultural Context: King Hezekiah reigned over Judah during a tumultuous period (c. 715-686 BC), a time marked by the formidable and expanding threat of the Assyrian Empire. His severe illness occurred around the time of Sennacherib's siege of Jerusalem (701 BC), adding a layer of national anxiety and existential threat to his personal crisis. In ancient Israelite thought, life was considered a supreme blessing and gift from God, a sphere for active relationship and service. Conversely, death, particularly premature death, was often viewed as a tragic cessation of one's ability to praise God in the land of the living. The grave, or Sheol, was understood as a shadowy realm of silence and inactivity, where direct praise of God ceased (Psalm 6:5 and Psalm 115:17). Therefore, Hezekiah's recovery was not merely a physical healing but a profound theological affirmation of God's sovereign power, faithfulness, and covenant loyalty. It restored his capacity to fulfill his kingly and spiritual duties, including leading his people in worship and ensuring the continuity of God's covenant truth and the nation's spiritual heritage.
  • Key Themes: Isaiah 38:19 contributes significantly to several overarching themes within the book of Isaiah and the broader Old Testament. Firstly, it powerfully highlights the privilege and purpose of life, emphasizing that the gift of continued existence is fundamentally for the active praise and worship of God. Hezekiah's personal experience profoundly underscores that life, unlike the silence of death, provides the essential arena for expressing gratitude, devotion, and obedience to the Creator. Secondly, the verse articulates the crucial theme of intergenerational transmission of truth. The mandate for "the father to the children" to make known God's truth reflects the ancient Israelite emphasis on diligently passing down the covenant, God's laws, His mighty acts, and His character from one generation to the next. This foundational principle is eloquently expressed in the Shema (Deuteronomy 6:7), ensuring the continuity of faith and the preservation of God's redemptive history. Finally, Hezekiah's psalm, culminating in this verse, serves as a powerful testament to God's faithfulness and sovereign power to deliver and restore, even in the face of death. This reinforces the pervasive theme of divine intervention, covenant loyalty, and God's ultimate control over life and death, which resonates throughout the prophetic message of Isaiah (Isaiah 40:8).

EXPOSITION AND ANALYSIS

Key Word Analysis

  • Living (Hebrew, chay', H2416): This word (H2416), derived from a root meaning "to be hot," signifies being "alive," "fresh," or "strong." Its emphatic repetition ("The living, the living") in the verse underscores the vibrant, active state of existence, contrasting sharply with the inertness and silence of death (Sheol). It refers to those who possess breath, vitality, and consciousness, capable of engaging in active and meaningful praise. Hezekiah emphasizes that only those who are chay can truly fulfill the purpose of praising God in the earthly realm, making life the prerequisite for worship.
  • Praise (Hebrew, yâdâh', H3034): The verb (H3034) literally means "to use (i.e., hold out) the hand." While it can refer to physical actions like throwing, its more significant usage, as here, is "to revere or worship (with extended hands)," "to confess," or "to give thanks." Hezekiah's use of yâdâh implies a full-bodied, expressive, and public act of thanksgiving and adoration, a heartfelt acknowledgment of God's goodness and power, especially in light of his miraculous healing. It is a confession of God's saving work demonstrated through his very life.
  • Truth (Hebrew, ʼemeth', H571): This noun (H571) is contracted from the root ʼâman (to be firm, trustworthy, faithful). It denotes "stability," "certainty," "faithfulness," and "trustworthiness." In this verse, "thy truth" refers not merely to factual accuracy but to God's inherent reliability, His unshakeable covenant faithfulness, and the dependable nature of His character and promises, particularly as demonstrated in His saving acts, such as Hezekiah's miraculous deliverance from death. It is the dependable reality of God's being and His consistent dealings with humanity that is to be transmitted.

