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On The Physical Death of Jesus Christ PDF
On The Physical Death of Jesus Christ PDF
Herod’s 2
Palace 3
Upper City
Upper 1
Room
Hinnom Valley
To Bethlehem
and Hebron
To Salt Sea
Fig 1.—Map of Jerusalem at time of Christ. Jesus left Upper Room and walked with disciples to Mount of Olives
and Garden of Gethsemane (1), where he was arrested and taken first to Annas and then to Caiaphas (2). After
first trial before political Sanhedrin at Caiaphas’ residence, Jesus was tried again before religious Sanhedrin,
probably at Temple (3) Next, he was taken to Pontius Pilate (4), who sent him to Herod Antipas (5). Herod
returned Jesus to Pilate (6), and Pilate finally handed over Jesus for scourging at Fortress of Antonia and for
crucifixion at Golgotha (7). (Modified from Pfeiffer et al.30)
April 6 [Nisan 13], and Jesus would have suggested that hematidrosis ably at the temple (Fig l), Jesus was
have been crucified on Friday, April 7 produced hypovolemia, we agree with tried before the religious Sanhedrin
[Nisan 14].29) At nearby Gethsemane, Bucklin5 that Jesus’ actual blood loss (with the Pharisees and the Saddu-
Jesus, apparently knowing that the probably was minimal. However, in cees) and again was found guilty of
time of his death was near, suffered the cold night air,1 it may have pro- blasphemy, a crime punishable by
great mental anguish, and, as de- duced chills. death.1,5
scribed by the physician Luke, his
TRIALS Roman Trials
sweat became like blood.1
Although this is a very rare phe- Jewish Trials Since permission for an execution
nomenon, bloody sweat (hematidrosis Soon after midnight, Jesus was had to come from the governing
or hemohidrosis) may occur in highly arrested at Gethsemane by the tem- Romans,1 Jesus was taken early in the
emotional states or in persons with ple officials and was taken first to morning by the temple officials to the
bleeding disorders.18-20 As a result of Annas and then to Caiaphas, the Praetorium of the Fortress of Anton-
hemorrhage into the sweat glands, Jewish high priest for that year (Fig ia, the residence and governmental
the skin becomes fragile and tender.2,11 1).1 Between 1 AM and daybreak, Jesus seat of Pontius Pilate, the procurator
Luke’s description supports the diag- was tried before Caiaphas and the of Judea (Fig 1). However, Jesus was
nosis of hematidrosis rather than political Sanhedrin and was found presented to Pilate not as a blas-
eccrine chromidrosis (brown or yel- guilty of blasphemy.1 The guards then phemer but rather as a self-appointed
low-green sweat) or stigmatization blindfolded Jesus, spat on him, and king who would undermine the Ro-
(blood oozing from the palms or else- struck him in the face with their man authority.1 Pilate made no
where).18-21 Although some authors fists.1 Soon after daybreak, presum- charges against Jesus and sent him to
Small Bone
Leather (Pieces)
WoodenThongs Metal Balls Roman
Handle
Legionnaire
Flagrum
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Flogging
Top View Direction of Whip Marks
Victim
Fig 2.—Scourging. Left, Short whip (flagrum) with lead balls and sheep bones tied into leather thongs. Center
left, Naked victim tied to flogging post. Deep stripelike lacerations were usually associated with considerable
blood loss. Center right, View from above, showing position of lictors. Right, Inferomedial direction of wounds.
