Gout a metabolic disease, in addition to diet, is also related to the body’s constitution, which in Chinese medicine is considered to be related to the spleen’s function of transport and transformation. By improving the body’s ability to metabolize purines, the production of uric acid is fundamentally reduced. Also herbal medicine is effective in improving symptoms during attacks, so it is recommended to treat with herbal tonics for a period of time. To give an example: a normal person is like an imported car, his spleen and stomach are powerful engines with high efficiency, while a gout patient is like a domestic car, the function of the spleen is relatively weak and cannot metabolize the purines eaten away, so uric acid slowly builds up and becomes hyperuricemia, which further accumulates and becomes gout with symptoms. The treatment of Chinese medicine is to hope and improve the performance of the “domestic car” of gout patients to a certain extent, so that it is close to the imported car. Therefore, herbal treatment is recommended. In order to treat different people according to the evidence, it is best to have a face-to-face consultation and treat with tonics. Accordingly, the diet can be controlled to a certain extent, there is no need to control to a vegetarian diet only, which is not good for health. The general advice is: do not eat alcohol and seafood with high purine content, but all other foods can be eaten appropriately, of course, during the attack period, the control should be stricter. This advice also applies to hyperuricemia.