This verse does not seem to give a picture of the sinner's conscience, but rather of his consciousness at last. The preceding verses described how he walked on snares unwitting that they were there; now he awakens to the perception of his condition, he feels the complications that surround him, and would flee from the terrors that he has come to realize.

and shall drive him to his feet Rather, and drive him away at his heels. A spectral host of terrors pursue close behind him.

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