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Church Related Studies
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Medical Aspects of
the Crucifiction
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John 3:16: For God so loved the world that He gave His only begotten Son, that whoever believes in Him should not perish but have everlasting life. | ![]() |
| Compiled by David Terasaka, M.D. ©1996. All Rights Reserved, David Terasaka, M.D. However, permission is hereby granted to copy and distribute free of charge for non-commercial purposes only. |
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Heb 12:2 - "Let us fix our eyes on Jesus, the author and perfecter of our faith, who for the joy set before him endured the cross, scorning its shame, and sat down at the right hand of the throne of God." In the last few hours of Jesus' life what did He endure, and what shame did He suffer? EXCRUCIATE: to cause great agony, torment Latin : ex : out of, from cruciate : cross
The tone of this presentation can best be summarized in
the word "excruciate", (the root of the word "excruciating")
which refers to something which causes great agony or torment. The Latin
roots of the word are :"ex", meaning from or out of, and "cruciate",
meaning cross. The word "excruciate" comes from the Latin for "from,
or out of, the cross". (Websters) GENERAL OVERVIEWTHE HEALTH OF JESUS AND DEMANDS OF THE ORDEALTHE UPPER ROOM OR CENACULUMGETHESEMANE : oil press
From the upper room, Jesus went outside of the city walls where he spent time in prayer at the Garden of Gethsemane. The garden has many ancient olive trees today, some of which may have grown from the roots of the trees that were present in Jesus' time. (All trees in and around Jerusalem were cut down when the Romans conquered the city in 70 A.D. Olive trees can regenerate from their roots and live for thousands of years.) The name "Gethsemane", comes from the Hebrew Gat Shmanim, meaning "oil press" (Kollek). Since "oil" is used in the Bible to symbolize the Holy Spirit, it may be said that the garden is where "the Spirit of God was crushed". (Missler). It was here that Jesus agonized in prayer over what was to occur. It is significant that this is the only place in the King James Version where the word "agony" is mentioned. (Strong's concordance) The Greek word for agony means to be "engaged in combat" (Pink) Jesus agonizes over what He is to go through, feeling that He is at the point of death. (Mark14:34) Yet He prays, "Not my will, but thine be done." Of medical significance is that Luke mentions Him as having
sweat like blood. The medical term for this, "hemohidrosis" or
"hematidrosis" has been seen in patients who have experienced,
extreme stress or shock to their systems. (Edwards) The capillaries around
the sweat pores become fragile and leak blood into the sweat. A case history
is recorded in which a young girl who had a fear of air raids in WW1 developed
the condition after a gas explosion occurred in the house next door. (Scott))
Another report mentions a nun who, as she was threatened with death by
the swords of the enemy soldiers," was so terrified that she bled from
every part of her body and died of hemorrhage in the sight of her assailants."
(Grafenberg) As a memorial to Jesus' ordeal, a church which now stands
in Gethsemane is known as the Church of the Agony. (also called the Church
of the Nations because many nations donated money to its construction.
