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tetlepitzhuatz.

Headword: 
tetlepitzhuatz.
Principal English Translation: 

a terrible pain in the flesh derived from a punch (see Molina)

Orthographic Variants: 
tetlepitzuatz
Alonso de Molina: 

tetlepitzuatz. dolor de algun golpe enla carne, que escueze mucho, y haze afligir y encoger al que le recibio.
Alonso de Molina, Vocabulario en lengua castellana y mexicana y mexicana y castellana, 1571, part 2, Nahuatl to Spanish, f. 110v. col. 1. Thanks to Joe Campbell for providing the transcription.