Verse Breakdown

  • "The living, the living, he shall praise thee, as I [do] this day:" This opening clause is a powerful and deeply personal declaration of purpose. The emphatic repetition of "the living" (chay, chay) highlights the unique and precious capacity of those who are alive to engage in active worship and thanksgiving. Hezekiah, having been brought back from the very brink of death, understands this privilege profoundly. His own restored life is presented as a living testament to God's power and grace, and he commits to using this renewed existence for the explicit purpose of praising God. This praise is not merely a passive state but an active, ongoing expression of gratitude and adoration, mirroring the very praise and thanksgiving he is offering in this psalm. It underscores that life's ultimate purpose is to glorify the Giver of life.
  • "the father to the children shall make known thy truth." This second clause transitions from Hezekiah's personal commitment to a broader, intergenerational responsibility. It establishes a divine mandate for the transmission of spiritual heritage. "The father" represents the current generation, particularly those entrusted with the knowledge and experience of God's faithfulness and His mighty acts. "The children" are the future generations, who must receive and preserve this vital spiritual legacy. The phrase "shall make known" (from yâdaʻ, to know, to cause to know, to instruct) implies active, intentional instruction, demonstration, and proclamation. The object of this teaching is "thy truth" (ʼemeth), encompassing God's reliable character, His covenant promises, and His mighty acts of salvation, as profoundly exemplified by Hezekiah's own deliverance. This ensures that the praises of God continue beyond a single lifetime, perpetuating His renown through the ages.

Literary Devices

The verse employs several impactful literary devices that enhance its meaning and emotional weight. Repetition is prominently featured in "The living, the living" (chay, chay), which serves as a powerful form of Emphasis, underscoring the profound significance and unique capacity of those who are alive to praise God. This creates a stark Contrast with the silence and inactivity traditionally associated with the dead in Sheol, thereby highlighting life as the exclusive sphere of active worship and thanksgiving. The phrase "as I [do] this day" functions as both a Simile and a Personal Testimony, grounding the universal principle of praise in Hezekiah's immediate, lived experience of miraculous divine deliverance. Furthermore, the phrase "the father to the children" utilizes Synecdoche, where "father" represents the preceding generation and "children" the succeeding one, symbolizing the broader and crucial principle of Intergenerational Transmission of faith and divine truth. The entire verse, as an integral part of Hezekiah's psalm of thanksgiving, functions as a solemn Vow of Thanksgiving, a public and heartfelt promise made to God in direct response to His gracious and life-saving intervention.

THEOLOGICAL AND THEMATIC CONNECTIONS

Isaiah 38:19 powerfully articulates the core theological truth that human life, particularly life redeemed and sustained by God, is fundamentally purposed for His praise and the propagation of His truth. Hezekiah's profound experience underscores that God's acts of salvation are not merely for individual benefit but are meant to be proclaimed, serving as enduring testimonies to His faithfulness for all generations. This commitment to intergenerational teaching is a foundational principle of biblical faith, ensuring that the covenant relationship with God and the knowledge of His character are preserved and passed down, thereby maintaining a living chain of worshipers. It highlights the dynamic nature of faith, which is both personally experienced and communally transmitted, ultimately glorifying God through time and across generations.

REFLECTION AND APPLICATION

Hezekiah's experience in Isaiah 38:19 offers timeless and profound principles for believers today, reminding us that life itself is a sacred gift, not merely for self-fulfillment, but primarily as an opportunity to glorify God. His miraculously renewed life became a living testament to God's power and faithfulness, prompting him to commit to a life of active praise and the diligent transmission of divine truth. This challenges us to deeply consider how we are stewarding our own lives: Are we actively using our days, our abilities, and our very breath to praise God, not just in formal worship, but in every aspect of our being, through our words, actions, and attitudes? Do we truly recognize the profound privilege of being alive and capable of knowing, loving, and declaring God's character and His mighty deeds? Furthermore, the verse places a weighty and solemn responsibility on every generation to faithfully pass on the knowledge of God's truth, His character, and His saving acts to the next. This isn't just a duty for biological parents, but for all who have received God's truth—spiritual mentors, church leaders, and the entire community of faith—to nurture, teach, and live out a vibrant, authentic faith that inspires future generations to know, love, and praise Him. Our lives, like Hezekiah's, should be living sermons, making known the enduring and transforming truth of God to a world desperately in need.

Questions for Reflection

  • In what tangible ways does my daily life reflect a conscious commitment to praise God, mirroring Hezekiah's vow?
  • How am I actively participating in making God's "truth" known to the next generation, whether within my family, church community, or broader sphere of influence?
  • What specific "truth" about God, learned from my own personal experiences of His faithfulness and deliverance, can I intentionally share with others today?
  • If my life were miraculously extended, what would be my renewed and primary purpose for God's glory?

FAQ

Why is "the living" repeated twice in this verse?

