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Isaiah 38 — The Illness of Hezekiah and the Canticle (Mikhtàv)

The Bible as the first Jewish-Christian readers heard it

Parallel text: Masoretic Hebrew · Septuagint · orthodox reading

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Isaiah 38 — The Illness of Hezekiah and the Canticle (Mikhtàv)

Isaia 38,1-22·MT (OSHB) + LXX·15/37
1
Hebrew (MT)בימים ההם חלה חזקיהו למות ויבוא אליו ישעיהו בן אמוץ הנביא ויאמר אליו כה אמר יהוה צו לביתך כי מת אתה ולא תחיה
Septuagint (LXX)Ἐγένετο δὲ ἐν τῷ καιρῷ ἐκείνῳ ἐμαλακίσθη Εζεκιας ἕως θανάτου· καὶ ἦλθεν πρὸς αὐτὸν Ησαιας υἱὸς Αμως ὁ προφήτης καὶ εἶπεν πρὸς αὐτόν Τάδε λέγει κύριος Τάξαι περὶ τοῦ οἴκου σου, ἀποθνῄσκεις γὰρ σὺ καὶ οὐ ζήσῃ.
Orthodox ReadingIn those days ⓘ fell mortally ill. The prophet ⓘ, son of Amòtz, came to him and said to him: «Thus says the Tetragrammaton: ⓘ, for you are dying and shall not live».
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Hebrew (MT)ויסב חזקיהו פניו אל הקיר ויתפלל אל יהוה
Septuagint (LXX)καὶ ἀπέστρεψεν Εζεκιας τὸ πρόσωπον αὐτοῦ πρὸς τὸν τοῖχον καὶ προσηύξατο πρὸς κύριον
Orthodox ReadingAnd Chizqiyàhu ⓘ and prayed to the Tetragrammaton,
3
Hebrew (MT)ויאמר אנה יהוה זכר נא את אשר התהלכתי לפניך באמת ובלב שלם והטוב בעיניך עשיתי ויבך חזקיהו בכי גדול
Septuagint (LXX)λέγων Μνήσθητι, κύριε, ὡς ἐπορεύθην ἐνώπιόν σου μετὰ ἀληθείας ἐν καρδίᾳ ἀληθινῇ καὶ τὰ ἀρεστὰ ἐνώπιόν σου ἐποίησα· καὶ ἔκλαυσεν Εζεκιας κλαυθμῷ μεγάλῳ.
Orthodox Readingand said: «ⓘ, O Tetragrammaton, remember how I have walked before you ⓘ and have done what is good in your eyes». And Chizqiyàhu wept with great weeping.
4
Hebrew (MT)ויהי דבר יהוה אל ישעיהו לאמר
Septuagint (LXX)καὶ ἐγένετο λόγος κυρίου πρὸς Ησαιαν λέγων
Orthodox ReadingAnd the word of the Tetragrammaton came to Yeshaʿyàhu, saying:
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Hebrew (MT)הלוך ואמרת אל חזקיהו כה אמר יהוה אלהי דוד אביך שמעתי את תפלתך ראיתי את דמעתך הנני יוסף על ימיך חמש עשרה שנה
Septuagint (LXX)Πορεύθητι καὶ εἰπὸν Εζεκια Τάδε λέγει κύριος ὁ θεὸς Δαυιδ τοῦ πατρός σου Ἤκουσα τῆς φωνῆς τῆς προσευχῆς σου καὶ εἶδον τὰ δάκρυά σου· ἰδοὺ προστίθημι πρὸς τὸν χρόνον σου ἔτη δέκα πέντε·
Orthodox Reading«Go and say to Chizqiyàhu: Thus says the Tetragrammaton, ⓘ: I have heard your prayer, I have seen your tear; behold, I add to your days ⓘ.
6
Hebrew (MT)ומכף מלך אשור אצילך ואת העיר הזאת וגנותי על העיר הזאת
Septuagint (LXX)καὶ ἐκ χειρὸς βασιλέως Ἀσσυρίων σώσω σε καὶ ὑπὲρ τῆς πόλεως ταύτης ὑπερασπιῶ.
Orthodox ReadingAnd from the hand of the king ⓘ I will save you and this city, and I will defend this city.
7
