This noun appears in Job 16:13, where Job describes God's attack in visceral, physical terms: "He slashes open my kidneys and pours out my gall on the ground without mercy." The term denotes the gall or bile, the bitter fluid stored in the gall bladder—proverbially associated with bitterness and suffering. Job uses anatomical imagery to express how God seems to be fatally wounding him, treating him as an enemy rather than a servant. Spilled gall represents both physical destruction and the bitter essence of suffering made visible. The metaphor combines medical knowledge with emotional intensity, making abstract anguish brutally concrete.