And I will pour on the house of David and on the inhabitants of Jerusalem the Spirit of grace and supplication; then they will look on Me whom they have pierced. Yes, they will mourn for Him as one mourns for his only son, and grieve for Him as one grieves for a firstborn...In that day a fountain shall be opened for the house of David and for the inhabitants of Jerusalem, for sin and for uncleanness (Zechariah 12:10, 13:1).
I am not a doctor.
However, after more than 35 years of working in insurance claims, I have become pretty familiar with medical terminology, having read thousands of medical reports describing injuries, pre-existing medical conditions, and post-injury complications.
I am not a theologian.
However, having received a Religious Education degree from a Baptist Seminary, and after studying Scripture and attending church services for most of my 65 years of life, I have become fairly familiar with the spiritual significance of events and of the power of fulfilled prophecy.
I have great respect for both doctors and theologians. As we study John's account of the events immediately following the death of Jesus, I hope to confirm His humanity and His physical death, as well as point to some of the prophesies fulfilled in the death of Jesus.
Then the Jews, because it was the day of Preparation, so that the bodies would not remain on the cross on the Sabbath (for that Sabbath was a high day), asked Pilate that their legs might be broken, and that they might be taken away. So the soldiers came, and broke the legs of the first man and of the other who was crucified with Him; but coming to Jesus, when they saw that He was already dead, they did not break His legs. But one of the soldiers pierced His side with a spear, and immediately blood and water came out. And he who has seen has borne witness, and his witness is true; and he knows that he is telling the truth, so that you may believe. For these things came to pass in order that the Scripture would be fulfilled, "NOT A BONE OF HIM SHALL BE BROKEN." And again another Scripture says, "THEY SHALL LOOK ON HIM WHOM THEY PIERCED" (John 19:31-27, LSB).
Of the gospel writers, Luke was a physician. However, Luke was not an eyewitness to the crucifixion, so his account does not go into the medical detail that John's does. John was there, an eyewitness to the events. His is a trustworthy account, because he wants the truth to be known. There may have been rumors or speculations spreading around that Jesus didn't truly die. Skeptics even today try to discount the accounts of Jesus' death, saying that He swooned or fainted, and that He revived only after being placed in a cool, dark environment like a rock-hewn tomb. By the time John wrote his account, perhaps people were repeating these very same objections.
John's account strikes down this argument in two ways.
First, he explains that since the Sabbath would begin at sundown, and that this particular Sabbath was a high holy day, the religious leaders demanded that the Romans take away the disgusting sight of three crucified men. The Romans would not remove the bodies until they were sure that they were dead, so measures were taken to hurry the process along.
Men on the cross would struggle to breathe. As their upper body strength left them, they would push themselves up, placing their weight on the iron spike nailed through the feet. One way to keep them from doing so would be for the Romans to break the legs of the crucified men. This meant that they could no longer push themselves up to take in gasping breaths, and as a result they would suffocate. The Jews asked that Pilate order the Roman soldiers to break their legs, so that they would die sooner, and therefore their bodies could be removed before sundown.
Deuteronomy 21:22-23 specifically states, "If a man has committed a crime punishable by death and he is put to death, and you hang him on a tree, his body shall not remain all night on the tree, but you shall bury him the same day, for a hanged man is cursed by God. You shall not defile your land that the Lord your God is giving you for an inheritance."
So the Roman soldiers took a mallet or a club and broke the legs of the two thieves hanging on either side of Jesus. However, when they looked at Jesus, they saw that He was already dead. Leaving aside the fact that these were executioners and professional killers, and that they would be able to discern if a man was dead or was merely faking death, one of them thrust his spear between the ribs of Jesus' lifeless body. What they saw confirmed that Jesus was no longer alive.
Medical textbooks today state that there is a lining around a human heart called the pericardium. When fluid fills the pericardium, the heart must work that much harder to pump blood through the body. This is a condition called pericardial effusion leading to cardiac tamponade. Without immediate medical attention, this condition is fatal.
Medical students may be familiar with a case study of a male in his mid-thirties who fell 30 feet from a platform or scaffold. Due to the chest wall trauma, this individual developed a pericardial rupture. "Pericardial rupture is a rare complication of blunt chest trauma," the case study reads, and "a subsequent cardiac herniation with dextrocardia through the pericardial tear is even a rarer and often fatal condition."
I have heard too many preachers romanticize the symptoms, summing up by saying, "Jesus died of a broken heart." No, Jesus died of a pericardial effusion with possible pericardial rupture suffered either pre- or post-mortem. Could it be that when Jesus stumbled and fell under the weight of the cross He carried, that the Roman soldier kicked Him in the ribs to motivate Him to get up? We are not told of this, but it is not improbable. What we are told is that the Roman soldier who did not break His legs did thrust a spear into His ribs, possibly puncturing the pericardial lining and maybe even the chambers of the heart itself, which would be the source of both water and blood. If Jesus was not dead before the spear pierced His pericardium, He certainly was after.
Another possible medical explanation is this:
Those who were flogged would often go into hypovolemic shock, a term that refers to low blood volume. In other words, the person would have lost so much blood he would go into shock. The results of this would be:
1) The heart would race to pump blood that was not there.
