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An Etymological Dictionary of the German Language/Annotated/ach

From Wikisource

ach, interjection, ‘ah! alas!’ from Middle High German ach, Old High German ah; to this is allied Middle High German and Modern High German Ach, ah, neuter, ‘woe,’ and its derivative, which first occurs in Modern High German, ächzen, original sense, ‘to utter Ach’ (formed like ihrzen, dutzen).