With a spear (logchēi). Instrumental case of this old word, here only in the N.T.
Pierced his side (autou tēn pleuran enuxen). First aorist active indicative of nussō, old word to pierce, here only in N.T., and pleuran (side), another old word, occurs in N.T. only here and Joh 20:20, Joh 20:25, Joh 20:27.
Blood and water (haima kai hudōr). Dr. W. Stroud (Physical Cause of the Death of Christ) argues that this fact proves that the spear pierced the left side of Jesus near the heart and that Jesus had died literally of a broken heart since blood was mixed with water.