Noun

1. An extremely painful inflammation of joints, especially of the big toe, caused by a metabolic defect resulting in the accumulation of uric acid in the blood and the deposition of urates around the joints.
2. a spurt or splotch (usually followed by the preposition of)
   • 1981, P.D. James, Children of Men, chapter 20, page 137:

   "...small chunks of rubble and gouts of soot had fallen from the chimney, and were ground into the rug under his unwary feet."

   • 2002, Mercedes Lackey, Eric Flint and Dave Freer, The Shadow of the Lion http://books.google.com/books?id=541z5yQEW0UC&q=gouts#search

   "Another blow sent gouts of blood flying, along with gobbets of flesh."