With a spear (logch). Instrumental case of this old word, here only in the N.T. Pierced his side (autou thn pleuran enuxen). First aorist active indicative of nussw, old word to pierce, here only in N.T., and pleuran (side), another old word, occurs in N.T. only here and John 20:20John 20:25John 20:27 . Blood and water (aima kai udwr). Dr. W. Stroud (Physical Cause of the Death of Christ) argues that this fact proves that the spear pierced the left side of Jesus near the heart and that Jesus had died literally of a broken heart since blood was mixed with water.