Herod Antipas, the tetrarch of Ju his closest friends (the disciples), and (lictors) or by one who alternated
dea.1 Herod likewise made no official a physical beating (after the first positions.5,7,11,28 The severity of the
charges and then returned Jesus to Jewish trial). Also, in the setting of a scourging depended on the disposition
Pilate (Fig 1).1 Again, Pilate could traumatic and sleepless night, he had of the lictors and was intended to
find no basis for a legal charge been forced to walk more than 2.5 weaken the victim to a state just
against Jesus, but the people persist- miles (4.0 km) to and from the sites of short of collapse or death.8 After the
ently demanded crucifixion. Pilate the various trials (Fig 1). These phys- scourging, the soldiers often taunted
finally granted their demand and ical and emotional factors may have their victim.11
handed over Jesus to be flogged rendered Jesus particularly vulnera-
(scourged) and crucified. (McDowell25 ble to the adverse hemodynamic Medical Aspects of Scourging
has reviewed the prevailing political, effects of the scourging. As the Roman soldiers repeatedly
religious, and economic climates in struck the victim’s back with full
Jerusalem at the time of Jesus’ death, SCOURGING
force, the iron balls would cause deep
and Bucklin5 has described the vari- Scourging Practices contusions, and the leather thongs
ous illegalities of the Jewish and and sheep bones would cut into the
Flogging was a legal preliminary to
Roman trials.) skin and subcutaneous tissues.7 Then,
every Roman execution,28 and only
women and Roman senators or sol- as the flogging continued, the lacera-
Health of Jesus
diers (except in cases of desertion) tions would tear into the underlying
The rigors of Jesus’ ministry (that were exempt.11 The usual instrument skeletal muscles and produce quiver-
is, traveling by foot throughout Pal- was a short whip (flagellum or flagel- ing ribbons of bleeding flesh.2,7,25 Pain
estine) would have precluded any lum) with several single or braided and blood loss generally set the stage
major physical illness or a weak gen- leather thongs of variable lengths, in for circulatory shock.12 The extent of
eral constitution. Accordingly, it is which small iron balls or sharp pieces blood loss may well have determined
reasonable to assume that Jesus was of sheep bones were tied at intervals how long the victim would survive on
in good physical condition before his (Fig 2).5,7,11 Occasionally, staves also the cross.8
walk to Gethsemane. However, dur- were used.8,12 For scourging, the man
Scourging of Jesus
ing the 12 hours between 9 PM Thurs- was stripped of his clothing, and his
day and 9 AM Friday, he had suffered hands were tied to an upright post At the Praetorium, Jesus was
great emotional stress (as evidenced (Fig 2).11 The back, buttocks, and legs severely whipped. (Although the se-
by hematidrosis), abandonment by were flogged either by two soldiers verity of the scourging is not dis-
JAMA March 21, 1986—Vol 255, No. 11 Death of Christ—Edwards et al 1457
5 to 6 ft (1.5 to 1.8 m)
75 to 125 lb (34 to 57 kg)
Titulus
Patibulum
6 to 8 ft
Stipes
Sedile (1.8 to 2.4 m)
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Stipes
Fig 3.—Cross and titulus. Left, victim carrying crossbar (patibulum) to site of upright post (stipes). Center Low
Tau cross (crux commissa), commonly used by Romans at time of Christ. Upper right, Rendition of Jesus’ titulus
with name and crime—Jesus of Nazareth, King of the Jews—written in Hebrew, Latin, and Greek. Lower right
Possible methods for attaching tittles to Tau cross (left) and Latin cross (right).
Variations in Crosses and struck him on the head with the mum pain and suffering.10,17 It was one
Used for Crucifixion wooden staff.1 Moreover, when the of the most disgraceful and cruel
Latin
soldiers tore the robe from Jesus’ methods of execution and usually was
Designation Characteristics back, they probably reopened the reserved only for slaves, foreigners,
Infelix lignum Tree scourging wounds.7 revolutionaries, and the vilest of
Crux simplex, Upright post The severe scourging, with its criminals.3,25,28 Roman law usually pro-
Crux acuta
intense pain and appreciable blood tected Roman citizens from crucifix-
Crux composita Stipes and patibulum
Crux humilis Low cross loss, most probably left Jesus in a ion,5 except perhaps in the ease of
Crux sublimis Tall cross preshock state. Moreover, hematidro- desertion by soldiers.
