Psalm 38:5
“The Burden of Sin and Illness”Psalm 38:1–8
Bible text: King James Version (1769 Blayney text) · Public domain
Bible text: Berean Standard Bible · Public domain
Bible text: American Standard Version (1901) · Public domain
Bible text: World English Bible, Messianic edition · Public domain
Bible text: Geneva Bible (1599) · Public domain
Bible text: Young's Literal Translation · Public domain
- הִבְאִישׁוּhiv·'I·shuthey stinkH887V-Hiphil-Perf-3cpVerb Hiphil Perfect 3rd Plural common gender
- נָמַקּוּNa·ma·kuthey festerH4743V-Niphal-Perf-3cpVerb Niphal Perfect 3rd Plural common gender
- חַבּוּרֹתָיcha·bu·ro·Taimy woundsH2250N-fpc ¦ 1csNoun Plural Feminine Construct with suffixחַבּוּרֹתָwoundsיmy
- מִפְּנֵיmi·pe·Nei[from] because ofH6440Prep-m ¦ N-mpcNoun Plural Masculine Constructמִ[from]פְּנֵיbecause of
- אִוַּלְתִּי'i·val·Timy follyH200N-fsc ¦ 1csNoun Singular Feminine Construct with suffixאִוַּלְתִּfollyיmy
English is a literal word-by-word gloss of the Hebrew, not the KJV's wording. Why?
This is the original text the KJV's translators worked from — each Hebrew word with its own literal English meaning in this verse, prepared by scholars at Tyndale House, Cambridge. The KJV translates whole sentences, not word by word, so its wording differs: one Hebrew word can become several English words, and the KJV may choose “the LORD” where the gloss reads “Yahweh”. Both are faithful — they answer different questions. For the KJV's own rendering, switch to the KJV text.
Words in [ ] are added by the English.
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Public-domain commentary
Matthew Henry
From his Commentary on the Whole Bible. Henry wrote on whole passages, and this entry covers Psalm 38:1–11. He set out his notes in a two-level outline, kept here as he numbered it.
The title of this psalm is very observable; it is a psalm to bring to remembrance; the 70th psalm, which was likewise penned in a day of affliction, is so entitled. It is designed, 1. To bring to his own remembrance. We will suppose it penned when he was sick and in pain, and then it teaches us that times of sickness are times to bring to remembrance, to bring the sin to remembrance, for which God contended with us, to awaken our consciences to deal faithfully and plainly with us, and set our sins in order before us, for our humiliation. In a day of adversity consider. Or we may suppose it penned after his recovery, but designed as a record of the convictions he was under and the workings of his heart when he was in affliction, that upon every review of this psalm he might call to mind the good impressions then made upon him and make a fresh improvement of them. To the same purport was the writing of Hezekiah when he had been sick. 2. To put others in mind of the same things which he was himself mindful of, and to teach them what to think and what to say when they are sick and in affliction; let them think as he did, and speak as he did.
I.He deprecates the wrath of God and his displeasure in his affliction (Psalm 38:1):
O Lord! rebuke me not in thy wrath. With this same petition he began another prayer for the visitation of the sick, Psalm 6:1. This was most upon his heart, and should be most upon ours when we are in affliction, that, however God rebukes and chastens us, it may not be in wrath and displeasure, for that will be wormwood and gall in the affliction and misery. Those that would escape the wrath of God must pray against that more than any outward affliction, and be content to bear any outward affliction while it comes from, and consists with, the love of God.
II.He bitterly laments the impressions of God's displeasure upon his soul (Psalm 38:2):
Thy arrows stick fast in me. Let Job's complaint (Job 7:4) expound this of David. By the arrows of the Almighty he means the terrors of God, which did set themselves in array against him. He was under a very melancholy frightful apprehension of the wrath of God against him for his sins, and thought he could look for nothing but judgment and fiery indignation to devour him. God's arrows, as they are sure to hit the mark, so they are sure to stick where they hit, to stick fast, till he is pleased to draw them out and to bind up with his comforts the wound he has made with his terrors. This will be the everlasting misery of the damned - the arrows of God's wrath will stick fast in them and the wound will be incurable. "Thy hand, thy heavy hand, presses me sore, and I am ready to sink under it; it not only lies hard upon me, but it lies long; and who knows the power of God's anger, the weight of his hand?" Sometimes God shot his arrows, and stretched forth his hand, for David (Psalm 18:14), but now against him; so uncertain is the continuance of divine comforts, where yet the continuance of divine grace is assured. He complains of God's wrath as that which inflicted the bodily distemper he was under (Psalm 38:3): There is no soundness in my flesh because of thy anger. The bitterness of it, infused in his mind, affected his body; but that was not the worst: it caused the disquietude of his heart, by reason of which he forgot the courage of a soldier, the dignity of a prince, and all the cheerfulness of the sweet psalmist of Israel, and roared terribly, Psalm 38:8. Nothing will disquiet the heart of a good man so much as the sense of God's anger, which shows what a fearful thing it is to fall into his hands. The way to keep the heart quiet is to keep ourselves in the love of God and to do nothing to offend him.
