心痛和希望；挣扎和进步。

Pain and Hope

Struggling and Progressing

也可以视上下文变通一下，Pain with hope, struggling to progressing，让两个词更有联系

heartache/pain
hope/inspiration
struggle
progress/improvement

heartburn and hope; struggle and progress

pain and hope ; struggle and progress .

Heartache and hope; struggle and progress.

heartache
wish
struggle
advancement