Theophylact of Bulgaria
The suffering endured by the woman stemmed from the malice of the devil, as the Lord states, ‘whom Satan had bound for eighteen years.’ It may be the case that Satan afflicted her because she was abandoned by God due to some transgression. For he, when granted permission from the Almighty, wreaks havoc upon the bodies of humanity (Job 2:6-7). He was also the initial cause of our loss of the incorruptibility for which we were formed (Prem. 2:23), resulting in our current condition of being connected to a frail and susceptible body. This is what is hinted at by the reference to the leathern vesture (Gen. 3:21). It is worth considering that these miracles also pertain to the inner self.
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The soul finds itself troubled when it focuses solely on earthly matters and neglects to contemplate anything celestial or divine. This is why it is noted that she suffered for eighteen years. For anyone who strays from the commandments of God, which consist of ‘ten,’ and falters in faith during the ‘eighth’ age, is said to be burdened for eighteen years. This is true for one who, grounded in worldly concerns and consistently sinning, violates the commandments and dismisses the promise of the coming age. However, the Lord brings healing to such a soul on the Sabbath and within the synagogue. When an individual gathers their thoughts in a spirit of repentance (as Judas signifies repentance) and observes the Sabbath—that is, refrains from evil—then Jesus heals them not solely with a word, saying, ‘You are freed from your affliction,’ but also through the laying on of hands.