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Also muttering. The act of mumbling to oneself haltingly and with frequent repetitions. Mussitation is a sign of dissipation of essence-spirit and is observed in yīn or yáng collapse patterns. Muttering is similar to delirious speech. However, it is marked by a low voice and occurs in severe conditions in the latter stages of disease with shortness of breath, lassitude of spirit, and withered complexion, whereas delirious speech is marked by a strident voice and usually occurs in repletion heat such as yáng brightness (yáng míng) patterns or heat entering heart provisioning.

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