Gout is an acute or chronic inflammation and tissue damage caused by the deposition of uric acid salts in the bones and joints, kidneys and subcutaneous areas. Gout attacks generally have no aura. Sudden onset of single joint redness, swelling and heat pain is a common clinical manifestation of gout attack, i.e. foot pain indicates the presence of an acute gout attack. In the asymptomatic phase of gout, the patient may have no discomfort and only a persistent or fluctuating increase in blood uric acid. Many patients do not even know that their blood uric acid is elevated without a blood test. The asymptomatic phase of gout can last for years or decades and is associated with a variety of factors, including gender, age, history of hyperuricemia, and blood uric acid levels. The acute attack of gout is usually not preceded by any precursors, and often strikes at night or in the early morning. Patients wake up from sleep with a single red, swollen, hot and unbearable joint pain, like a knife cut or insect bite. However, even without medication, joint symptoms may resolve on their own within a few days or 2 weeks, or even disappear. If the disease is not well controlled, acute gout attacks can occur frequently, with each attack being similar and without obvious aura. Most patients have a history of drinking a lot of alcohol or eating a high purine diet such as seafood or animal offal within 3 to 5 days before the attack, in addition to long-term elevated blood uric acid without the use of uric acid-lowering drugs; a history of chronic gout and recent late nights and strenuous sports are all triggers for an acute gout attack. In summary, gout attack is no aura symptoms, sudden onset of joint pain in the foot is a manifestation of gout attack, should be promptly consulted for systematic and standardized treatment to relieve symptoms and control the disease.