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心如刀绞

xīn dāo jiǎo to feel a pain like a knife being twisted in one's heart (idiom)
xīn heart / mind / intention / center / core / CL:,
  as / as if / such as
   Dāo surname Dao
   dāo knife; blade; single-edged sword; cutlass (CL:) / (slang) (loanword) dollar / classifier for sets of one hundred sheets (of paper) / classifier for knife cuts or stabs / (Internet slang) to bargain; to ask for a small discount (esp. on second-hand marketplaces)
    jiǎo to twist (strands into a thread) / to entangle / to wring / to hang (by the neck) / to turn / to wind / classifier for skeins of yarn
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By MDBG 2025