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I will open my lips and answer - In the preceding verse Elihu compares himself to a skin-bottle, in which the wine was in a state of fermentation, and the bottle ready to burst for want of vent. He carries on the metaphor in this verse: the bottle must be opened to save it from bursting; I will Open my mouth.
I will speak, that I may be refreshed - Margin, “breathe.” The meaning is, that he would then have room to breathe again; he would feel relieved.