Reply To: Three types of suffering associated with sankhata

Tobias G

The Pali dictionary above says:
pīḷana : [nt.] oppression; injury; damage

So pilana includes (mental) distress but also injury, damage. That is the burdensome nature we experience via pancakkandha during life. This experience is mostly not as wanted (anicca) which leads to dukkha(dukkha).