The work now commenced in real earnest. The Elector had the necessary regulations prepared at Wittenberg, at a conference between his chancellor Brück, Luther, and others. In February 1527 visitors were appointed, and among them was Melancthon. They began their labours at once in the district to which Wittenberg belonged, but of their proceedings here nothing further is known. In July the first visitation on a large scale took place in Thuringia.

Just at this time, however, Luther was overtaken by severe bodily suffering and also by troubles at home, while the visitation and the academical life at Wittenberg had to experience an interruption.

Luther's first year of married life had been one of happiness. Symptoms of a physical disorder, the stone, had appeared, however, even then, and in after years became extremely painful and dangerous.

On June 7, 1526, as he announced to his friend Rühel, his 'dear Kate brought him, by the great mercy of God, a little Hans Luther,'—her firstborn. With joy and thankfulness, as he says in another letter, they now reaped the fruit and blessings of married life, whereof the Pope and his creatures were not worthy.

Amidst all his various labours in theology and for the Church, and in preparing for the visitation, he took his share in the cares of his household, laid out the garden attached to his quarters at the convent, had a well made, and ordered seeds from Nüremberg through his friend Link, and radishes from Erfurt. He wrote at the same time to Link for tools for turning, which he wished to practise with his servant Wolf or Wolfgang Sieberger, as the 'Wittenberg barbarians' were too much behind in the art; and he was anxious, in case the world should no longer care to maintain him as a minister of the Word, to learn how to gain a livelihood by his handiwork.

Early in January 1527 he was seized with a sudden rush of blood to the heart. It nearly proved fatal at the moment, but fortunately soon passed away. An attack of illness, accompanied by deep oppression and anxiety of mind, and the effects of which long remained, followed on July 6. On the morning of that day, being seized with anguish of the soul, he sent for his faithful friend and confessor Bugenhagen, listened to his words of comfort from the Bible, and with persevering prayer commended himself and his beloved ones to God. At Bugenhagen's advice, he then went to a breakfast, to which the Elector's hereditary marshal, Hans Löser, had invited him. He ate little at the meal, but was as cheerful as possible to his companions. After it was over, he sought to refresh himself with conversation with Jonas in his garden, and invited him and his wife to spend the evening at his home. On their arrival, however, he complained of a rushing and singing noise, like the waves of the sea, in his left ear, and which afterwards shot through his head with intolerable pain, like a tremendous gust of wind. He wished to go to bed, but fainted away by the door of his bedroom, after calling aloud for water. Cold water having been poured upon him, he revived. He began to pray aloud, and talked earnestly of spiritual things, although a short swoon came over him in the interval. The physician Augustin Schurf, who was called in, ordered his body, now quite cold, to be warmed. Bugenhagen too was sent for again. Luther thanked the Lord for having vouchsafed to him the knowledge of His holy Name; God's will be done, whether He would let him die, which would be a gain to himself, or allow him to live on still longer in the flesh, and work. He called his friends to witness that up to his end he was certain of having taught the truth according to the command of God. He assured his wife, with words of comfort, that in spite of all the gossip of the blind world she was his wife, and he exhorted her to rest solely on God's Word. He then asked, 'Where is my darling little Hans?' The child smiled at his father, who commended him with his mother to the God who is the Father of the fatherless and judges the cause of the widow. He pointed to some silver cups which had been given him, and which he wished to leave his wife. 'You know,' he added, 'we have nothing else.' After a profuse perspiration he grew better, and the next day he was able to get up to meals. He said afterwards that he thought he was dying, in the hands of his wife and his friends, but that the spiritual paroxysm which had preceded had been something far more difficult for him to bear.

Luther, after recovering from this attack, still complained of weakness in the head, and his inward oppression and spiritual anguish was renewed and became intensified. On August 2 he told Melancthon, who was then busy with his visitation in Thuringia, that he had been tossed about for more than a week in the agonies of death and hell, and that his limbs still trembled in consequence.

Whilst he was still in this state of suffering, news came that the plague was approaching Wittenberg, nay, had actually broken out in the town. It is well known how this fearful scourge had repeatedly raged in Germany, and how ruinous it had been, from the panic which preceded and accompanied it. The university, from fear of the epidemic, was now removed to Jena.

Luther resolved, however, together with Bugenhagen, whom he was assisting as preacher, to remain loyally with the congregation, who now more than ever required his spiritual aid; although his Elector wrote in person to him saying, 'We should for many reasons, as well as for your own good, be loth to see you separated from the university…. Do us then the favour.' He wrote to a friend, 'We are not alone here; but Christ, and your prayers, and the prayers of all the saints, together with the holy angels, are with us.'

The plague had really broken out, though not with that violence which the universal panic would have led one to suppose. Luther soon counted eighteen corpses, which were buried near his house at the Elster Gate. The epidemic advanced from the Fishers' suburb into the centre of the town: here the first victim carried off by it, died almost in Luther's arms—the wife of the burgomaster Tilo Denes. To his friends elsewhere Luther sent comforting reports, and repressed all exaggerated accounts. His friend Hess at Breslau asked him 'if it was befitting a Christian man to fly when death threatened him.' Luther answered him in a public letter, setting forth the whole duty of Christians in this respect. Of the students, a few at any rate remained at Wittenberg. For these he now began a new course of lectures.