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1837, from Pennsylvania German outch, cry of pain, from German autsch. The Japanese word is itai. Latin used au, hau.
An injury; a hurt: A very serious injury is a ''big'' ouch
[1873+; fr the pained interjection ouch fr German, probably Pennsylvania German, autsch, found by 1838]
an Old English word denoting cavities or sockets in which gems were set (Ex. 28:11).