tsu.qah denotes anguish that comes upon people or marks a scene of distress and gloom.

The three attestations present tsu.qah as anguish within scenes of pressing distress: it comes upon its hearers with calamity in Proverbs 1:27 and stands among descriptions of a distressed land or route in Isaiah 8:22 and Isaiah 30:6.

1. Anguish amid calamity and distress · dominant

   All three occurrences are feminine singular absolute nouns in clauses depicting affliction. In Proverbs 1:27 the APB renders a sequence in which dread and calamity arrive and “distress and anguish come upon you”; in Isaiah 8:22 it renders anguish among the land's “distress and darkness, gloom,” and in Isaiah 30:6 among the hardships of a land described as “distress and anguish.”

   Proverbs 1:27Isaiah 8:22Isaiah 30:6

In the Anselm Project Bible: The APB includes “anguish” in each of the three verses, alongside distress, calamity, darkness, or gloom. This repeated English wording confirms the verses' overall presentation rather than isolating the lemma's exact English equivalent.