duhkhena
duḥkhena — by miseries;
BG 6.20-23
duḥkhena — with difficulty;
SB 3.30.2
duḥkhena — by unhappiness;
SB 6.14.39
duḥkhena — unhappily;
SB 10.35.1
duḥkhena — with misery;
SB 11.25.14