There was a patient who came to the clinic some time ago because of gout. At that time, the pain in the joints of the limbs was severe, and the affected joints were red, swollen and hot, and he could not walk. However, after seven more pills, the symptoms became severe again. After questioning, we learned that the patient had the habit of drinking milk every day and often ate a few peanuts and melon seeds, not knowing that the purine content of these foods is definitely not suitable for patients with gout attacks. Another patient, who is not yet old and obese, had difficulty walking at the time of consultation and complained of gout attack. Gout is a metabolic disease caused by the disorder of purine metabolism, the onset of which has obvious heterogeneity. Many people will think that high uric acid is to have gout, in fact, gout at hyperuricemia outside can be manifested as acute arthritis, gout stone, chronic arthritis, joint deformity, chronic interstitial nephritis and uric acid urinary tract stones, hyperuricemia patients patients only when the above clinical manifestations, called gout. The asymptomatic phase of gout has only fluctuating or persistent hyperuricemia without other symptoms. During the flare-up period, there may be redness, swelling, heat and pain of acute arthritis, gout stone formation and kidney lesions. The general treatment of gout in western medicine includes: controlling the total calories in the diet; limiting the consumption of alcohol and high purine food; drinking more than 2000ml of water daily to increase the excretion of uric acid; using drugs that inhibit uric acid excretion such as thiazide diuretics with caution; avoiding triggering factors and actively treating related diseases, etc. Drug treatment mainly includes drugs for hyperuricemia: uric acid excreting drugs (benzbromarone, propionic acid, etc.), drugs to inhibit uric acid production (allopurinol), alkaline drugs to alkalize urine; drugs for acute gouty arthritis: colchicine, non-steroidal anti-inflammatory drugs (indomethacin, ibuprofen, etc.), glucocorticoids. However, although the above drugs have certain efficacy, the prevalent side effects are worrying. Uric acid-removing drugs already inhibit uric acid synthesis and can lead to rash, fever, gastrointestinal irritation and even liver damage, bone marrow suppression, etc. Alkaline drugs can cause metabolic alkalosis or edema when taken in large quantities for a long time, colchicine can lead to nausea and vomiting, and intravenous administration can even lead to kidney failure and liver necrosis, while hormones are prone to rebound Hormones are prone to rebound. The treatment of gout in Chinese medicine is mainly based on the principle of dispelling evil and activating the ligaments, slowing down the pain, and according to the dialectical evidence, patients with damp-heat paralysis should be treated by clearing heat and removing dampness, promoting paralysis and opening the ligaments; patients with phlegm-stasis paralysis should be treated by removing phlegm and stasis, releasing paralysis and opening the ligaments; patients with liver and kidney deficiency should be treated by nourishing the liver and kidney, activating blood and opening the ligaments. In years of clinical practice, we have designed a series of effective, rapid and permanent treatment programs to treat gout based on the traditional theory of Chinese medicine combined with the research results of modern Chinese pharmacology and prescription pharmacology, and in accordance with the concept of Chinese medicine evidence-based medicine and precision medicine, which have been verified by various clinical indexes to have obvious efficacy. The treatment of many gout patients in the clinic has not only relieved the symptoms, but also normalized the uric acid value after the test, and the recurrence rate is quite low after the cure.