Xiao Zhang is young, but 30 years old, physically strong, in the eyes of outsiders is a vigorous young man, often pulled by the boss to go out social, a while ago, the joint parts often night pain but soon relieved itself did not care, did not expect yesterday night a meal back home, and joint pain and lumbar pain all night long, early in the morning rushed to the hospital, a check of blood uric acid reached more than 800 umol/l, blood lipid is also high, urinary trace protein, B ultrasound suggests that one side of the ureteral dilatation, bilateral kidney stones, the doctor diagnosed consider gout arthritis combined with gout kidney disease. The doctor diagnosed gout attack, gouty arthritis combined with gouty nephropathy and ureteral stones. Zhang did not understand, but his body is usually great, can eat and drink, how can he get this disease. This is a common misconception among the general public today. In recent years, with the improvement of living conditions, especially after the increase of alcohol and protein intake, the incidence of hyperuricemia has increased significantly. Excessive uric acid salt deposited in the joints is gouty arthritis; deposited in the kidneys is kidney stone (stone obstruction can appear renal colic) or gouty nephropathy; deposited in the intima of the aorta is atherosclerosis, deposited in the skin is gouty nodules. In this case, the patient is characterized by high blood uric acid, and the urinary excretion of uric acid is also significantly increased. Gout and hyperuricemia are a typical group of metabolic disorders, often accompanied by hyperglycemia and hyperlipidemia. Uric acid is deposited in the kidney parenchyma, and patients often present with impaired kidney function, with symptoms such as protein and red blood cells in the urine, and in chronic cases, markedly elevated urea nitrogen and creatinine in the blood, or hypertension and swelling. There are also patients with arthritic symptoms, kidney stones and arteriosclerosis coexisting, which is a mixed type of gout. Therefore, young people, especially those with a family history of obesity, diabetes, and hypertension, should lead a healthy lifestyle and avoid an unhealthy lifestyle of eating large amounts of meat and fish and consuming alcohol and tobacco. The treatment of gout and hyperuricemia emphasizes changing the dietary structure, i.e. drinking more water, ensuring that the daily urine volume is more than 2000 ml; eating appropriate alkaline food to keep the urine pH value neutral; abstaining from alcohol, eating animal liver, intestines, kidneys and other offal; limiting beans, meat, eggs, fish, chicken and other foods with high protein content; using medications such as allopurinol, probenecid, benztropine, gout lisin and febuxostat. Drugs can be used such as allopurinol, probenecid, benznidazole, gout lisin and febuxostat. Generally speaking, the rate of decrease of blood uric acid should not be too fast, in order to prevent the triggering of acute gout attacks; and then to adhere to long-term treatment, do not relax the dietary therapy when the symptoms improve.