Sirach 38
When you are sick, should you pray, or should you see a doctor? Sirach 38 answers without the slightest hesitation: you do both, and you do them together, because they are not two competing answers but one. "Honour the physician for the need thou hast of him: for the most High hath created him." The skill in the doctor's hands, the healing power in a plant pulled from the ground, the whole strange art of medicine, all of it traces back to God, who gave knowledge to people "that he may be honoured in his wonders."
Then comes the counsel that holds it all together: in sickness, do not neglect yourself, but pray to the Lord, turn from sin, and then give place to the physician. Prayer and medicine walk into the sickroom hand in hand.
From the sickbed the chapter moves to the graveside, and then to the workshop. Ben Sira tells the mourner to weep honestly for the dead, to honor the body and the burial, and then, gently but firmly, to let grief find its measure, because endless sorrow harms the living without helping the dead. "Yesterday for me, and today for thee," the dead seem to say, and the wise remember their own latter end. Finally the chapter widens to take in the working world, the farmer at the plough, the craftsman at his seal, the smith at the anvil, the potter at the wheel.
Their hands are wise even if their talk is not learned, and without them no city stands. The scribe studies the law; the laborer upholds the world; and both, in their own way, offer their work to God.
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Sirach 38:1-6Honor the Physician, for All Healing Is from God
1Honour the physician for the need thou hast of him: for the most High hath created him. 2For all healing is from God, and he shall receive gifts of the king.
The chapter opens with a command that may surprise anyone who imagines faith and medicine as rivals. Honor the physician. The reason given is striking: not merely because he is useful, but because "the most High hath created him." The doctor is part of God's provision for a wounded world, set there by the same hand that made the body he tends. Far from being a concession to weakness, going to the physician is presented as honoring an arrangement God Himself established. The one who heals stands within God's order, not outside it.
Here is the principle that governs the whole passage: "all healing is from God." The physician does not compete with God; the physician is one of the ways God's healing reaches us. This dissolves the false choice between prayer and treatment before it can take hold. When a body mends, when a fever breaks, when skill and medicine do their work, the source behind every cure is the same Lord. The doctor's hands may apply the remedy, but the power that makes flesh whole again belongs to God alone.
4The most High hath created medicines out of the earth, and a wise man will not abhor them. 5Was not bitter water made sweet with wood?
The medicines themselves come "out of the earth," from the herbs and roots and minerals God planted in creation. The ground that yields bread also yields remedy. And the wise person "will not abhor them," will not push away God's provision out of some misplaced piety that imagines healing must come by miracle or not at all. To refuse the medicine God grew from the earth is not greater faith; it is a failure to recognize the gift. Creation is stocked with mercy, and wisdom receives it.
Ben Sira reaches back to Israel's story for proof. At Marah the people found water too bitter to drink, until the Lord showed Moses a piece of wood, and "when he had cast it into the waters, they were made sweet" (Exodus 15:25). A natural thing, a branch, became the means of God's healing of the waters. The example makes the chapter's point exactly: God works His cures through created means, through wood and water and the wisdom to bring them together.
The miracle and the medicine are not two different worlds. They are one God healing through what His hands have made.
6The virtue of these things is come to the knowledge of men, and the meet High hath given knowledge to men, that he may be honoured in his wonders.
Why did God let people discover the healing power hidden in created things? So "that he may be honoured in his wonders." The knowledge that fills a physician's mind, the understanding of which remedy meets which ailment, is itself a gift meant to lead back to praise. Every advance in the art of healing, rightly seen, is one more reason to glorify the God who placed the cure in creation and the wisdom to find it in the human mind.
Knowledge is not a ladder away from God. It is one more of His wonders, given so He might be honored.
And if you carry knowledge or skill of your own, in any field, remember that it was given so that God might be honored in His wonders. Let your competence point past yourself to the One who is its source.
Sirach 38:9-15In Sickness, Pray and Turn, Then Give Place to the Physician
9My son, in thy sickness neglect not thyself, but pray to the Lord, and he shall heal thee. 10Turn away from sin and order thy hands aright, and cleanse thy heart from all offence.