III.He acknowledges his sin to be the procuring provoking cause of all his troubles, and groans more under the load of guilt than any other load, Psalm 38:3. He complains that his flesh had no soundness, his bones had no rest, so great an agitation he was in. "It is because of thy anger; that kindles the fire which burns so fiercely;" but, in the next words, he justifies God herein, and takes all the blame upon himself: "It is because of my sin. I have deserved it, and so have brought it upon myself. My own iniquities do correct me." If our trouble be the fruit of God's anger, we may thank ourselves; it is our sin that is the cause of it. Are we restless? It is sin that makes us so. If there were not sin in our souls, there would be no pain in our bones, no illness in our bodies. It is sin therefore that this good man complains most of,
1.As a burden, a heavy burden (Psalm 38:4): "My iniquities have gone over my head, as proud waters over a man that is sinking and drowning, or as a heavy burden upon my head, pressing me down more than I am able to bear or to bear up under." Note, Sin is a burden. The power of sin dwelling in us is a weight, Hebrews 12:1. All are clogged with it; it keeps men from soaring upward and pressing forward. All the saints are complaining of it as a body of death they are loaded with, Romans 7:24. The guilt of sin committed by us is a burden, a heavy burden; it is a burden to God (he is pressed under it, Amos 2:13), a burden to the whole creation, which groans under it, Romans 8:21, Romans 8:22. It will, first or last, be a burden to the sinner himself, either a burden of repentance when he is pricked to the heart for it, labours, and is heavy-laden, under it, or a burden of ruin when it sinks him to the lowest hell and will for ever detain him there; it will be a talent of lead upon him, Zechariah 5:8. Sinners are said to bear their iniquity. Threatenings are burdens.
2.As wounds, dangerous wounds (Psalm 38:5): "My wounds stink and are corrupt (as wounds in the body rankle, and fester, and grow foul, for want of being dressed and looked after), and it is through my own foolishness." Sins are wounds (Genesis 4:23), painful mortal wounds. Our wounds by sin are often in a bad condition, no care taken of them, no application made to them, and it is owing to the sinner's foolishness in not confessing sin, Psalm 32:3, Psalm 32:4. A slight sore, neglected, may prove of fatal consequence, and so may a slight sin slighted and left unrepented of.
IV.He bemoans himself because of his afflictions, and gives ease to his grief by giving vent to it and pouring out his complaint before the Lord.
1.He was troubled in mind, his conscience was pained, and he had no rest in his own spirit; and a wounded spirit who can bear? He was troubled, or distorted, bowed down greatly, and went mourning all the day long, Psalm 38:6. He was always pensive and melancholy, which made him a burden and terror to himself. His spirit was feeble and sorely broken, and his heart disquieted, Psalm 38:8. Herein David, in his sufferings, was a type of Christ, who, being in his agony, cried out, My soul is exceedingly sorrowful. This is a sorer affliction than any other in this world; whatever God is pleased to lay upon us, we have no reason to complain as long as he preserves to us the use of our reason and the peace of our consciences.
2.He was sick and weak in body; his loins were filled with a loathsome disease, some swelling, or ulcer, or inflammation (some think a plague-sore, such as Hezekiah's boil), and there was no soundness in his flesh, but, like Job, he was all over distempered. See (1.) What vile bodies these are which we carry about with us, what grievous diseases they are liable to, and what an offence and grievance they may soon be made by some diseases to the souls that animate them, as they always are a cloud and cog. (2.) That the bodies both of the greatest and of the best of men have in them the same seeds of diseases that the bodies of others have, and are liable to the same disasters. David himself, though so great a prince and so great a saint, was not exempt from the most grievous diseases: there was no soundness even in his flesh. Probably this was after his sin in the matter of Uriah, and thus did he smart in his flesh for his fleshly lusts. When, at any time, we are distempered in our bodies, we ought to remember how God has been dishonoured in and by our bodies. He was feeble and sorely broken, Psalm 38:8. His heart panted, and was in a continual palpitation, Psalm 38:10. His strength and limbs failed him. As for the light of his eyes, that had gone from him, either with much weeping or by a defluxion of rheum upon them, or perhaps through the lowness of his spirits and the frequent returns of fainting. Note, Sickness will tame the strongest body and the stoutest spirit. David was famed for his courage and great exploits; and yet, when God contended with him by bodily sickness and the impressions of his wrath upon his mind, his hair is cut, his heart fails him, and he becomes weak as water. Therefore let not the strong man glory in his strength, nor any man set grief at defiance, however it may be thought at a distance.
