en_tn_lite_do_not_use/2co/02/04.md

from great tribulation

Here the word "tribulation" refers to emotional pain.

with anguish of heart

Here the word "heart" refers to the location of the emotions. Alternate translation: "with extreme sorrow" (See: rc://en/ta/man/jit/figs-metonymy)

with many tears

"with much crying"