JELet60:8var. :ܣܛܪ ܡܢ ܥܠܬܐ ܐܠܝܨܬܐ/ܐܠܨܝܬܐ/ ܕܟܘܪܗܢܐ‏ : the difficult cause of sickness
See the entire entry for ˀālṣāy adj. necessary