bhiyyodhimattamadhigacchatiyeva dukkhaṃ

dukkhoti tena bhagavā paridevamāhā"ti.

Dukkhaṃ nāma kāyapīḷanalakkhaṇaṃ kāyikaṃ dukkhaṃ. Dukkhaṃ panassa dukkhadukkhattā kāyikadukkhāvahanato ceva mānasadukkhāvahanato ca. Tenetaṃ vuccati:-

"pīḷeti kāyikamidaṃ dukkhañca mānasaṃ bhiyyo