noun, adjectival noun or quasi-adjective, takes genitive case の

  1. grief, sorrow, extreme sadness, heartbreak.

Variations

Pronunciation Kanji Kana Is Common
悲痛 ひつう

Contained Kanji Breakdown

grieve, sad, deplore
かな.しい ヒ (3rd, N3)
un-, mistake, negative
ヒ あら.ず (5th, N3)
heart, mind, spirit
こころ シン (2nd, N4)
pain, hurt, damage
いた.い ツウ (6th, N3)
trailing sickness, sick radical (no. 104)
ダク ニャク ソウ
road with walls on both sides
ヨウ (Kentei 1)
ma
utilize, business, service
ヨウ もち.いる たから (2nd, N4)
month, moon
つき ゲツ ガツ (1st, N5)
number one, line, rod radical (no. 2)
コン シ ジョ