Charles Ellicott Commentary 1 Samuel 25:38

"And it came to pass about ten days after, that Jehovah smote Nabal, so that he died." — 1 Samuel 25:38 (ASV)

The Lord smote Nabal. —That is to say, after ten days had passed, the Lord put an end to the base life by a second apoplectic stroke. Although the death was a consequence of the selfishness, the passion, and the intemperance, it does not appear that anything more than the operation of natural causes caused the end here. In the language of these old divinely inspired writers, disease and sickness are often spoken of as the special “shafts” aimed by the Most High, as in fact they are.