Crux commissa T-shaped (Tau) cross sis had rendered his skin particularly In its earliest form in Persia, the
Crux immissa †-shaped (Latin) tender. The physical and mental victim was either tied to a tree or was
cross
Crux capitata †-shaped (Latin)
abuse meted out by the Jews and the tied to or impaled on an upright post,
cross Romans, as well as the lack of food, usually to keep the guilty victim’s feet
Crux decussata X-shaped cross water, and sleep, also contributed to from touching holy ground.8,11,30,34,38
his generally weakened state. There- Only later was a true cross used; it
fore, even before the actual crucifix- was characterized by an upright post
cussed in the four gospel accounts, it ion, Jesus’ physical condition was at (stipes) and a horizontal crossbar
is implied in one of the epistles [1 least serious and possibly critical. (patibulum), and it had several varia-
Peter 2:24]. A detailed word study of tions (Table).11 Although archaeology-
the ancient Greek text for this verse CRUCIFIXION cal and historical evidence strongly
Crucifixion Practices indicates that the low Tau cross was
indicates that the scourging of Jesus
was particularly harsh.33) It is not Crucifixion probably first began preferred by the Romans in Palestine
known whether the number of lashes among the Persians.34 Alexander the at the time of Christ (Fig 3),2,7,11
was limited to 39, in accordance with Great introduced the practice to crucifixion practices often varied in a
Jewish law.5 The Roman soldiers, Egypt and Carthage, and the Romans given geographic region and in ac-
amused that this weakened man had appear to have learned of it from the cordance with the imagination of the
claimed to be a king, began to mock Carthaginians.11 Although the Ro- executioners, and the Latin cross and
him by placing a robe on his shoul- mans did not invent crucifixions they other forms also may have been
ders, a crown of thorns on his head, perfected it as a form of torture and used.28
and a wooden staff as a scepter in his capital punishment that was designed It was customary for the con-
right hand.1 Next, they spat on Jesus to produce a slow death with maxi- demned man to carry his own cross
Flexor Retinaculum
Radial Artery
Flexor Pollicus
Longus Musculus
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5 to 7 in
(13 to 18 cm)
Radial Artery
Nail in
Patibulum
Ulnar Artery
Flexor Retinaculum
Median Nerve
Fig 4.—Nailing of wrists. Left, Size of iron nail. Center, Location of nail in wrist, between carpals and radius. Right, Cross
section of wrist, at level of plane indicated at left, showing path of nail, with probable transection of median nerve and
impalement of flexor pollicis longus, but without injury to major arterial trunks and without fractures of bones.
from the flogging post to the site of by ropes.10,11,30 To prolong the crucifix- After both arms were fixed to the
crucifixion outside the city walls.8,11,30 ion process, a horizontal wooden block crossbar, the patibulum and the vic-
He was usually naked, unless this was or plank, serving as a crude seat tim, together, were lifted onto the
prohibited by local customs.11 Since (sedile or sedulum), often was at- stipes.11 On the low cross, four sol-
the weight of the entire cross was tached midway down the stipes.3,11,16 diers could accomplish this relatively
probably well over 300 lb (136 kg), Only very rarely, and probably later easily. However, on the tall cross, the
only the crossbar was carried (Fig than the time of Christ, was an soldiers used either wooden forks or
3).11 The patibulum, weighing 75 to additional block (suppedaneum) em- ladders.11
125 lb. (34 to 57 kg),11,30 was placed ployed for transfixion of the feet.9,11 Next, the feet were fixed to the
across the nape of the victim’s neck At the site of execution, by law, the cross, either by nails or ropes. Ossua-
and balanced along both shoulders. victim was given a bitter drink of ry findings and the Shroud of Turin
Usually, the outstretched arms then wine mixed with myrrh (gall) as a suggest that nailing was the pre-
were tied to the crossbar.7,11 The pro- mild analgesic.7,17 The criminal was ferred Roman practice.23,24,30 Although
cessional to the site of crucifixion was then thrown to the ground on his the feet could be fixed to the sides of
led by a complete Roman military back, with his arms outstretched the stipes or to a wooden footrest
guard, headed by a centurion.3,11 One along the patibulum.11 The hands (suppedaneum), they usually were
of the soldiers carried a sign (titulus) could be nailed or tied to the crossbar, nailed directly to the front of the
on which the condemned man’s name but nailing apparently was preferred stipes (Fig 5).11 To accomplish this,
and crime were displayed (Fig 3).3,11 by the Romans.8,11 The archaeological flexion of the knees may have been
Later, the titulus would be attached to remains of a crucified body, found in quite prominent, and the bent legs
the top of the cross.11 The Roman an ossuary near Jerusalem and dating may have been rotated laterally (Fig
guard would not leave the victim until from the time of Christ, indicate that 6).23-25,30
they were sure of his death.9,11 the nails were tapered iron spikes When the nailing was completed,
Outside the city walls was perma- approximately 5 to 7 in (13 to 18 cm) the titulus was attached to the cross,
nently located the heavy upright long with a square shaft 3/8 in (1 cm) by nails or cords, just above the
wooden stipes, on which the patibu- across.23,24,30 Furthermore, ossuary victim’s head.11 The soldiers and the
lum would be secured. In the case of findings and the Shroud of Turin civilian crowd often taunted and
the Tau cross, this was accomplished have documented that the nails com- jeered the condemned man, and the
by means of a mortise and tenon monly were driven through the wrists soldiers customarily divided up his
joint, with or without reinforcement rather than the palms (Fig 4).22-24,30 clothes among themselves11,25 The
External
Intercostal
Muscles Internal
Intercostal
Muscles
Inhalation
Active: Normal Breathing
Passive: Crucified Victims External
Oblique
Muscle
Internal
Oblique
Rectus Muscle
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Transverse
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Musculus
Abdominus
Musculus
Exhalation
Passive: Normal Breathing
Active: Crucified Victims
Fig 6—Respirations during crucifixion. Left, Inhalation. With elbows extended and shoulders abducted,
respiratory muscles of inhalation are passively stretched and thorax is expanded. Right, Exhalation. With elbows
flexed and shoulders adducted and with weight of body on nailed feet, exhalation is accomplished as active,
rather than passive, process. Breaking legs below knees would place burden of exhalation on shoulder and arm
muscles alone and soon would result in exhaustion asphyxia.
