By reason of the voice of my groaning
 Under the burden of sin, and pressure of afflictions: 
 my bones cleave to my skin;
 was quite emaciated, reduced to a skeleton, became nothing but skin and bone F5; which sometimes is occasioned, as by outward afflictions, so by soul troubles: or "to my flesh" F6; flesh is put for skin; see ( Job 19:20 ) ( 4:8 ) .