en_tn_condensed/jer/04/19.md

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My heart! My heart!

Here "heart" represents painful emotions, such as grief and fear and is repeated to express the intensity of the pain.

I am in anguish in my heart

The speaker feels severe emotional pain that causes severe physical pain.

My heart is turbulent within me

"My heart is beating wildly."

turbulent

full of confusion, violence, or disorder; not stable or steady