The Communion of the Sick.

A Rational Illustration of the Book of Common Prayer (('Charles Wheatly', 1720))

The general rubric for communicating the sick. Forasmuch as mortal men be subject to many sudden perils, diseases, and sicknesses, and ever uncertain what time they shall depart out of this life; therefore to the intent they may be always in a readiness to die, whensoever it shall please Almighty God to call them, the Curates are diligently from time to time (but especially in the time of pestilence or other infectious sickness) to exhort the parishioners to the often receiving of the holy Communion of the Body and Blood of our Saviour Christ when it shall be publicly administered in the Church; that so doing they may, in case of sudden visitation, have the less cause to be disquieted for loch of the same. But if the sick person be not able to come to the Church, and yet is desirous to receive the Communion in his house, then he must give timely notice to the Curate;

Agreeable to the practice of the primitive Church. who, in such a case, is here directed to celebrate and administer this holy Sacrament to him; which is exactly conformable to the most early practice of the primitive Church: for there is nothing more frequently mentioned by the ancient writers than the care of the Church to distribute the Eucharist to all dying persons that were capable of receiving it. They esteemed it the greatest unhappiness that could be, for any one to die before he had been supplied with this Ἐφόδιον, or Viaticum, (as the ancient canons frequently call it,) i.e. the necessary preparation or provision for the road, for those that are going to their eternal home. For this reason even those who were under the censures of the Church, and were suspended from the Eucharist in the time of their health, were yet allowed to communicate, if any danger of death surprised them, before they had finished their stated penance. Nay, about the fifth century this was carried so high, that some were for forcing the elements into the mouths of those that were dead: but this was soon censured by several Councils, which ordered that practice to be discontinued. However, the care of the Church to communicate the sick has been equally the same in all ages. And indeed that she looks upon this not only as convenient, but as highly necessary, may be gathered from the dispensation that she grants with the canons, purely to secure it.

§.2. Private consecration of the elements, how far allowed. For though administering: the Communion in private houses be forbid by the canons of 1603, as well as by those of ancient times, under the severest penalties; yet there is an exception made in the case of sickness: upon which occasion, both the canons above mentioned, and this present rubric, allow the Curate (having a convenient place in the sick man’s house, with all things necessary so prepared, that he may reverently minister) there to celebrate the holy Communion. This indulgence was rare in the primitive Church: however, some instances may be produced, even from thence, of private consecrations upon great emergencies. But, generally speaking, it was usual for the Ministers to reserve some part of the elements that had been consecrated before, in the church, to be always in a readiness upon such like occasions. Agreeably to which in this very rubric (as it was worded in king Edward’s first Common Prayer) it was ordered, that if the same day (on which the person was to be visited) there was a celebration of the holy Communion in the church, then the Priest was to reserve (at the open Communion) so much of the Sacrament of the Body and Blood, as would serve the sick person, and so many as were to communicate with him, (if there were any:) and so soon as he conveniently could, after the open Communion ended in the church, he was to go and minister the same, &c. But then this reservation was not allowed, unless there was a Communion at the church on the same day on which the sick person was to be visited: for by another rubric it was ordered, that if the day were not appointed for the open Communion in the church, then (upon convenient warning given) the Curate was to go and visit the sick person afore noon: and having a convenient place in the sick man’s house (where he might reverently celebrate) with all things necessary for the same, and not being otherwise letted with the public service, or any other just impediment, there to celebrate the holy Communion. And even the elements that were consecrated thus privately were to be reserved, if there was any occasion to administer the sacrament again that day. For so it was ordered by a third rubric of this office in the same book, that if there were any more sick persons to be visited the same day that the Curate celebrated in any sick man’s house; then the Curate was there to reserve so much of the Sacrament of the Body and Blood, as would serve the other sick persons, and such as were appointed to communicate with them, (if there were any,) and immediately to carry it and minister it unto them. So that from all these rubrics compared together, we may observe, first, that though anciently it was usual for the Ministers to reserve some part of the consecrated elements, either in the church or at their houses, to be always in a readiness for any that should want to receive, before the time came to consecrate again; yet after the Reformation it was never allowed to reserve them longer than that day on which they were consecrated, nor indeed to reserve them at all, unless the Curate knew beforehand that some sick person was that day to be visited. We may therefore, secondly, suppose, that it was not the design of our reformers to attribute more power or efficacy to the sacrament, when it was consecrated in the church, than it had when it was consecrated in a private house; but rather that the sick, by partaking of the elements which had been consecrated elsewhere, and of which his fellow-parishioners or neighbours had been partakers before him, might join as it were in the same Communion with the rest of the congregation, though his present infirmity hindered him from attending the public service of the church. And this, it seems, was generally the motive why the sacrament was sent about to one another in the primitive Church. Nor do I find that Bucer had any objection to it in his Censure upon our Liturgy. However, in the second book of king Edward VI all these rubrics, as far as they relate to the reservation, were laid aside. Though in a Latin translation of the Common Prayer Book, which was put out by authority in the second year of queen Elizabeth, for the use of the universities and the colleges of Winchester and Eton, the rubric for the reservation is inserted at large. The reason of this difference might probably be this, viz. that the reservation having been abused by some ignorant and superstitious people, just after the Reformation, was the cause why it was discontinued in the English Common Prayer Book: but the Latin Book being designed for the use of learned societies, the reservation might safely enough be trusted with them, upon a presumption that they, who enjoyed so much light, would be the less liable to abuse it to error and superstition. Though it is not unlikely that this might be indulged those learned bodies, in order to reconcile them the easier to reformation: for it was the design of queen Elizabeth (as I have more than once observed) to contrive the Liturgy so, as to oblige as many of each party as she could. However (except in this Latin translation of it) there has been no mention of the reservation in any of the Common Prayer Books since the first of king Edward. But the rubric has constantly enjoined the holy Communion to be celebrated, on such. occasion, in the sick man’s house.

