We should not be surprised that one and the same outward action was used to communicate such different kinds of grace. We remember the apostle’s words: “All these are worked by one and the same Spirit” (1 Cor 12:11). Nor is there anything surprising in the later change of the outward action that served to communicate the Holy Spirit to ordinary believers. Namely, the laying on of hands was replaced by chrismation. The outward aspect of the sacraments was subject to development and change. The outward action that served to communicate healing grace changed still more quickly and easily. The laying of hands on the sick was replaced by anointing with oil all the more easily because, even under Christ, His disciples “anointed with oil many who were sick, and healed them” (Mk 6:13). One may even think that this sacrament, now called Holy Unction, was performed in the apostolic age both as indicated in Acts 28:8 and as depicted in the Apostle James’s epistle, Jas 5:14. That is, it was performed through anointing with oil in the name of the Lord.
Thus, in the book of Acts only one sacrament is not indicated, marriage. The other six sacraments of the Orthodox Church are indicated as having existed in the Church, in one form or another, already in the times of the apostles. Yet two of them, chrismation and Holy Unction, were at the very beginning performed somewhat differently in their outward aspect.
The same verse 8 of chapter 28 says that the holy Apostle Paul prayed. Therefore it will be timely to note here that, according to the book of the Acts of the Apostles, the apostles’ prayer was very often accompanied by an outward bodily action, the bending of the knees; see Acts 7:60; 9:40; 20:36; 21:5. This is important for the correction of those who reject the necessity and significance of bodily reverence.