In recent years, with the improvement of people’s living standards, high fat, high protein, high sweet, high energy diet into the lives of a large number of residents, so that the onset of related diseases are rising year by year. For example, obesity, gout, fatty liver, diabetes, overnutrition, etc., and the age of onset is decreasing year by year, more and more young people are joining these rich diseases, and the resulting cardiovascular diseases, liver and gallbladder diseases, renal insufficiency, etc. also tend to be younger and younger, while lipid-lowering, sugar-lowering, uric acid-lowering and other western drugs can take effect, but due to its long-term use of liver and kidney toxicity, more and more patients are turning to Chinese medicine treatment or The combination of Chinese and Western medicine. In this article, we will briefly explain the nature of the pathogenesis of hyperuricemia and gout in Chinese medicine and the selection of Chinese medicine, which are often treated in rheumatology department. Hyperuricemia can be said to be the precursor pathology of gout, and patients with hyperuricemia will inevitably enter the pathogenesis of gout after several years, eventually affecting kidney function and leading to gouty nephropathy and renal failure. Therefore, the treatment of hyperuricemia can be more significant than gout. In other words, Chinese medicine intervention during the period of hyperuricemia can reverse the pathogenesis and slow down the progress of the disease, which is more in line with the spirit of Chinese medicine in treating the disease before it occurs. Whether hyperuricemia or gout, the pathology of Western medicine is abnormal purine metabolism, resulting in excessive accumulation of uric acid in the body, which is deposited in body fluids, joints and muscles, so the treatment of Western medicine focuses on reducing the intake of high purine food, inhibiting the production of excessive uric acid in the body and promoting the excretion of uric acid, while the vast majority of patients in clinical practice do not have a single excessive intake, but have abnormalities in several aspects, resulting in This is why many patients wonder why they are still having gout attacks even though they have been eating like “monks”. The abnormal purine metabolism in the body is a key factor in the development of the disease, but Western medicine lacks strong drugs in this area, and allopurinol, which inhibits uric acid production, is often simply inhibited rather than fundamentally improving purine metabolism, and there is liver and kidney toxicity and blood system damage, which is not suitable for long-term use, while Chinese medicine is increasingly prominent in this aspect of treatment. According to Chinese medicine, gout patients are mostly found in people who are obese, greasy and sit little. The onset of the disease is characterized by red, swollen and hot pain in the joints of the lower limbs, which is as painful as a tiger devouring the bones. The pathogenesis of the disease is attributed to the internal accumulation of dampness and heat, either due to a long-term addiction to fatty and sweet foods, or to a deficiency in the spleen’s health and transportation, resulting in the internal growth of dampness and the transformation of heat into phlegm over time, resulting in the external development of the skin and bones, or both. If the phlegm, dampness, and heat evils do not dissipate over time, the phlegm and stasis may intermingle and form hard phlegm nuclei or even break down without convergence, as seen in the usual gout stones with infection. Treatment should be based on clearing heat and dampness, combined with individual characteristics of the disease, or with strengthening the spleen and benefiting the qi, or with resolving phlegm and activating the blood, so that the phlegm, dampness, heat and stasis within the turbid evil can be resolved, the qi and blood can be regulated, and the disease can be cured, or its attacks can be stopped. Therefore, the principle of treatment is more similar to that of Western medicine in improving purine metabolism, and can also improve fat metabolism, sugar metabolism and energy metabolism. At present, for the above-mentioned TCM pathogenesis of gout, although the clinical treatment can be tonics, due to the long-term nature of gout treatment, working patients prefer to choose TCM with the above-mentioned therapeutic effects. Among the many Chinese patent medicines for arthritis, the author believes that Gout Ding Capsules and Si Miao Wan, which are based on the main formula of Dan Xi Xin Fa Er Miao San, are more in line with the principles of TCM treatment of gout, especially Gout Ding Capsules, which are supplemented with more medicines for clearing heat and activating blood circulation and promoting dampness and circulation, such as Gentiana Macrophylla, Yan Hu Suo, Red Peony, Chuan Niu Knee, Ze Xie, Che Qian Zi, Tu Fu Ling, etc. In addition to the Atractylodes and Huang Bai of Er Miao San for clearing dampness and heat, Gout Ding Capsules are supplemented with more medicines for clearing heat and activating blood circulation and promoting dampness and circulation. Among them, Ermiao San, Cang Zhu and Huang Bai can clear the evil of damp-heat in the lower jiao, together with Niubizi and San Miao Wan, which can increase the effect of clearing damp-heat in the lower jiao. It is also combined with Che Qian Zi and Ze Xie, which can clear heat and diuretic, so that the evil of dampness and heat can be discharged from the urine and promote the excretion of uric acid; Red Peony can clear heat and cool the blood, disperse blood stasis and relieve pain; Yan Hu Suo can smooth the flow of Qi and blood, soothe tendons and relieve pain; Gentiana Macrophyllae is cold in nature, good at clearing the ligament and relieving dampness and paralysis and pain, and with Huang Bai and Red Peony, it can not only enhance the efficacy of clearing heat and dispelling dampness, but also enhance the effect of relieving pain. Yin and dryness of the disadvantages. Tu Fu Ling a taste for the national medical master Mr. Zhu Liangchun recommended specifically for the treatment of gout experience, can resolve phlegm and clear heat, dampness and soften the firm, for the gout of redness, swelling and pain and gout nodules are hard and have a good effect. Modern pharmacological research has found that Phellodendron can inhibit the production and secretion of cytokines such as TNF, thus inhibiting the immune response and reducing inflammatory damage. The analgesic effect of Paeoniflorin, an extract of Paeonia lactiflora, on mice is obvious. Therefore, Gou Feng Ding Capsules are more suitable for those who suffer from red, swollen and painful joints caused by damp-heat, accompanied by fever, sweating without relief, thirst for cold, restlessness, yellow urine and other symptoms. It is even more suitable for gout with red, swollen and hot pain in the joints of the lower limbs. It is more suitable for the prevention of gout in the stable stage or in those who have not yet developed gout, because its effect of clearing heat and activating blood is not as good as that of Gout Ding. The Gout Ding capsule mentioned in this paper is a national Class III new drug developed by Chengdu Zhonghui Pharmaceutical Co. Recent clinical and animal experimental studies have shown that this drug has good efficacy in controlling synovial damage, softening gout stones and promoting lipid and blood glucose metabolism in rabbit models of acute gouty knee arthritis. However, clinical use should be noted that this drug should be used for medium to long term, and should not be used as a simple analgesic or uric acid-lowering drug, and should be used in conjunction with anti-inflammatory and analgesic western drugs during acute gout attacks. It is believed that patients who use it for a long time will reap more unexpected benefits such as improving fat metabolism, sugar metabolism, obesity, and maintaining kidney function level while improving purine metabolism.