When we reach the sixth century the evidence for the custom of anointing the sick with holy oil becomes abundant. At first any one with a reputation for sanctity might bless the oil--not only laymen, but women. But in the West the rule gradually spread from Rome that the sacred oil for the sick must be "made" by the bishop. In the East this has never been observed. Theodore of Tarsus, Archbishop of Canterbury, says that according to the Greeks it is lawful for presbyters to make the chrism for the sick. And this rule continues to this day. One priest suffices; but it is desirable to get seven, if possible.
But the chief step in the development is taken when not only the blessing of the oil, but the administering of it to the sick, is reserved to the clergy. In Bede's time this restriction was not yet made, as is clear from his comments on the passage, although even then it was customary for priests to administer the unction. But by the tenth century this restriction had probably become general. It became connected with the communion of the sick, which of course required a priest, and then with the _Viaticum_, or communion of the dying; but even then the unction seems to have preceded the last communion. The name "Extreme Unction" (_unctio extrema_), as a technical ecclesiastical term, is not older than the twelfth century. Other terms are "Last Oil" (_ultimum oleum_) and "Sacrament of the Departing" (_sacramentum exeuntium_). But when we have reached these phrases we are very far indeed from the ordinance prescribed by St. James, and from that which was practised by the Apostles. Jeremy Taylor, in the dedication of the _Holy Dying_, says fairly enough, "The fathers of the Council of Trent first disputed, and after their manner at last agreed, that Extreme Unction was instituted by Christ; but afterwards being admonished by one of their theologues that the Apostles ministered unction to infirm people before they were priests, for fear that it should be thought that this unction might be administered by him that was no priest, they blotted out the word 'instituted,' and put in its stead 'insinuated' this sacrament, and that it was published by St. James. So it is in their doctrine; and yet in their anathematisms they curse all them that shall deny it to have been instituted by Christ. I shall lay no prejudice against it, but add this only, that there being but two places of Scripture pretended for this ceremony, some chief men of their own side have proclaimed these two invalid as to the institution of it;" and he mentions in particular Suarez and Cajetan. But he states more than he can know when he declares of Extreme Unction that "since it is used when the man is above half dead, when he can exercise no act of understanding, it must needs be nothing." Those who receive the rite are not always unconscious; and is it certain that an unconscious person "can exercise no act of the understanding," or that prayer for one who can exercise no act of the understanding "must needs be nothing"? With similar want of caution Stier speaks of "the _superstition_ which sends for the minister to 'pray over the sick,' when these have scarce any consciousness left." Whether or no Extreme Unction is an edifying ceremony is a question worthy of argument, and nothing is here urged on either side; but we are going beyond our knowledge if we assert that it _can_ have no effect on the dying man; and we are unduly limiting the power of prayer if we affirm that to pray for one who has lost consciousness is a useless superstition. All that is contended for here is, that the Roman rite is something very different from that which is ordered by St. James.[95]
"And if he have committed sins, it shall be forgiven him." We ought perhaps rather to translate, "Even if he have committed sins, it shall be forgiven him." (The Greek is not καὶ ἐάν or ἐὰν δέ, but κἄν, for which comp. John viii. 14; x. 38; xi. 25). The meaning would seem to be, "even if his sickness has been produced by his sins, his sin shall be forgiven, and his sickness cured." It is possible, but unnatural, to join the first clause of this sentence with the preceding one: "the Lord shall raise him up, even if he have committed sins." In that case "It shall be forgiven him" forms a very awkward independent sentence, without conjunction. The ordinary arrangement of the clauses is much better: even if the malady is the effect of the man's own wrong-doing, the prayer offered by faith--his faith, and that of the elders--shall still prevail. St. Paul tells the Corinthians that their misconduct respecting the Lord's Supper had caused much sickness among them, and not a few deaths (1 Cor. xi. 30); and such direct punishments of sin were not confined to the Corinthian Church nor to the Apostolic age. They still occur in abundance, and those who experience them have the assurance of Scripture that if they repent and pray in faith their sins will certainly be forgiven, and their punishment possibly removed.