With the improvement of the standard of living and the change of diet, some diseases that were not common have become common, such as “diabetes”, “hyperlipidemia”, “gout”, etc. This is what we This is what we often call “affluenza”. According to the domestic statistics in recent years, the number of patients with hyperuricemia and gout has been increasing year by year, and there is a trend of “catching up with Europe and America” and “popularization”. However, people’s understanding of gout is not as clear as its other “brother” diabetes and receive sufficient attention, and there are many misconceptions, experts will be clinical diagnosis and treatment of gout problems encountered in the work summarized the following points. Myth 1: “Blood uric acid must be high during a gout attack” According to statistics, about 30% of blood uric acid values are within the normal range during an acute arthritis attack, but as long as blood is continued to be drawn and tracked, uric acid values will almost always be high. On the other hand, people with high uric acid in their blood may not necessarily have gout because they have joint pain, so they should consult a physician to avoid misdiagnosis and treatment. In addition, uric acid in the body is a dynamic balance, the value of uric acid may be different every day, and should be measured several times to determine whether the uric acid is really too high. Myth 2: “Controlling a high purine diet can prevent gout and its recurrence” Diet is indeed an important factor in triggering gout attacks. Domestic statistics report that gout triggers are, in order of prevalence, excessive fatigue, consumption of high purine foods, alcoholism, colds, joint trauma and excessive exercise. However, we should also pay attention to several factors that are closely related to gout attack, such as obesity, combination of other diseases, especially hypertension, hyperlipidemia, and the application of small doses of aspirin and thiazide diuretics. Some data show that more than 50% of gout patients are overweight and about 3/4 have hypertension or (and) hyperlipidemia in combination. Therefore, it is not enough to control diet alone, but it is especially important to reduce weight, treat concurrent diseases and avoid diuretics. Misconception 3: “Gout attacks should be treated with uric acid-lowering drugs immediately” When gout attacks occur urgently, uric acid-lowering drugs cannot control joint inflammation, but on the contrary, because they lower blood uric acid levels, the crystals formed by dissolving gout stones in the joints can aggravate joint inflammation or (and) cause metastatic gout. Those who are already taking it can be maintained in small doses and used together with analgesics, and should generally wait until the acute phase of inflammation is controlled. Myth 4: “Gout attacks require anti-infective treatment” Gout is a sterile inflammatory reaction caused by uric acid crystals deposited in the joints and surrounding tissues, and unless there is co-infection, anti-infective treatment with antimicrobials is generally not required. Some patients ask for anti-inflammatory injections as soon as they have an attack, which is actually a misunderstanding and abuse. Misconception 5: “Gout is an acute disease, once the redness, swelling and pain are gone, there is no need to treat it” In fact, gout is a chronic disease like diabetes, with a few attacks only once or a few times, and most frequent attacks. Although you don’t have to take medication for life like most diabetics, you should follow up for a long time and have regular reviews. In particular, some patients with recurrent gout, gout stones, kidney disease, and “three highs” (high blood pressure, high blood pressure, high blood sugar) need to take medication for a long time, otherwise it is easy to develop joint deformities and renal insufficiency. Myth 6: “Gout is a modern disease, mainly relying on Western medicine” In fact, as early as in ancient times, there are descriptions and treatments of gout in China. The name of the disease is similar to that of “calendar joints”, “foot gas”, “gout” and “phlegm and fire poison” in Chinese medicine. Chinese medicine treatment for gout can reduce the dosage and side effects of western medicine, and can also smoothly lower blood uric acid during the remission period and reduce recurrence, with good clinical efficacy.