Answer: The repetition of "the living, the living" (Hebrew: chay, chay) is a powerful literary device known as reduplication or emphasis. It serves to intensify the meaning and highlight the profound contrast between the state of being alive and the state of death (Sheol), where praise was traditionally believed to cease (Psalm 115:17). Hezekiah, having faced imminent death and experienced a miraculous reprieve, underscores with great passion that only those who possess life and breath can actively and consciously engage in praising God. This repetition emphasizes the preciousness, uniqueness, and profound privilege of life as the essential arena for worship and thanksgiving to the Giver of life.

What does "thy truth" specifically refer to in this context?

Answer: "Thy truth" (Hebrew: ʼemeth) in Isaiah 38:19 refers to far more than mere factual accuracy. It encompasses God's inherent faithfulness, reliability, steadfastness, and unwavering covenant loyalty. In Hezekiah's immediate context, it specifically points to God's demonstrated truthfulness in keeping His promises and intervening powerfully, as profoundly evidenced by his miraculous healing and the extension of his life (Isaiah 38:5). It is the dependable reality of God's character, His consistent nature, and His mighty acts of salvation that Hezekiah commits to make known to future generations, ensuring that His glorious deeds and His trustworthy nature are never forgotten.

Does "the father to the children" imply that only biological fathers are responsible for passing on truth?

Answer: While the phrase literally refers to the patriarchal and familial structure of ancient Israelite society, the underlying principle extends far beyond biological fatherhood. "The father to the children" represents the fundamental biblical concept of the intergenerational transmission of faith and divine knowledge. In a broader and more comprehensive sense, it signifies the profound responsibility of the preceding generation—which includes spiritual elders, mentors, parents, and the entire community of faith—to diligently teach, model, and impart God's truth to the succeeding generation. This is a communal and collective responsibility for all believers, echoing the broader biblical mandate to instruct, disciple, and pass on the spiritual heritage (Deuteronomy 4:9 and Matthew 28:19).

CHRIST-CENTERED FULFILLMENT

Isaiah 38:19, born from King Hezekiah's miraculous deliverance from the clutches of death, finds its ultimate and most profound fulfillment in the person and work of Jesus Christ. Hezekiah's restored life allowed him to continue praising God and transmitting His truth, but his life, like all human lives, was finite and subject to eventual death. Christ, however, is the very embodiment of "the living" who perpetually and perfectly praises God. His resurrection from the dead (Romans 6:9), unlike Hezekiah's temporary reprieve, definitively conquered death, establishing Him as the eternal source of all life. Through His atoning work on the cross, believers are granted new, spiritual life in Him (Ephesians 2:5), a life that is not merely extended but transformed, eternal, and empowered by the Holy Spirit, enabling them to offer continuous, Spirit-empowered praise and a "sacrifice of praise" to God (Hebrews 13:15). Furthermore, Jesus Christ is the ultimate "truth" (John 14:6), the full and perfect revelation of God's character, faithfulness, and redemptive plan. The mandate for "the father to the children shall make known thy truth" is perfectly fulfilled in the Great Commission, where the Church, as the spiritual family of God, is commanded to go and make disciples of all nations, teaching them all that Christ commanded (Matthew 28:19). Thus, Hezekiah's personal vow becomes a prophetic echo of the Church's enduring mission: to live in Christ, to praise God eternally, and to faithfully transmit the life-giving truth of the Gospel to every generation until Christ's glorious return.

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Commentary on Isaiah 38 verses 9–22

I. II. Main points1. 2. Sub-points(1.) (2.) Details

We have here Hezekiah's thanksgiving-song, which he penned, by divine direction, after his recovery. He might have taken some of the psalms of his father David, and made use of them for his purpose; he might have found many very pertinent ones. He appointed the Levites to praise the Lord with the words of David, Ch2 29:30. But the occasion here was extraordinary, and, his heart being full of devout affections, he would not confine himself to the compositions he had, though of divine inspiration, but would offer up his affections in his own words, which is most natural and genuine. He put this thanksgiving in writing, that he might review it himself afterwards, for the reviving of the good impressions made upon him by the providence, and that it might be recommended to others also for their use upon the like occasion. Note, There are writings which it is proper for us to draw up after we have been sick and have recovered. It is good to write a memorial of the affliction, and of the frame of our hearts under it, - to keep a record of the thoughts we had of things when we were sick, the affections that were then working in us, - to write a memorial of the mercies of a sick bed, and of our release from it, that they may never be forgotten, - to write a thanksgiving to God, write a sure covenant with him, and seal it, - to give it under our hands that we will never return again to folly. It is an excellent writing which Hezekiah here left, upon his recovery; and yet we find (Ch2 32:25) that he rendered not again according to the benefit done to him. The impressions, one would think, should never have worn off, and yet, it seems, they did. Thanksgiving is good, but thanksliving is better. Now in this writing he preserves upon record,

