God is telling us that when we get an illness, this may be a guidance from God to sweep your mind of dust. These dusts in the mind are regret, covetousness, greed, arrogance and self-love. These are the dust we are all prone to act on.
Definitions:
Minouchi: within the body
Nayamu: suffering
Koto: matter
Oba: God, grandmother
Shiyan: ponder
Shite: to do
Kami: God
Motareru: to accept
Kokoro: mind
Shiyan: to ponder