medial and lateral plantar nerves contractions, due to fatigue and most prominent causes probably were
would have been injured by the nails hypercarbia, would hinder respiration hypovolemic shock and exhaustion
(Fig 5). Although scourging may have even further.11 asphyxia.2,3,7,10 Other possible contrib-
resulted in considerable blood loss, Adequate exhalation required lift- uting factors included dehydration,7,16
crucifixion per se was a relatively ing the body by pushing up on the feet stress-induced arrhythmias,3 and con-
bloodless procedure, since no major and by flexing the elbows and adduct- gestive heart failure with the rapid
arteries, other than perhaps the ing the shoulders (Fig 6).2 However, accumulation of pericardial and per-
deep plantar arch, pass through the this maneuver would place the entire haps pleural effusions.2,7,11 Crucifrac-
favored anatomic sites of transfix- weight of the body on the tarsals and ture (breaking the legs below the
ion.2,10,11 would produce searing pain.7 Further- knees), if performed, led to an
The major pathophysiologic effect more, flexion of the elbows would asphyxic death within minutes.11
of crucifixion, beyond the excruciate- cause rotation of the wrists about the Death by crucifixion was, in ev-
ing pain, was a marked interference iron nails and cause fiery pain along ery sense of the word, excruciating
with normal respiration, particularly the damaged median nerves.7 Lifting (Latin, excruciatus, or “out of the
exhalation (Fig 6). The weight of the of the body would also painfully cross”).
body, pulling down on the out- scrape the scourged back against the
Crucifixion of Jesus
stretched arms and shoulders, would rough wooden stipes.2,7 Muscle cramps
tend to fix the intercostal muscles in and paresthesias of the outstretched After the scourging and the mock-
an inhalation state and thereby hin- and uplifted arms would add to the ing, at about 9 AM, the Roman soldiers
der passive exhalation.2,10,11 According- discomfort.7 As a result, each respire- put Jesus’ clothes back on him and
ly, exhalation was primarily dia- tory effort would become agonizing then led him and two thieves to be
phragmatic, and breathing was shal- and tiring and lead eventually to crucified.1 Jesus apparently was so
low. It is likely that this form of asphyxia.2,3,7,10 weakened by the severe flogging that
respiration would not suffice and that The actual cause of death by cruci- he could not carry the patibulum
hypercarbia would soon result. The fixion was multifactorial and varied from the Praetorium to the site of
onset of muscle cramps or tetanic somewhat with each case, but the two crucifixion one third of a mile (600 to
LA
Right Lung RA Left Lung
LV
RV
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Fig 7.—Spear wound to chest. Left, Probable path of spear. Right, Cross section of thorax, at level of plane
indicated at left, showing structures perforated by spear. LA indicates left atrium; LV, left ventricle; RA, right
atrium; RV, right ventricle.