I. The deplorable condition he was in when his disease prevailed, and his despair of recovery, Isa 38:10-13.

1.He tells us what his thoughts were of himself when he was at the worst; and these he keeps in remembrance, (1.) As blaming himself for his despondency, and that he gave up himself for gone; whereas while there is life there is hope, and room for our prayer and God's mercy. Though it is good to consider sickness as a summons to the grave, so as thereby to be quickened in our preparations for another world, yet we ought not to make the worse of our case, nor to think that every sick man must needs be a dead man presently. He that brings low can raise up. Or, (2.) As reminding himself of the apprehensions he had of death approaching, that he might always know and consider his own frailty and mortality, and that, though he had a reprieve for fifteen years, it was but a reprieve, and the fatal stroke he had now such a dread of would certainly come at last. Or, (3.) As magnifying the power of God in restoring him when his case was desperate, and his goodness in being so much better to him than his own fears. Thus David sometimes, when he was delivered out of trouble, reflected upon the black and melancholy conclusions he had made upon his own case when he was in trouble, and what he had then said in his haste, as Psa 31:22; Psa 77:7-9.

2.Let us see what Hezekiah's thoughts of himself were.

(1.)He reckoned that the number of his months was cut off in the midst. He was now about thirty-nine or forty years of age, and when he had a fair prospect of many years and happy ones, very happy, very many, before him. This distemper that suddenly seized him he concluded would be the cutting off of his days, that he should now be deprived of the residue of his years, which in a course of nature he might have lived (not which he could command as a debt due to him, but which he had reason to expect, considering the strength of his constitution), and with them he should be deprived not only of the comforts of life, but of all the opportunities he had of serving God and his generation. To the same purport (Isa 38:12), "My age has departed and gone, and is removed from me as a shepherd's tent, out of which I am forcibly dislodged by the pulling of it down in an instant." Our present residence is but like that of a shepherd in his tent, a poor, mean, and cold lodging, where we are upon duty, and with a trust committed to our charge, as the shepherd has, of which we must give an account, and which will easily be taken down by the drawing of one pin or two. But observe, It is not the final period of our age, but only the removal of it to another world, where the tents of Kedar that are taken down, coarse, black, and weather-beaten, shall be set up again in the New Jerusalem, comely as the curtains of Solomon. He adds another similitude: I have cut off, like a weaver, my life. Not that he did by any act of his own cut off the thread of his life; but, being told that he must needs die, he was forced to cut off all his designs and projects, his purposes were broken off, even the thoughts of his heart, as Job's were, Job 17:11. Our days are compared to the weaver's shuttle (Job 7:6), passing and repassing very swiftly, every throw leaving a thread behind it; and, when they are finished, the thread is cut off, and the piece taken out of the loom, and shown to our Master, to be judged of whether it be well woven or no, that we may receive according to the things done in the body. But as the weaver, when he has cut off his thread, has done his work, and the toil is over, so a good man, when his life is cut off, his cares and fatigues are cut off with it, and he rests from his labours. "But did I say, I have cut off my life? No, my times are not in my own hand; they are in God's hand, and it is he that will cut me off from the thrum (so the margin reads it); he has appointed what shall be the length of the piece, and, when it comes to that length, he will cut it off."

(2.)He reckoned that he should go to the gates of the grave - to the grave, the gates of which are always open; for it is still crying, Give, give. The grave is here put not only for the sepulchre of his fathers, in which his body would be deposited with a great deal of pomp and magnificence (for he was buried in the chief of the sepulchres of the kings, and all Judah did him honour at his death, Ch2 32:33), which yet he himself took no care of, nor gave any order about, when he was sick; but for the state of the dead, that is, the sheol, the hades, the invisible world, to which he saw his soul going.

