Note Note 8 — NOTES TO CHAPTER 35.

8. The Physical Cause of Christ's Death.—While, as stated in the text, the yielding up of life was voluntary on the part of Jesus Christ, for He had life in Himself and no man could take His life except as He willed to allow it to be taken, (John 1:4; 5:26; 10:15-18) there was of necessity a direct physical cause of dissolution. As stated also the crucified sometimes lived for days upon the cross, and death resulted, not from the infliction of mortal wounds, but from internal congestion, inflammations, organic disturbances, and consequent exhaustion of vital energy. Jesus, though weakened by long torture during the preceding night and early morning, by the shock of the crucifixion itself, as also by intense mental agony, and particularly through spiritual suffering such as no other man has ever endured, manifested surprizing vigor, both of mind and body, to the last. The strong, loud utterance, immediately following which He bowed His head and "gave up the ghost", when considered in connection with other recorded details, points to a physical rupture of the heart as the direct cause of death. If the soldier's spear was thrust into the left side of the Lord's body and actually penetrated the heart, the outrush of "blood and water" observed by John is further evidence of a cardiac rupture; for it is known that in the rare instances of death resulting from a breaking of any part of the wall of the heart, blood accumulates within the pericardium, and there undergoes a change by which the corpuscles separate as a partially clotted mass from the almost colorless, watery serum. Similar accumulations of clotted corpuscles and serum occur within the pleura. Dr. Abercrombie of Edinburgh, as cited by Deems (Light of the Nations, p. 682), "gives a case of the sudden death of a man aged seventy-seven years, owing to a rupture of the heart. In his case 'the cavities of the pleura contained about three pounds of fluid, but the lungs were sound.'" Deems also cites the following instance: "Dr. Elliotson relates the case of a woman who died suddenly. 'On opening the body the pericardium was found distended with clear serum, and a very large coagulum of blood, which had escaped through a spontaneous rupture of the aorta near its origin, without any other morbid appearance.' Many cases might be cited, but these suffice." For detailed treatment of the subject the student may be referred to Dr. Wm. Stroud's work On the Physical Cause of the Death of Christ. Great mental stress, poignant emotion either of grief or joy, and intense spiritual struggle are among the recognized causes of heart rupture.