Now the counsel turns tender and personal: "My son." When sickness comes, the first instinct must not be to ignore the body or to despair, but to pray. "Neglect not thyself" cuts both ways. Do not neglect your soul by forgetting to turn to God, and do not neglect your body by refusing the care it needs. Prayer comes first, not because medicine is unimportant, but because the One who heals through medicine is the One to whom the sick heart should turn. The sickbed becomes, before anything else, a place of prayer.
Alongside prayer comes a summons to set the inner life in order: turn from sin, order the hands aright, cleanse the heart from all offence. Ben Sira knows that healing is never only physical. A body laid low has a way of exposing the soul, of stilling us long enough to face what we have been outrunning. This is not a claim that every illness is punishment for a particular sin, an idea the book elsewhere resists.
It is the wisdom that times of sickness are times to come clean before God, to let the heart be made right while the body is being mended.
11Give a sweet savour, and a memorial of fine flour, and make a fat offering, and then give place to the physician. 12For the Lord created him: and let him not depart from thee, for his works are necessary.
The order of these verses is itself the teaching. First the sick person turns to God, in prayer, in repentance, and in offering, bringing the appointed gift before the Lord. And then, "give place to the physician." The two are sequenced, not opposed. Worship does not crowd out the doctor; it makes room for him within a life already turned toward God. The believer prays and offers and then welcomes the physician into the work, confident that the same Lord who receives the prayer also stands behind the cure.
To give the doctor his place is part of trusting God, not a retreat from it.
The reason is repeated for emphasis: "the Lord created him," and "his works are necessary." Let the physician not depart, the chapter urges; do not send away the help God has provided. There comes a moment in many lives when skilled hands are exactly what God uses, and to refuse them is to refuse His mercy in the form He chose to send it. The work of healing is called necessary, woven by God into the fabric of how He cares for a frail and breakable world.
13For there is a time when thou must fall into their hands: 14And they shall beseech the Lord, that he would prosper what they give for ease and remedy, for their conversation.
A sober note sounds: "there is a time when thou must fall into their hands." Sooner or later, every body comes to the edge of its own strength and must be entrusted to another's care. And then a beautiful picture follows: the physicians themselves "beseech the Lord," praying that God would prosper the treatment they give. The ideal healer is a praying healer, one who knows that the remedy in his hand only works if God blesses it.
Medicine at its best is a partnership, the doctor's skill and the patient's prayer both lifted to the God on whom the outcome depends.
The chapter says all healing is from God; the Gospels show that God walking among us as the One who "healed all that were sick" (Matthew 8:16), and who carried our deepest sickness into His own body on the tree. The medicine drawn from the earth points to the One who is Himself the remedy, the Great Physician who tends us now and will one day wipe away every sickness, sorrow, and tear.
Offer your work to God, and let Him do through your hands what only He can finally do.
Sirach 38:16-24Weep for the Dead, Then Let Sorrow Find Its Measure
16My son, shed tears over the dead, and begin to lament as if thou hadst suffered some great harm, and according to judgment cover his body, and neglect not his burial.
The chapter now turns from the sickbed to the grave, and its first word about death is permission to grieve. "Shed tears over the dead." Lament truly, as one who has suffered a real loss, for a real loss is what it is. Honor the body, see to the burial, do not let the dead go unmourned or uncovered. Ben Sira makes no attempt to rush past sorrow or to shame it. Grief is given its full dignity here, and the care of the body and the keeping of the rites are treated as sacred duties.
To weep for the dead is not weakness. It is love doing what love must.
18And make mourning for him according to his merit for a day, or two, for fear of detraction. 19For of sadness cometh death, and it overwhelmeth the strength, and the sorrow of the heart boweth down the neck.
Then comes the balance. Mourn truly, but mourn "according to his merit," with a measure, for "a day, or two." This is not coldness. It is wisdom that knows grief, left without any bound, can sink its roots so deep that it begins to consume the mourner. Ben Sira has watched sorrow turn into a sickness of its own. He counsels honest grief that does not become a permanent dwelling, mourning that gives the dead their due and then allows the living to go on living.
