1 The words “continue to” are supplied in the translation of both lines. The following verses make it clear that the psalmist is already experiencing divine rebuke/punishment. He asks that it might cease. Compare Ps 38:1 with Ps 6:1, which has similar wording.
2 The verb Hebrew נָחַת (nakhat) apparently here means “penetrate, pierce” (note the use of the Qal in Prov 17:10). The psalmist pictures the Lord as a warrior who shoots arrows at him (see Ps 7:12–13).
3 Heb “and your hand [?] upon me.” The meaning of the verb נָחַת (nakhat) is unclear in this context. It is preferable to emend the form to וַתָּנַח (vattanakh) from the verb נוּחַ (nuakh, “rest”). In this case the text would read literally, “and your hand rests upon me” (see Isa 25:10, though the phrase is used in a positive sense there, unlike Ps 38:2).
4 Heb “there is no soundness in my flesh from before your anger.” “Anger” here refers metonymically to divine judgment, which is the practical effect of God’s anger at the psalmist’s sin.
5 Heb “there is no health in my bones from before my sin.”
6 Heb “pass over my head.”

In other versions

ESVEnglish Standard Version

O Lord, rebuke me not in your anger,

nor discipline me in your wrath!

For your arrows have sunk into me,

and your hand has come down on me.

There is no soundness in my flesh

because of your indignation;

there is no health in my bones

because of my sin.

For my iniquities have gone over my head;

like a heavy burden, they are too heavy for me.

NIVNew International Version (2011)

Lord, do not rebuke me in your anger

or discipline me in your wrath.

Your arrows have pierced me,

and your hand has come down on me.

Because of your wrath there is no health in my body;

there is no soundness in my bones because of my sin.

My guilt has overwhelmed me

like a burden too heavy to bear.

CSBChristian Standard Bible

Lord, do not punish me in your anger

or discipline me in your wrath.

For your arrows have sunk into me,

and your hand has pressed down on me.

There is no soundness in my body

because of your indignation;

there is no health in my bones

because of my sin.

For my iniquities have flooded over my head;

they are a burden too heavy for me to bear.

NLTNew Living Translation

O Lord, don’t rebuke me in your anger

or discipline me in your rage!

Your arrows have struck deep,

and your blows are crushing me.

Because of your anger, my whole body is sick;

my health is broken because of my sins.

My guilt overwhelms me—

it is a burden too heavy to bear.

LEBThe Lexham English Bible

O Yahweh, do not rebuke me in your anger

or chastise me in your wrath.

For your arrows have sunk into me,

and your hand has pressed down on me.

There is no soundness in my flesh because of your indignation.

There is no health in my bones because of my sin.

For my iniquities have passed over my head;

like a heavy burden they are too heavy for me.

KJV 1900King James Version

O Lord, rebuke me not in thy wrath:

Neither chasten me in thy hot displeasure.

For thine arrows stick fast in me,

And thy hand presseth me sore.

There is no soundness in my flesh because of thine anger;

Neither is there any rest in my bones because of my sin.

For mine iniquities are gone over mine head:

As an heavy burden they are too heavy for me.

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