3.His friends were unkind to him (Psalm 38:11): My lovers (such as had been merry with him in the day of his mirth) now stand aloof from my sore; they would not sympathize with him in his griefs, nor so much as come within hearing of his complaints, but, like the priest and Levite (Luke 10:31), passed on the other side. Even his kinsmen, that were bound to him by blood and alliance, stood afar off. See what little reason we have to trust in man or to wonder if we disappointed in our expectations of kindness from men. Adversity tries friendship, and separates between the precious and the vile. It is our wisdom to make sure a friend in heaven, who will not stand aloof from our sore and from whose love no tribulation nor distress shall be able to separate us. David, in his troubles, was a type of Christ in his agony, Christ, on his cross, feeble and sorely broken, and then deserted by his friends and kinsmen, who beheld afar off.
V.In the midst of his complaints, he comforts himself with the cognizance God graciously took both of his griefs and of his prayers (Psalm 38:9): "Lord, all my desire is before thee. Thou knowest what I want and what I would have: My groaning is not hidden from thee. Thou knowest the burdens I groan under and the blessings I groan after." The groanings which cannot be uttered are not hidden from him that searches the heart and knows what is the mind of the Spirit, Romans 8:26, Romans 8:27.
In singing this, and praying it over, whatever burden lies upon our spirits, we would by faith cast it upon God, and all our care concerning it, and then be easy.
Historical interpretation
Two Centuries of Reception
7 surviving comments on this verse. Each one is dated, so this reads as a timeline rather than a list.
Select a marker to jump to its quote. Markers stagger vertically where authors wrote within a few decades of each other.
For as the putrid humors and matter of flesh, and all those things that corrupt it, are driven out by salt, in the same manner all the irrational appetites … are banished from the body by divine teaching. For it must … be that the soul that is not sprinkled with the words of Christ, as with salt, should stink and breed worms, as King David, openly confessing with tears in the mountains, cried out, “My wounds stink and are corrupt,” because he had not salted himself with the exercises of self-control and so subdued his carnal appetites, but [he] self-indulgently had yielded to them and became corrupted in adultery.
(Verse 5.) Therefore, rightly placed under iniquities, and (what is worse) his own, he says that his scars have become corrupted and decayed from the face of his foolishness; because the remedy for lifting the burden of iniquities followed slowly. However, even Job, who with a holy razor shaved the pus from his sores, was deprived of health; and Lazarus, a poor man who lay at the rich man's gate, with dogs licking his wounds, was lifted from the stench of his scars and placed in Abraham's bosom by angels. So in the holy David there is hope for the remedy of health; for it is not fragrant ointments, but the stench of his wounds of sin that heal; and because he is afflicted and bent down by them, and not delighted. Look now at some lewd young man, and remarkably lustful, who spends his life in debauchery, lying in luxury like that rich man in fine linen and purple, and feasting splendidly every day, with wine-soaked floors beneath him, the ground covered with flowers and thorns, the dining rooms filled with the fumes of various incenses, thinking himself blessed and considering himself to smell good; even though he bears heavy and enduring wounds of his soul, and his corrupted blood flows, he does not perceive any stench from his scar. For he has obstructed his nostrils with filth, and he cannot say: The divine spirit, which is in my nostrils (Job. XXVII, 3). Therefore, that rich man could not find the remedy of salvation, but the poor man found it. Finally, one is in torment among the dead, the other in rest.
Therefore, the holy prophet David also found the remedy for eternal salvation, who confessed the wounds of his soul and spoke of his own scars having decayed from the face of his folly. But there is also a folly that brings salvation to those who believe through the foolishness of preaching. Therefore, the prophet rejects the wisdom of this world, which is not known by God, with the Gospel spirit. It covers its wounds and does not reveal them to the Lord. Therefore, better is the foolishness that has eyes to see its own wounds than wisdom that does not have them. And therefore, with the gaze of his own foolishness, such a great king admits to being afflicted by miseries; so that he may find the remedy of repentance, which Judas, who possessed a field with the wages of iniquity, could not find.
