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cuacua.

Headword: 
cuacua.
Principal English Translation: 

for something (such as rheumatism) to cause someone pain (see Karttunen)

Orthographic Variants: 
cuahcua
IPAspelling: 
kwɑhkwɑ
Frances Karttunen: 

CUAHCUA vt; pret: CUAHCUAC for something (such as rheumatism) to cause someone pain / le duele (T) [(3)Tp.182]. This appears nearly synonymous with CUAHCUĀ in the sense of causing a gnawing pain, but this item has a short vowel in the last syllable, and the preterit is distinct from that of CUĀ.

CUAHCUALTIĀ caus. CUAHCUA
Frances Karttunen, An Analytical Dictionary of Nahuatl (Norman: University of Oklahoma Press, 1992), 57.