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It's weird though. Half means comparable which means fully. Surely, half hurts means half fully hurt? Half of one is a half and not one. If that makes sense.
I know it's slang but it still does not make sense.
The usage at issue here involves a negative - "doesn't half hurt." When used with such a negative (in British slang) it means "fully." This indicates it's no partial or half-way hurting - it's the whole / full / extreme thing.
Without the negative (i.e., "it half hurts") it would mean "doesn't hurt much; doesn't hurt fully."