It’s a goofy name — we can blame the French or the Latin speakers of the past. It comes from the Latin and French root, gutta, meaning "drop" — as in the term "dropsy." No, not dropping a sledgehammer on your toe, but the dropping of fluid and evil "humors" into a part of the body, causing striking swelling. The four humors were blood, yellow bile, black bile, and phlegm. In old literature, dropsy might refer to the edema or swelling of heart failure — another swelling we now know can be linked to gout.