God and Medicine (5:14-18)

Few subjects have excited more interest in recent years than the subject

here presented. So many subsidiary issues are raised that it is

difficult to treat the question adequately in a few pages.

Many varieties of “faith cures” have been before the world. The

so-called Christian Science movement is now the most prominent of them

all, combining an idealistic philosophy and pantheistic religion. This

combination takes up various aspects of Buddhism, Gnosticism, and a dash

of Christian verbiage with the vital elements of Christianity gone, and

uses some of the well-known ideas of modern psychology as to the

influence of the mind on the body. As a whole, it is a hopeless jumble

of absurdities and inconsistencies and is hostile to the worship of

Jesus. It leads astray a certain type of mind without clear reasoning

processes and fattens on the fees for mental healing, a portion of which

goes to the mother church in Boston. There is only the most superficial

parallel between what James here describes and what the Christian

Science “healer” practices.

There is in James an absence of all mercenary ideas. There is no

“commercialized use of prayer,” to use the legal phrase of one of the

New York courts. There is also the use of olive oil, the best medicine

known to the ancient world and still one of the best remedial agencies,

whether used internally or externally. The disciples of Jesus on their

tour of Galilee had the double ministry of preaching and healing (Matt.

10:7 f.), and they anointed the sick with oil (Mark 6:13). In Isaiah 1:6

the prophet says that the bruises were “neither bound up, neither

mollified with oil.” So the good Samaritan bound up the wounds of the

poor victim of the robbers and poured oil and wine upon him (Luke

10:34).

A number of questions come bristling for discussion as we proceed with

this passage in James. The use of the word “church” rather than

synagogue, as in 2:2, is to be observed. The local church undoubtedly

had a close kinship to the Jewish synagogue in origin and worship. The

very phrase “elders of the church” occurs also in Acts 20:17 and in the

plural, like bishops at Philippi (Phil. 1:1). There was a council of

elders in the synagogue (Luke 7:3), and the word appears in an official

sense in the Egyptian papyri.[96]

But a more vital question for our subject is whether these elders come

in an official capacity to perform an ecclesiastical “anointing” with

oil or whether they come to pray as brothers in Christ and rub with the

olive oil (cf. Isa. 1:6) as medicine. Mayor quotes Philo (_Sonm_, M. i.

666), Pliny (N. H. xxiii. 34-50), and Galen (_Med. Temp._, book ii) in

praise of oil as a medicine. In Herod’s last illness a bath of oil was

recommended to him (Jos., _War_ i. 33, 5).

There is, therefore, no doubt as to the ancient opinion about, and use

of, oil as a medicine. It is probable that each one will decide this

question according to his predilections. For my own part, I incline to

the view that we have here not a sacramental or priestly function on the

part of these elders but the double duty of ministry of the word and of

medicine (with prayer). The nearest parallel in modern life is the

medical missionary, who goes with the word of life and the healing balm

of modern science. He heals the sick with the physician’s skill and the

prayer of faith. Paul helped the sick (Acts 20:35) at Ephesus and often

healed the sick, and yet he worked side by side with Luke, the beloved

physician, as in the island of Melita (Acts 28:8 f.).

There is certainly no indication that what is called “extreme unction”

was practiced or urged by James and the apostolic Christians. That was a

later development in Greek and Roman Catholic churches that is foreign

to the tone of this epistle. There is here no such superstition as

sending for a minister when death is at hand to perform a magical ritual

ceremony to stave off death. Mayor has a full statement of the chief

facts about the sacrament of unction in later centuries. He suggests

that the cases of the failure of the simple use of oil as a medicine

probably led finally to the special consecration of the oil or the use

of relics. But in James we seem to have not a ceremony or ecclesiastical

function but rather the simple use of oil as a medicine and prayer “in

the name of the Lord.”

Today we have a more advanced medical science which is, however, by no

means final and infallible. We separate the functions of the minister

and the physician. We prefer the doctor to the oil, but we still need

God with the doctor. It is a great error for one to think that God is

not to be called upon because we have a skilled physician. The minister

still has a place, and a very important place, in the problem of

therapeutics, particularly in those many cases of a more or less nervous

type when the influence of the mind on the body is very pronounced.

