2 Corinthians 4:16 contains one of the most honest theological distinctions in Paul's letters: "though our outward man perish, yet the inward man is renewed day by day." The outward man — the body — can be genuinely perishing. Paul does not deny this or spiritualize it away. The inner renewal coexists with the outer failing; they are not the same thing, and the outer failing does not negate the inner reality.
Psalm 23:2 says the shepherd makes the sheep lie down. The verb is a causative — he causes this rest. Not all resting is voluntary. For the person with chronic fatigue, the forced pace of illness is not outside the shepherd's purposes, even when it is not what they would choose. The rest in green pastures is not a reward for productivity; it is something the shepherd initiates.
Commentary is from a charismatic Protestant perspective, drawing on KJV text and public-domain sources including Spurgeon, Andrew Murray, and Matthew Henry.