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Some prefer to render the last clause, In sorrow of heart the breath is oppressed.

By sorrow of heart the spirit is broken. See above on Proverbs 12:25.

A merry heart makes a cheerful countenance
Or, a "joyful heart" F3 ; that is joyful in the God of its sal…

A gloomy, impatient, unthankful spirit, springing from pride and undue attachment to worldly objects, renders a man uneasy to himself and others.…
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Albert Barnes
AlbertBarnes