Most of you that have been exposed to movies and TV and have heard the karate kiai! The sound of the impending karate chop was supposed to frighten the opponent as well as release pent up energy. I remember reading books in my youth that mentioned particularly good practitioners of the kiai were able to kill small animals with a single yell! I use to practice the kiai at the same time I was toughening up my fingers to plunge into a chest and remove the still-beating-heart. 
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