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Translation
King James Version
Behold, O LORD; for I am in distress: my bowels are troubled; mine heart is turned within me; for I have grievously rebelled: abroad the sword bereaveth, at home there is as death.
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KJV (with Strong's)
Behold H7200, O LORD H3068; for I am in distress H6887: my bowels H4578 are troubled H2560; mine heart H3820 is turned H2015 within H7130 me; for I have grievously H4784 rebelled H4784: abroad H2351 the sword H2719 bereaveth H7921, at home H1004 there is as death H4194.
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Complete Jewish Bible
"See, ADONAI, how distressed I am! Everything in me is churning! My heart turns over inside me, because I have been so rebellious. Outside, the sword brings bereavement; inside, it is like death.
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Berean Standard Bible
See, O LORD, how distressed I am! I am churning within; my heart is pounding within me, for I have been most rebellious. Outside, the sword bereaves; inside, there is death.
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American Standard Version
Behold, O Jehovah; for I am in distress; my heart is troubled; My heart is turned within me; for I have grievously rebelled: Abroad the sword bereaveth, at home there is as death.
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World English Bible Messianic
See, LORD; for I am in distress; my heart is troubled; My heart is turned within me; for I have grievously rebelled: Abroad the sword bereaves, at home there is as death.
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Geneva Bible (1599)
Behold, O Lord, howe I am troubled: my bowels swell: mine heart is turned within me, for I am ful of heauinesse: the sword spoyleth abroad, as death doeth at home.
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Young's Literal Translation
See, O Jehovah, for distress is to me, My bowels have been troubled, Turned hath been my heart in my midst, For I have greatly provoked, From without bereaved hath the sword, In the house it is as death.
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Study This Verse

SUMMARY

Lamentations 1:20 presents a profound and visceral lament from personified Jerusalem, expressing overwhelming physical and emotional anguish in the devastating aftermath of its destruction. The city directly appeals to the LORD, detailing its internal turmoil and acknowledging its suffering as a direct consequence of its grievous rebellion against God. This raw confession is powerfully juxtaposed with the widespread devastation, depicting a land ravaged by external violence and experiencing the pervasive desolation of death within its very homes.

CONTEXT

  • Literary Context: Lamentations 1:20 is situated within the first chapter of the book, which vividly portrays Jerusalem, the "Daughter of Zion," as a desolate widow, weeping bitterly and abandoned by her former allies. This chapter sets the tone for the entire book, establishing the profound grief, isolation, and physical suffering experienced by the city and its inhabitants after the Babylonian conquest in 586 BC. Verse 20 serves as a direct appeal to God, a raw outpouring of pain and a confession of sin, acting as a pivotal moment where the lamenter acknowledges divine justice amidst overwhelming despair. It moves from descriptive lament to a direct address, highlighting the depth of the city's agony and its desperate plea for divine attention and compassion, even in the face of recognized culpability, echoing the themes found throughout the first chapter of Lamentations.
  • Historical & Cultural Context: The historical backdrop for Lamentations 1:20 is the catastrophic destruction of Jerusalem and the Temple by the Babylonian army in 586 BC, followed by the exile of its people. This event was not merely a military defeat but a theological crisis for Israel, as Jerusalem was considered the dwelling place of God and the center of their national and religious identity. The cultural understanding of suffering often linked calamity directly to covenant disobedience, as outlined in passages like Deuteronomy 28. The "sword abroad" refers to the literal warfare and slaughter during the siege and conquest, while "at home there is as death" speaks to the famine, disease, and despair that ravaged the population within the city walls, turning every house into a place of mourning. The visceral language of "bowels troubled" and "heart turned within me" reflects an ancient Near Eastern understanding where the inner organs were considered the seat of deep emotions, signifying profound, gut-wrenching anguish.
  • Key Themes: This verse powerfully encapsulates several key themes central to Lamentations. Firstly, it highlights the profound distress and anguish of a people utterly devastated, expressed through vivid physical and emotional metaphors. Secondly, it underscores the theme of confession of sin and divine justice, as the suffering is directly attributed to the nation's "grievous rebellion." This acknowledgment of culpability is crucial, transforming mere complaint into a theological lament that grapples with God's righteousness in judgment. Thirdly, it illustrates the widespread devastation that affected every aspect of life, both public ("abroad the sword bereaveth") and private ("at home there is as death"), demonstrating the totality of the catastrophe. This comprehensive suffering is a recurring motif, emphasizing the depth of their loss and the fulfillment of warnings against disobedience, as seen in Leviticus 26.

