[154] **Sufferings originate with acquisitions as their source (upadhinidānā pabhavanti dukkhā):**
"Acquisitions (upadhi)" means the ten acquisitions: the acquisition that is craving (taṇhā), the acquisition that is views (diṭṭhi), the acquisition that is defilements (kilesa), the acquisition that is kamma, the acquisition that is misconduct (duccarita), the acquisition that is nutriment (āhāra), the acquisition that is repulsion (paṭigha); the four clung-to elements (upādinnadhātuyo) are acquisitions; the six internal sense bases (āyatana) are acquisitions; the six classes of consciousness are acquisitions; all suffering (dukkha), too, in the sense of suffering, is an acquisition. These are called the ten acquisitions.
"Sufferings" means: the suffering of birth, the suffering of aging, the suffering of illness, the suffering of death, the suffering of sorrow, lamentation, pain, grief, and despair … overwhelmed by illness, struck down by death, established in suffering, without protection, without shelter, without refuge, having become refugeless — these are called sufferings. These sufferings have acquisitions as their source, acquisitions as their cause, acquisitions as their condition, acquisitions as their reason; they come to be, come into being, originate, are born, are generated, are produced, and become manifest. Hence: "Sufferings originate with acquisitions as their source."
English translation from the Pali (Siam Raṭṭha edition) — under review, not for citation.