2) The victim would collapse or faint due to low blood pressure.
3) The kidneys would shut down to preserve body fluids.
4) The person would experience extreme thirst as the body desired to replenish lost fluids.
There is evidence from Scripture that Jesus experienced hypovolemic shock as a result of being flogged. As Jesus carried His own cross to Golgotha (John 19:17), He collapsed, and a man named Simon was forced to either carry the cross or help Jesus carry the cross the rest of the way to the hill (Matthew 27:32–33; Mark 15:21–22; Luke 23:26). This collapse indicates Jesus had low blood pressure. Another indicator that Jesus suffered from hypovolemic shock was that He declared He was thirsty as He hung on the cross (John 19:28), indicating His body’s desire to replenish fluids. (www.gotquestions.org/blood-water-Jesus.html)
If you have ever wondered why Jesus died so quickly relative to the others who were crucified that same day, the answer lies in the physical torture He sustained during the hours leading up to the crucifixion. There was severe physical trauma, and it resulted in the physical death of our Lord. There are enough details in John's gospel to verify this. NT Wright, in his commentary John for Everyone, writes:
But of course, at this moment of all moments, none of this is simply told for the sake of historical detail, vital though that is (the WORD really did become flesh, not a phantom!). John has left us in no doubt that all these details, too, though from one point of view "accidental" (nobody could have guessed what the soldiers might do next), were all to be seen as heaven-sent signs of what it all meant. We only have to think back through the gospel, to all the occasions where water or blood are mentioned, to realize that again and again they point to Jesus as the source of life, cleansing and purification.
Charles Spurgeon said, "Take all the types of the Old Testament together, and you will gather this, that the purification of sin was typically set forth by blood and water. Blood was conspicuous always, you have no remission of sin without it: but water was exceedingly prominent also." Spurgeon also said, “One of these old divines says that Jesus Christ was typified by our first father, Adam. As Adam fell asleep, and out of his side Eve was taken, so Jesus slept upon the cross the sleep of death, and from his side, where the spear was thrust, his Church was taken.”
Wright continues:
All these themes come together at this moment. And, in particular, they all point to Jesus as the true Passover lamb. At the moment when the lambs are being killed in the Temple, Jesus Himself is the true Passover Lamb, who takes away the sin of the world. The Passover regulations specified that no bone of the lamb should be broken (Exodus 12:46, Number 9:12). At the same time--here, as so often in John, two themes are combined--Jesus dies as the true Messiah, bearing the sorrow and shame of Israel and hence the world. "They shall look on the One whom they have pierced"; this is a quotation from Zechariah 12:10, a passage which speaks, darkly to our minds but powerfully in Jesus' day, about the time of great suffering and mourning which will come upon Jerusalem, through which God will bring about redemption, rescue, and deliverance. The immediate result of the piercing and mourning, according to the prophet, is that a fountain will be opened for the house of David and the people of Jerusalem, a fountain which will cleanse them from sin and impurity (Zechariah 13:1).
There is one more point I want to make before taking leave of this passage. Warren Wiersbe points out in his The Bible Exposition Commentary that when Jesus was seen with Moses and Elijah in the transfiguration in Luke 9:28-31, the three of them were speaking to Him about His departure. The KJV and NKJV translate the word departure as decease, meaning that He would die. However, the actual Greek word they used is the word for exodus, "suggesting the Passover lamb and the deliverance from bondage."
God planned the exodus of the people of Israel, commissioning Moses to lead them out of bondage and slavery, and into the Promised Land. Elijah was sent by God to preach to the people a message of repentance, urging them to turn from idolatry and return to covenant faithfulness to the one true God. Jesus came do both--to lead God's people out of slavery to sin and toward a heavenly hope, and to preach a covenant relationship with God founded on faithfulness.
This word exodus is found only two other places in the New Testament. One is found in Hebrews 11, the chapter described as the "Hall of Fame of Faith", when Joseph, looking forward to his brethren returning to the Promised Land, urged them to take his remains with them after he died. The other is found in 2 Peter 1:15, where Peter says he knows that he will pass away soon, but that he wants his readers to remember his message of Jesus Christ, the hope of glory.
This exodus, this passing from one life to the next, is our destiny. We will either enter Heaven, the place prepared for us by our Lord and Savior Jesus Christ, by faith in Him alone; or we will enter Hell, a place of unspeakable and eternal torment, similar to the torment that Jesus experienced in our place and on our behalf. If our faith is in Jesus, then He took our torment and grants us His peace. If not, then His sacrifice is of no account for you, for you are dead in your sins and will receive a just punishment for those sins.
Ephesians 5:25-26 describes Christ as a husband to His bride the church, who "loved the church and gave Himself for her, that He might sanctify and cleanse her with the washing of water by the word." Hebrews 9:22 says that all things are cleansed with blood, and without the shedding of blood there is no forgiveness of sin. We are either washed, or we are not. Wiersbe concludes, "It will take an eternity to reveal all that happened when Jesus Christ died on the cross."