(3.)He reckoned that he was deprived of all the opportunities he might have had of worshipping God and doing good in the world (Isa 38:1): "I said," [1.] "I shall not see the Lord, as he manifests himself in his temple, in his oracles and ordinances, even the Lord here in the land of the living." He hopes to see him on the other side death, but he despairs of seeing him any more on this side death, as he had seen him in the sanctuary, Psa 63:2. He shall no more see (that is, serve) the Lord in the land of the living, the land of conflict between his kingdom and the kingdom of Satan, this seat of war. He dwells much upon this: I shall no more see the Lord, even the Lord; for a good man wishes not to live for any other end than that he may serve God and have communion with him. [2.] "I shall see man no more." He shall see his subjects no more, whom he may protect and administer justice to, shall see no more objects of charity, whom he may relieve, shall see his friends no more, who were often sharpened by his countenance, as iron is by iron. Death puts an end to conversation, and removes our acquaintance into darkness, Psa 88:18.

(4.)He reckoned that the agonies of death would be very sharp and severe: "He will cut me off with pining sickness, which will waste me, and wear me off, quickly." The distemper increased so fast, without intermission or remission, either day or night, morning or evening, that he concluded it would soon come to a crisis and make an end of him - that God, whose servants all diseases are, would by them, as a lion, break all his bones with grinding pain, Isa 38:13. He thought that next morning was the utmost he could expect to live in such pain and misery; when he had outlived the first day's illness the second day he repeated his fears, and concluded that this must needs be his last night: from day even to night wilt thou make an end of me. When we are sick we are very apt to be thus calculating our time, and, after all, we are still at uncertainty. It should be more our care how we shall get safely to another world than how long we are likely to live in this world.

II. The complaints he made in this condition (Isa 38:14): "Like a crane, or swallow, so did I chatter; I made a noise as those birds do when they are frightened." See what a change sickness makes in a little time; he that, but the other day, spoke with so much freedom and majesty, nor, through the extremity of pain or deficiency of spirits, chatters like a crane or a swallow. Some think he refers to his praying in his affliction; it was so broken and interrupted with groanings which could not be uttered that it was more like the chattering of a crane or a swallow than what it used to be. Such mean thoughts had he of his own prayers, which yet were acceptable to God, and successful. He mourned like a dove, sadly, but silently and patiently. He had found God so ready to answer his prayers at other times that he could not but look upwards, in expectation of some relief now, but in vain: his eyes failed, and he saw no hopeful symptom, nor felt any abatement of his distemper; and therefore he prays, "I am oppressed, quite overpowered and ready to sink; Lord, undertake for me; bail me out of the hands of the serjeant that has arrested me; be surety for thy servant for good, Psa 119:122. Come between me and the gates of the grave, to which I am ready to be hurried." When we recover from sickness, the divine pity does, as it were, beg a day for us, and undertakes we shall be forthcoming another time and answer the debt in full. And, when we receive the sentence of death within ourselves, we are undone if the divine grace do not undertake for us to carry us through the valley of the shadow of death, and to preserve us blameless to the heavenly kingdom on the other side of it - if Christ do not undertake for us, to bring us off in judgment, and present us to his Father, and to do all that for us which we need, and cannot do for ourselves. I am oppressed, ease me (so some read it); for, when we are agitated by a sense of guilt and the fear of wrath, nothing will make us easy but Christ's undertaking for us.

III. The grateful acknowledgment he makes of God's goodness to him in his recovery. He begins this part of the writing as one at a stand how to express himself (Isa 38:15): "What shall I say? Why should I say so much by way of complaint when this is enough to silence all my complaints - He has spoken unto me; he has sent his prophet to tell me that I shall recover and live fifteen years yet; and he himself has done it: it is as sure to be done as if it were done already. What God has spoken he will himself do, for no word of his shall fall to the ground." God having spoken it, he is sure of it (Isa 38:16): "Thou wilt restore me, and make me to live; not only restore me from this illness, but make me to live through the years assigned me." And, having this hope,

1.He promises himself always to retain the impressions of his affliction (Isa 38:15): "I will go softly all my years in the bitterness of my soul, as one in sorrow for my sinful distrusts and murmurings under my affliction, as one in care to make suitable returns for God's favour to me and to make it appear that I have got good by the providences I have been under. I will go softly, gravely and considerately, and with thought and deliberation, not as many, who, when they have recovered, live as carelessly and as much at large as ever." Or, "I will go pleasantly" (so some understand it); "when God has delivered me I will walk cheerfully with him in all holy conversation, as having tasted that he is gracious." Or, "I will go softly, even after the bitterness of my soul" (so it may be read); "when the trouble is over I will endeavour to retain the impression of it, and to have the same thoughts of things that I had then."