(Kollek) ABANDONED BY MANPsa 22:11: "Do not be far from me, for trouble is near and there is no one to help." While in Gethsemane, Jesus is betrayed by Judas and arrested
by the Jews. His disciples all desert Him, even at the expense of running
away naked (Mark 14:51-52). He is bound (John 18:12) then brought back
to the city to the court of the High Priest, which is located near the
Upper room. ILLEGAL ASPECTS OF THE TRIAL OF JESUS
THE ISSUE OF WITNESSESDeut 17:6: "On the testimony of two or three witnesses a man shall be put to death, but no one shall be put to death on the testimony of only one witness." Mark 14:56: "Many testified falsely against him, but their statements did not agree." While in the court of the High Priest, He was questioned by Annas (John 18:13) and struck by a soldier (John 18: 22). He was then brought to Caiaphas and the Sanhedrin. who sought to put Jesus to death by the false testimony of many witnesses. The witnesses brought against Him did not agree. By the law, no one could be put to death without the agreement of two or three witnesses. Although the witnesses did not agree, He was found guilty of blasphemy when He told them of His identity as the Son of God. He was sentenced to death. Jesus suffered ridicule from the palace guards, who spat on Him, beat Him and slapped Him on the face. (Mark 14:65.) During the trial, Peter denies Him three times. The proceedings of Jesus' trial violated many of the laws of His society. Among some of the other broken laws were: (Bucklin)
PILATE'S VERDICTThe Sanhedrin met early the next morning and sentenced Him to death. (Matthew 27:1) Because the Jews were not, and the Romans were, able to carry out an execution, Jesus was brought before Pilate. The charge was now changed to an allegation that Jesus claimed to be King and forbade the nation to pay taxes to Caesar. (Luke 23:5) In spite of all the charges, Pilate finds nothing wrong. He sends Jesus to Herod. Jesus is speechless before Herod, except to affirm that He is King of the Jews. Herod sends Him back to Pilate. Pilate is unable to convince the crowds of Jesus' innocence and orders Jesus to be put to death. Some sources state that it was Roman law that a criminal that was to be crucified had to be flogged first. (McDowell) Others believe that Jesus was flogged first by Pilate in the hope of getting Him off with a lighter punishment .(Davis) In spite of his efforts, the Jews allow Barabbas to be released and demand that Jesus be crucified, even crying that ,"His blood be on us and on our children!" (Matthew 27:25) Pilate hands Jesus over to be flogged and crucified. It is at this point that Jesus suffers a severe physical
beating. (Edwards) During a flogging, a victim was tied to a post, leaving
his ROMAN SOLDIERS MOCK AND BEAT JESUS
on him and then twisted together a crown of thorns and set it on his head.
They put a staff in his right hand and knelt in front of him and mocked
him. "Hail, king of the Jews!" they said. They spit on him, and took
the staff and struck him on the head again and again. Jesus was then beaten
by the Roman soldiers. In mockery, they dressed Him in what was probably
the cloak of a Roman officer, which was colored dark purple or scarlet .(Amplified
Bible) He also wore the crown of thorns. Unlike the traditional crown which
is depicted by an open ring, the actual crown of thorns may have covered
the entire scalp. (Lumpkin) The thorns may have been 1 to 2 inches long.
The gospels state that the Roman soldiers continued to beat Jesus on the
head. The blows would drive the thorns into the scalp (one of the most vascular
areas of the body) and forehead, causing severe bleeding. THE CROWN OF THORNS AND THE ROBEIsaiah 1:18 "Come now, let us reason together," says the LORD. "Though your sins are like scarlet, they shall be as white as snow; though they are red as crimson, they shall be like wool." The significance of the scarlet robe and crown of thorns is to emphasize Jesus' taking the sins of the world upon His body. The Bible describes sin by the color of scarlet (Is 1:18) and that thorns first appeared after the fall, as a sign of the curse. Thus, the articles that He wore are symbols to show that Jesus took on the sins (and the curse) of the world upon Himself. It is not clear that He wore the crown of thorns on the cross. Matthew describes that the Romans removed His clothes after the beating, and that they put His own clothes back on Him. (Matt 27:31) THE SEVERITY OF THE BEATINGIsaiah 52:14: "..... Just as there were many who were appalled at him -- his appearance was so disfigured beyond that of any man and his form marred beyond human likeness--" The severity of the beating is not detailed in the gospels. However, in the book of Isaiah, it suggests that the Romans pulled out His beard. (Isaiah 50:8) . It is also mentions that Jesus was beaten so severely that His form did not look like that of "a son of a man" i.e. that of a human being. The literal translation of the verse reads, "So marred from the form of man was His aspect, that His appearance was not as that of a son of a man." People were appalled to look at Him (Isaiah 52:13). His disfigurement may explain why He was not easily recognized in His post resurrection appearances. (Missler) Today, one can visit a site known as the Lithostrotos, traditionally