EXPOSITION AND ANALYSIS

Key Word Analysis

  • distress (Hebrew, tsârar', H6887): Meaning "to cramp, literally or figuratively, transitive or intransitive; adversary, (be in) afflict(-ion), beseige, bind (up), (be in, bring) distress, enemy, narrower, oppress, pangs, shut up, be in a strait (trouble), vex." This word conveys a sense of being hemmed in, constricted, or under immense pressure, both physically and emotionally. It is not merely discomfort but a profound, suffocating anguish that leaves one feeling trapped and overwhelmed.
  • bowels (Hebrew, mêʻeh', H4578): Referring to "the intestines, or (collectively) the abdomen, figuratively, sympathy; by implication, a vest; by extension the stomach, the uterus (or of men, the seat of generation), the heart (figuratively)." In ancient Hebrew thought, the bowels were considered the seat of deep emotions, compassion, and inner turmoil. When the bowels are "troubled," it signifies a gut-wrenching, visceral pain that penetrates to the very core of one's being, indicating a profound, physical manifestation of emotional distress.
  • rebelled (Hebrew, mârâh', H4784): Meaning "to be (causatively, make) bitter (or unpleasant); (figuratively) to rebel (or resist; causatively, to provoke); bitter, change, be disobedient, disobey, grievously, provocation, provoke(-ing), (be) rebel (against, -lious)." This word signifies a deliberate, willful act of defiance and disobedience against authority, specifically against God. The KJV's "grievously rebelled" intensifies the confession, emphasizing the severity and persistence of their transgression, suggesting a deep-seated and repeated pattern of rebellion.

Verse Breakdown

  • "Behold, O LORD; for I am in distress:" This opening phrase is a desperate, urgent plea for divine attention. "Behold" (H7200, râʼâh') is an imperative, urging God to see and acknowledge the speaker's dire situation. The direct address "O LORD" (H3068, Yᵉhôvâh') invokes the covenant name of God, appealing to His faithfulness and mercy despite the speaker's profound "distress" (H6887, tsârar'), which is a state of severe affliction and constriction, both physical and emotional.
  • "my bowels are troubled;" This clause describes the profound internal, physical manifestation of overwhelming emotional pain. The "bowels" (H4578, mêʻeh'), understood as the seat of deep emotion and compassion in ancient Hebrew thought, are "troubled" (H2560, châmar'), indicating a churning, unsettling, or boiling sensation. It conveys a gut-wrenching agony that is both physical and emotional, reflecting overwhelming grief, despair, and a sense of being utterly undone from within.
  • "mine heart is turned within me;" This further emphasizes the internal chaos and disorientation experienced by the lamenter. The "heart" (H3820, lêb'), the recognized center of thought, will, and emotion, is "turned" (H2015, hâphak'), meaning it is overturned, perverted, or in complete disarray. This signifies a profound loss of inner peace, a sense of being utterly disoriented and overwhelmed by sorrow, as if the very core of one's being is in turmoil and has been violently disrupted.
  • "for I have grievously rebelled:" This is the crucial confession, providing the theological rationale for the immense suffering. The speaker acknowledges that their profound pain is a direct consequence of their own actions. "Grievously rebelled" (H4784, mârâh') uses a repetition of the root, intensifying the sense of deliberate, persistent, and severe disobedience against God's covenant. This confession is a vital step towards repentance and a humble recognition of divine justice, demonstrating that the suffering is not arbitrary but a just consequence.
  • "abroad the sword bereaveth, at home there is as death." This clause paints a grim, comprehensive picture of widespread devastation. "Abroad" (H2351, chûwts') refers to outside the city walls, where "the sword" (H2719, chereb'), representing warfare and violent destruction, "bereaveth" (H7921, shâkôl'), meaning it has caused widespread loss of children and pervasive death. "At home" (H1004, bayith'), within the houses and private spaces, there is "as death" (H4194, mâveth'), signifying not just literal death from famine or disease, but a pervasive atmosphere of desolation, mourning, and the absence of life, making every dwelling a tomb.