Now look at some lascivious youth openly displaying his debauchery; his life is spent in love affairs; he lounges around like that rich man who was clothed in fine linen and purple; daily he enjoys the most sumptuous dinners; his pavements swim in wine; the ground is covered with flowers and strewn with fish bones; and the dining room is filled with the perfume of sweet-smelling incense. He is perfectly delighted with himself and flatters himself that he smells sweetly.… He does not know that his soul is bleeding and festering, and he will not accept that his wounds are foul-smelling.… But the holy prophet David found for himself a remedy of everlasting salvation. For he freely spoke of his own wounds and confessed that his sores were foul and festering because of his foolishness.… This world covers up its wounds and does not show them to the Lord. Better the foolishness that has eyes to see its sores than wisdom that has not.
Sin is more foul than putrefaction itself. What, for instance, is more offensive than fornication? And if this is not perceived at the time of its commission, yet, after it is committed, its offensive nature, the impurity contracted in it, and the curse and the abomination of it is perceived. So it is with all sin. Before it is committed, it has something of pleasure, but after its commission, the pleasure ceases and fades away, and pain and shame succeed. But with righteousness it is the reverse. At the beginning it is attended with toil but in the end with pleasure and repose.
If you wish to learn the foulness of sin, think of it after it has been committed, when you are rid of the evil desire, when its fires no longer cause disturbance, and then you will perceive what sin is.
"My wounds stink and are corrupt" [Psalm 38:5]. Now he who has wounds is not perfectly sound. Add to this, that the wounds "stink and are corrupt." Wherefore do they "stink"? Because they are "corrupt:" now in what way this is explained in reference to human life, who does not understand? Let a man but have his soul's sense of smelling sound, he perceives how foully sins stink. The contrary to which stink of sin, is that savour of which the Apostle says, "We are the sweet savour of Christ unto God, in every place, unto them which be saved." [2 Corinthians 2:15] But whence is this, except from hope? Whence is this, but from our "calling the Sabbath to remembrance"? For it is a different thing that we mourn over in this life, from that which we anticipate in the other. That which we mourn over is stench, that which we reckon upon is fragrance. Were there not therefore such a perfume as that to invite us, we should never call the Sabbath to remembrance. But since, by the Spirit, we have such a perfume, as to say to our Betrothed, "Because of the savour of Your good ointments we will run after You;" [Song of Songs 1:3-4] we turn our senses away from our own unsavourinesses, and turning ourselves to Him, we gain some little breathing-time. But indeed, unless our evil deeds also did smell rank in our nostrils, we should never confess with those groans, "My wounds stink and are corrupt." And wherefore? "from the face of my foolishness." From the same cause that he said before, "from the face of my sins;" from that same cause he now says, "from the face of my foolishness."
Let not earth and ashes glory because in its life it has abandoned its inmost thoughts; wounded, let it not exult as if healthy concerning that which it thinks healthy in itself. But with the humility of an afflicted heart, let it meditate on the rottenness of its wounds in order that, crying out with the prophet, “My wounds grow foul and fester because of my foolishness,” it can receive healing from the divine piety, not of its own merits but by a free gift. For what does a person have that he has not received? But if he has received, why is he glorying as if he had not received? Therefore, God alone can give to all to whom he wishes the means by which true salvation can be acquired. He alone is able to safeguard what he has given in the one receiving.
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This verse
David’s wounds stink and fester, and he says plainly that his own moral folly has brought them on him.
“My wounds stink and are corrupt”
His sores are infected and give off a foul smell. They are also a picture of the inner rot that sin causes.
“because of my foolishness.”
David names his own moral folly as the cause and blames no one else.
Passage studyPsalm 38:1–8
The Burden of Sin and Illness
Summary
David opens Psalm 38 by asking the LORD to correct him without wrath, and then he tells what his sin has brought on him. God’s arrows are lodged in him and God’s hand presses down on him. His body has no healthy place and his bones have no peace. His wounds stink, his iniquities have risen over his head like a flood, and they weigh on him like a load he cannot carry. Bent low, mourning all day and worn out, he roars from the turmoil of his heart. These eight verses show how heavy sin is, how honestly a believer may speak to God about it, and the mercy David reaches for, which God gives in full in Christ.
