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Many carnal believers quoting 1 Timothy 5:23 have attempted to justify their unscriptural use of alcohol. Yet, a careful look at the scriptures proves that they wrest (or twist) the scripture to their own destruction (2 Peter 3:16). From the passage, we understand that Timothy was plagued by some chronic health problems. Paul specifically mentioned stomach problems, but there were other infirmities that beset him as well. Drinking water was not curing Timothy’s ailments, so Paul, perhaps with doctor Luke’s guidance and recommendation, suggested “a little wine” for Timothy’s often infirmities. What purpose did the wine serve? It was strictly medicinal and not social or pleasurable. In other words, Paul said that Timothy needed some medicine to facilitate his recovery. Paul was not offering Timothy or us an excuse to drink but a prescription of medicine for recovery from debilitating ailments.
The Devil works through flattery, but God works through truth. For this reason, the apostle Paul clearly articulated that he did not use words of flattery or operate with a motive of covetousness. God’s men were not assigned the task of pleasing others, rather they were assigned the task of preaching the unadulterated truth of God. Today, men of God are not called to say things that please men, but those things that please the Master who called them into the ministry.  Using the pulpit to express flattery cheapens the authority of the preaching and clouds the minds of the hearers. In a day when seminary students are more schooled on the finer arts of secular humanism than biblical doctrines, the church desperately needs a remnant of men standing in the pulpits unapologetically preaching the truth.
Today's verse deals with a period of time prophesied to shortly come to pass called the time of Jacob's trouble. Fortunately, if you are born again by the grace of God, you will not be here during any part of this period (1 Thessalonians 4:17; 1 Thessalonians 5:9) when the Antichrist will have his way on this earth. Although Christians will be absent, we still remain responsible to study the word of God concerning this future time. In doing so, we learn from Daniel chapter 11 that the Antichrist will use flattery to obtain his kingdom. As a “vile” leader, he will come in peaceably and say nice things to other leaders in order to get them to agree to associate with him. Ultimately, he plans to take full control. Since we are told that the Antichrist of the future will use these methods, we should consider that the Devil likewise devours believers today using the same modus operandi.
If you have trusted the Lord Jesus Christ as your Saviour, you are no longer appointed to God’s wrath (1 Thessalonians 5:9); however, it helps to fully understand God’s hatred for sin. By understanding sin from God’s viewpoint, we can seek to emulate His love for righteousness while never abandoning His abhorrence of wickedness. In the days of king David, the Bible tells us that every man spoke vanity with his neighbour (Psalm 12:2). Men spoke with a double heart and with flattering lips (Psalm 12:2). They claimed that their lips were their own and that they possessed freedom to spew forth anything they chose to say (Psalm 12:4). God promised to rise up in judgment and “cut off all flattering lips” (Psalm 12:3).
The New Testament frequently incorporates minor word variations when quoting Old Testament passages. Some Bible critics have pointed to these variations suggesting that the Bible contains contradictions. However, Bible-believing students know that these variations actually provide additional light and understanding of God’s word. For example, Romans 3:13 quotes Psalm 5:9 with the variation in wording shedding light on the meaning of the word flattery. The phrase from Psalms reads “they flatter with their tongue” (Psalm 5:9). Romans modifies this Old Testament quotation by stating that “with their tongues they have used deceit” (Romans 3:13). This indicates that flattery involves the use of deceitful words; and according to 1 Thessalonians 2:5, the motive is often connected to covetousness.