Literary Devices

Lamentations 1:20 employs several powerful Literary Devices to convey its profound message of suffering and confession. Personification is central, as Jerusalem is portrayed as a weeping woman, a desolate widow, who directly addresses God and expresses her anguish. This allows for a deeply emotional and relatable portrayal of the city's devastation. The descriptions "my bowels are troubled" and "mine heart is turned within me" utilize Hyperbole and Metonymy. Hyperbole exaggerates the internal turmoil to emphasize its intensity and overwhelming nature, while metonymy uses "bowels" and "heart" to represent the entire being and its innermost emotional core, where deep feelings reside. The phrase "abroad the sword bereaveth, at home there is as death" demonstrates stark Juxtaposition, contrasting the external violence of war with the internal, pervasive desolation within the homes. This highlights the totality of the catastrophe, where no place is safe from the ravages of judgment. The use of "sword" is also a form of Synecdoche, where the instrument represents the entire act of warfare and its destructive consequences.

THEOLOGICAL AND THEMATIC CONNECTIONS

Lamentations 1:20 is a profound theological statement on the nature of suffering, divine justice, and the path to repentance. It affirms that God is not distant or unaware of human pain, as the lamenter directly appeals to the LORD, invoking His covenant name. Crucially, it links suffering directly to sin, demonstrating that while God is merciful, He is also just, and there are severe consequences for persistent rebellion against His covenant. The raw honesty of the lament, including the confession of "grievously rebelled," is a model for believers to bring their deepest pain and their acknowledged failings before God. This verse reminds us that true lament involves not only expressing pain but also wrestling with its origins, even when those origins point to our own disobedience. It is a necessary step towards humility and the hope of restoration.

REFLECTION AND APPLICATION

Lamentations 1:20 offers a powerful invitation to honest lament and self-examination in our own lives. In moments of deep distress, whether personal or communal, this verse validates the expression of raw, visceral pain before God. It reminds us that it is not unspiritual to feel gut-wrenching anguish, nor is it unfaithful to cry out to the LORD in our brokenness. More profoundly, it challenges us to consider the role of our own actions and choices in our suffering. While not all suffering is a direct consequence of personal sin, this verse compels us to humbly examine our hearts and confess any areas where we have "grievously rebelled" against God's will. This honest confession, even amidst devastation, is the first step towards healing and restoration, acknowledging God's justice while appealing to His mercy. It teaches us that true repentance begins with a clear-eyed recognition of our culpability, opening the door for God's grace to enter our deepest wounds and begin the process of spiritual renewal.

Questions for Reflection

  • In what areas of my life might I be experiencing "distress" or "troubled bowels," and am I willing to bring that raw emotion honestly before the LORD?
  • How does the confession "for I have grievously rebelled" challenge my own understanding of suffering and personal responsibility in my life?
  • What steps can I take to move from merely complaining about my circumstances to genuinely lamenting before God, including acknowledging my own sin where appropriate?

FAQ

What does "my bowels are troubled" mean in a modern context?

Answer: In ancient Hebrew thought, the "bowels" (or intestines) were considered the seat of deep emotions, including compassion, grief, and distress. So, "my bowels are troubled" (or "churned") signifies a profound, gut-wrenching emotional and even physical pain, a visceral reaction to overwhelming sorrow or anxiety. It's akin to saying "my stomach is in knots" or "I feel sick to my stomach" from intense emotional distress today, but with a deeper spiritual and emotional connotation, indicating a disturbance at the very core of one's being. This deep internal turmoil reflects the immense suffering of Jerusalem, as seen in other laments like Jeremiah 4:19.

Is this verse saying that all suffering is a direct result of personal sin?

