John Gill Commentary Numbers 5:22

"and this water that causeth the curse shall go into thy bowels, and make thy body to swell, and thy thigh to fall away. And the woman shall say, Amen, Amen." — Numbers 5:22 (ASV)

And this water that causes the curse
Upon the drinking of which the curse follows, if guilty:

shall go into your bowels ;
and there operate and produce the above effects, which are repeated again to inject terror:

to make [your] belly to swell, and [your] thigh to rot ;
here ends the form of the oath, which begins (Numbers 5:19) ;

and the woman shall say, amen, amen ;
so be it; let it be as pronounced, if I am guilty; which, as Aben Ezra observes, is repeated for the sake of confirmation; though the Jewish writers commonly understand it as respecting various things, the oath and the curse, the thing charged with, and the persons suspected of ^F24 .

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FOOTNOTES:

• F24: Misn. ib. sect. 5. Targum Jon. & Jerus. & Jarchi in loc.