Psalm 38 is an interesting one, because its overall theme is of feeling chastened by the Lord. To be ‘chastened’ means to be corrected by going through suffering. The speaker does not rail against God at all; he understands the purpose God must have in needing to correct him and bring him to task. He declares his own wrongness and his wretchedness. His trust in the Lord is sure and strong, and we get the sense that he fully understands that all this is the Lord’s way of salvation for him. The opening and closing verses talk about the Lord urgently and with conviction.

Spiritually, this psalm describes our need to understand and accept our frail and broken human nature. By "accepting" I don't mean being satisfied with our spiritual state, or resigned to it. We need even to be practising repentance daily in some way (see The New Jerusalem 163). Repentance involves examining ourselves and seeing our true state and bringing ourselves to the Lord for his aid, protection and illumination. This is an ongoing need. We keep learning to understand more about how the Lord works with us and how we are to manage our spiritual states.

This psalm also describes the Lord’s own deep temptations during his human life. Verses 1 to 10 describe these temptations, such as, “My wounds are foul and festering because of my foolishness” (verse 5). Verses 11 and 12 speak of even those ‘friends’ and ‘companions’ who love good and truth turning from the Lord, wanting his death. Verses 13 and 14 tell us that the Lord bears all this with patience, and verses 15 to 22 (and also verse 9) are about the Lord’s confidence that the hells will not prevail against him.

The psalm begins with the plea not to be punished by the Lord’s anger or his wrath. During our temptations, this is the appearance, yet it is essential that we appreciate that the Lord never punishes but only seek to save us. The Lord’s ‘anger’ is his resolve to free us from evils; the Lord’s ‘wrath’ is his determination to free us from false beliefs. (Arcana Caelestia 3614)

‘Arrows pierce me deeply’ means the way in which the Lord’s truths penetrate our spirit, speaking to it and challenging it and often bringing us pain. (Arcana Caelestia 2686).

The Lord’s hand ‘presses me down’ stands for the Lord’s opposition to our evils (not to us!) because ‘hands’ represent Divine power. (Heaven and Hell 232).

The speaker uses the various organs in our body to describe our various spiritual ailments: flesh, bones, head, wounds, loins, heart and eyes… quite a comprehensive list. ‘Bones’ stand for the truths which support our spiritual frame; ‘loins’ stand for our spiritual loves but also our passions. Each of these organs is defective in the psalm. (Arcana Caelestia 8364)

Verses 11 and 12 talk about the aloofness of friends and relatives, and the deceit of those who want to destroy. Spiritually, this describes the influences that come into our minds during temptation. The heavenly influence seems far off and unable to help us, the hellish influences seem close and condemning. (Arcana Caelestia 9348)

This is immediately followed by words talking about not hearing and not speaking out. In a general way, spiritually, this stands for us not being swayed by the influences – the “voices” – which come into our thought, whatever kind these may be, because we cannot determine their true quality. In a more specific way, it means the refusal to judge and condemn others for their actions. This would be most true of the Lord. (Apocalypse Explained 409)

Then comes the real reason and purpose for us during every temptation, that we are to put our trust in the Lord who hears and knows everything. Only this can be our full confidence.

The final two verses of the psalm are worded as a prayerful request to not be forsaken and to be helped by the Lord. The meaning is right on the surface here. We need to ask the Lord for help, and we also need to understand that the Lord never forsakes us or is unwilling to help.

8364. 'I will not put on you any sickness that I put on the Egyptians' means that they are to be withheld from the evils present among those who uphold separated faith and lead a life of evil. This is clear from the meaning of 'sickness' as evil, dealt with below; from the representation of 'the Egyptians' as those who uphold separated faith and lead a life of evil, dealt with in 7097, 7317, 7926, 8148; and from the meaning of 'not putting on you' - when used in association with 'sickness', which means evil - as withholding from evil. For Jehovah, that is, the Lord, does not take away evil but withholds a person from it and maintains him in good, 929, 1581, 2256, 2406, 4564, 8206. So it is that 'not putting a sickness on them' means that they are to be withheld from evils.

[2] The reason why 'sickness' means evil is that in the internal sense the kinds of things that attack spiritual life are meant. The sicknesses which attack it are evils, and they are called evil desires and cravings; and the components of spiritual life are faith and charity. That life is sick when falsity exists instead of the truth of faith and evil instead of the good of charity, because they lead to the death of that life, which is called spiritual death and is damnation, just as sicknesses lead to the death of natural life. This is why in the internal sense 'sickness' means evil, and 'the sicknesses of the Egyptians' means the evils which those upholding separated faith and leading a life of evil cast themselves into, and which they used to molest the upright. Those evils have been dealt with in what has gone before, where the plagues in Egypt were the subject.