§.3. Timely notice to be given to the Curate. When the sick person desires to receive the Communion in his house, he must give timely notice to the Curate; which ought to be some time over-night, or else early in the morning of the same day, as it was expressed in this rubric in all the Common Prayer Books till the last review: since otherwise the Curate, through other necessary avocations, may, for want of such notice, be out of the way at the time that he is wanted.

§.4. How many required to communicate with the sick. When the sick person gives notice, he is also to signify how many there are to communicate with him; which was ordered (as appears by the first Common Prayer) that the Minister might know how much of the sacred elements to reserve. It is also plain by the first and last of those rubrics, which I have above transcribed out of that book, that the Minister was allowed, in all cases of sickness, to communicate alone with the sick man, if there were none else to receive with him. For they order him to reserve so much of the Sacrament as shall serve the sick person, and so many as shall communicate with him, (if there be any;) which plainly supposes that, if there were none, he was only to reserve enough for himself and the sick man. And so in the rubric relating to the manner of the Minister’s distributing; he was first to receive the Communion himself, then to minister to those that were appointed to communicate with the sick, (if there were any;) and then to the sick person. However, it followed in that rubric, that the sick person should always desire some, either of his own house, or else of his neighbours, to receive the holy Communion with him; for that would be to him a singular great comfort, and of their part a great token of charity. But at the second review, these parentheses were all thrown out, and in all our Common Prayers ever since till the Restoration, a good number was required by this general rubric to receive the Communion with the sick person, without determining what number should be esteemed a good one. But the Scotch Common Prayer is a little more explicit, and orders a sufficient number, at least two or three; and from thence, I suppose, our own rubric, at the Restoration, ordered that there should be three, or two at the least, i.e. at least three, including the sick, to communicate with the Minister, which is the same number that is required to a Communion in the Church. However, at the same time that such a number was required in all ordinary sicknesses, (i. e. in the fifth year of king Edward,) there was a rubric added at the end of this office, (which has continued ever since,) that in the time of the plague, sweat, or such other like contagious times of sickness or diseases, when none of the parish or neighbours can be gotten to communicate with the sick in their houses, for fear of the infection, upon special request of the diseased, the Minister alone may communicate with him. But this is only indulged in such extraordinary cases; for in other ordinary diseases, lack of company to receive with the sick person is mentioned as a just impediment why the Sacrament should not be administered to him.

Forasmuch as all mortal men be subject to many sudden perils, diseases, and sicknesses, and ever uncertain what time they shall depart out of this life; therefore, to the intent they may always be in a readiness to die, whensoever it shall please Almighty God to call them, the Curates shall diligently from time to time (but especially in the time of pestilence, or other infectious sickness) exhort their Parishioners to the often receiving of the holy Communion of the Body and Blood of our Saviour Christ, when it shall be publickly ministered in the Church; that so doing, they may, in case of sudden visitation, have the less cause to be disquieted for lack of the same. But if the sick person be not able to come to the Church, and yet is desirous to receive the Communion in his house; then he must give timely notice to the Curate, signifying also how many there are to communicate with him, (which shall be three, or two at the least,) and having a convenient place in the sick man's house, with all things necessary so prepared, that the Curate may reverently minister, he shall there celebrate the holy Communion, beginning with the Collect, Epistle, and Gospel, here following.