2.He will encourage himself and others with the experiences he had had of the goodness of God (Isa 38:16): "By these things which thou hast done for me they live, the kingdom lives" (for the life of such a king was the life of the kingdom); "all that hear of it shall live and be comforted; by the same power and goodness that have restored me all men have their souls held in life, and they ought to acknowledge it. In all these things is the life of my spirit, my spiritual life, that is supported and maintained by what God has done for the preservation of my natural life." The more we taste of the loving-kindness of God in every providence the more will our hearts be enlarged to love him and live to him, and that will be the life of our spirit. Thus our souls live, and they shall praise him.

3.He magnifies the mercy of his recovery, on several accounts.

(1.)That he was raised up from great extremity (Isa 38:17): Behold, for peace I had great bitterness. When, upon the defeat of Sennacherib, he expected nothing but an uninterrupted peace to himself and his government, he was suddenly seized with sickness, which embittered all his comforts to him, and went to such a height that it seemed to be the bitterness of death itself - bitterness, bitterness, nothing but gall and wormwood. This was his condition when God sent him seasonable relief.

(2.)That it came from the love of God, from love to his soul. Some are spared and reprieved in wrath, that they may be reserved for some greater judgment when they have filled up the measure of their iniquities; but temporal mercies are sweet indeed to us when we can taste the love of God in them. He delivered me because he delighted in me (Psa 18:19); and the word here signifies a very affectionate love: Thou hast loved my soul from the pit of corruption; so it runs in the original. God's love is sufficient to bring a soul from the pit of corruption. This is applicable to our redemption by Christ; it was in love to our souls, our poor perishing souls, that he delivered them from the bottomless pit, snatched them as brands out of everlasting burnings. In his love and in his pity he redeemed us. And the preservation of our bodies, as well as the provision made for them, is doubly comfortable when it is in love to our souls - when God repairs the house because he has a kindness for the inhabitant.

(3.)That it was the effect of the pardon of sin: "For thou hast cast all my sins behind thy back, and thereby hast delivered my soul from the pit of corruption, in love to it." Note, [1.] When God pardons sin he casts it behind his back, as not designing to look upon it with an eye of justice and jealousy. He remembers it no more, to visit for it. The pardon does not make the sin not to have been, or not to have been sin, but not to be punished as it deserves. When we cast our sins behind our back, and take no care to repent of them, God sets them before his face, and is ready to reckon for them; but when we set them before our face in true repentance, as David did when his sin was ever before him, God casts them behind his back. [2.] When God pardons sins he pardons all, casts them all behind his back, though they have been as scarlet and crimson. [3.] The pardoning of the sin is the delivering of the soul from the pit of corruption. [4.] It is pleasant indeed to think of our recoveries from sickness when we see them flowing from the remission of sin; then the cause is removed, and then it is in love to the soul.

(4.)That it was the lengthening out of his opportunity to glorify God in this world, which he made the business, and pleasure, and end of life. [1.] If this sickness had been his death, it would have put a period to that course of service for the glory of God and the good of the church which he was now pursuing, Isa 38:18. Heaven indeed praises God, and the souls of the faithful, when at death they remove thither, do that work of heaven as the angels, and with the angels, there; but what is this world the better for that? What does that contribute to the support and advancement of God's kingdom among men in this state of struggle? The grave cannot praise God, nor the dead bodies that lie there. Death cannot celebrate him, cannot proclaim his perfections and favours, to invite others into his service. Those who go down to the pit, being no longer in a state of probation, nor living by faith in his promises, cannot give him honour by hoping for his truth. Those that lie rotting in the grave, as they are not capable of receiving any further mercy from God, so neither are they capable of offering any more praises to him, till they shall be raised at the last day, and then they shall both receive and give glory. [2.] Having recovered from it, he resolves not only to proceed, but to abound, in praising and serving God (Isa 38:19): The living, the living, he shall praise thee. They may do it; they have an opportunity of praising God, and that is the main thing that makes life valuable and desirable to a good man. Hezekiah was therefore glad to live, not that he might continue to enjoy his royal dignity and the honour and pleasure of his late successes, but that he might continue to praise God. The living must praise God; they live in vain if they do not. Those that have been dying and yet are living, whose life is from the dead, are in a special manner obliged to praise God, as being most sensibly affected with his goodness. Hezekiah, for his part, having recovered from this sickness, will make it his business to praise God: "I do it this day; let others do it in like manner." Those that give good exhortations should set good examples, and do themselves what they expect from others. "For my part," says Hezekiah, "the Lord was ready to save me; he not only did save me, but he was ready to do it just then when I was in the greatest extremity; his help came in seasonably; he showed himself willing and forward to save me. The Lord was to save me, was at hand to do it, saved me a the first word; and therefore," First, "I will publish and proclaim his praises. I and my family, I and my friends, I and my people, will have a concert of praise to his glory: We will sing my songs to the stringed instruments, that others may attend to them, and be affected with them, when they are in the most devout and serious frame in the house of the Lord." It is for the honour of God, and the edification of his church, that special mercies should be acknowledged in public praises, especially mercies to public persons, Psa 116:18, Psa 116:19. Secondly, "I will proceed and persevere in his praises." We should do so all the days of our life, because every day of our life is itself a fresh mercy and brings many fresh mercies along with it; and, as renewed mercies call for renewed praises, so former eminent mercies call for repeated praises. It is by the mercy of God that we live, and therefore, as long as we live, we must continue to praise him, while we have breath, nay, while we have being. Thirdly, "I will propagate and perpetuate his praises." We should not only praise him all the days of our life, but the father to the children should make known his truth, that the ages to come may give God the glory of his truth by trusting to it. It is the duty of parents to possess their children with a confidence in the truth of God, which will go far towards keeping them close to the ways of God. Hezekiah, doubtless, did this himself, and yet Manasseh his son walked not in his steps. Parents may give their children many good things, good instructions, good examples, good books, but they cannot give them grace.

