2 Chronicles 21:18
And after all this the LORD smote him in his bowels with an incurable disease.
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EXPOSITORY (ENGLISH BIBLE)
(18) With an incurable disease.—This is correct. Literally, to a disease, to want of healing. (Comp. 2Chronicles 36:16.) The Syriac and Arabic make 2Chronicles 21:16-18 part of the prophecy.

2 Chronicles 21:18. The Lord smote him in his bowels with an incurable disease — Dr. Mede observes, two impious kings are recorded to have had the same end that this Jehoram had: Antiochus Epiphanes and Agrippa, of whom it was said, εις τι σπλαγχνα τοις ου σπλαγχνιζομενοις, “Of what avail are bowels to those who have no bowels, who show no pity or compassion?” It is true, even good men, and those who are dear to God, may be afflicted with diseases of this kind: but to such they are fatherly chastisements, and, by the support of divine consolation, the soul may have ease and peace, even then when the body is afflicted with pain; which certainly was not the case with Jehoram.

21:12-20 A warning from God was sent to Jehoram. The Spirit of prophecy might direct Elijah to prepare this writing in the foresight of Jehoram's crimes. He is plainly told that his sin should certainly ruin him. But no marvel that sinners are not frightened from sin, and to repentance, by the threatenings of misery in another world, when the certainty of misery in this world, the sinking of their estates, and the ruin of their health, will not restrain them from vicious courses. See Jehoram here stripped of all his comforts. Thus God plainly showed that the controversy was with him, and his house. He had slain all his brethren to strengthen himself; now, all his sons are slain but one. David's house must not be wholly destroyed, like those of Israel's kings, because a blessing was in it; that of the Messiah. Good men may be afflicted with diseases; but to them they are fatherly chastisements, and by the support of Divine consolations the soul may dwell at ease, even when the body lies in pain. To be sick and poor, sick and solitary, but especially to be sick and in sin, sick and under the curse of God, sick and without grace to bear it, is a most deplorable case. Wickedness and profaneness make men despicable, even in the eyes of those who have but little religion.Jehoahaz - The writer of Chronicles calls him indifferently Jeboahaz and Abaziah, which are equivalent names (2 Kings 8:24 note). 13-19. hast made Judah and the inhabitants of Jerusalem … like to the whoredoms of the house of Ahab—that is, introduced the superstitions and vices of Phœnician idolatry (see on [444]De 13:6-14). On this account, as well as for his unnatural cruelties, divine vengeance was denounced against him, which was soon after executed exactly as the prophet had foretold. A series of overwhelming calamities befell this wicked king; for in addition to the revolts already mentioned, two neighboring tribes (see 2Ch 17:11) made hostile incursions on the southern and western portions of his kingdom. His country was ravaged, his capital taken, his palace plundered, his wives carried off, and all his children slain except the youngest. He himself was seized with an incurable dysentery, which, after subjecting him to the most painful suffering for the unusual period of two years, carried him off, a monument of the divine judgment. To complete his degradation, his death was unlamented, his burial unhonored by his subjects. This custom, similar to what obtained in Egypt, seems to have crept in among the Hebrews, of giving funeral honors to their kings, or withholding them, according to the good or bad characters of their reign. No text from Poole on this verse.

After all this the Lord smote him in his bowels with an incurable disease. What it was is not agreed upon; some take it be an "hernia", or rupture; others, the falling of the "anus", or a fistula in it; others, the colic, or iliac passion; but generally it is thought to be a dysentery, or bloody flux; the Targum is,"the Word of the Lord broke him.'' And after all this the LORD smote him in his bowels with an incurable disease.
EXEGETICAL (ORIGINAL LANGUAGES)
Verse 18. - An incurable disease; i.e. it was so severe that it was in this case incurable. 2 Chronicles 21:18The second punishment fell upon the body and life of the king. The Lord smote him in his bowels to (with) disease, for which there was no healing. מרפּא לאין is in apposition to לחלי, literally, "to not being healing."
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