believed to be the floor of the Antonio Fortress. (although recent excavations may cast doubt on this theory (Gonen)) The floor is marked for games once played by the Roman soldiers From the beating, Jesus walked on a path, now known as the Via Dolorosa or the "way of suffering", to be crucified at Golgotha. The total distance has been estimated at 650 yards. (Edwards). A narrow street of stone, it was probably surrounded by markets in Jesus' time. He was led through the crowded streets carrying the crossbar of the cross (called a patibulum) across His shoulders. The crossbar probably weighed between 80 to 110 pounds. He was surrounded by a guard of Roman soldiers, one of which carried a titulus, a sign which announced His crime of being "the King of the Jews" in Hebrew, Latin and Greek. On the way, He was unable to carry the cross. Some theorize that he may have fallen while going down the steps of the Antonio Fortress. A fall with the heavy patibulum on His back may have led to a contusion of the heart, predisposing His heart to rupture on the cross. (Ball) Simon of Cyrene (currently North Africa (Tripoli)), who apparently was affected by these events, was summoned to help. The present Via Dolorosa was marked in the 16th century as the route over which Christ was led to His crucifixion. (Magi) As is the location of Calvary, the true location of the Via Dolorosa is disputed. Much tradition as to what happened to Jesus is encountered on the Via Dolorosa today. There are 14 stations of 'events' that occurred and 9 churches on the way today. The stations of the cross were established in the 1800's. (Magi) Today, there is one section of the path where one can walk on the stones which were used during Jesus time. SUFFERING ON THE CROSSThe crucifixion event is prophesied in several places throughout
the Old Gordon's Calvary has a possible prophetic reason for being the actual site of the crucifixion .In Genesis 22, Abraham is tested by God to sacrifice Isaac on the top of a mountain. Realizing that he is acting out a prophecy, that "God Himself will provide a Lamb" , Abraham calls the place of the event "Jehovah Jireh", meaning "In the mount of the Lord it shall be seen." If we take this as a prophetic event of Jesus' death, then Jesus' died on the high ground of Jerusalem. Gordon's Calvary is the highest point of Jerusalem, 777 meters above sea level. (Missler: Map from Israel tour book) Today, at Gordon's Calvary, caves in the rock are situated which give the site the appearance of a skull. Jesus was then crucified. Crucifixion was a practice that originated with the Persians and was later passed on to the Carthaginians and the Phoenicians. The Romans perfected it as a method of execution which caused maximal pain and suffering over a period of time. Those crucified included slaves, provincials and the lowest types of criminals. Roman citizens, except perhaps for soldiers who deserted, were not subjected to this treatment. (McDowell) The crucifixion site "was purposely chosen to be outside the city walls because the Law forbade such within the city walls...for sanitary reasons ... the crucified body was sometimes left to rot on the cross and serve as a disgrace, a convincing warning and deterrent to passers by." (Johnson) Sometimes, the subject was eaten while alive and still on the cross by wild beasts. (Lipsius) The procedure of crucifixion may be summarized as follows. The patibulum was put on the ground and the victim laid upon it. Nails, about 7 inches long and with a diameter of 1 cm ( roughly 3/8 of an inch) were driven in the wrists . The points would go into the vicinity of the median nerve, causing shocks of pain to radiate through the arms. It was possible to place the nails between the bones so that no fractures (or broken bones) occurred. Studies have shown that nails were probably driven through the small bones of the wrist, since nails in the palms of the hand would not support the weight of a body. In ancient terminology, the wrist was considered to be part of the hand. (Davis) Standing at the crucifixion sites would be upright posts, called stipes, standing about 7 feet high. (Edwards) In the center of the stipes was a crude seat, called a sedile or sedulum, which served a support for the victim. The patibulum was then lifted on to the stipes. The feet were then nailed to the stipes. To allow for this, the knees had to be bent and rotated laterally, being left in a very uncomfortable position. The titulus was hung above the victim's head. There were several different types of crosses used during crucifixion. In Jesus' time, it was most likely that the cross used was a T shaped (or tau cross,), not the popular Latin, or t shaped cross which is accepted today. (Lumpkin) PHYSICAL SUFFERING ON THE CROSSHaving suffered from the beatings and flogging, Jesus suffered from severe hypovolemia from the loss of blood. The verse above describe His dehydrated state and loss of His strength. When the cross was erected upright, there was tremendous
strain put on the wrists, arms and shoulders, resulting in a dislocation
of the shoulder and elbow joints. (Metherall) The arms, being held up
and outward, held the rib cage in a fixed end inspiratory position which
made it extremely difficult to exhale, and impossible to take a full breath.