IV. In the last two verses of this chapter we have two passages relating to this story which were omitted in the narrative of it here, but which we had 2 Kings 20, and therefore shall here only observe two lessons from them: - 1. That God's promises are intended not to supersede, but to quicken and encourage, the use of means. Hezekiah is sure to recover, and yet he must take a lump of figs and lay it on the boil, Isa 38:21. We do not trust God, but tempt him, if, when we pray to him for help, we do not second our prayers with our endeavours. We must not put physicians, or physic, in the place of God, but make use of them in subordination to God and to his providence; help thyself and God will help thee. 2. That the chief end we should aim at, in desiring life and health, is that we may glorify God, and do good, and improve ourselves in knowledge, and grace, and meetness for heaven. Hezekiah, when he meant, What is the sign that I shall recover? asked, What is the sign that I shall go up to the house of the Lord, there to honour God, to keep up acquaintance and communion with him, and to encourage others to serve him? Isa 38:22. It is taken for granted that if God would restore him to health he would immediately go up to the temple with his thank-offerings. There Christ found the impotent man whom he had healed, Joh 5:14. The exercises of religion are so much the business and delight of a good man that to be restrained from them is the greatest grievance of his afflictions, and to be restored to them is the greatest comfort of his deliverances. Let my soul live, and it shall praise thee.