Hebrew (MT)וזה לך האות מאת יהוה אשר יעשה יהוה את הדבר הזה אשר דבר
Septuagint (LXX)τοῦτο δέ σοι τὸ σημεῖον παρὰ κυρίου ὅτι ὁ θεὸς ποιήσει τὸ ῥῆμα τοῦτο·
Orthodox ReadingAnd this shall be the ⓘ for you from the Tetragrammaton, that the Tetragrammaton will carry out this word that he has spoken:
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Hebrew (MT)הנני משיב את צל המעלות אשר ירדה במעלות אחז בשמש אחרנית עשר מעלות ותשב השמש עשר מעלות במעלות אשר ירדה
Septuagint (LXX)τὴν σκιὰν τῶν ἀναβαθμῶν, οὓς κατέβη ὁ ἥλιος, τοὺς δέκα ἀναβαθμοὺς τοῦ οἴκου τοῦ πατρός σου, ἀποστρέψω τὸν ἥλιον τοὺς δέκα ἀναβαθμούς. καὶ ἀνέβη ὁ ἥλιος τοὺς δέκα ἀναβαθμούς, οὓς κατέβη ἡ σκιά.
Orthodox Readingbehold, I make the shadow on the ⓘ go back — the shadow that had gone down — ten steps backward with the sun». And the sun went back ten steps, the steps by which it had gone down.
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Hebrew (MT)מכתב לחזקיהו מלך יהודה בחלתו ויחי מחליו
Septuagint (LXX)Προσευχὴ Εζεκιου βασιλέως τῆς Ιουδαίας, ἡνίκα ἐμα λακίσθη καὶ ἀνέστη ἐκ τῆς μαλακίας αὐτοῦ.
Orthodox Readingⓘ, king of Judah, when he fell ill and recovered from his illness.
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Hebrew (MT)אני אמרתי בדמי ימי אלכה בשערי שאול פקדתי יתר שנותי
Septuagint (LXX)Ἐγὼ εἶπα Ἐν τῷ ὕψει τῶν ἡμερῶν μου ἐν πύλαις ᾅδου καταλείψω τὰ ἔτη τὰ ἐπίλοιπα.
Orthodox ReadingI said: «In the ⓘ I shall go to the gates of ⓘ; I am deprived of the remainder of my years».
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Hebrew (MT)אמרתי לא אראה יה יה בארץ החיים לא אביט אדם עוד עם יושבי חדל
Septuagint (LXX)εἶπα Οὐκέτι μὴ ἴδω τὸ σωτήριον τοῦ θεοῦ ἐπὶ τῆς γῆς, οὐκέτι μὴ ἴδω ἄνθρωπον
Orthodox ReadingI said: «I shall see no more ⓘ in the land of the living; I shall look no more upon a human being among ⓘ.
12
Hebrew (MT)דורי נסע ונגלה מני כאהל רעי קפדתי כארג חיי מדלה יבצעני מיום עד לילה תשלימני
Septuagint (LXX)ἐκ τῆς συγγενείας μου. κατέλιπον τὸ λοιπὸν τῆς ζωῆς μου· ἐξῆλθεν καὶ ἀπῆλθεν ἀπ’ ἐμοῦ ὥσπερ ὁ καταλύων σκηνὴν πήξας, τὸ πνεῦμά μου παρ’ ἐμοὶ ἐγένετο ὡς ἱστὸς ἐρίθου ἐγγιζούσης ἐκτεμεῖν. ἐν τῇ ἡμέρᾳ ἐκείνῃ παρεδόθην
Orthodox ReadingMy dwelling is uprooted and removed from me like ⓘ; I have rolled up my life ⓘ: from day to night you bring me to an end.
13
Hebrew (MT)שויתי עד בקר כארי כן ישבר כל עצמותי מיום עד לילה תשלימני
Septuagint (LXX)ἕως πρωῒ ὡς λέοντι· οὕτως τὰ ὀστᾶ μου συνέτριψεν, ἀπὸ γὰρ τῆς ἡμέρας ἕως τῆς νυκτὸς παρεδόθην.
Orthodox Readingⓘ until morning; like a lion, so he breaks all my bones: from day to night you bring me to an end.
14
Hebrew (MT)כסוס עגור כן אצפצף אהגה כיונה דלו עיני למרום אדני עשקה לי ערבני