The warning grows vivid: "of sadness cometh death." Unrelieved sorrow drains a person's strength and bows down the neck, can wear the body itself toward the grave. Grief that never lifts does not honor the one who died; it only adds a second loss to the first. Ben Sira is not forbidding tears. He is warning against a sorrow with no floor, the kind that pulls the mourner down into the dark after the one they loved. There is a love that lets go, and it is the love that keeps living.
21Give not up thy heart to sadness, but drive it from thee: and remember the latter end. 23Remember my judgment: for also shall be so: yesterday for me, and today for thee.
The counsel turns the mourner's eyes forward: "remember the latter end." Rather than sinking endlessly into the past that cannot be recovered, the wise let the loss teach them to number their own days. Death, faced honestly, becomes a teacher of how to live. The grief that threatens to swallow us can instead be turned into wisdom, a sober remembering that we too are mortal and that the time we are given is meant to be lived, not surrendered to sorrow.
One of the most haunting lines in the wisdom books speaks as if from the grave itself: "yesterday for me, and today for thee." The dead say to the living, what has happened to me will happen to you. This is not meant to frighten so much as to sober and to console. It places every mourner in the long human company of all who have grieved and all who will be grieved, and it gently loosens the grip of a sorrow that would otherwise cling forever.
Knowing we share the same road, we can walk it with our eyes open and our hearts at peace.
24When the dead is at rest, let his remembrance rest, and comfort him in the departing of his spirit.
The passage closes with a tender release. When the dead is at rest, let the remembrance rest too, not by forgetting, but by laying the grief down where it can stop wounding. The chapter speaks of the departing of the spirit, of the dead being "at rest," language that has carried generations of mourners through the loss of those they love. What lies beyond that rest, and what the living may do on behalf of the departed, believers have pondered and prayed over in many ways.
The chapter itself stays close to the comfort that the dead are at rest, and that those who remain are called, after honest grief, to let their own hearts find peace.
Let your loss teach you to number your own days and to live them well. And carry the comfort that the dead are at rest, entrusting them, and yourself, to the God in whose hands the living and the dead alike are held.
Sirach 38:25-39The Hands That Hold the World Together
25The wisdom of a scribe cometh by his time of leisure: and he that is less in action, shall receive wisdom.
The chapter turns to the world of work, and it begins by acknowledging an ordinary truth: the learning of the scribe requires time, the leisure to study and reflect that a laborer rarely has. Ben Sira was himself a scribe and prized the study of the law above every other pursuit. But as the passage unfolds, what could have become contempt for manual work turns into something far more generous. He looks honestly at the trades, sees that they leave little room for scholarship, and then refuses to despise them for it.
The scribe's calling is real; so, he will insist, is the laborer's.
27He shall give his mind to turn up furrows, and his care is to give the kine fodder. 29So doth the smith sitting by the anvil and considering the iron work. The vapour of the fire wasteth his flesh, and he fighteth with the heat of the furnace. 30The noise of the hammer is always in his ears, and his eye is upon the pattern of the vessel he maketh.
What follows is one of the oldest and most loving portraits of working people in all of literature. The farmer bends over his furrows and tends his cattle. The engraver labors night and day to vary the figure on a seal. The smith sits by the anvil, his flesh worn by the heat, the ring of the hammer always in his ears, his eye fixed on the pattern of what he is making. Ben Sira watches them with real attention and real respect.
He sees the cost their work exacts from their bodies and the skill it demands of their hands. This is not a sneer at the unlearned. It is a hymn to honest labor, observed up close and honored for what it is.
32So doth the potter sitting at his work, turning the wheel about with his feet, who is always carefully set to his work, and maketh all his work by number: 33He fashioneth the clay with his arm, and boweth down his strength before his feet:
The potter completes the gallery. He sits at his wheel, turning it with his feet, his arm shaping the clay, his whole strength bent to the task, making each vessel "by number," with patient precision. The image carries a deep resonance, for Scripture loves to picture God Himself as the potter and us as the clay in His hands. The human potter, then, is doing in miniature what God does on the grand scale, taking formless material and giving it shape and purpose.
