Job 33:19

Authorized King James Version

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He is chastened also with pain upon his bed, and the multitude of his bones with strong pain:

Original Language Analysis

וְהוּכַ֣ח He is chastened H3198
וְהוּכַ֣ח He is chastened
Strong's: H3198
Word #: 1 of 7
to be right (i.e., correct); reciprocal, to argue; causatively, to decide, justify or convict
בְּ֭מַכְאוֹב also with pain H4341
בְּ֭מַכְאוֹב also with pain
Strong's: H4341
Word #: 2 of 7
anguish or (figuratively) affliction
עַל H5921
עַל
Strong's: H5921
Word #: 3 of 7
above, over, upon, or against (yet always in this last relation with a downward aspect) in a great variety of applications
מִשְׁכָּב֑וֹ upon his bed H4904
מִשְׁכָּב֑וֹ upon his bed
Strong's: H4904
Word #: 4 of 7
a bed (figuratively, a bier); abstractly, sleep; by euphemism, carnal intercourse
וְר֖יֹב and the multitude H7230
וְר֖יֹב and the multitude
Strong's: H7230
Word #: 5 of 7
abundance (in any respect)
עֲצָמָ֣יו of his bones H6106
עֲצָמָ֣יו of his bones
Strong's: H6106
Word #: 6 of 7
a bone (as strong); by extension, the body; figuratively, the substance, i.e., (as pron.) selfsame
אֵתָֽן׃ with strong H386
אֵתָֽן׃ with strong
Strong's: H386
Word #: 7 of 7
permanence; hence (concrete) permanent; specifically a chieftain

Analysis & Commentary

He is chastened also with pain upon his bed (wenôkaḥ bemak'ôḇ 'al-miškāḇô, וְנוֹכָח בְּמַכְאוֹב עַל־מִשְׁכָּבוֹ)—The verb yākaḥ (here in passive nôkaḥ) means to correct, reprove, or discipline, the same root used for the Spirit's convicting work (John 16:8, Greek elenchō). Physical mak'ôḇ (pain, suffering) becomes God's pedagogy. The bed (miškāḇ), normally a place of rest, transforms into a classroom for divine instruction. Pain immobilizes, forcing attention on eternal realities obscured by health and activity.

And the multitude of his bones with strong pain (werîḇ 'aṣāmāyw 'êṯān, וְרִיב עֲצָמָיו אֵיתָן)—Rîḇ (strife, contention, multitude) suggests bones engaged in constant protest. 'Êṯān (strong, enduring, perpetual) describes unrelenting chronic pain that pervades skeletal structure. This graphic description of suffering matches Job's own condition (7:4-5, 30:17). Elihu recognizes that bone-deep, inescapable pain becomes the crucible where God refines character and exposes dependence.

Historical Context

Ancient medicine lacked analgesics and antibiotics, making chronic pain an inescapable teacher. Bone diseases, arthritis, and infections produced 'strong pain' that could not be medicated away. Elihu's theology transforms this common suffering into purposeful divine discipline. The wisdom literature frequently uses physical affliction as metaphor for spiritual condition (Psalm 32:3-4, Proverbs 3:11-12).

Questions for Reflection

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