Septuagint (LXX)ὡς χελιδών, οὕτως φωνήσω, καὶ ὡς περιστερά, οὕτως μελετήσω· ἐξέλιπον γάρ μου οἱ ὀφθαλμοὶ τοῦ βλέπειν εἰς τὸ ὕψος τοῦ οὐρανοῦ πρὸς τὸν κύριον, ὃς ἐξείλατό με
Orthodox Readingⓘ, so I chirp; I moan ⓘ; my eyes grow weary looking upward. Adonài, I am ⓘ: be thou my ⓘ!
15
Hebrew (MT)מה אדבר ואמר לי והוא עשה אדדה כל שנותי על מר נפשי
Septuagint (LXX)καὶ ἀφείλατό μου τὴν ὀδύνην τῆς ψυχῆς.
Orthodox ReadingWhat shall I say? He himself spoke to me and has done it. ⓘ all my years, in the bitterness of my soul.
16
Hebrew (MT)אדני עליהם יחיו ולכל בהן חיי רוחי ותחלימני והחיני
Septuagint (LXX)κύριε, περὶ αὐτῆς γὰρ ἀνηγγέλη σοι, καὶ ἐξήγειράς μου τὴν πνοήν, καὶ παρακληθεὶς ἔζησα.
Orthodox ReadingAdonài, ⓘ, and in all these things is the life of my spirit: you heal me and make me live.
17
Hebrew (MT)הנה לשלום מר לי מר ואתה חשקת נפשי משחת בלי כי השלכת אחרי גוך כל חטאי
Septuagint (LXX)εἵλου γάρ μου τὴν ψυχήν, ἵνα μὴ ἀπόληται, καὶ ἀπέρριψας ὀπίσω μου πάσας τὰς ἁμαρτίας μου.
Orthodox ReadingBehold, bitterness itself became salvation to me: you ⓘ, and ⓘ.
18
Hebrew (MT)כי לא שאול תודך מות יהללך לא ישברו יורדי בור אל אמתך
Septuagint (LXX)οὐ γὰρ οἱ ἐν ᾅδου αἰνέσουσίν σε, οὐδὲ οἱ ἀποθανόντες εὐλογήσουσίν σε, οὐδὲ ἐλπιοῦσιν οἱ ἐν ᾅδου τὴν ἐλεημοσύνην σου·
Orthodox ReadingFor ⓘ; those who go down to the pit can no longer hope in your faithfulness.
19
Hebrew (MT)חי חי הוא יודך כמוני היום אב לבנים יודיע אל אמתך
Septuagint (LXX)οἱ ζῶντως εὐλογήσουσίν σε ὃν τρόπον κἀγώ. ἀπὸ γὰρ τῆς σήμερον παιδία ποιήσω, ἃ ἀναγγελοῦσιν τὴν δικαιοσύνην σου,
Orthodox ReadingThe ⓘ praise you, as I do this day; the father makes known to his children your faithfulness.
20
Hebrew (MT)יהוה להושיעני ונגנותי ננגן כל ימי חיינו על בית יהוה
Septuagint (LXX)κύριε τῆς σωτηρίας μου· καὶ οὐ παύσομαι εὐλογῶν σε μετὰ ψαλτηρίου πάσας τὰς ἡμέρας τῆς ζωῆς μου κατέναντι τοῦ οἴκου τοῦ θεοῦ.
Orthodox ReadingThe Tetragrammaton is my salvation: ⓘ all the days of our life, in the house of the Tetragrammaton.
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Hebrew (MT)ויאמר ישעיהו ישאו דבלת תאנים וימרחו על השחין ויחי
Septuagint (LXX)Καὶ εἶπεν Ησαιας πρὸς Εζεκιαν Λαβὲ παλάθην ἐκ σύκων καὶ τρῖψον καὶ κατάπλασαι, καὶ ὑγιὴς ἔσῃ.
Orthodox ReadingAnd Yeshaʿyàhu said: «Let ⓘ be taken, let it be applied to the ulcer, and he will recover».
22
Hebrew (MT)ויאמר חזקיהו מה אות כי אעלה בית יהוה
Septuagint (LXX)καὶ εἶπεν Εζεκιας Τοῦτο τὸ σημεῖον, ὅτι ἀναβήσομαι εἰς τὸν οἶκον κυρίου τοῦ θεοῦ.
Orthodox ReadingAnd Chizqiyàhu said: «What is the ⓘ that I shall go up to the house of the Tetragrammaton?»
Historical-halakhic study

