Gout has not been cured for a long time, the reason may be due to the poor control of uric acid level, the causative factors have not been eliminated, no systematic drug treatment and other factors. 1. Poor control of uric acid level: gout is not cured for a long time, the reason is that the body is in high uric acid state for a long time, such as long-term consumption of medium and high purine food, such as seafood, animal offal, soybean products, etc., which makes the uric acid level in the body continue to rise, resulting in gouty episodes, and there is no improvement for a long time. 2. Triggers are not eliminated: when there are factors such as infection, cold, joint injury, systemic diseases, etc., it may induce recurrent attacks of gout. In this case, we should actively search for the triggers and eliminate all kinds of gout-inducing factors. 3. Failure to carry out systematic drug treatment: When gout attack, if there is no systematic drug treatment, such as analgesic treatment, uric acid lowering treatment and other measures, it may lead to a long time with no improvement of joint pain, or even recurrence of the phenomenon. Therefore, when the gout attack, should consult the doctor in time, receive systematic drug treatment. In conclusion, if gout does not improve for a long time, patients should go to regular hospitals in a timely manner, on the basis of dietary control, regular medication as prescribed by the doctor.