The victim would only be able to take very shallow breaths. (This may
explain why Jesus made very short statements while on the cross). As time
passed, the muscles, from the loss of blood, last of oxygen and the fixed
position of the body, would undergo severe cramps and spasmodic contractions.
ABANDONED BY GOD -- SPIRITUAL DEATHWith the sin of the world upon Him, Jesus suffered spiritual
death (separation from the Father ). Isaiah 59:2 says that sins cause
a separation from God, and that He hides His face from you so that He
does not hear. The Father must turn away from His Beloved Son on the cross.
For the first time, Jesus does not address God as His Father. (Courson)
DEATH BY CRUCIFIXION : SLOW SUFFOCATION
"...it appears likely that the mechanism of death in crucifixion was suffocation. The chain of events which ultimately led to suffocation are as follows: With the weight of the body being supported by the sedulum, the arms were pulled upward. This caused the intercostal and pectoral muscles to be stretched. Furthermore, movement of these muscles was opposed by the weight of the body. With the muscles of respiration thus stretched, the respiratory bellows became relatively fixed. As dyspnea developed and pain in the wrists and arms increased, the victim was forced to raise the body off the sedulum, thereby transferring the weight of the body to the feet. Respirations became easier, but with the weight of the body being exerted on the feet, pain in the feet and legs mounted. When the pain became unbearable, the victim again slumped down on the sedulum with the weight of the body pulling on the wrists and again stretching the intercostal muscles. Thus, the victim alternated between lifting his body off the sedulum in order to breathe and slumping down on the sedulum to relieve pain in the feet. Eventually , he became exhausted or lapsed into unconsciousness so that he could no longer lift his body off the sedulum. In this position, with the respiratory muscles essentially paralyzed, the victim suffocated and died. (DePasquale and Burch) Due to the shallow breathing, the victim's lungs begin
to collapse in small areas. causing hypoxia and hypercarbia. A respiratory
acidosis, with lack of compensation by the kidneys due to the loss of
blood from the numerous beatings, resulted in an increased strain on the
heart, which beats faster to compensate. Fluid builds up in the lungs.
. Under the stress of hypoxia and acidosis the heart eventually fails.
There are several different theories on the actual cause of death. One
theory states that there was a filling of the pericardium with fluid,
which put a fatal strain on the ability of the heart to pump blood (Lumpkin).
Another theory states that Jesus died of cardiac rupture." (Bergsma) The
actual cause of Jesus' death, however, "may have been multifactorial
and related primarily to hypovolemic shock, exhaustion asphyxia and perhaps
acute heart failure."(Edwards) A fatal cardiac arrhythmia may have
caused the final terminal event. (Johnson, Edwards) A LAST DRINK OF WINE VINEGARHaving suffered severe blood losses from His numerous beatings and thus in a dehydrated state, Jesus, in one of His final statements, said "I thirst." He was offered 2 drinks on the cross. The first, which He refused, was a drugged wine (mixed with myrrh). He chose to face death without a clouded mind. Edersheim writes: "It was a merciful Jewish practice to give to those led to execution a draught of strong wine mixed with myrrh so as to deaden consciousness" (Mass Sem 2.9; Bemid. R. 10). This charitable office was performed at the cost of, if not by, an association of women in Jerusalem (Sanh. 43a). The draught was offered to Jesus when He reached Golgotha. But having tasted it....He would not drink it. ....He would meet Death, even in his sternest and fiercest mood, and conquer by submitting to the full....(p.880). The second drink, which He accepts moments before His death,
is described as a wine vinegar. Two points are important to note. The
drink was given on the "stalk of a hyssop plant". Remember that
these events occurred at the Feast of the Passover. During this feast,
(Exod 12:22) hyssop was used to apply the blood of the Passover lamb to
the wooden door posts of the Jews. It is interesting the end of this hyssop
stalk pointed to the blood of the Perfect Lamb which was applied to the
wooden cross for the salvation of all mankind. (Barclay) In addition,
the wine vinegar is a product of fermentation, which is made from grape
juice and yeast. The word literally means "that which is soured"
and is related to the Hebrew term for "that which is leavened".
