I felt like my insides were tied up in knots.我感觉自己的五脏六腑都绞在一起了。He was doubled over in pain, gasping and retching as if his insides were on fire.他痛得腰都直不起来,又是喘气又是干呕,那样子就像他的五脏六腑被火烧似的。His stomach was in knots.他的五脏六腑都揪在一起了。He was coughing his insides up.他咳得快把五脏六腑都咳出来了。