[3] Evils are again meant by 'sicknesses' elsewhere in the Word, as in Moses,

If you keep the commandments and the statutes and the judgements which I am commanding you today, Jehovah will take away all sickness from you, and will not put on you any of the evil diseases of Egypt which you have known, but will lay them on [all] who hate you. Deuteronomy 7:11, 15.

In the same author,

If you will not obey the voice of Jehovah your God, taking care to do all His commandments and His statutes, Jehovah will send on you cursing, confusion, and rebuke in all that you set your hand to do, ¹ until you are destroyed, because of the wickedness of your deeds by which you have forsaken Me. Jehovah will make the pestilence cling to you, until He has consumed you from upon the land. Jehovah will strike you with consumption, and hot fever, and burning fever, and raging fever, and drought, and blight, and mildew, which will pursue you until you perish. Jehovah will strike you with the sores of Egypt, and with hemorrhoids, and the scab, and the itch, so that you cannot be healed. Jehovah will strike you with madness, and blindness, and stupefaction. ² You will be made mad by what your eyes will see ³ . Jehovah will strike you with evil sores on the knees and on the thighs, from which you cannot be healed, from the sole of your foot to the top of your head. He will throw back onto you every disease of Egypt, also every sickness and every plague that is not written in the book of this Law. Jehovah will give you a trembling heart, failing ⁴ of eyes, and distress of soul. Deuteronomy 28:15, 20-22, 27-28, 34-35, 60-61, 65.

All the sicknesses mentioned here mean spiritual sicknesses, which are evils destructive of the life of a will desiring what is good and falsities destructive of the life of an understanding seeing what is true, in short things destructive of spiritual life composed of faith and charity. Natural sicknesses also correspond to such things, for every sickness present among the human race has its origin in spiritual ones, because each exists as a result of sin, 5712, 5726. Each sickness furthermore corresponds to its own evil. The explanation for this is that everything composing a person's life originates in the spiritual world. If therefore his spiritual life is sick, evil spreads from it into his natural life and becomes a sickness there. See what has been stated from experience in 5711-5727 about the correspondence of sicknesses with evils.

[4] The same things are meant by 'sicknesses' elsewhere, as in Moses,

You shall worship Jehovah your God, in order that He may bless your bread and your water; and I will take sickness out of your midst. Exodus 23:25.

In the same author,

If you despise My statutes, and if your soul abhors My judgements, so that you do not do all My commandments, while you make void My covenant, I will appoint terror over you, along with consumption, and burning fever, which will consume the eyes and torment the soul. Leviticus 26:15-16.

'Consumption' stands for the decrease of truth and the increase of falsity, 'burning fever' for the desire for evil. Further still, in Isaiah,

Why will you also defect? ⁵ The whole head [departs] into sickness, and the whole heart is diseased. From the sole of the foot even to the head there is no soundness in it, but wounds, and scars, and recent blows. They are not pressed out, nor bound up, nor softened with oil. Isaiah 1:5-6.

Here nobody can fail to see that 'sickness', 'wounds', 'scars', and 'blows' are used to mean sins. Similarly in Ezekiel,

Woe to the shepherds of Israel! The weak sheep you have not strengthened, the sick you have not healed, and the broken you have not bound up. Ezekiel 34:2, 4.

In David,

My iniquities have gone over my head. My wounds have become putrid, they have rotted away because of my foolishness. For my intestines are full of burning, and there is no soundness in my flesh. Psalms 38:4-7.

[5] Since the disorders and evils of spiritual life are meant by 'sicknesses', the various kinds of disorders and evils of that life are meant by the various kinds of sicknesses. 'Pestilence' means the vastation or laying waste of goodness and truth, see 7102, 7505; and 'leprosy' means the profanation of truth, 6963. In general 'sicknesses' means sins, as may also be seen in Isaiah,

... a man of sorrows, and acquainted with sickness, on account of which as it were men hid their faces from Him. He was despised, so that we did not esteem Him. Nevertheless He has borne our sicknesses and carried our sorrows, and through His wounds healing has been given to us. Isaiah 53:3-5.

This refers to the Lord.

[6] Since sicknesses represented the unrighteous ways and the evils of spiritual life the sicknesses which the Lord healed have as their meaning deliverance from the different kinds of evil and falsity that were molesting the Church and human race and that would have brought spiritual death. Divine miracles are distinguishable from other miracles by the fact that they involve and have regard to states of the Church and the heavenly kingdom; and this is why the Lord's miracles were primarily healing of sicknesses. These miracles are meant by the Lord's words addressed to the disciples sent by John,

Tell John the things which you hear and see: the blind see and the lame walk; lepers are cleansed and the deaf hear; the dead rise again and the poor hear the gospel. Matthew 11:4-5.

This is why it says so many times that the Lord healed every sickness and every disease among the people, Matthew 4:23; 9:35; 14:14, 35-36; Luke 4:40; 5:15; 6:17; 7:21; Mark 1:32-34; 3:10.

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