The treatment of gouty nephropathy needs to correct hyperuricemia while treating renal lesions, the specific treatment plan should be individualized according to the patient’s condition, there is no so-called “best” treatment method. 1. Correcting hyperuricemia: It is recommended that patients continue to take uric acid-lowering drugs to correct hyperuricemia, commonly used drugs include febuxostat, allopurinol, benzbromarone, etc. At the same time, it can also be taken to alkalize the urine with potassium citrate, sodium bicarbonate, etc. If the patient’s condition permits, he or she should drink a lot of water daily in order to help the uric acid to be discharged. 2. Treatment of renal lesions: patients with gouty nephropathy should avoid nephrotoxic drugs and regular monitoring of renal function while actively correcting hyperuricemia, and patients with renal failure should be actively treated with renal dialysis. Drugs should be used under the guidance of a physician, it is recommended that patients to regular hospital nephrology, rheumatology and immunology and other related departments for detailed consultation.