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There are 19 words containing 4A, C, H and S

ACHALASIAachalasia n. (Medicine) A neuromuscular condition where a ring of muscles is unable to relax fully, causing obstruction…
ACHALASIA n. (Greek) failure of the muscles of the lower part of the oesophagus to relax, which prevents food from passing into the stomach.
AYAHUASCAayahuasca n. A giant vine native to South America (especially Banisteriopsis caapi), noted for its psychotropic properties.
ayahuasca n. Any of various psychoactive infusions or decoctions prepared from this vine.
AYAHUASCA n. (Quechua) a South American vine, the roots of which yield a drink having a hallucinatory effect, also AYAHUASCO.
ACHALASIASachalasias n. Plural of achalasia.
ACHALASIA n. (Greek) failure of the muscles of the lower part of the oesophagus to relax, which prevents food from passing into the stomach.
ARRACACHASarracachas n. Plural of arracacha.
ARRACACHA n. (Quechua) an umbelliferous South American food-plant with edible tubers.
AYAHUASCASayahuascas n. Plural of ayahuasca.
AYAHUASCA n. (Quechua) a South American vine, the roots of which yield a drink having a hallucinatory effect, also AYAHUASCO.
CHAKALAKASCHAKALAKA n. (South African) a relish of tomatoes, onions and spices.
PANACHAEASPANACHAEA n. (Spenser) a remedy for all diseases, also PANACEA.
TACAMAHACStacamahacs n. Plural of tacamahac.
TACAMAHAC n. (Nahuatl) a gum resin yielded by various tropical trees, also TACMAHACK, TAKAMAKA.
ANACATHARSESANACATHARSIS n. vomiting.
ANACATHARSISanacatharsis n. (Medicine) vomiting or expectoration.
ANACATHARSIS n. vomiting.
BACCHANALIASbacchanalias n. Plural of bacchanalia.
ACATAMATHESIAacatamathesia n. (Pathology) A loss of the ability to understand, especially to understand speech.
ACATAMATHESIA n. the inability to understand data presented to the senses.
ANACATHARTICSanacathartics n. Plural of anacathartic.
ANACATHARTIC n. a drug causing vomiting or expectoration.
BACCHANALIANSbacchanalians n. Plural of bacchanalian.
Bacchanalians n. Plural of Bacchanalian.
BACCHANALIAN n. a drunken reveller, also BACCHANAL.
ACATAMATHESIASACATAMATHESIA n. the inability to understand data presented to the senses.
AMARANTHACEOUSamaranthaceous adj. (Botany) Belonging to the family Amaranthaceae of amaranths and goosefoots.
AMARANTHACEOUS adj. belonging to the family Amarantaceae, also AMARANTACEOUS.
ANATHEMATICALSANATHEMATICAL n. an anathema, a formal act or formula of consigning to damnation.
PARAPHRASTICALparaphrastical adj. Alternative form of paraphrastic.
PARAPHRASTICAL adj. of the nature of a paraphrase, also PARAPHRASTIC.
BACCHANALIANISMbacchanalianism n. The practice of bacchanalians; bacchanals; drunken revelry.
BACCHANALIANISM n. wild revelry.

Scrabble words — in black are valid world wide — in RED are not valid in North America — in GREEN are valid only in North America.
Definitions are short excerpt from the 1Word.ws and WikWik.org.

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