A psalm “to bring to remembrance”
The heading names David as the writer and gives the purpose “to bring to remembrance”, in Hebrew l’hazkir. The verb means to remember, and in this form to mention or to bring to remembrance. The psalm asks God to remember David in his trouble and to remember his covenant promises and compassion, and it also reminds David, and everyone who prays it after him, how serious sin is and how God answers it. The same heading stands over Psalm 70, another urgent cry for God to come quickly and help. The heading can also be rendered “for the memorial offering”, which ties the psalm to remembrance, confession and petition before God.
Psalm 38 is one of the seven psalms long known as the penitential psalms, with Psalm 6, Psalm 32, Psalm 51, Psalm 102, Psalm 130 and Psalm 143. All of them confess sin, grieve over it and plead with God for mercy. In the first book of the Psalms it follows Psalm 37, which sets the end of the righteous beside the end of the wicked, and it comes before Psalms 39 and 40, which go on to speak of human frailty, the shortness of life and trust in God.
The heading names no occasion, but several times in David’s life fit it. There was his adultery with Bathsheba, the murder of Uriah and Nathan’s rebuke (2 Samuel 11–12). There was the census that brought judgment on the nation (2 Samuel 24), and there was the rebellion of Absalom. A severe illness that left him open to his enemies would fit as well. The psalm itself gives us what we need: a man under the hand of God, sick in body, sure that his own sin lies behind it, and still praying.
These eight verses are the first part of Psalm 38, and the rest of the psalm carries the same prayer further. David tells how his friends and family stand back from his trouble (Psalm 38:11) while enemies scheme against him. Even so, he says his hope is in the LORD and that God will answer him (Psalm 38:15). He confesses his iniquity openly (Psalm 38:18), pleads with God to stay near (Psalm 38:21), and ends, “Make haste to help me, O Lord my salvation” (Psalm 38:22).
Asking for a Father’s correction instead of wrath
“O LORD, rebuke me not in thy wrath: neither chasten me in thy hot displeasure.” David calls on the LORD, the covenant God of Israel, by name. He expects to be corrected and makes no claim to deserve better. What he asks is that the correction come without the full, destroying force of God’s anger.
Two verbs and two words for anger stand side by side, and the second half of the verse repeats the first with more force. To rebuke, yâkach, means to decide, correct, convince or convict, and it can also mean to reason together. To chasten, yâçar, means to discipline or instruct. It can describe a father’s correction of his child, and it also covers a ruler’s harsh scourging, so the word alone leaves open how severe the chastening will be. That is the very thing David asks God to settle in mercy. Wrath, qetseph, means wrath or anger, and it often describes God’s judgment poured out. Hot displeasure, chêmâh, comes from a root meaning to be hot, and means heat or rage.
So David distinguishes two things that both come from God’s righteous character. Discipline is the correction of a Father who means to bring his child back and make him holy. Wrath is God’s holy anger against sin, which if it ran its full course would destroy. David asks for the first, trusting that the LORD’s purpose for his people is their restoration. Israel knew that the LORD would rebuke and chasten those who strayed from his covenant, which set blessing before obedience and curse before disobedience (Deuteronomy 28), and the hope of the faithful was always restoration.
Scripture says the same about the LORD’s discipline in many places. Proverbs tells the son to accept the LORD’s chastening, because the LORD corrects the one he loves (Proverbs 3:11–12). Hebrews teaches that the Lord disciplines those he loves, that his discipline is a mark of being his sons, and that he gives it for our good, so that we may share his holiness (Hebrews 12:5–11). Lamentations speaks of God’s compassion that remains even in the grief he sends (Lamentations 3:32–33). David’s plea comes from the humble place that God welcomes, the broken and contrite heart of Psalm 51:17.
The arrows and the hand of God
“For thine arrows stick fast in me, and thy hand presseth me sore.” The word “For” gives the reason for David’s plea, and both pictures belong to God: “thine arrows”, “thy hand”. David traces his suffering straight to the LORD.
Arrows, chêts, are the ordinary arrows of war and hunting, and here they picture sharp, piercing pains sent by God. Scripture speaks of God’s arrows as judgment elsewhere too (Deuteronomy 32:23), and Job in his suffering speaks of God’s arrows in the same way (Job 6:4). The plural tells of many blows, and “stick fast” tells that they stay lodged. The pain is deep inside him and continues, and he cannot pull out what causes it.
The hand, yâd, is the open hand, and it stands for power and for the one who acts. God’s hand can bless or judge, and here it presses. The verb nâchath means to sink, to come down or to come down upon, so the hand has come down on David and stays there as a crushing weight. The first picture pierces and the second crushes, and together they show an affliction he cannot escape. The man who speaks in Lamentations, who has seen affliction from God’s hand, uses the same kind of language (Lamentations 3:1–3).