Isaiah 38 narrates the mortal illness of Chizqiyàhu (Hezekiah), king of Judah, his dialogue with the prophet Yeshaʿyàhu (Isaiah), the prayer directed toward the wall, and the fifteen years added to his life. The sign granted is the retrogression of the shadow on the maʿălòt Achàz, the sundial-staircase of king Ahaz. At the heart of the chapter stands the Mikhtàv (vv.9–20), Hezekiah's memorial canticle: the descent to the gates of Sheòl, life compared to a uprooted tent and a web cut from the loom, and the liberating confession «you have cast behind your back all my sins» (v.17). The chapter is closely related to 2 Kings 20, of which it constitutes a redactional doublet with significant variants, and it closes (vv.21–22) with the medical prescription of the fig and the question about the sign.

Historical Reconstruction

The episode is set against the backdrop of Assyrian pressure on Judah at the time of Sennacherib (late eighth century BC). The chronological framework is debated: the promise to save «you and this city» from the hand of the king of Ashshùr (v.6) links Hezekiah's illness to the Assyrian threat narrated in Isaiah 36–37. The detail of the «fifteen years» added (v.5) has led scholars to place the illness most plausibly around the siege of 701 BC, although the precise sequence between the healing and the deliverance of Jerusalem remains a matter of discussion. The reference to the «steps of Achàz» (v.8) presupposes a royal solar device at the palace — plausibly an oriented staircase that functioned as a shadow-clock — and the sign turns on the retrogression of the shadow, not on an astronomical theory. The figure of the ailing king who prays and obtains an extension of life belongs to a genre well attested in the ancient Near East, but here it is reinterpreted in prophetic and Davidic-covenant terms: it is the «God of Davìd your father» (v.5) who responds.

Textual Notes (MT/LXX)

The relationship with 2 Kings 20 is the primary textual datum: the same account appears in both books with variants. The canticle of vv.9–20 is unique to Isaiah and absent in the 2 Kings parallel, where in its place stands only a prose narrative: it is most likely a poetic composition incorporated secondarily into the Isaianic tradition. In v.5 the LXX adds a temporal detail (Isaiah had not yet left the court), absent in the more sober Masoretic text. Several divergences concern the canticle: at v.10 the Masoretic bi-dmī yāmay («in the midst/cutting off of my days») is rendered by the LXX as ἐν τῷ ὕψει, «at the height»; at v.11 the Masoretic text reads Yāh Yāh (the abbreviated and reduplicated form of the proper Name), while the LXX reads «the salvation of God» (τὸ σωτήριον τοῦ θεοῦ), avoiding the theonym; again at v.11 yōšəvē ḥādel («inhabitants of cessation/of the world that ceases») is rendered «of my kindred» (συγγενεία). Verses 13 and 15–16 are among the most difficult in the entire book: šiwwītī (v.13) is of uncertain rendering, and the LXX, reading differently, translates «I was handed over» (παρεδόθην). Noteworthy finally is the inverted order of the ending: in Isaiah 38 the request for a sign (v.22) closes the passage, whereas in 2 Kings 20:8 the same question precedes the wonder of the shadow — a redactional variant of sequence.

Jewish Reception (Rabbinic and Liturgical Tradition)

Hezekiah's prayer has become in the tradition a paradigm of efficacious tefillàh and of supplication in anguish. The Babylonian Talmud (Berakhot 10a–10b) discusses the episode at length: it records the teaching, placed in Hezekiah's mouth, that «even if a sharpened sword is laid upon a person's neck, he should not refrain from asking for mercy», and it comments on the king's gesture of «turning his face to the wall» (v.2) as turning toward the wall of the heart or toward the Temple. The same sūgyàh contrasts Hezekiah's conduct with what is expected of a righteous man, interweaving his illness with the question of his descendants. The gesture of «turning his face to the wall» (v.2) has been read as withdrawing from the distractions of the world to focus the heart in supplication, and in some readings as an orientation toward the place of the Divine Presence. The motif of the king who intercedes and obtains an extension of life has nourished reflection on teshuvàh and on the value of individual prayer cried out «from the depths». On the lexical level, the tradition has valorized the be-ʾemet of v.3 («in truth/faithfulness», from the root of ʾemunàh, steadfastness) as the measure of the righteousness Hezekiah invokes: not a boast of merits, but an appeal to the coherence of a life «walked before» God. The emphatic repetition of ḥay ḥay, «the living, the living» (v.19), and of Yāh Yāh (v.11) has been perceived as a mark of prayer itself, where reduplication expresses intensity and urgency.

