Diagnosis 1. Family history of gout. 2, Typical clinical manifestations: acute single arthritis. 3, increased blood uric acid: men > 0, 38mmol / L; women before menopause ” 0, 31mmol / L, after menopause as men. 4. X-ray examination of chronic arthritis shows round drill-like defects in the adjacent bone ends. 5, joint cavity fluid microscopy can be seen uric acid salt needle crystals. 6.Colchicine test treatment is effective for acute attacks. 7, should be distinguished from the following diseases: septic, traumatic arthritis, rheumatoid arthritis and pseudogout. Treatment 1.Western medicine treatment (1), acute treatment: Colchicine is effective for the disease during acute attacks. The initial dose of 1mg orally, and then 0,5mg every 1 hour until the symptoms are relieved or when gastrointestinal reactions such as nausea, vomiting and diarrhea appear, stop the drug. The total amount of the whole course usually does not exceed 6mg. symptoms are mostly relieved within 12 hours and controlled within 48 hours. Thereafter, O.5mg per dose, 2-3 times a day, maintained for several days and then discontinued. This drug is effective and can be used as experimental treatment to help diagnosis. In addition, anti-inflammatory pain, ibuprofen, naproxen, etc. can be used depending on the condition. (2), chronic and intermittent treatment ①, allopurinol: inhibit uric acid synthesis, initial dose of 100mg 3 times a day, gradually increase the dose to 200mg 3 times a day. ②. Propoxur: inhibit the reabsorption of uric acid by the renal tubules. Start with small dose, initial dose of O, 25g each time, twice daily, increase to O, 5g within 2 weeks, twice daily, the maximum dose should not exceed 2g daily. 2, Chinese medicine treatment (1), damp-heat paralysis: swollen joints, pain, painful areas set off red burning, its pain is intense, pain at night, dry mouth, disturbed heart, yellow urine red, dry stool or unpleasant, red tongue with yellow greasy coating, smooth and strong pulse. Treatment: Clearing away heat and dampness, promoting circulation and relieving pain. Herbs: 15 grams each of slippery stone, coix seed, silkworm sand, adzuki bean and forsythia, 12 grams each of half asia, antibiotics and gardenia, 10 grams of almonds. For constipation, add rhubarb; for pain, add panax ginseng, frankincense and set of herbs; for redness and swelling, add honeysuckle, cypress and poria; for joint pain of upper limbs, add qiangwu and wei lingxian; for joint pain of lower limbs, add hyssop and papaya. (2), stubborn paralysis: recurrent episodes of joint redness and pain, enlarged joints, deformity and stiffness, gout stones near the joints and under the skin, purple and dark tongue or bruises, thin and astringent pulse. Treatment: Expel phlegm and clear heat, invigorate blood and promote circulation. Remedy: 10 grams each of peach kernel, safflower, angelica, and wulingdian, 12 grams each of diluvian, gentiana, Chuanxiong, nux vomica, and qiangwu, 6 grams of myrrh, 9 grams of licorice, and 15 grams of cypress. (3) Kidney deficiency: increased nocturia, proteinuria, oliguria, swelling of the lower limbs or swelling of the whole body, lumbar pain and knee weakness. Yang deficiency: cold fear and cold limbs, white face. Yin deficiency is dizziness and tinnitus, hot flashes and night sweats. Treatment: Tonify the kidney and diuretic. Herbs: 15 grams of Fructus Lycii, 30 grams of Semen Cuscutae, Fructus Ligustrum, Fructus Psyllium, and 30 grams of Radix Bupleurum. For Yang deficiency, add Xian Ling Spleen and Xian Mao; for Yin deficiency, add Huang Bai and Zhi Mu; for abdominal distension and loose stools, add Dang Shen and Bai Zhu; for dizziness and hyperactivity of Liver Yang, add Hooked Vine, Chrysanthemum and Tian Ma. (4), stone gonorrhea: sand and gravel in urine or x-ray shows urinary stones, urine is astringent and stagnant, or urine is interrupted or cannot be pushed out, or there is blood in urine, pain in the waist and abdomen, pulse string. Treatment: To promote lymphatic diuresis and eliminate stones. Herbs: Shi Wei, Qomai, Fu Ling, Chicken Nei Jin 15 grams each, Che Qian Zi 12 grams, Moutong 60 grams, Dong Qu Zi lO grams, Money Grass 30 grams, Talc 9 grams, Hai Jin Sha 20 grams. In case of lumbar and abdominal cramps, add peony to ease the pain; in case of blood in urine, add small thistle to cool the blood and stop bleeding. Prevention and recuperation Bed rest or hospitalization is recommended for idle attacks, and the intensity of labor during the attack should be decided according to the severity of symptoms. Dietary therapy is very important for this disease. The main thing is to eat less purine-containing foods, such as animal offal, bone marrow, meat soup and seafood. Obese people should pay attention to reduce calorie intake and drink more water. Avoid being exposed to lake and cold, and avoid smoking and alcohol.