Often in the most severe illness the deciding factor is not medicine but

hope, as any doctor will say. The minister should make friends with the

physician and be at his service and co-operate with him. The minister

needs to be careful to be a help and not a hindrance in cases of

sickness. He should be a sedative and an inspiration to the patient, not

an irritant or an excitant. It is a just ground of complaint that

physicians have against those preachers who lend themselves to the

schemes of quack doctors with patent medicines for all sorts of ills.

But coming back to the use of prayer, James says, “And the prayer of

faith shall save him that is sick, and the Lord shall raise him up.” The

credit is here given to prayer and the power of God. One is not to infer

that James gives no credit to medicine. The oil was good; God works

through medicine and without medicine. The best that we still know on

this subject is this: prayer and medicine, or God and the doctor. The

promise of James may be compared with those of Jesus in Mark 11:24 and

John 14:14. But the very essence of prayer is acquiescence with us. By

“save” here James means “cure,” as it often does in the Gospels (Mark

5:23; 6:56; 8:35).

The prayer of faith is the only kind that is real prayer, and it is

trust in God with full acknowledgment of God’s power and love. Some men

have always had the idea of a God so aloof from the world that he cares

nothing about it or is powerless to help. There is nothing in modern

scientific knowledge inconsistent with an immanent, yet transcendent,

God who holds the key of life in himself. The wondrous laws of nature

are all of God, and there are many more that we do not yet understand.

Science has vastly increased our sense of wonder about God and his

world. We have only skirted the fringes of knowledge. It is idle to say

that God, if he really sent his Son to redeem men from sin and all

earthly woe, does not care if we suffer in body and mind. The Father’s

hand rests upon us all. He can be reached. He is not far from any of us,

and he loves us.

“And if he have committed sins, it shall be forgiven him,” not by being

healed in body nor because he is healed of his sickness. The two things

do not correspond, nor does one follow because of the other. What James

means, undoubtedly, is that the cured man, convicted of his sins and out

of gratitude to God for his goodness, repents of his sins and is

forgiven.

This is what should always happen in such cases, but often it occurs

that men who profess repentance on a bed of sickness forget it when they

get up. This is sheer ingratitude and a horrible outcome. But certainly

if the sick man is a sinner, he should be prayed for. It is the time of

opportunity to get him to listen to the voice of God. No undue advantage

need be taken of one’s situation, and yet it is wise to speak plainly

then. Sickness is a great leveler and brings us all down. Beyond any

doubt, Roman Catholics have made good use of their asylums and

hospitals. Other denominations are beginning to take a real interest in

this aspect of Christian activity. In the hour of sickness it is a great

mercy to fall into the hands of those who love God and where the love of

Jesus is mingled with the highest medical science.

During sickness is a good time to confess our sins to one another as

well as to God. “Confess therefore your sins one to another.” Clearly if

the sick man, conscious now of his own weakness, is not willing to

confess his sins against others, God will not forgive him.

As Mayor points out, James expands the words of Jesus about forgiving

those who have trespassed against us (Matt. 5:23 f.; 6:14), so as to

bring out both sides of the subject. Let the sick man ask forgiveness of

those whom he has wronged. Then let them forgive him and pray for him.

“Pray one for another.” The Roman Catholics—Bellarmine, for

instance—sometimes appeal to this passage as a justification for

auricular confession to the priest; but Luther has a pointed answer: “A

strange confessor. His name is ‘One Another.’” Cajetan “speaks the

language of common sense” (Mayor) and admits that James has no such

custom in mind. What James urges is public confession, in particular to

those wronged, not private and secret confession to a priest.

The Roman Catholic confessional is one of the most dangerous of

ecclesiastical institutions. It puts untold power for harm into the

hands of the priest. It is difficult to conceive how a husband or father

could be willing for wife or daughter to make secret confession to a

priest. The abuses of the confessional make a horrible chapter in human

history. Not merely are things wrung out that should not be told, but

evil is suggested that would never be thought of. The original form of

absolution was “precatory rather than declaratory” (Plummer).

But it is a great good to the soul to open the heart and make a frank

confession to the church or to the persons who have been injured. Great

sorrow would be avoided if men would only have the manhood to do this

thing. Tertullian (On Penance viii) well says, “Confession of sins

lightens as much as concealment aggravates them.” Confession of sin was

one of the cardinal tenets in the preaching of John the Baptist. The

Romanists demanded penance for sins publicly confessed, and private

enmity (Plummer) took advantage of it for purposes of revenge.

