⁴ “I am unworthy^(A)—how can I reply to you?
    I put my hand over my mouth.^(B)

⁵ I spoke once, but I have no answer^(A)—
    twice, but I will say no more.”^(B)

¹⁰ My life is consumed by anguish^(A)
    and my years by groaning;^(B)
my strength fails^(C) because of my affliction,^[a](D)
    and my bones grow weak.^(E)

⁵ My wounds^(G) fester and are loathsome^(H)
    because of my sinful folly.^(I)
6 I am bowed down^(J) and brought very low;
    all day long I go about mourning.^(K)
7 My back is filled with searing pain;^(L)
    there is no health^(M) in my body.
⁸ I am feeble and utterly crushed;^(N)
    I groan^(O) in anguish of heart.^(P)

⁹ All my longings^(Q) lie open before you, Lord;
    my sighing^(R) is not hidden from you.
¹⁰ My heart pounds,^(S) my strength fails^(T) me;
    even the light has gone from my eyes.^(U)
11 My friends and companions avoid me because of my wounds;^(V)
    my neighbors stay far away.
¹² Those who want to kill me set their traps,^(W)
    those who would harm me talk of my ruin;^(X)
    all day long they scheme and lie.^(Y)

¹³ I am like the deaf, who cannot hear,^(Z)
    like the mute, who cannot speak;
¹⁴ I have become like one who does not hear,
    whose mouth can offer no reply.
¹⁵ Lord, I wait^(AA) for you;
    you will answer,^(AB) Lord my God.
¹⁶ For I said, “Do not let them gloat^(AC)
    or exalt themselves over me when my feet slip.”^(AD)

¹⁷ For I am about to fall,^(AE)
    and my pain^(AF) is ever with me.
¹⁸ I confess my iniquity;^(AG)
    I am troubled by my sin.
¹⁹ Many have become my enemies^(AH) without cause^[b];
    those who hate me^(AI) without reason^(AJ) are numerous.
²⁰ Those who repay my good with evil^(AK)
    lodge accusations^(AL) against me,
    though I seek only to do what is good.

²¹ Lord, do not forsake me;^(AM)
    do not be far^(AN) from me, my God.
²² Come quickly^(AO) to help me,^(AP)
    my Lord and my Savior.^(AQ)