那笑容、我撕心裂肺的痛。

That smile, my piercing pain.

此时的撕心裂肺无人能知。

At this time of tore heart crack lung no one can know.

读完这么小说让我撕心裂肺。

Eg. the novel I just finished reading was heart wrenching.

她常因他的烟，而咳得撕心裂肺。

She often because of his smoking and cough tore heart crack lung.

分手快乐。还是说分手撕心裂肺？

Break up happiness. Or to say good-bye tore heart crack lung?

早上起床，心依然撕心裂肺地疼着。

In the morning, the heart still tore heart crack lung and painful.

撕心裂肺的挽留，不过是心有不甘的表现。

I stay, but the heart has unwilling performance.

身体撕心裂肺地哭着想要睡得久点！

The body wants to sleep later, for crying out loud!

我还可以做什么，一切都让我撕心裂肺。

And what i did can't be undone and it's tearing me apart

俗话说复仇是撕心裂肺的痛楚，是折磨良知的苦涩。

They say vengeance taken will tear the heart and torment the conscience.