He means the joy that was more than the pleasures of a good life. For an Aufklärer, joy was at the center of everything: life, liberty, and the pursuit of happiness; Schiller’s god-engendered daughter of Elysium. Or call it peace, hope, joie de vivre, joy in work and in love. The things chronic pain and disease rob you of. That is the subject of his frantic last words, because that is what he feared most.
Real sense of joy.
that his body's failings would be contrary to joy... Perhaps this was the lesson he needed to learn, that joy is beyond the body's outcomes?