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Smote them with emerods - The word עפלים apholim, from עפל aphal, to be elevated, probably means the disease called the bleeding piles, which appears to have been accompanied with dysentery, bloody flux, and ulcerated anus.

The Vulgate says, Et percussit in secretiori parte natium; "And he smote them in the more secret parts of their posteriors." To this the psalmist is supposed to refer, Psalm 78:66, He smote all his enemies in the Hinder Parts; he put them to a perpetual reproach. Some copies of the Septuagint have εξεζεσεν αυτοις εις τας ναυς, "he inflamed them in their ships:" other copies have εις τας ἑδρας, "in their posteriors." The Syriac is the same. The Arabic enlarges: "He smote them in their posteriors, so that they were affected with a dysenteria." I suppose them to have been affected with enlargements of the haemorrhoidal veins, from which there came frequent discharges of blood.

The Septuagint and Vulgate make a very material addition to this verse: Και μεσον της χωρας αυτης ανεφυεσιν μυες· και εγενετο συγχυσις θανατου μεγαλη εν τη πολει ; Et ebullierunt villae et agri in medio regionis illius; et nati sunt mures, et facta est confusio mortis magnae in civitate: "And the cities and fields of all that region burst up, and mice were produced, and there was the confusion of a great death in the city." This addition Houbigant contends was originally in the Hebrew text; and this gives us the reason why golden mice were sent, as well as the images of the emerods, ( 1 Samuel 6:4;), when the ark was restored.

Emerods - A corruption of “hemorrhoids.” It is mentioned Deuteronomy 28:27 among the diseases with which God threatened to punish the Israelites for disobedience.

The hand of the Lord was heavy upon the Philistines; he not only convinced them of their folly, but severely chastised their insolence. Yet they would not renounce Dagon; and instead of seeking God's mercy, they desired to get clear of his ark. Carnal hearts, when they smart under the judgments of God, would rather, if it were possible, put him far from them, than enter into covenant or communion with him, and seek him for their friend. But their devices to escape the Divine judgments only increase them. Those that fight against God will soon have enough of it.