38:3 because of your indignation . . . because of my sin. These two phrases are parallel and show a dual (divine and human) reason for the psalmist’s illness.
no health. The psalmist’s sin had serious effects on his health. In some cases sin and guilt are the cause of illness, but sickness is not always the result of sins committed by the person who suffers (Book of Job; John 9:1–12).