Does God really shoot arrows at people?
The arrows and the pressing hand are pictures, and what they picture is real: affliction that David knows has come from God. Scripture speaks of God in human terms so that we can understand what he does. God rules over every circumstance, affliction included, and he may send or allow hard things to bring a person to repentance, to refine his character or to show his justice. David’s poetry tells us how sharp and how personal the pain felt, and it tells us who stood behind it.
No soundness in his flesh, no rest in his bones
“There is no soundness in my flesh because of thine anger; neither is there any rest in my bones because of my sin.” Soundness, mᵉthôm, means wholeness or soundness. With it gone, no part of David’s body is healthy or intact. The anger here is zaʻam, fury or indignation, a word used especially of God’s displeasure with sin. It is a righteous anger, God’s just response to sin.
The word translated “rest” is shâlôwm, more often rendered “peace”. It names a state of completeness, soundness, welfare, peace and safety. David has none of it in his bones, and in Scripture the bones often stand for the deepest part of a person and his strength. The words “no rest in my bones” take in physical pain and also a disquiet that reaches his inmost being, where his guilt has gone.
The two halves of the verse set “thine anger” beside “my sin”. God’s anger and David’s sin are the two sides of one cause, and David blames no one else. He knew this experience from before. In Psalm 32:3–5 he tells how his body wasted while he kept his sin hidden, and how it changed when he confessed it to the LORD.
Wounds that stink from his own foolishness
“My wounds stink and are corrupt because of my foolishness.” The word for wounds, chabbûwrâh, means a bruise, stripe or weal, the visible mark of a blow or of disease, and Strong’s traces it to a root meaning to bind. To stink, bâʼash, means to smell bad or to be abhorrent. These wounds are rotting and festering, an advanced infection that gives off a foul smell. In a time without modern medicine such sores were visible, crippling and often isolating, and the rest of the psalm tells of friends who keep their distance.
The rotting wound is also a picture of what sin does inside a person. It is as offensive before a holy God as a putrid wound is to human senses, and it eats away at a person’s whole wellbeing and peace.
What “foolishness” means here
The cause David names is his own “foolishness”, ʼivveleth. The word means moral folly, a perverse turning away from God’s wisdom and ways. It is a failure of the heart and will, the kind of folly that chooses against what God has said and so brings ruin on itself and harms others. Proverbs sets the fool beside the wise man who fears the LORD and turns from evil (Proverbs 14:16), and it says that “the fear of the LORD is the beginning of wisdom” (Proverbs 9:10).
David takes full responsibility. He names his foolishness as the source of his wounds and blames neither God, fate nor other people. Scripture warns that “whatsoever a man soweth, that shall he also reap” (Galatians 6:7) and that “the wages of sin is death” (Romans 6:23). It also promises that when we confess our sins, God is faithful to forgive and cleanse us (1 John 1:9), which is where David’s honesty leads.
A loathsome disease in his loins
“For my loins are filled with a loathsome disease: and there is no soundness in my flesh.” The loins, keçel, come from a root meaning fatness. The word refers to the loin, the lower back, the hips and the region around the kidneys and inner organs, and the loins stand for strength and vitality. David’s sickness has reached the core of his body and drained his strength at its source.
The word behind “loathsome” is qâlâh, which means to toast or scorch, to parch or dry up with heat. It describes a burning, shrivelling or festering condition that is painful and repulsive at once. The KJV prints “disease” in italics because it is supplied in English, and the Hebrew dwells on the burning, loathsome quality of the sickness itself.
The verse ends with the same words as verse 3, “no soundness in my flesh”, and the same word, mᵉthôm. David has come back round to it after describing his wounds, and every part of his body is now included. Isaiah uses the same kind of picture for a sinful nation covered in wounds and sores (Isaiah 1:5–6), and Job’s affliction with sores covered his body (Job 2:7–8). For a king, such a sickness also meant weakness that could embolden his enemies and shake his rule, and the later verses of the psalm show his enemies taking that chance.
Iniquities over his head
“For mine iniquities are gone over mine head: as an heavy burden they are too heavy for me.” Iniquities, ‘âvôn, means perversity, moral evil, fault or sin, and the same word can mean the punishment that sin brings. Its plural speaks of many wrongs piling up together. To go over, ‘âbar, means to cross or pass over, and with “mine head” it gives the picture of waters rising over a drowning man. David’s sins have risen until they cover him and he cannot breathe or get free.
