heart-agony

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Again there came upon me the involuntary laughter of heart-agony at its tensest.

Aylwin Theodore Watts-Dunton 1873
What an awful heart-agony, not to know how to pray, -- just to kneel so with a heart full of crying aspirations, and dumb lips!

Debts of Honor M��r J��kai 1864
Oh! does not one who has real trouble, heart-agony, sicken when he hears of these affectations of grief?

Autobiography of a female slave, 1857