There is a quiet glory in this, that the work of forming and making, even with humble clay, reflects the Maker of all things.
35All these trust to their hands, and every one is wise in his own art. 36Without these a city is not built.
Now comes the verdict, and it is full of honor: "every one is wise in his own art." There is a wisdom of the hands as surely as there is a wisdom of the books. The smith knows iron, the potter knows clay, the farmer knows the seasons, and that knowing is genuine wisdom, hard-won and real. Ben Sira will not let the prestige of the scribe erase the worth of the worker. Each has a wisdom the other lacks.
The world needs both the one who studies the law and the one who can shape a vessel or raise a wall.
The plainest truth of all is stated bluntly: "without these a city is not built." Strip away the laborers and the whole civilization collapses. No scribe's learning feeds a city or builds its walls or forges its tools. The scholar depends, every single day, on the working hands he might be tempted to look down upon. This is a sober reminder against the pride of the educated and a quiet exaltation of the ordinary worker whose labor makes every higher pursuit possible. The hands that hold the world together deserve honor.
39But they shall strengthen the state of the world, and their prayer shall be in the work of their craft, applying their soul, and searching in the law of the most High.
The chapter ends on a phrase worth carrying for a lifetime: the laborers "strengthen the state of the world, and their prayer shall be in the work of their craft." Their labor itself is a kind of prayer. They may not sit on the judges' seat or expound the law in the assembly, yet by their faithful work they uphold the very order in which such things can happen, and their devotion rises to God through the doing of their craft.
Honest work, offered to God, is worship. The smith at his anvil and the potter at his wheel, bending their strength to good and useful labor, are praying with their hands, and God receives it.
Offer the next task to God, do it well for His sake, and let the doing itself become an act of worship. The ordinary labor of your day, given to Him, rises like incense.
Where this echoes in Scripture
Honor the Physician, for All Healing Is from God
- Exodus 15:25And he cried unto the LORD; and the LORD shewed him a tree, which when he had cast into the waters, the waters were made sweet.The bitter water of Marah, healed through a created thing, just as the chapter recalls.
- Psalm 103:2-3Bless the LORD, O my soul... who healeth all thy diseases.The conviction beneath the chapter: every cure traces back to the God who heals.
- Matthew 9:12They that be whole need not a physician, but they that are sick.Jesus speaks of the physician with honor, the natural picture of the healing He brings.
In Sickness, Pray and Turn, Then Give Place to the Physician
- 2 Chronicles 16:12Asa... was diseased in his feet... yet in his disease he sought not to the LORD, but to the physicians.The warning shadow of this chapter: seeking the cure while forgetting the God behind it.
- James 5:14-15Is any sick among you? let him call for the elders of the church; and let them pray over him... and the Lord shall raise him up.Prayer and the care of others joined at the sickbed, as Sirach urges.
- Mark 2:5When Jesus saw their faith, he said unto the sick of the palsy, Son, thy sins be forgiven thee.Christ heals body and soul together, exactly the union this passage seeks.
Weep for the Dead, Then Let Sorrow Find Its Measure
- Ecclesiastes 3:4A time to weep, and a time to laugh; a time to mourn, and a time to dance.Grief has its season, and so does the return to life, exactly the rhythm Sirach teaches.
- Psalm 90:12So teach us to number our days, that we may apply our hearts unto wisdom.To remember the latter end is to let loss make us wise.
- John 11:35Jesus wept.The Lord Himself weeps at a grave, blessing the honest tears this chapter permits.
The Hands That Hold the World Together
- Jeremiah 18:6Behold, as the clay is in the potter's hand, so are ye in mine hand, O house of Israel.The potter at his wheel pictures God forming His people, as this chapter quietly hints.
- Exodus 31:3-5And I have filled him with the spirit of God... to work in gold, and in silver, and in brass, and in cutting of stones.God Himself fills the craftsman with skill, dignifying the wisdom of the hands.
- Colossians 3:23And whatsoever ye do, do it heartily, as to the Lord, and not unto men.The Christian echo of "their prayer shall be in the work of their craft."