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Holy Mystery 5 of 7

Holy Unction


The anointing of the sick — healing of body and soul through the oil of divine mercy

The Apostolic Origin

Holy Unction (the Greek Euchelaion — the oil of prayer) is one of the most ancient sacraments of the Church. Its apostolic roots are clear: "They anointed with oil many who were sick and healed them" (Mark 6:13). The most complete description appears in the Epistle of Saint James: "Is anyone among you sick? Let him call for the elders of the church, and let them pray over him, anointing him with oil in the name of the Lord. And the prayer of faith will save the one who is sick, and the Lord will raise him up. And if he has committed sins, he will be forgiven" (James 5:14-15).

Notice that James connects healing of the body with forgiveness of sins. This is because the Orthodox understanding of the human person is holistic: we do not have bodies that happen to have souls — we are embodied souls, unified beings in whom physical and spiritual suffering are deeply intertwined. God created both body and soul, and He redeems both. Holy Unction is the Church's anointing of the whole person — body, soul, and spirit — with the healing mercy of God.

"The prayer of faith will save the one who is sick, and the Lord will raise him up. And if he has committed sins, he will be forgiven."

James 5:15 — The Apostolic Institution of Holy Unction

Not "Last Rites"

There is a common misunderstanding that Holy Unction is only for the dying — a final blessing administered in extremis. This is not the Orthodox teaching. Holy Unction is for any Orthodox Christian who is sick — physically, spiritually, or both. In many Orthodox parishes, the entire congregation receives the anointing together during Holy Week (typically on Holy Wednesday), since all of us carry wounds, burdens, hidden sins, and weariness of soul that need God's healing. The sacrament is medicine, not a farewell.

That said, Holy Unction may absolutely be administered to the dying — and in that context it takes on an additional dimension: the final anointing of a soul preparing to stand before God, the forgiveness of sins that may have been forgotten or unknown, the sealing of the person with the mercy of Christ as they cross the threshold of death.

What Holy Unction Accomplishes

The grace of Holy Unction works on multiple levels simultaneously:

  • Physical healing — if it is God's will, the body is healed. Many Orthodox Christians have received remarkable physical healings through this sacrament.
  • Healing of the soul — the soul is strengthened, consoled, and lifted out of the spiritual weakness that often accompanies physical illness.
  • Forgiveness of forgotten sins — hidden or forgotten sins that the person did not confess are forgiven through the sacrament. This is an extraordinary gift of divine mercy.
  • Preparation for eternity — for those near death, Unction prepares the soul for its encounter with God, completing the work of healing and forgiveness that life's confession may have left unfinished.

The Full Service

In the full celebration, seven priests officiate, seven Epistles and seven Gospels are read, and the sick person is anointed seven times. This sevenfold anointing corresponds to the seven gifts of the Holy Spirit and expresses the completeness of the healing being sought. Even in its most abbreviated form — a single priest, a single reading, a single anointing — Holy Unction is a profound encounter with the healing mercy of the God who took on human flesh precisely so that human suffering might be transformed from within.

Holy Unction is not only for those who are dying. It is for anyone who is weary, burdened, sick in body or soul. Bring your wounds to Christ the Physician — He heals what no earthly medicine can reach.

— St. Paisios of Mount Athos