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Letting your car idle isn't actively bad for the drive train, but it certainly does put strain on the engine, additionally engaging the AC will put the engine under load, and work the engine harder even though you're not driving anywhere.
Quick Answer. Reasons for a car running rough can include problems with the engine temperature or oxygen sensors, bad hoses, ignition system or timing problems, clogged air or fuel filters, and faulty spark plugs or fuel injectors. Many problems that manifest through a rough idle can be easily fixed.