Primary urinary stones are formed for many reasons, related to the environment, metabolic dietary preferences and the amount of water intake. In the last 30 years, the number of patients with uric acid interpretation has been increasing clinically, accounting for about 40% of all stone patients. Uric acid, on the other hand, is an intermediate product of protein metabolism (incomplete protein metabolism) and is a crystalline substance excreted through the kidneys, which can form uric acid stones if the concentration is high. Anti-uric acid therapy and alkalinization of the urine can help prevent the formation and excretion of uric acid stones. Chicken internal gold is a relatively common Chinese medicine, which is peeled from the inner wall of chicken gizzard, mainly used to pass lymphatic and dissolve stones, and to strengthen the stomach and eliminate food, so it is effective for the treatment of stones. From the perspective of Chinese medicine, the specific treatment of urinary stones needs to be determined through evidence-based treatment, and the evidence-based treatment needs to first clarify the deficiency and reality, whether it is pure deficiency or actual evidence, or a combination of deficiency and reality. If it is a combination of deficiency and reality, we should also distinguish the priority of deficiency and reality, as well as the priority of the type of evidence. After the identification and treatment, the treatment is usually to choose the treatment method of laxative and lithotripsy, which can use the combination of money grass, chicken internal gold and sea gold sand, which can play a good effect of lithotripsy. Chicken gizzard can be stewed with 50 grams of Chinese herb and chicken gizzard for one hour, and the soup can be consumed after the stew is finished. It can be used both as a medicine to treat stones and as an ingredient. At present, there is no medicine to melt stones, but it is mainly used to assist in stone removal by increasing urinary excretion, which is similar to the principle of taking diuretics to drink more water and thus urinate more. It has a certain effect on the prevention of urinary stones, but of course it also needs to be combined with a good diet and attention to drink more water and exercise.