Andrew of Caesarea
The vial, like the bowl, is used here for a punitive action. When it was poured out by the angel, festering sores appeared.
These signify the sorrow that arises in the hearts of apostates and torments them, like a festering of the heart. For those punished by the plagues sent by God will receive no relief from the Antichrist, whom they acknowledge as god.
It is also likely that their bodies will be struck by the flattering Antichrist and apostate with the arrows of diabolical deception.
Therefore we suppose that until divine wrath against the ungodly separates the righteous from the unrighteous, the saints will in no way receive their portion in the heavenly Jerusalem, nor priestly service and rest in the temple of God.
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First the plagues must be completed, by which sin is repaid to those who deserve this. Only then will dwelling in the city above be granted to the saints.
Nor, I think, will one err who refers each of the plagues to those who are on earth at its end. As the Lover of mankind, God permits punitive plagues to be brought even in this present life upon those who deserve them.
He does this to lessen the endless torments of the future, either through the prophets Enoch and Elijah or through the sufferings that come from wars.
But let us entreat the Lord to chasten us paternally, and not scourge us tormentingly in His wrath. For it is said: “There is no soundness in my flesh because of Your wrath” (Ps 37:4).
May we wash with tears of repentance our garments defiled by sins. May we put on the wedding garment and enter the eternal bridal chamber of joy of Christ our God.