Answer: While Lamentations 1:20 explicitly links Jerusalem's suffering to its "grievous rebellion," the Bible presents a more nuanced view of suffering. Some suffering is indeed a consequence of sin (as here), some is part of living in a fallen world (e.g., natural disasters), some is for testing or refining faith (e.g., Job 1), and some is for God's glory (e.g., John 9:1-3). This verse specifically addresses the historical context of Israel's covenant disobedience, where God had warned of specific curses for rebellion, as outlined in Deuteronomy 28. Therefore, while this verse highlights a direct link, it's not a universal explanation for all suffering.

Why is it important for the lamenter to confess "I have grievously rebelled" in the midst of such pain?

Answer: The confession of sin is crucial because it acknowledges divine justice and opens the door for repentance and hope. Without acknowledging their culpability, the lament would be merely a complaint against God. By confessing, Jerusalem demonstrates a humble recognition of God's righteousness in His judgment and takes the first step towards reconciliation. This act of confession, even in deep despair, is a foundational element of biblical repentance, mirroring the call to confession found in passages like 1 John 1:9. It transforms a cry of pain into a prayer for mercy based on truth, paving the way for divine grace.

CHRIST-CENTERED FULFILLMENT

Lamentations 1:20, with its raw depiction of suffering, confession, and the pervasive presence of death, finds profound Christ-centered fulfillment in the person and work of Jesus. While Jerusalem lamented its own rebellion, Jesus, the perfect Lamb of God, bore the full weight of humanity's "grievous rebellion" on the cross. His agony in Gethsemane, where His "soul is very sorrowful, even to death" (Matthew 26:38), and His cry of abandonment on the cross (Matthew 27:46) echo the visceral distress of Jerusalem. He experienced the ultimate "bowels troubled" and "heart turned within me" as He took upon Himself the sin that brought about such desolation. The "sword" that "bereaveth abroad" and "death at home" point to the pervasive reign of sin and death, which Jesus conquered through His own sacrificial death and glorious resurrection (1 Corinthians 15:54-57). He entered into the deepest human suffering, not because of His own sin, but to deliver us from the consequences of ours, offering true hope and ultimate comfort where all tears will be wiped away (Revelation 21:4).

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Commentary on Lamentations 1 verses 12–22

The complaints here are, for substance, the same with those in the foregoing part of the chapter; but in these verses the prophet, in the name of the lamenting church, does more particularly acknowledge the hand of god in these calamities, and the righteousness of his hand.

I. The church in distress here magnifies her affliction, and yet no more than there was cause for; her groaning was not heavier than her strokes. She appeals to all spectators: See if there be any sorrow like unto my sorrow, Lam 1:12. This might perhaps be truly said of Jerusalem's griefs; but we are apt to apply it too sensibly to ourselves when we are in trouble and more than there is cause for. Because we feel most from our own burden, and cannot be persuaded to reconcile ourselves to it, we are ready to cry out, Surely never was sorrow like unto our sorrow; whereas, if our troubles were to be thrown into a common stock with those of others, and then an equal dividend made, share and share alike, rather than stand to that we should each of us say, "Pray, give me my own again."

