en_tn_condensed/psa/109/022.md

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oppressed and needy

These two words have similar meanings and emphasize that he is unable to help himself. (See: rc://en/ta/man/jit/figs-doublet)

my heart is wounded within me

Here David speaks of being in great despair as his heart being wounded. Alternate translation: "I am full of grief and despair" (See: rc://en/ta/man/jit/figs-metaphor)