### Core Meaning & Semantic Range
The Hebrew word **ʼănâqâh**, represented by `{{H603}}`, describes a profound expression of suffering, defined as **shrieking; crying out, groaning, sighing**. Though it appears only **4 times** in **4 unique verses**, it consistently conveys a deep state of distress. It is the sound of anguish from those who are afflicted or imprisoned.
### Biblical Occurrences & Contextual Analysis
In the biblical narrative, `{{H603}}` is the cry that captures God's attention. It is the **sighing** of the poor and needy, which causes the LORD to arise and set them in safety [[Psalms 12:5]]. It is also the **groaning** of the prisoner, which God hears, prompting Him to loose those appointed to death [[Psalms 102:20]]. This cry comes before God, who, according to the greatness of His power, preserves those condemned to die [[Psalms 79:11]]. In a different context, it is the **crying out** at the LORD's altar, a sign of anguish when unfaithful worship is no longer regarded [[Malachi 2:13]].
### Related Words & Concepts
Several related words help illustrate the sources of this profound groaning:
* `{{H6041}}` **ʻânîy** (afflicted, humble, lowly, needy, poor): This describes the state of the downtrodden whose **sighing** is heard by God. It signifies a condition of being depressed in circumstances, as seen in the cry for help from the oppressed [[Psalms 12:5]].
* `{{H615}}` **ʼâçîyr** (bound, i.e. a captive; prisoner): This word identifies the person in bondage whose **groaning** reaches heaven. The sighing of the **prisoner** is a direct appeal for deliverance from confinement and a death sentence ([[Psalms 79:11]], [[Psalms 102:20]]).
* `{{H1065}}` **Bᵉkîy** (a weeping): This term is often paired with cries of distress. In Malachi, the **crying out** at the altar is accompanied by **weeping** and tears, showing the depth of sorrow when one's offering is rejected by God [[Malachi 2:13]].
### Theological Significance
The theological weight of `{{H603}}` is tied to God's response to suffering.
* **A Cry That Provokes Divine Intervention:** The groaning of the afflicted is not unheard. In the Psalms, the **sighing** of the poor and the **groaning** of the prisoner are the direct catalysts for God's action to save, deliver, and preserve ([[Psalms 12:5]], [[Psalms 102:20]]).
* **The Voice of the Vulnerable:** This word gives expression to the pain of society's most vulnerable—the poor, the needy, and the prisoner. God's attentiveness to this cry highlights His role as the defender of the oppressed.
* **Anguish from Unfaithfulness:** The use of **crying out** in Malachi demonstrates a different kind of anguish: the sorrow that results from a broken covenant. The people's unfaithfulness renders their worship unacceptable, turning their religious expressions into cries of frustration [[Malachi 2:13]].
### Summary
In summary, `{{H603}}` is more than just a sound of pain; it is a biblically significant cry that reaches the ears of God. It represents the profound suffering of the oppressed and imprisoned, which moves God to act in deliverance. It also serves as a stark reminder of the spiritual anguish that results when fellowship with God is broken through unfaithfulness.