As a fountain casteth out; rather, as a cistern keepeth fresh (literally, cool). The wickedness of Jerusalem is so thoroughly ingrained that it seems to pass into act by a law of nature, just as a cistern cannot help always yielding a supply of cool, fresh water.
Violence and spoil; rather, injustice and violence (so Jeremiah 20:8; Amos 3:10; Habakkuk 1:3). Before me, etc.; rather, before my face continually is sickness and wounding. The ear is constantly dinned with the sounds of oppression, and the eye pained with the sight of the bodily sufferings of the victims.
The word for" sickness" is applicable to any kind of infirmity (see Isaiah 53:3, Isaiah 53:4), but the context clearly limits it here to bodily trouble.