The Collect

Almighty, everliving God, Maker of mankind, who dost correct those whom thou dost love, and chastise every one whom thou dost receive:
The Book of Common Prayer: with marginal references to texts in the Holy Scriptures
Deut 32:39-40 See now that I, even I, am he, and there is no god with me: I kill, and I make alive; I wound, and I heal: neither is there any that can deliver out of my hand. For I lift up my hand to heaven, and say, I live for ever.
Job 5:8 I would seek unto God, and unto God would I commit my cause:
Job 5:17-18 Behold, happy is the man whom God correcteth: therefore despise not thou the chastening of the Almighty: For he maketh sore, and bindeth up: he woundeth, and his hands make whole.
Is 64:8-9 But now, O LORD, thou art our father; we are the clay, and thou our potter; and we all are the work of thy hand. Be not wroth very sore, O LORD, neither remember iniquity for ever: behold, see, we beseech thee, we are all thy people.
Heb 12:5-7 And ye have forgotten the exhortation which speaketh unto you as unto children, My son, despise not thou the chastening of the Lord, nor faint when thou art rebuked of him: For whom the Lord loveth he chasteneth, and scourgeth every son whom he receiveth. If ye endure chastening, God dealeth with you as with sons; for what son is he whom the father chasteneth not?

We beseech thee to have mercy upon this thy servant visited with thine hand,
The Book of Common Prayer: with marginal references to texts in the Holy Scriptures
Deut 32:39-40 See now that I, even I, am he, and there is no god with me: I kill, and I make alive; I wound, and I heal: neither is there any that can deliver out of my hand. For I lift up my hand to heaven, and say, I live for ever.
Job 5:8 I would seek unto God, and unto God would I commit my cause:
Job 5:17-18 Behold, happy is the man whom God correcteth: therefore despise not thou the chastening of the Almighty: For he maketh sore, and bindeth up: he woundeth, and his hands make whole.
Is 64:8-9 But now, O LORD, thou art our father; we are the clay, and thou our potter; and we all are the work of thy hand. Be not wroth very sore, O LORD, neither remember iniquity for ever: behold, see, we beseech thee, we are all thy people.
Heb 12:5-7 And ye have forgotten the exhortation which speaketh unto you as unto children, My son, despise not thou the chastening of the Lord, nor faint when thou art rebuked of him: For whom the Lord loveth he chasteneth, and scourgeth every son whom he receiveth. If ye endure chastening, God dealeth with you as with sons; for what son is he whom the father chasteneth not?

and to grant that he may take his sickness patiently, and re- cover his bodily health, (if it be thy gracious will;) and whensoever his soul shall depart from the body, it may be without spot presented unto thee; through Jesus Christ our Lord. Amen.
The Book of Common Prayer: with marginal references to texts in the Holy Scriptures
Deut 32:39-40 See now that I, even I, am he, and there is no god with me: I kill, and I make alive; I wound, and I heal: neither is there any that can deliver out of my hand. For I lift up my hand to heaven, and say, I live for ever.
Job 5:8 I would seek unto God, and unto God would I commit my cause:
Job 5:17-18 Behold, happy is the man whom God correcteth: therefore despise not thou the chastening of the Almighty: For he maketh sore, and bindeth up: he woundeth, and his hands make whole.
Is 64:8-9 But now, O LORD, thou art our father; we are the clay, and thou our potter; and we all are the work of thy hand. Be not wroth very sore, O LORD, neither remember iniquity for ever: behold, see, we beseech thee, we are all thy people.
Heb 12:5-7 And ye have forgotten the exhortation which speaketh unto you as unto children, My son, despise not thou the chastening of the Lord, nor faint when thou art rebuked of him: For whom the Lord loveth he chasteneth, and scourgeth every son whom he receiveth. If ye endure chastening, God dealeth with you as with sons; for what son is he whom the father chasteneth not?

The Epistle

Heb 12:5

My son, despise not thou the chastening of the Lord, nor faint when thou art rebuked of him. For whom the Lord loveth he chasteneth; and scourgeth every son whom he receiveth.
The Book of Common Prayer: with marginal references to texts in the Holy Scriptures
Heb 12:5 And ye have forgotten the exhortation which speaketh unto you as unto children, My son, despise not thou the chastening of the Lord, nor faint when thou art rebuked of him:

The Gospel

St. John 5:24

Verily, verily I say unto you, He that heareth my word, and believeth on him that sent me, hath everlasting life, and shall not come into condemnation; but is passed from death unto life.
The Book of Common Prayer: with marginal references to texts in the Holy Scriptures
John 5:24 Verily, verily, I say unto you, He that heareth my word, and believeth on him that sent me, hath everlasting life, and shall not come into condemnation; but is passed from death unto life.