II. She here looks beyond the instruments to the author of her troubles, and owns them all to be directed, determined, and disposed of by him: "It is the Lord that has afflicted me, and he has afflicted me because he is angry with me; the greatness of his displeasure may be measured by the greatness of my distress; it is in the day of his fierce anger," Lam 1:12. Afflictions cannot but be very much our griefs when we see them arising from God's wrath; so the church does here. 1. She is as one in a fever, and the fever is of God's sending: "He has sent fire into my bones (Lam 1:13), a preternatural heat, which prevails against them, so that they are burnt like a hearth (Psa 102:3), pained and wasted, and dried away." 2. She is as one in a net, which the more he struggles to get out of the more he is entangled in, and this net is of God's spreading. "The enemies could not have succeeded in their stratagems had not God spread a net for my feet." 3. She is as one in a wilderness, whose way is embarrassed, solitary, and tiresome: "He has turned me back, that I cannot go on, has made me desolate, that I have nothing to support me with, but am faint all the day." 4. She is as one in a yoke, not yoked for service, but for penance, tied neck and heels together (Lam 1:14): The yoke of my transgressions is bound by his hand. Observe, We never are entangled in any yoke but what is framed out of our own transgressions. The sinner is holden with the cords of his own sins, Pro 5:22. The yoke of Christ's commands is an easy yoke (Mat 11:30), but that of our own transgressions is a heavy one. God is said to bind this yoke when he charges guilt upon us, and brings us into those inward and outward troubles which our sins have deserved; when conscience, as his deputy, binds us over to his judgment, then the yoke is bound and wreathed by the hand of his justice, and nothing but the hand of his pardoning mercy will unbind it. 5. She is as one in the dirt, and he it is that has trodden under foot all her mighty men, that has disabled them to stand, and overthrown them by one judgment after another, and so left them to be trampled upon by their proud conquerors, Lam 1:15. Nay, she is as one in a wine-press, not only trodden down, but trodden to pieces, crushed as grapes in the wine-press of God's wrath, and her blood pressed out as wine, and it is God that has thus trodden the virgin, the daughter of Judah. 6. She is in the hand of her enemies, and it is the Lord that has delivered her into their hands (Lam 1:14): He has made my strength to fall, so that I am not able to make head against them; nay, not only not able to rise up against them, but not able to rise up from them, and then he has delivered me into their hands; nay (Lam 1:15), he has called an assembly against me, to crush my young men, and such an assembly as it is in vain to think of opposing; and again (Lam 1:17), The Lord has commanded concerning Jacob that his adversaries should be round about him. He that has many a time commanded deliverances for Jacob (Psa 44:4) now commands an invasion against Jacob, because Jacob has disobeyed the commands of his law.

III. She justly demands a share in the pity and compassion of those that were the spectators of her misery (Lam 1:12): "Is it nothing to you, all you that pass by? Can you look upon me without concern? What! are your hearts as adamants and your eyes as marbles, that you cannot bestow upon me one compassionate thought, or look, or tear? Are not you also in the body? Is it nothing to you that your neighbor's house is on fire?" There are those to whom Zion's sorrows and ruins are nothing; they are not grieved for the affliction of Joseph. How pathetically does she beg their compassion! (Lam 1:18): "Hear, I pray you, all people, and behold my sorrow: hear my complaints, and see what cause I have for them." This is a request like that of Job (Job 19:21), Have pity upon me, have pity upon me, O you my friends! It helps to make a burden sit lighter if our friends sympathize with us, and mingle their tears with ours, for this is an evidence that, though we are in affliction, we are not in contempt, which is commonly as much dreaded in an affliction as any thing.

