With the development of medical technology and the accumulation of clinical experience, our understanding of gout disease has gradually become deeper and more detailed, and we have established a more effective holistic treatment. Generally, we can divide the treatment into three stages: a. Asymptomatic hyperuricemia stage: Patients only present high uric acid, and do not have any joint pain symptoms, which belongs to the “no pain, no itch” stage. These people belong to the high uric acid body, and some of them will develop into gout patients. Therefore, it is very important to use Chinese medicine to regulate the patient’s constitution and guide the patient to adjust the diet before the gout attacks, so as to nip the gout attacks in the bud. This reflects the Chinese medicine idea of “not treating the disease, but treating the disease before it happens”. Acute gout attack: Patients not only have high uric acid, but also have red, swollen, hot and painful joints, and even unbearable pain. If not treated, the pain will slowly disappear in a few days or weeks, but the process is painful. Therefore, the acute attack period should be sufficiently pain relief, and effective anti-inflammatory and pain-relieving drugs can be taken orally, together with Chinese medicine to clear heat and cool blood type ointment applied externally. Third, the gout remission period: after the acute attack of gout, the patient begins to enter the remission period (also known as the resting period). At this time, the patient’s joints are slightly painful or no longer painful, and people generally think that they do not need to continue treatment. In fact, this is a wrong idea. This is because the second attack will occur within six months to two years after the first attack. Later, the period of attacks will be shortened and the number of attacks will gradually increase. Therefore, the treatment at this stage is very important. The treatment is as follows: 1. Dietary regulation: Patients are controlled by diet to limit the excessive entry of “high purine” foods into the body to avoid high uric acid body. There are four main types of food to avoid: animal offal, seafood, beer, soy products, etc. 2.Medication: Allopurinol can reduce uric acid in blood, benzbromarone can promote uric acid excretion, baking soda can help to alkalize urine and eliminate uric acid. These need to be applied under the systematic guidance of a doctor. Once the uric acid value is reduced to a certain level and stabilized, the dosage of drugs needs to be reduced. Chinese medicine plays an equally important role in preventing the recurrence of gout by treating the symptoms and regulating the body constitution. TCM doctors can adjust the medication according to the changes in the patient’s physique, mainly by clearing heat and cooling blood, and appropriately treating dampness, strengthening the spleen, invigorating blood and tonifying the kidneys to adjust yin and yang and effectively control gout attacks. 3.Surgical treatment: When gout is repeatedly attacked and gout stones are formed in the hands or feet, which affects the beauty or life, surgery can be considered to remove the gout stones. Due to recurrent swelling and pain in the knee joint caused by gout, arthroscopic exploration, cleaning of urate crystals, and flushing of inflammatory media in the joint cavity can be considered to reduce recurrence of knee joint symptoms.