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Damascus is waxed feeble, she turneth herself to flee, and trembling hath seized on her; anguish and pangs have taken hold of her, as of a woman in travail.

Damascus is waxed feeble, [and] turneth herself to flee, and fear hath seized on [her:] anguish and sorrows have taken her, as a woman in travail.

Damascus has become feeble; she has turned to flee. Panic has gripped her; anguish and pain have seized her like a woman in labor.