IV. She justifies her own grief, though it was very extreme, for these calamities (Lam 1:16): "For these things I weep, I weep in the night (Lam 1:2), when none sees; my eye, my eye, runs down with water." Note, This world is a vale of tears to the people of God. Zion's sons are often Zion's mourners. Zion spreads forth her hands (Lam 1:17), which is here an expression rather of despair than of desire; she flings out her hands as giving up all for gone. Let us see how she accounts for this passionate grief. 1. Her God has withdrawn from her; and Micah, that had but gods of gold, when they were stolen from him cried out, What have I more? And what is it that you say unto me? What aileth thee? The church here grieves excessively; for, says she, the comforter that should relieve my soul is far from me. God is the comforter; he used to be so to her; he only can administer effectual comforts; it is his word that speaks them; it is his Spirit that speaks them to us. His are strong consolations, able to relieve the soul, to bring it back when it is gone, and we cannot of ourselves fetch it again; but now he has departed in displeasure, he is far from me, and beholds me afar off. Note, It is no marvel that the souls of the saints faint away, when God, who is the only Comforter that can relieve them, keeps at a distance. 2. Her children are removed from her, and are in no capacity to help her: it is for them that she weeps, as Rachel for hers, because they were not, and therefore she refuses to be comforted. Her children were desolate, because the enemy prevailed against them; there is none of all her sons to take her by the hand (Isa 51:18); they cannot help themselves, and how should they help her? Both the damsels and the youths, that were her joy and hope, have gone into captivity, Lam 1:18. It is said of the Chaldeans that they had no compassion upon young men nor maidens, not on the fair sex, not on the blooming age, Ch2 36:17. 3. Her friends failed her; some would not and others could not give her any relief. She spread forth her hands, as begging relief, but there is none to comfort her (Lam 1:17), none that can do it, none that cares to do it; she called for her lovers, and, to engage them to help her, called them her lovers, but they deceived her (Lam 1:19), they proved like the brooks in summer to the thirsty traveller, Job 6:15. Note, Those creatures that we set our hearts upon and raise our expectations from we are commonly deceived and disappointed in. Her idols were her lovers. Egypt and Assyria were her confidants. But they deceived her. Those that made court to her in her prosperity were shy of her, and strange to her, in her adversity. Happy are those that have made God their friend and keep themselves in his love, for he will not deceive them! 4. Those whose office it was to guide her were disabled from doing her any service. The priests and the elders, that should have appeared at the head of affairs, died for hunger (Lam 1:19); they gave up the ghost, or were ready to expire, while they sought their meat; they went a begging for bread to keep them alive. The famine is sore indeed in the land when there is no bread to the wise, when priests and elders are starved. The priests and elders should have been her comforters; but how should they comfort others when they themselves were comfortless? "They have heard that I sigh, which should have summoned them to my assistance; but there is none to comfort me. Lover and friend hast thou put far from me." 5. Her enemies were too hard for her, and they insulted over her; they have prevailed, Lam 1:16. Abroad the sword bereaves and slays all that comes in its way, and at home all provisions are cut off by the besiegers, so that there is as death, that is, famine, which is as bad as the pestilence, or worse - the sword without and terror within, Deu 32:25. And as the enemies, that were the instruments of the calamity, were very barbarous, so were those that were the standers by, the Edomites and Ammonites, that bore ill will to Israel: They have heard of my trouble, and are glad that thou hast done it (Lam 1:21); they rejoice in the trouble itself; they rejoice that it is God's doing; it pleases them to find that God and his Israel have fallen out, and they act accordingly with a great deal of strangeness towards them. Jerusalem is as a menstruous woman among them, that they are afraid of touching and are shy of, Lam 1:17. Upon all these accounts it cannot be wondered at, nor can she be blamed, that her sighs are many, in grieving for what is, and that her heart is faint (Lam 1:22) in fear of what is yet further likely to be.

V. She justifies God in all that is brought upon her, acknowledging that her sins had deserved these severe chastenings. The yoke that lies so heavily, and binds so hard, is the yoke of her transgressions, Lam 1:14. The fetters we are held in are of our own making, and it is with our own rod that we are beaten. When the church had spoken here as if she thought the Lord severe she does well to correct herself, at least to explain herself, but acknowledging (Lam 1:18), The Lord is righteous. He does us no wrong in dealing thus with us, nor can we charge him with any injustice in it; how unrighteous soever men are, we are sure that the Lord is righteous, and manifests his justice, though they contradict all the laws of theirs. Note, Whatever our troubles are, which God is pleased to inflict upon us, we must own that therein he is righteous; we understand neither him nor ourselves if we do not own it, Ch2 12:6. she owns the equity of God's actions, but owning the iniquity of her own: I have rebelled against his commandments (Lam 1:18); and again (Lam 1:20), I have grievously rebelled. We cannot speak ill enough of sin, and we must always speak worst of our own sin, must call it rebellion, grievous rebellion; and very grievous sins is to all true penitents. It is this that lies more heavily upon her than the afflictions she was under: "My bowels are troubled; they work within me as the troubled sea; my heart is turned within me, is restless, is turned upside down; for I have grievously rebelled." Note, Sorrow for our sin must be great sorrow and must affect the soul.

