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From: MDBG CC-CEDICT Chinese-English Dictionary 漢英字典

 揪心揪肺 [ㄐㄧㄡ ㄒㄧㄣ ㄐㄧㄡ ㄈㄟˋ; jiu1 xin1 jiu1 fei4]
 heart-wrenching