(Holmans) Yeast or leaven, is a Biblical symbol of sin. When Jesus took
this drink, (i.e. a drink which was "leavened") it is thus symbolic
of His taking the sins of the world into His body. CELEBRATION OF THE OPPOSITION
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Ball, D. A. "The Crucifixion and Death of a Man Called Jesus". J Miss St Med Assoc 30(3): 77-83, 1989. Barclay, William. "The Gospel of John Volume 2" Westminister Press, Philadelphia, Pa.,. 1975. Bergsma, Stuart. "Did Jesus Die of a Broken Heart?". The Calvin Forum, 14:165, 1948. Bible, Amplified version. Zondervan Publishing House, Grand Rapids, Michigan, 1964. Bucklin, R.. "The Legal and Medical Aspects of the Trial and Death of Christ". Med Sci Law. 10:14-26, 1970. Courson, Jon. "Why Psalms 22?" (tape) Firefighters for Christ, Westminister California. Davis, C.T. "The Crucifixion of Jesus :The Passion of Christ from a Medical Point of View". Ariz Med 22:183-187, 1965. DePasquale, N. P. and Burch, G.E. "Death by Crucifixion", Am Heart J 66(3):. 434-435, 1963. Edersheim, A. "The Life and Times of Jesus the Messiah". Hendrickson Publishers, Inc. Peabody, Massachusetts, 1993. Edwards, W.D., Gabel, W.J and Hosmer, F.E. "On the Physical Death of Jesus Christ." JAMA. 255 (11), pp. 1455-1463, 1986. Gonen, R. "Biblical Holy Places : an illustrated guide",Palphot Ltd. Israel 1994 Grafenberg, J. S.."Observ.Medic.," Lib.III. p.458. Holman's Bible Dictionary, Holman Bible Publishers, 1991. Johnson, C.."Medical and Cardiological Aspects of the Passion and Crucifixion of Jesus, the Christ", Bol Asoc Med P Rico 70 (3) :97-102, 1978. Kollek, T. and Dowley, T. , "Next Year in Jerusalem", Harvest House, Eugene, Oregon, 1995. Lipsius, Justus. "De Cruce. Libri tres, ad sacram profanamque historiam utiles. (3rd part Tom III. Opera Omnia. Antwerp, 1614) Lumpkin,R.."The Physical Suffering of Christ", J Med Assoc Ala 47: 8-10, 1978. Magi, G. "Israel". Casa Editrice Bonechi, Florence, Italy, 1992. McDowell, J. "The Resurrection Factor". Campus Crusade for Christ, Nashville, Tenn., 1981. Metherall, A.. "Christ's Physical Suffering" (Tape) Firefighters for Christ , Westminister, Ca. Missler, C. "Isaiah 53" (Tape) Firefighters for Christ, Westminister, Ca. Missler, C. "Israel Tour Book" 1995 Edition. Pink, A. "The Seven Sayings of the Saviour on the Cross", Baker Book House, Grand Rapids, Michigan, 1958. Scott, C.T. "A Case of Haematidrosis", Br Med J .1: 532-533, 1918. Strong, J. "Strong's Concordance", MacDonald Pub Co., McLean, Va. Tenney, S.M. "On Death By Crucifixion", Am Heart J .68(2) :286-287, 1964. Websters Dictionary, Grosset and Dunlap, New York, 1974. |