Then it is a good time to pray “that ye may be healed.” Then the power

of God is with men to heal both soul and body. Many a revival has

started in a church because those who have been estranged have buried

the hatchet and seen eye to eye again. There is power in prayer when the

soul is open to God, as can be true only when hate disappears from the

heart. “The supplication of a righteous man availeth much in its

working,” “the prayers of the righteous have a powerful effect”

(Moffatt).

This short sentence is clearer in the Greek than in any of the English

renderings. Plummer suggests, “Great is the strength of a righteous

man’s supplication, in its earnestness.” The word for “supplication” is

more specific than the usual term and suggests a sense of need. But the

crucial word is the participle, which may be either middle or

passive.[97] Our word “energetic” is derived from the verbal adjective.

The notion of energy is present, at any rate. The great word in modern

science is this very word “energy,” which is made luminous by

electricity and radium. The only prayer worthwhile is one with energy in

it, whether inwrought (taking the participle as passive) by the Spirit

of God or at work (middle voice) through the spiritual passion of the

man’s own soul. Such a prayer has much force in it and is not a mere

ceremony or rattle of meaningless words.

The emphasis on “a righteous man” here does not mean that God will not

hear the cry of a sinner for mercy but probably that a righteous man is

more likely to put the proper energy into his prayer. We may reflect

sadly that our prayers often have no power with God because they have no

energy when said. There is no power in the dynamo; the engine has gone

dead; the steam is not high enough to move the driving wheel. Oesterley

quotes aptly the words of Rabbi Ben Zakkai in _Berachoth_, 34_b_, when

prayers for a sick child are desired: “Although I am greater in learning

than Chaninah, he is more efficacious in prayer; I am indeed the Prince,

but he is the Steward who has constant access to the King.” They have it

because they live close to God. With a great price they have won this

high prerogative. Ofttimes they are the humblest of men in earthly

station and store. Very mechanical, surely, is the idea of Rabbi Isaac

(_Jebamoth_, 64_a_), who says: “The prayer of the righteous is

comparable to a pitchfork; as the pitchfork changes the position of the

wheat so the prayer changes the disposition of God from wrath to mercy.”

James has a typical case to illustrate his point. “Elijah was a man of

like passions with us,” “with a nature just like our own” (Moffatt).

James emphasizes the human frailties of Elijah to show that he does not

refer to ceremonial or sacramental rites when he urges prayer for the

sick. Such prayer is the privilege not merely of the elders of the

church but of any good man who has the ear of God. That power is not a

function of ecclesiastical position but the reward of holy living and

trust in God. Elijah had his weaknesses as we all have, but God heard

him. The point for us is that if God heard Elijah, he will hear any of

us who puts the same amount of spiritual energy into his prayer. “He

prayed fervently.” There is no use to pray in any other way. Elijah

prayed seven times before the rain came. Halfhearted prayer defeats

itself (cf. doubting prayer in 1:6 ff.).

Many modern men have no faith in prayer of any kind save as a wholesome

reaction on the mind of the one who prays. They scout the idea that the

God of the universe would condescend to listen to the feeble chatter of

such worms in the dust as men. They conceive it as impossible that God

would alter his will in any particular because of such insignificant

requests. Least of all do they admit the possibility that God would

change the weather in response to the prayer of one or many individuals.

They argue that the laws of the weather are fixed by the laws of nature

and that God does not alter his own laws. A very pretty network of

impossibilities is fixed up, but all the same, the experience of

Christians breaks right through these entanglements.

A real God is greater than his own laws, and his own will is the chief

law of his nature. God is not an absentee God; he is our Father and

loves for us to tell him our troubles. Certainly God knows how to work

his own laws. We do not have to think that Elijah had the matter of

drought and rain in his own hands at his beck and call. Far from it.

Elijah won by strenuous prayer and perseverance, not by lightly

informing God of his wishes. Besides, when rain came in response to the

prayer of Elijah, it came out of clouds, as rain always does. God made

the clouds gather from the west (the Mediterranean) till the rain came.

As the hot winds from the east and the south brought the drought, so the

west winds brought rain. Many times in my own experience I have known

people to pray for rain, and the rain came. The rain may not have come

in response to the prayer; that I do not know. But it came the very

night in which prayer was made for it at the prayer meeting. The

difficulty in the matter of rain is no greater than in cases of

sickness. The root of the trouble is the lack of trust in God, the

broken relation with God, the loss of power with him.

Studies in the Epistle of James · 第 85 / 90 题