Matthew Henry (1662–1714) — Commentary on the Whole Bible. This section covers verses 9–22. Public domain.
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Athanasius of AlexandriaAD 373
FESTAL LETTER 7:3
[Those who live in a godly manner] and participate in such goodness are the only ones able to give glory to God, and that is what really constitutes a feast and a holy day. For the feast is not indulging in a lot of food or dressing up in lovely clothes. It is not enjoying days of leisure. It is acknowledging God and offering thanksgiving and songs of praise to him. But this belongs to the saints alone, who live in Christ.… That is the way it was with Hezekiah, who was delivered from death and therefore praised God, saying, “Those who are in hell cannot praise you; the dead cannot bless you; but the living shall bless you, as I do today.”
JeromeAD 420
Commentary on Isaiah
(Verse 16 onwards) I will consider all my years in the bitterness of my soul. Lord, if this is how one lives, and in such a life of my spirit, you will correct me and give me life. Behold, in peace is my bitterest bitterness. But you have saved my soul from perishing: you have cast all my sins behind your back. For neither the underworld will confess to you, nor death praise you: those who descend into the pit will not await your truth. Living, the living himself will confess to you, as I do today. The father will make your truth known to the children. Lord, save me, and we will sing our songs all the days of our life in the house of the Lord. LXX. Lord, it was announced to you about her: and you have revived my spirit and comforted me. Behold, in peace is my bitterness: for you have saved my soul from perishing, and you have cast behind me all my sins. For neither will they praise you in hell, nor will the dead bless you. Nor will those who are in the underworld hope for your mercy: the living will bless you, just as I do. For from today I will make children who will proclaim your righteousness, O Lord of my salvation, and I will not rest, blessing you with the Psalter, all the days of my life in the presence of the house of God. Nothing of the long things of mortals lasts, and all the happiness of the world, while it is held, is lost. For when the time of tribulation comes, everything that is past does not help the one who endures. Hence, the foolish sentiment of Epicurus is, who claims that the remembrance of past good things mitigates present misfortunes. Therefore, Hezekiah says that he considers all the years of his reign, and of his past, as happiness believed to be bitter in the present. And because he is now secure, and does not suffer what is recounted, he philosophizes about the human condition, and says: Lord, if this is how we live, and this is the condition in which we are born, You have chastised me, but You have also given me life, and You have bestowed peace by driving away the Assyrian; but my peace has been more bitter to me than all bitterness, because with tranquility restored to the people, and the city secure, I alone have entered the threshold of death. But you have delivered my soul, so that it would not perish, either in this present life or in the future. You have cast all my sins behind me, so that I may not behold them in sadness, but rather contemplate your mercy. For hell and death will not confess or praise you, according to what is written: For in death there is no remembrance of you (Psalm 6:5). And here confession is understood not for repentance, but for glory and praise, as we also read in the Gospel, I confess to you, O Lord, Father of heaven and earth (Matthew 11:25). Those who descend into the pit will not expect your truth, he says, but rather your mercy, better than in the Septuagint. For he who is in hell does not expect the truth of judgment, but the mercy of God, especially when the Savior descended into hell to free the captives from the depths. They transferred the dead to the same place more clearly. The living, the living themselves will confess to you, just as I do today. And this confession is set forth for praise. For he does not confess his own crimes, but gives thanks to God; and there is no beautiful praise on the mouth of a sinner (Sirach 15). And when Hell and death do not confess or praise God, on the contrary, life and the living glorify the Lord. And what follows: The Father will make your truth known to your children, this signifies what is said in Deuteronomy: Ask your father, and he will tell you; your elders, and they will inform you (Deuteronomy 32, 7), so that God's mercy may be proclaimed to posterity through successions and individual generations. For this reason the LXX translate it: 'From today I will beget sons who will announce your righteousness.' And the causal conjunction connects the following with what came before: that indeed, living beings and he himself, who will beget sons from this day, might bless God, because it was certainly not within their power. For those children were not promised through the prophet, but rather through the present life. Especially since Manasseh, the most impious son, was born, who filled Jerusalem with blood from gate to gate, and did not bless but cursed God, persecuting his saints. Therefore we can say according to the Septuagint that he said, 'I will make children' instead of 'sons': but by 'children' we understand either little ones, or young boys, or infants and later generations, so that all future posterity, knowing this, may praise his incredible mercy which he has obtained. Therefore save me, O Lord; and all who believe in you and are delivered by your help, may we sing to you in the Temple all the days of our life.
JeromeAD 420
COMMENTARY ON ISAIAH 11:38
For the netherworld and death will neither confess nor praise you, according to what is written: “In the netherworld, who will confess you?” Confession in this instance, moreover, is received not as an act of penance but as an offering of glory and praise, as we read in the Gospel: “I praise you Lord, Father of heaven and earth.” He also says: “They who descend to the pit will not hope for your truth,” which is better than the Septuagint’s “will not hope for your mercy.” For he who is in the grave hopes not for the truth of judgment but for the mercy of God, ultimately when the Savior will descend to the netherworld to liberate the captives from it.
Cyril of AlexandriaAD 444
COMMENTARY ON ISAIAH 3:4.38
"For from this day I shall beget children who will announce your righteousness." Some say that he promises to institute a choir [chorostasia] and to appoint chanters of psalms with good voices in the temple. Others, who pay attention to more esoteric things, say that Hezekiah, since he thought on a high plane, was of the opinion that he would have a kingdom without end and unceasing life. For he was persuaded that the writings concerning the son of David destined to be the Christ were said about himself. Hence they say, although he was in the fifteenth year of his reign he does not seem to have procreated children. Accordingly, on learning that his end was near, he pays attention to the question of his successors and adds with reference to his children that they will announce the righteousness of the Lord. However, this statement was not verified since. Manasseh was wicked and impious.
Source: Quotations drawn from early Church Fathers and historical Christian theologians (AD 100–1500). Some quotes address the surrounding passage context rather than this verse alone.
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