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What the Fathers say
Eastern Fathers
John Chrysostom
"For this cause shall a man leave his father and mother, and shall cleave to his wife, and the twain shall become one flesh." Behold again a third ground of obligation; for he shows that a man leaving them that begat him, and from whom he was born, is knit to his wife; and that then the one flesh is, father, and mother, and the child, from the substance of the two commingled. For indeed by the commingling of their seeds is the child produced, so that the three are one flesh. …
Theophylact of Ohrid
Here is yet another example, namely: when someone, having left his parents, is united with her. And he did not say: will live together with her, but: "shall cleave," indicating an inseparable union. And the words "one flesh" are understood also simply, as the great John Chrysostom says: shall be one flesh; but they can also mean something else, namely: the two shall be for the production of one flesh, that is, a child.
Theodoret of Cyrus
You are to respect the first law [of creation], he says in effect, which was laid down along with the fashioning of the woman and implanted in human nature.… This is the fruit of marriage: One child comes of two partners. The apostle, having recalled the holy requirement of marriage [that the two shall become one flesh], shows that this is illustrated also in the spiritual marriage. He not only demonstrates it but virtually shouts it out.
Western Saints
Jerome
The same allegorical interpretation applies both to Christ and to the church, that Adam is to prefigure Christ and Eve the church. For "the last Adam was made a lifegiving spirit." Just as the whole human race is born from Adam and his wife, so the whole multitude of believers has been born of Christ and the church.
Thomas Aquinas
The Apostle exhorted the Ephesians above to love their wives. He did this in two ways: both by offering the example of Christ's love for the Church, and by the love a man has for himself (5:25), now he gives a third encouragement drawn from the authority of Scripture. The authoritative text is Genesis 2 (24); words spoken by Adam when he saw his wife who had been formed from his rib. Yet does not this contradict Matthew 19 (4-5) which states that God himself spoke these words? …
Bonaventure
Since each of the spiritual unions signified in the Sacrament of matrimony is a union of one as agent and infuser, and of the other as patient and receiver; and this by the bond of love, which proceeds from pure will: hence it is that matrimony must be a joining of two persons, differing according to the relation of agent and patient, namely of the male sex and the female, and this from the pure consent of the will. …
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