VI. She appeals both to the mercy and to the justice of God in her present case. 1. She appeals to the mercy of God concerning her own sorrows, which had made her the proper object of his compassion (Lam 1:20): "Behold, O Lord! for I am in distress; take cognizance of my case, and take such order for my relief as thou pleasest." Note, It is matter of comfort to us that the troubles which oppress our spirits are open before God's eye. 2. She appeals to the justice of God concerning the injuries that her enemies did her (Lam 1:21, Lam 1:22): "Thou wilt bring the day that thou hast called, the day that is fixed in the counsels of God and published in the prophecies, when my enemies, that now prosecute me, shall be made like unto me, when the cup of trembling, now put into my hands, shall be put into theirs." It may be read as a prayer, "Let the day appointed come," and so it goes on, "Let their wickedness come before thee, let it come to be remembered, let it come to be reckoned for; take vengeance on them for all the wrongs they have done to me (Psa 109:14, Psa 109:15); hasten the time when thou wilt do to them for their transgressions as thou hast done to me for mine." This prayer amounts to a protestation against all thoughts of a coalition with them, and to a prediction of their ruin, subscribing to that which God had in his word spoken of it. Note, Our prayers may and must agree with God's word; and what day God has here called we are to call for, and no other. And though we are bound in charity to forgive our enemies, and to pray for them, yet we may in faith pray for the accomplishment of that which God has spoken against his and his church's enemies, that will not repent to give him glory.

Matthew Henry (1662–1714) — Commentary on the Whole Bible. This section covers verses 12–22. Public domain.
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Ambrose of MilanAD 397
Concerning Repentance 2.6.44-49
Repentance came by John, grace by Christ. He, as the Lord, gives the one; the other is proclaimed, as it were, by the servant. The church, then, keeps both that it may attain to grace and not cast away repentance, for grace is the gift of One who confers it; repentance is the remedy of the sinner.Jeremiah knew that penitence was a great remedy, which he in his Lamentations took up for Jerusalem and brings forward Jerusalem itself as repenting when he says, “She wept sore in the night, and her tears are on her cheeks, nor is there one to comfort her of all who love her. The ways of Zion do mourn.” And he says further, “For these things I weep, my eyes have grown dim with weeping, because he who used to comfort me is gone far from me.” We notice that he thought this the bitterest addition to his woes, that he who used to comfort the mourner was gone far from him. How, then, can you take away the very comfort by refusing to repentance the hope of forgiveness?
But let those who repent learn how they ought to carry it out, with what zeal, with what affection, with what intention of mind, with what shaking of the inmost bowels, with what conversion of heart: “Behold,” he says, “O Lord, that I am in distress; my bowels are troubled by my weeping; my heart is turned within me.”
Here you recognize the intention of the soul, the faithfulness of the mind, the disposition of the body: “The elders of the daughters of Zion sat,” he says, “on the ground, they put dust on their heads, they girded themselves with haircloth, the princes hung their heads to the ground, the virgins of Jerusalem fainted with weeping, my eyes grew dim, my bowels were troubled, my glory was poured on the earth.”
So, too, did the people of Nineveh mourn and escaped the destruction of their city. Such is the remedial power of repentance, that God seems because of it to change his intention. To escape is, then, in your own power; the Lord wants to be asked, he wants people to hope in him, he wants supplication to be made to him. You are a human being, and you want to be asked to forgive, and you think that God will pardon you without asking him?
The Lord wept over Jerusalem, that, inasmuch as it would not weep itself, it might obtain forgiveness through the tears of the Lord. He wills that we should weep in order that we may escape, as you find it in the Gospel: “Daughters of Jerusalem, weep not for me, but weep for yourselves.”
Gregory the DialogistAD 604
LETTER 6
In describing loftily the sweetness of contemplation, you have renewed the groans of my fallen state, since I hear what I have lost inwardly while mounting outwardly, though undeserving, to the topmost height of rule. Know then that I am stricken with so great sorrow that I can scarcely speak, for the dark shades of grief block up the eyes of my soul. Whatever is beheld is sad; whatever is thought delightful appears to my heart lamentable. For I reflect to what a dejected height of external advancement I have mounted in falling from the lofty height of my rest. And, being sent for my faults into the exile of employment from the face of my Lord, I say with the prophet, in the words, as it were of destroyed Jerusalem, “He who should comfort me has departed far from me.” But when, in seeking something similar to express my condition and title, you frame periods and declamations in your letter, certainly, dearest brother, you call an ape a lion. Herein we see that you do as we often do, when we call mangy whelps leopards or tigers. For I, my good man, have, as it were, lost my children, since through earthly cares I have lost works of righteousness. Therefore “call me not Naomi that is fair; but call me Mara, for I am full of bitterness.”
Glossa OrdinariaAD 1274
BEHOLD, O LORD: the fourteenth or rather fifth topic of complaint, as all misfortunes are presented to the judge one by one, so that he, as if he saw the things themselves and not only heard the words, should be moved to pity.