Aggadah

An aggadic tradition connects Hezekiah's illness to his failure to beget children: the king, having foreseen through a prophetic spirit that unworthy descendants would issue from him, had reportedly refrained from marrying; the illness then becomes the occasion of prophetic rebuke and subsequent repentance, with the implicit promise of offspring (linked in the canticle to «the father who makes known to his children your faithfulness», v.19). Around the sign of the shadow (v.8) the narrative tradition developed the idea of a miraculous alteration of the course of the sun, read as an extraordinary confirmation granted to a faithful king. These narrative developments are interpretative reception and must be kept distinct from the textual datum, which is limited to the retrogression of the shadow as a confirmatory sign (ʾōt). The Mikhtàv of v.9 also attracted aggadic attention: the term, which the Masoretic text reads as «writing/inscription» while the LXX understands as «prayer» (Προσευχή), was interpreted as the poetic document in which the king fixed for the memory of future generations the experience of death narrowly escaped and of grace received, so that the private might become public teaching — consistently with v.19, where «the father makes known to his children» the faithfulness of God.

New Testament Reception and Typology

The chapter is not explicitly cited in the New Testament, and this must be stated soberly so as not to force connections that do not exist. The figure of Hezekiah himself does appear, however, in the genealogy of Jesus in Matthew 1:9–10 (Ἐζεκίας), where he is placed in the Davidic line: this resonates with the appeal of v.5 to the «God of Davìd your father». On the level of motifs, the confession of the canticle — life snatched from Sheòl, sins cast behind one's back, praise belonging to the living (vv.17–19) — was read in subsequent Christian reception in terms of liberation from death; however, the historical text remains within the horizon of the pre-resurrection Sheòl and the doctrine of resurrection — a later development (Daniel 12:2; 2 Maccabees 7) — must not be retroactively projected onto it. The distinction between the historical sense and typological reception is here particularly important.

«Sheòl Does Not Praise You»: The Theology of Life (vv.18–19)

The theological core of the canticle is the declaration that «Sheòl does not praise you, death does not celebrate you… the living, the living praise you» (vv.18–19). This reflects the historical worldview that predates the resurrection: Sheòl is the silent and undifferentiated realm of the dead, where praise ceases and the relationship with God in its earthly form comes to an end. Praise belongs to those who live and breathe, and for this reason the prolongation of life is experienced as gift and as new space in which to bless «in the house of the Tetragrammaton» (v.20). This motif is shared with the Psalter (for example, the recurring theme that the dead do not praise) and must not be flattened into later eschatological doctrines: it expresses rather the intensity with which present life is valued as the time of relationship with God.

Observance and Liturgy

Verse 21, with the prescription of the dəvelet təʾēnīm (the poultice of dried figs applied to the ulcer), touches a classic halakhic point concerning the relationship between prayer and medicine. The Mishnah (Pesachim 4:9) counts among the deeds of king Hezekiah approved by the Sages the «concealing/hiding of the Book of Remedies» (Sefer Refuʾòt): this episode is genuinely Tannaitic and is traditionally linked to the events of this chapter, and has been discussed as a warning against relying solely on a remedy while forgetting prayer — even as the use of the fig in v.21 remains an attestation of ordinary therapy that does not exclude medical intervention. On the liturgical level, Hezekiah's canticle has had an independent life as a text of thanksgiving for recovery from illness: its structure — lament over imminent death, turning point, vow of perpetual praise «all the days of our life» (v.20) — has made it a model of the todàh, the praise of one who has escaped. The resolve to «go up to the house of the Tetragrammaton» (v.22) frames the entire episode within the perspective of worship: the life restored is life for the rendering of thanks in the sanctuary.

Frequently Asked Questions

Why does Isaiah 38 resemble 2 Kings 20?

It is a doublet: the same account of Chizqiyàhu's illness recurs in 2 Kings 20, with textual variants (the soferìm in Isa 38:2 omit «ʾeth panàw»). The canticle (Mikhtàv, vv.9–20) is unique to Isaiah and absent in 2 Kings.

Does «Sheòl does not praise you» deny life after death?

It expresses the historical worldview prior to the resurrection: Sheòl is the silent realm, and praise belongs to the living. This is the Sheòl of the First Testament; the later doctrine of the resurrection (Dan 12; 2 Mac 7) is a subsequent development and must not be retroactively projected onto this text.

Biblical references

Cited in the commentary