The second picture is a load on his back. Heavy, kâbêd, means heavy, weighty or grievous, and burden, massâʼ, means a load or weight, a word that elsewhere can also mean an oracle. The words “too heavy for me” are an honest confession that this weight is beyond his strength. He can only be freed by someone else lifting it.
David says elsewhere, “my sin is ever before me” (Psalm 51:3), and Paul cries out, “O wretched man that I am!” (Romans 7:24). All have sinned and come short of the glory of God (Romans 3:23), so David’s burden belongs to every one of us. Peter tells believers to cast all their care on God, because he cares for them (1 Peter 5:7).
Bowed down, mourning and roaring
Verses 6 and 8 tell what all this has done to the whole man. “I am troubled; I am bowed down greatly; I go mourning all the day long.” Troubled, ʻâvâh, means to crook, to bend, to do amiss or to trouble, and it gives the sense of a person twisted out of shape inside, with no settled peace. Bowed down is shâchach, to sink, bend or stoop, and greatly is mᵉʼôd, meaning very, greatly or exceedingly. David is bent over with weakness and shame, perhaps from his illness and certainly under the weight he has just described.
Mourning, qâdar, means to be ashy, dark or gloomy. It points to the outward signs of grief in Israel: dark or soiled clothes, sackcloth and ashes, torn garments and an unkempt look. David goes about this way “all the day long”, so his sorrow fills every hour of his day and gives him no respite.
“I am feeble and sore broken: I have roared by reason of the disquietness of my heart.” Feeble, pûwg, means to be sluggish, to faint or to cease, and describes strength that has run out completely. Broken, dâkâh, means to collapse in body or mind, to be crushed, and the same word can mean to be contrite. He is worn out and shattered at once. Roared, shâʼag, is the sound of a lion, a deep, wordless cry of agony. The disquietness behind it, nᵉhâmâh, comes from a root meaning to snarl or moan, so the groaning inside him breaks out as a roar. Its seat is the heart, lêb, his whole inner self of thought, feeling and will. This is the lowest point of the psalm’s first part, and from here David turns more and more to asking God for help.
David’s other psalms speak the same way. He wept until his bed swam with tears (Psalm 6:6), and he asked “How long, O LORD?” (Psalm 13:1–2). Lamentations remembers affliction and bitterness in the same words of grief (Lamentations 3:19–20). God invites his people to pour out their hearts before him (Psalm 62:8), and when we do not know what to pray, the Spirit helps us in our weakness (Romans 8:26). David’s roar is a prayer, made to the God he trusts to heal, the God who heals all our diseases and forgives all our iniquities (Psalm 103:3) and who healed David when he cried to him before (Psalm 30:2). James joins confession and prayer with healing (James 5:16).
Is every illness a punishment for sin?
This psalm tells of one man who knew that his sickness came with his sin, and the rest of Scripture shows sickness coming from other causes as well. Sin brought brokenness and suffering into the world from the beginning (Genesis 3:16–19), and the whole creation groans under it (Romans 8:22). Some sins do bring their own painful consequences. Nathan told David of the trouble his sin with Bathsheba would bring on his house (2 Samuel 12:10–12), and the child born to them died (2 Samuel 12:15–18).
Scripture also shows righteous people suffering for reasons that lie outside their own sin. Job’s great suffering came on a man God himself held up as faithful (Job 1). When the disciples asked whose sin had made a man born blind, Jesus answered that his blindness came so that the works of God would be shown in him (John 9:1–3). God’s fatherly discipline is one cause of hardship among others.
So Psalm 38 gives no rule that every sick person is being punished, and it would be cruel to read it that way over someone else’s illness. What it gives is the prayer of a man who examined himself and knew the cause in his own case. His honesty about his own sin is part of true repentance.
The burden Christ carried
David asked to be spared the full force of God’s wrath. Christ, the sinless Lamb of God, took that wrath on himself on the cross. John the Baptist called him “the Lamb of God, which taketh away the sin of the world” (John 1:29). God made him “to be sin for us, who knew no sin; that we might be made the righteousness of God in him” (2 Corinthians 5:21). He is the propitiation for our sins (Romans 3:25), he redeemed us from the curse by becoming a curse for us (Galatians 3:13), and through him we are saved from wrath (Romans 5:9). He made peace through the blood of his cross (Colossians 1:20). For those who belong to him, what David prayed for is given. God’s hand still corrects his children as a Father, and he shapes them into the image of his Son (Romans 8:29).
