Mr. Wang met with his friends to eat hot pot and drank a lot of beer. He was awakened in the middle of the night with foot pain, and after waking up, his left foot was still painful and his joints were red and swollen and hot. So how can eating hot pot cause gout? Gout is a group of diseases caused by disorders of purine metabolism and hyperuricemia. With the continuous improvement of people’s living conditions, especially the change in diet, the incidence of gout has increased significantly, and there is a growing trend year by year. The prevalence of gout increases with age, mostly in adult males aged 30 to 60, with a ratio of about 20:1 between men and women, and mostly in women after menopause. Gout is more common in men aged 30 to 60 years, with a ratio of 20:1 between men and women. The incidence of gout is also higher in families. Half of the patients have a history of alcohol consumption, and this disease is easily confused with arthralgia, which leads to long-term blind medical treatment and prolonged treatment, and even causes joint deformity or renal failure. In addition, hyperlipidemia, hypertension, obesity, diabetes, atherosclerosis and coronary heart disease, etc., often accompanied by hyperuricemia and gout. Eating hot pot with high purine content of animal offal, bone marrow, beef and mutton, seafood, shrimp and crab in large quantities can easily lead to gout attacks. Some people mistakenly believe that it is okay to drink soup and not eat meat, in fact, the purine material contained in the broth is 30 times higher than the normal diet, which can easily lead to an increase in uric acid, a purine metabolite in the body, and easy to drink lactic acid accumulation in the body, inhibiting the discharge of uric acid, which is the main reason why people sitting around in front of the hot pot and drinking happily are prone to gout. Although colchicine or non-steroidal anti-inflammatory drugs can be used to control the disease in the acute stage, with good pain relief, they cannot effectively reduce the level of uric acid in the blood; in the chronic stage, allopurinol, propoxur, ligarixen and other drugs can inhibit the synthesis of uric acid in the body or promote uric acid excretion, thus reducing the level of uric acid in the blood, but it has a large number of side effects and the use of safety range is small, and most patients cannot adhere to the treatment. Therefore, using the advantages of TCM and enhancing the treatment of TCM in its acute attack period and chronic period according to its pathological characteristics is of its importance to prevent the recurrence of gout and control its development. According to Chinese medicine, congenital deficiency of endowment, or acquired dietary indiscretion, coupled with middle age, the deterioration of dirty qi, spleen and kidney deficiency, dampness and turbidity stagnation, triggered by drinking, hunger, overeating, cold, fatigue, emotion, trauma, excessive exercise (prolonged walking, sports, hunting) and other factors, resulting in phlegm and blood stagnation, and obstruction of the ligaments, the development of gout. In Chinese medicine, the treatment of gout is generally staged and combined with internal and external evidence. In the acute arthritis stage, the evidence is damp-heat and stasis, the treatment should be to clear heat and dampness, remove stasis and relieve pain, commonly used Fu Ling, Coix Seed, Huang Bai, Silkworm, etc., and with the external application of Jin Huang cream, can significantly improve the local symptoms of the joint, and has the effect of excreting uric acid; intermittent period and asymptomatic period, the evidence of Chinese medicine for spleen and kidney deficiency, phlegm and stasis, the treatment should be to tonify the kidney and transport the spleen, drain the stagnation, the use of Atractylodes, Atractylodes, Fu Ling, Xian Ling Spleen, Duzhong, Niu Zhong. The treatment should be to tonify the kidney and spleen, and to release the stagnation. After a long period of treatment, blood uric acid can be reduced, and the effect is more stable after stopping the medicine. Gout is a disease that is prone to recurrence. While using medication, dietary regimen plays an extremely important role in controlling the development of the disease. It is important to prohibit foods containing purines, limit protein intake, increase alkaline food intake and water intake, avoid triggering factors such as overwork, stress, cold, humidity and joint damage, and pay attention to keeping warm and avoiding cold. In addition, blood uric acid and kidney function must be rechecked regularly to detect problems and treat them in time. As long as you can adhere to these, the chances of gout recurrence will be greatly reduced, and even gout patients with family genetics can live a healthy life as well.