The “balm in Gilead” is a reference from the Old Testament, but the lyrics of this spiritual refer to the New Testament concept of salvation through Jesus Christ. The Balm of Gilead is interpreted as a spiritual medicine that is able to heal Israel (and sinners in general). In the Old Testament, the balm of Gilead is taken most directly from : "Is there no balm in Gilead? Is there no physician there? Why then is there no healing for the wounds of my people?" (Another allusion can also be found in Jeremiah chapter 46, v. 2 and 11: “This is the message (of the Lord) against the army of Pharaoh Neco … Go up to Gilead and get balm, O Virgin Daughter of Egypt, but you multiply remedies in vain; here is no healing for you” - see also Jeremiah chapter 22, v. 6.) [http://www.negrospirituals.com/song.htm