650 m) away.1,3,5,7 Simon of Cyrene was taunted Jesus throughout the cruci- namely, the nature of the wound in his
summoned to carry Christ’s cross, fixion ordeal, and the soldiers side4,6 and the cause of his death
and the processional then made its cast lots for his clothing.1 Christ spoke after only several hours on the
way to Golgotha (or Calvary), an seven times from the cross.1 Since cross.13-17
established crucifixion site. speech occurs during exhalation, The gospel of John describes the
Here, Jesus’ clothes, except for a these short, terse utterances must piercing of Jesus’ side and emphasizes
linen loincloth, again were removed, have been particularly difficult and the sudden flow of blood and water.1
thereby probably reopening the painful. At about 3 PM that Friday, Some authors have interpreted the
scourging wounds. He then was Jesus cried out in a loud voice, bowed flow of water to be ascites12 or urine,
offered a drink of wine mixed with his head, and died.1 The Roman sol- from an abdominal midline perfora-
myrrh (gall) but, after tasting it, diers and onlookers recognized his tion of the bladder.15 However, the
refused the drink.1 Finally, Jesus and moment of death.1 Greek word (πλευρα, or pleura)32,35,36
the two thieves were crucified. Al- Since the Jews did not want the used by John clearly denoted later-
though scriptural references are bodies to remain on the crosses after ality and often implied the ribs.6,32,36
made to nails in the hands,1 these are sunset, the beginning of the Sabbath, Therefore, it seems probable that the
not at odds with the archaeological they asked Pontius Pilate to order wound was in the thorax and well
evidence of wrist wounds, since the crucifracture to hasten the deaths of away from the abdominal midline.
ancients customarily considered the the three crucified men.1 The soldiers Although the side of the wound was
wrist to be a part of the hand.7,11 The broke the legs of the two thieves, but not designated by John, it traditional-
titulus (Fig 3) was attached above when they came to Jesus and saw that ly has been depicted on the right
Jesus’ head. It is unclear whether he was already dead, they did not side.4 Supporting this tradition is the
Jesus was crucified on the Tau cross break his legs.1 Rather, one of the fact that a large flow of blood would
or the Latin cross; archaeological soldiers pierced his side, probably be more likely with a perforation of
findings favor the former11 and early with an infantry spear, and produced the distended and thin-walled right
tradition the latter.38 The fact that a sudden flow of blood and water.1 atrium or ventricle than the thick-
Jesus later was offered a drink of Later that day, Jesus’ body was taken walled and contracted left ventricle.
wine vinegar from a sponge placed on down from the cross and placed in a Although the side of the wound may
the stalk of the hyssop plant1 (approx- tomb.1 never be established with certainty,
imately 20 in, or 50 cm, long) strongly the right seems more probable than
DEATH OF JESUS
supports the belief that Jesus was the left.
crucified on the short cross.6 Two aspects of Jesus’ death have Some of the skepticism in accepting
The soldiers and the civilian crowd been the source of great controversy, John’s description has arisen from
References
1. Matthew 26:17-27:61, Mark 14:12-15:47, of the Death of Christ and Its Relation to the 31. Greenleaf S: An Examination of the Testi-
Luke 22:7-23:56, John 13:1-19:42, in The Holy Principles and Practice of Christianity, ed 2. mony of the Four Evangelists by the Rules of
Bible (New International Version). Grand Rap- London, Hamilton & Adams, 1871, pp 28-156, Evidence Administered in the Courts of Justice.
ids, Mich, Zondervan Bible Publishers, 1978. 489-494. Grand Rapids, Mich, Baker Book House, 1965,
2. Lumpkin R: The physical suffering of 18. Allen AC: The Skin: A Clinicopathological p 29.
Christ. J Med Assoc Ala 1978;47:8-10,47. Treatise, ed 2. New York, Grune & Stratton Inc, 32. Hatch E, Redpath HA: A Concordance to
3. Johnson CD: Medical and cardiological 1967, pp 745-747. the Septuagint and the Other Greek Versions of
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the Christ. Bol Assoc Med PR 1978;70:97-102. St Louis, CV Mosby Co, 1956, pp 1393-1394. Books). Graz, Austria, Akademische Druce U
4. Barb AA: The wound in Christ’s side. J 20. Scott CT: A case of haematidrosis. Br Med Verlagsanstalt, 1975, p 1142.
Warburg Courtauld Inst 1971;34:320-321. J 1918;1:532-533. 33. Wuest KS: Wuest Word Studies From the
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10:14-26. 22. Weaver KF: The mystery of the shroud. 1973, vol 1, p 280.
6. Mikulicz-Radecki FV: The chest wound in Natl Geogr 1980:157:730-753. 34. Friedrich G: Theological Dictionary of the
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Ariz Med 1965;22:183-187. 24. Haas N: Anthropological observations on 35. Arndt WF, Gingrich FW: A Greek-English
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Surgeon, Earl of Wicklow (trans). Garden City, lishers, 1979, pp 39-87, 141-263. 37. Robertson AT: A Grammar of the Greek
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