If the Gout have been of long standing, and hath often afflicted the Sick; then at length there are generated in the Joynts; hard Knots and Knovs; from the more thick part of the Serous or wheyish humours: At first, no bigger than peas, then as big as Small-Nuts; and afterwards much bigger: And then the Patient will have something (Monstrous) to look at: Not as a wonder for Nine Days; But Durante Vitæ; being then call'd the Knarry Gout, and not easily to be Cured. I give the Challenge to any Gout, (one or two kinds only excepted, being beyond the reach of man, to Cure; in which Case, ease only is given:) Although stubborn, knarry, or of long standing, being not bound precisely to any set time.
Source: wiktionary