Someone once described the acute attack of gout as “after the lights and the wine, late at night, when it is as fast as the wind and as painful as cutting”, which is very graphic. The pain of gouty arthritis is the heaviest of all kinds of arthritis-induced pain, and many patients are unable to walk on the ground, even when their feet hit the ground, they have a painful heartburn. This scenario, this pain, makes gout sufferers seek immediate medical attention and ways to relieve the pain immediately. Gouty arthritis also comes and goes quickly, and most patients don’t feel anything after 1 week, so they “forget about the pain” and don’t continue treatment until that pain comes again …… weeks and weeks, the joint bone is destroyed, and the kidney is destroyed. The gout stone is formed and the kidneys have problems. The treatment of gout is divided into the acute phase and the remission phase, in the acute phase to control the acute inflammation and relieve pain, also known as “treat the symptoms first”, can use non-steroidal anti-inflammatory drugs, colchicine tablets, glucocorticoids and so on. This is because the direct cause of the sudden attack of gouty arthritis is the drastic fluctuation of blood uric acid, and the drugs in the acute stage are “anti-inflammatory and analgesic”, which can quickly relieve the pain. However, the root cause of gout is the increase in blood uric acid level. If the blood uric acid cannot be reduced to normal, the “root” of gout cannot be eliminated. The purpose of chronic treatment is to reduce the level of uric acid, which is called “slow treatment of its root”, and regular treatment during the remission period can not only reduce uric acid to normal level, but also prevent and protect the damaged organs. At present, the common uric acid-lowering drugs are febuxostat, allopurinol and benzbromarone, and febuxostat has the best effect. Through regular uric acid-lowering treatment, although gout cannot be cured, it can greatly reduce the chance of reoccurrence in the acute stage. Gout has now emphasized “standard treatment”, that is, blood uric acid should be reduced to 360umol/L (with gout stone 300umol/L) or less, and gouty arthritis less than 1 attack per year. Only when this target value is reached is gout treatment considered successful. We hope that patients can understand gout correctly, especially the treatment of gout in remission! Don’t “forget the pain”, and don’t forget to visit the doctor after the pain is relieved!