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