Historical interpretation BEHOLD, O LORD: sometimes Jerusalem is perplexed with shame; sometimes, trusting in compassion, she is raised up, whence she says: BEHOLD, O LORD, that her affliction may turn the pious judge to compassion, shame to mercy. MY BOWELS ARE TROUBLED, like a woman in labor. I AM FULL: she points out, not that she is entirely touched, but that she is full of the BITTERNESS of sorrow and pain. MY HEART IS TURNED WITHIN ME by the weight of tribulation; THE SWORD of the persecutor; DEATH ALIKE, for the bitterness of tribulation.

Allegorical interpretation BEHOLD, O LORD: RES is interpreted ‘of the head’. For the disorder of the bowels or the destruction of the heart is a sighing of the mind that is denoted in the head. Therefore it is justly said confusion ‘of the head’, when the Church is filled with bitterness due to the falling of her own, she who daily exhibits her pain and tribulation before the most clement judge. The bowels are the reservoir of all food, in which it is digested; by which those are understood, who do not neglect to conceal within and ruminate the bread, which comes down from heaven, just as clean flesh. They receive this food through faith, digest it with charity and meditating God’s law, whence Isaiah: Of fear, O Lord, we have conceived, and have brought forth wind. The Church deplores these bowels being disturbed, when she suffers various temptations and is vexed within and without.

MY HEART IS TURNED WITHIN ME: namely because she does not put the seal of God upon her heart, whence: Put me as a seal upon thy heart. Indeed, if she had been sealed, the enemy would not have overthrown her. Thus, she is struck without by the sword of the persecutors, within by the doctrine of the heretics or the depravity of morals, which are more bitter than gall.

Moral interpretation BEHOLD O LORD: the soul, troubled by various pains, mourns her bowels, that is her mind being disturbed, whence: The spirit of a man is the lamp of the Lord, which searches all the hidden things of the bowels, that is of the mind. This sighing of the head is therefore good, as the mind is represented by the head, whence Jeremiah says elsewhere: My bowels, my bowels are in part, and adds explaining: The senses of my heart are troubled within me. For the bowels signify the mind, because as in the bowels the offspring, so the thoughts in the mind. To be sure, the faithful soul, wearied by temptations, deplores herself weakened within and without; without by persecutions, within by pains. Indeed, when we are weakened on the outside by scourging, on the inside are we wearied by suggestions by the flesh, whence he adds: ABROAD THE SWORD DESTROYS, AND AT HOME THERE IS DEATH ALIKE.
Thomas AquinasAD 1274
Jerusalem begins to be captured by the divine king himself. About this notion three further views are proposed. First is expressed the precise distress, second, Judah (Jerusalem) is accused of faults by enemies. As Verse 21 later declares: "Hear how I groan; there is none to comfort me."

Third, Judah (Jerusalem) seeks vindication. As Verse 2? later on says: "Let all their evil-doing come before thee; and deal with them as thou hast dealt with me because of all my transgressions.

About the precise distress during the captivity there is excited attention. For, this Verse 20 says: "Behold, O Lord, for I am in distress, my soul is in tumult. In reference, Psalm 5l(50):l declares: "Have mercy on me, O God, according to thy steadfast love; according to thy abundant mercy blot out my transgressions."

As to the accusation of faults by enemies, there is metaphorically expressed a grief that is interior, and a nearness to one's heart. So, Verse 20 says: "my heart is wrung within me because I have been very rebellious." Such is already exposed above. But elsewhere Jeremiah 4:3l says: "For I heard the cry of a woman in travail, anguish as of one bringing forth her first child."

Also, the Book of Ruth 1:20 declares: "She said to them 'Do not call me Naomi, call me Mara, for the Almighty has dealt very bitterly with me!". And, Deuteronomy 32:14 says: "If I whet my glittering sword, and my hand takes hold on judgment.
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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