A Rational Illustration of the Book of Common Prayer (Wheatly, 1720)

The Collect, Epistle, and Gospel. THE Curate having a convenient place in the sick man’s house, with all things necessary so prepared, that he may reverently minister, he was by the first Common Prayer to introduce the office with the hundred and seventeenth Psalm, which was instead of the introit, and then to use the short Litany, Lord have mercy upon us, &c., with the usual salutation, The Lord be with you, &c. But introits now being laid aside, he is to begin immediately with the Collect, that is very proper to the occasion, which is followed by two passages of Scripture for an Epistle and Gospel, which evidently tend to comfort and deliver the sick man from the fears which he may be too apt to entertain.

How much of the Communion-office to be used. After which he is to proceed, according to the form before prescribed for the holy Communion, beginning at these words [Ye that do truly, &c.]

§.2. How much of the Visitation-office at such time may be omitted. And if the sick person is visited, and receiveth the holy Communion all at one time; then the Priest, for more expedition, is to cut off the form of Visitation at the Psalm, [In thee, O Lord, have I put my trust;] i.e. when he comes to that Psalm, he is not to use it, but to go straight to the Communion.

§.3. In what order the Minister is to deliver the elements. At the time of the distribution of the holy Sacrament, the Priest is first to receive the Communion himself, and after to minister unto them that are appointed to communicate with the sick, and last of all to the sick person. The Minister, we know, is always to receive the Communion himself, before he proceeds to deliver it to others: but the reason perhaps why the sick man is to receive last, may be, because those who communicate with him, through fear of some contagion, or the noisomeness of his disease, may be afraid to drink out of the same cup after him.

§.4. The rubric of instructions for those who have no opportunity of receiving. Lastly, because it may happen sometimes that a sick person, who desires to receive the Communion, may yet, by some casualty, be hindered from doing it; therefore here is a rubric added for their comfort, and to remove all fears that may arise on such occasions: by which the Curate is directed, that if a man, either by reason of extremity of sickness, or for want of giving warning in due time, or for lack of company to receive with him, or by any other just impediment, do not receive the Sacrament of Christ’s body and blood, he is to instruct him, that if he do truly repent him of his sins, and steadfastly believe that Jesus Christ hath suffered death upon the cross for him, and shed his blood for his redemption, earnestly remembering the benefits he hath thereby, and giving him hearty thanks therefore, he doth eat and drink the body and blood of our Saviour Christ profitably to his soul’s health, although he do not receive the Sacrament with his mouth. For the means, whereby we partake of the benefits of this Sacrament, is a lively faith: and therefore as our Church asserts in her Articles that the wicked, and such as be void of a lively faith, although they do carnally and visibly press vnth their teeth (as St, Augustine saith) the sacrament of the body and blood of Christ; yet in no wise are they partakers of Christ, but rather to their condemnation do eat and drink the sign and sacrament of so great a thing; so here she declares, that if a sick man be hindered by any just impediment from receiving the sacrament of Christ’s body and blood; yet by faith and repentance, and by mentally laying hold of the benefits obtained for him by Christ, he doth eat and drink the body and blood of our Saviour Christ profitably to his soul’s health, although he do not receive the sacrament with his mouth.

§.5. The last rubric. The last rubric, which is concerning the Minister’s communicating alone with the sick person, in times of contagious sickness, has already been spoken to in §.4., of the foregoing section.

After which the Priest shall proceed according to the form before prescribed for the holy Communion, beginning at these words [Ye that do truly, &c.]

At the time of the distribution of the holy Sacrament, the priest shall first receive the Communion himself, and after minister unto them that are appointed to communicate with the sick, and last of all to the sick person.

But if a man, either by reason of extremity of sickness, or for want of warning in due time to the curate, or for lack of company to receive with him, or by any other just impediment, do not receive the Sacrament of Christ's Body and Blood, the Curate shall instruct him, that if he do truly repent him of his sins, and stedfastly believe that Jesus Christ both suffered death upon the Cross for him, and shed his Blood for his redemption, earnestly remembering the benefits he hath thereby, and giving him hearty thanks therefore, he doth eat and drink the Body and Blood of our Saviour Christ profitably to his Soul's health, although he do not receive the Sacrament with his mouth.

When the sick person is visited, and receiveth the holy Communion all at one time, then the Priest, for more expedition, shall cut off the form of the Visitation at the Psalm [In thee, O Lord, have I put my trust &c] and go straight to the Communion.

In the time of the plague, sweat, or such other like contagious times of sickness or diseases, when none of the Parish or neighbors can be gotten to communicate with the sick in their houses, for fear of the infection, upon special request of the diseased, the Minister may only communicate with him.