Isaiah’s Servant carries everything David describes (Isaiah 53:3–6). He was “a man of sorrows, and acquainted with grief”. He bore our griefs and carried our sorrows, “and with his stripes we are healed”. David’s iniquities went over his head, and of the Servant Isaiah says, “the LORD hath laid on him the iniquity of us all.” David’s wounds came from his own foolishness, and Christ’s came from ours. He “bare our sins in his own body on the tree” (1 Peter 2:24). Christ also became wisdom for us (1 Corinthians 1:30), the answer to the folly that leaves us dead in trespasses and sins (Ephesians 2:1).
Jesus knew the anguish of verses 6 and 8 from the inside. In Gethsemane his soul was “exceeding sorrowful, even unto death” (Matthew 26:38), and his sweat fell like great drops of blood (Luke 22:44). On the cross he cried, “My God, my God, why hast thou forsaken me?” (Matthew 27:46). So we have a High Priest who is touched with the feeling of our infirmities and who was tempted in every way as we are, yet without sin (Hebrews 4:15). In his ministry he healed many who were sick (Matthew 8:16–17).
To everyone weighed down as David was, Jesus says, “Come unto me, all ye that labour and are heavy laden, and I will give you rest” (Matthew 11:28–30). The burden that was “too heavy for me” is the burden he lifts. Our old self is crucified with him, so that sin no longer rules us (Romans 6:6–7). He gives his own peace (John 14:27), times of refreshing come from the Lord to those who repent (Acts 3:19), and at the last God will wipe away every tear (Revelation 21:4).
Bringing the whole burden to the LORD
Psalm 38 gives us words for the hour when sin and suffering are tangled together. David holds nothing back. He names God’s anger, his own sin, his rotting wounds and his roaring heart, and he says all of it to the LORD. That honesty is itself an act of trust, because he speaks to the God who corrects as a Father and whose purpose is to restore.
The psalm also shows who God is. He takes sin seriously enough to let David feel its full weight, and he hears a cry too deep for words. He answered David’s plea for mercy most fully at the cross, where Christ carried the wrath and the burden that crushed David. Anyone who prays this psalm today prays it to that God, who has made the way back open in his Son.
Psalm 38:1
“A Psalm of David, to bring to remembrance.”
The heading, l’hazkir, asks God to remember David in his distress and reminds those who pray it how serious sin is. Psalm 70 has the same heading.
“O LORD, rebuke me not in thy wrath:”
David uses God’s covenant name and asks to be corrected without the full force of his anger.
“neither chasten me in thy hot displeasure.”
The second line repeats the first with more heat. David asks for discipline that restores, the correction of a Father.
Psalm 38:2
“For thine arrows stick fast in me,”
The “For” gives the reason for verse 1. God’s arrows are lodged in David, and he cannot pull them out.
“and thy hand presseth me sore.”
God’s hand has come down on him and stays there. Where the arrows pierce, the hand crushes.
Psalm 38:3
“There is no soundness in my flesh because of thine anger;”
No part of his body is whole, and he traces it to God’s righteous indignation.
“neither is there any rest in my bones because of my sin.”
The “rest” is shâlôwm, peace and welfare. Its absence reaches his bones, his deepest strength, and the cause is “my sin”.
Psalm 38:4
“For mine iniquities are gone over mine head:”
His sins are like floodwaters closed over his head.
“as an heavy burden they are too heavy for me.”
The second picture is a load beyond his strength. He needs someone else to lift it.
Psalm 38:5 This verse
“My wounds stink and are corrupt”
His sores are infected and give off a foul smell. They are also a picture of the inner rot that sin causes.
“because of my foolishness.”
David names his own moral folly as the cause and blames no one else.
Psalm 38:6
“I am troubled;”
He is twisted inwardly, without settled peace.
“I am bowed down greatly;”
He is bent low in body and spirit under his burden.
“I go mourning all the day long.”
He goes about in the dark dress of grief, and his sorrow fills the whole day.
Psalm 38:7
“For my loins are filled with a loathsome disease:”
A burning, repulsive sickness has reached the seat of his strength. “Disease” is supplied in English.
“and there is no soundness in my flesh.”
The words of verse 3 return, and now every part of him is included.
Psalm 38:8
“I am feeble and sore broken:”
His strength has run out, and he is crushed.
“I have roared by reason of the disquietness of my heart.”
The turmoil in his heart breaks out in a wordless roar, like a lion’s, and David lifts that cry to God.
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