ESV Reformation Study Bible – Acts 19:12
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Acts 19:12

19:12 handkerchiefs or aprons . . . his skin. That is, sweat cloths or work aprons that Paul used as he worked at making tents or awnings (18:3).

to the sick. This was not Paul’s doing; because of their pagan religious background, the Ephesians were used to employing superstitious means (v. 19). God accommodated His gracious work to their ignorance.