Leviticus 13:20
And if, when the priest sees it, behold, it be in sight lower than the skin, and the hair thereof be turned white; the priest shall pronounce him unclean: it is a plague of leprosy broken out of the boil.
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EXPOSITORY (ENGLISH BIBLE)
(20) Behold, it be in sight lower than the skin.—Better, Behold, its appearance is lower than the other skin. If upon examination the priest finds that the spot has assumed a deeper appearance than the rest of the skin, and the hair turned white—which were the two critical symptoms—he forthwith declared it leprosy.

13:18-44 The priest is told what judgment to make, if there were any appearance of a leprosy in old sores; and such is the danger of those who having escaped the pollutions of the world are again entangled therein. Or, in a burn by accident, ver. 24. The burning of strife and contention often occasions the rising and breaking out of that corruption, which proves that men are unclean. Human life lies exposed to many grievances. With what troops of diseases are we beset on every side; and thy all entered by sin! If the constitution be healthy, and the body lively and easy, we are bound to glorify God with our bodies. Particular note was taken of the leprosy, if in the head. If the leprosy of sin has seized the head; if the judgment be corrupted, and wicked principles, which support wicked practices, are embraced, it is utter uncleanness, from which few are cleansed. Soundness in the faith keeps leprosy from the head.Lower than the skin - Rather, reaching below the scarf skin. 9-37. if the rising be white—This BRIGHT WHITE leprosy is the most malignant and inveterate of all the varieties the disease exhibits, and it was marked by the following distinctive signs: A glossy white and spreading scale, upon an elevated base, the elevation depressed in the middle, but without a change of color; the black hair on the patches participating in the whiteness, and the scaly patches themselves perpetually enlarging their boundary. Several of these characteristics, taken separately, belong to other blemishes of the skin as well; so that none of them was to be taken alone, and it was only when the whole of them concurred that the Jewish priest, in his capacity of physician, was to pronounce the disease a malignant leprosy. If it spread over the entire frame without producing any ulceration, it lost its contagious power by degrees; or, in other words, it ran through its course and exhausted itself. In that case, there being no longer any fear of further evil, either to the individual himself or to the community, the patient was declared clean by the priest, while the dry scales were yet upon him, and restored to society. If, on the contrary, the patches ulcerated and quick or fungous flesh sprang up in them, the purulent matter of which, if brought into contact with the skin of other persons, would be taken into the constitution by means of absorbent vessels, the priest was at once to pronounce it an inveterate leprosy. A temporary confinement was them declared to be totally unnecessary, and he was regarded as unclean for life [Dr. Good]. Other skin affections, which had a tendency to terminate in leprosy, though they were not decided symptoms when alone, were: "a boil" (Le 13:18-23); "a hot burning,"—that is, a fiery inflammation or carbuncle (Le 13:24-28); and "a dry scall" (Le 13:29-37), when the leprosy was distinguished by being deeper than the skin and the hair became thin and yellow. No text from Poole on this verse. And if, when the priest seeth it,.... And has thoroughly viewed it and considered it:

behold, it be in sight lower than the skin; having eaten into and taken root in the flesh under the skin:

and the hair thereof be turned white; which are the signs of leprosy before given, Leviticus 13:3,

the priest shall pronounce him unclean; not fit for company and conversation, but obliged to conform to the laws concerning leprosy:

it is a plague of leprosy broken out of the boil; which was there before: this is an emblem of apostates and apostasy, who having been seemingly healed and cleansed, return to their former course of life, and to all the impurity of it, like the dog to its vomit, and the swine to its wallowing in the mire, Proverbs 26:11; and so their last state is worse than the first, Matthew 12:45, as in this case; at first it was a boil, and then thought to be cured, and afterwards arises out of it a plague of leprosy.

And if, when the priest seeth it, behold, it be in sight lower than the skin, and the hair thereof be turned white; the priest shall pronounce him {g} unclean: it is a plague of leprosy broken out of the boil.

(g) No one was exempted, but if the priest pronounced him unclean, he was put out from among the people: as appears by the example of Mary the prophetess, Nu 12:14 and by king Uzziah, 2Ch 26:20.

EXEGETICAL (ORIGINAL LANGUAGES)
"But in the day when proud flesh appears upon him, he is unclean,...the proud flesh is unclean; it is leprosy." That is to say, if proud flesh appeared after the body had been covered with a white scurf, with which the diseased matter had apparently exhausted itself, the disease was not removed, and the person affected with it was to be pronounced unclean.

The third case: if the leprosy proceeded from an abscess which had been cured. In Leviticus 13:18 בּשׂר is first of all used absolutely, and then resumed with בּו, and the latter again is more closely defined in בּעורו: "if there arises in the flesh, in him, in his skin, an abscess, and (it) is healed, and there arises in the place of the abscess a white elevation, or a spot of a reddish white, he (the person so affected) shall appear at the priest's."

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