AIL Meaning of AIL in English v. 1. tr. archaic (only in 3rd person interrog. or indefinite constructions) trouble or afflict in mind or body ( what ails him?). 2 intr. (usu. be ailing) be ill. Etymology: OE egl(i)an f. egle troublesome Oxford English vocab. Оксфордский английский словарь. 2012