I. Low purine diet and drink more water to alkalize the urine. Daily diet purine content value per 100 grams of food for the reader’s reference regarding gout diet (per 100 grams in/mg ) Food name purine Food name purine Food name purine Food name purine Flour 2.3 millet 6.1 rice 18.1 soybean 27.0 walnut 8.4 chestnut 16.4 peanut 33.4 onion 1.4 pumpkin 2.8 cucumber 3.3 tomato 4.2 green onion 4.7 cabbage 5.0 spinach 23.0 potatoes 5.6 carrots 8.0 celery 10.3 bok choy leaves 14.5 cauliflower 20.0 apricots 0.1 grapes 0.5 pears 0.9 apples 0.9 oranges 1.9 jam 1.9 milk 1.4 eggs 0.4 beef 40.0 lamb 27.0 hens 25 to 31 geese 33.0 pork 48.0 veal 48 lungs 70.0 kidneys 80.0 liver 95.0 cinnamon meat 24.0 Gunfish 45.0 sardines 295 honey 3.2 pancreas 825.0 anchovies 3631, foods with little or no purine content: refined white rice, corn, refined white bread, steamed bread, noodles, macaroni, soda crackers, cabbage, carrots, celery, cucumber, eggplant, kale, lettuce, pumpkin, tomatoes, radish, yams, potatoes, kimchi, pickles, sauerkraut, longan, cabbage, various eggs Milk, condensed milk, yogurt, cream of wheat, various fruits and dried fruits, candy, various beverages including soft drinks, tea, chocolate, coffee, cocoa, etc., various fats and oils, peanut butter, peanuts, almonds, walnuts, jams, etc. 2, diet with high purine content: animal offal, anchovies, sardines, gravy , beer, seafood shellfish. Alkalinization of urine is oral sodium bicarbonate to make the urine PH value at 6.0~7.0. Second, the treatment of acute gouty arthritis period: brake the affected limb and elevate the affected limb. 1, early use of colchicine. Commonly used oral method: the initial dose is 1mg, followed by 0.5mg every hour or 1mg every 2 hours until the symptoms are relieved or gastrointestinal adverse reactions such as nausea, vomiting and watery diarrhea occur. The maximum dose on the first day is 6-8 mg. If ineffective, the drug is immediately discontinued. 90% of patients experience pain relief within 48 hours of oral colchicine administration. After relief of symptoms, the dose may be continued at 0.5 mg two to three times a day. Maintain for several days and then discontinue the drug. 2.Non-steroidal anti-inflammatory drugs: Indomethacin (anti-inflammatory pain) at an initial dose of 50-100 mg, followed by 50 mg each time, once every 6-8 hours. 3.When the above drugs are ineffective or untreatable due to strong side effects, treatment with glucocorticoids or ACTH can be considered. The remission rate is high, but it is easy to rebound. Treatment of interictal and chronic periods: Acute attacks are generally not treated with uric acid-lowering drugs to avoid aggravating the condition. 1.Uric acid excreting drugs: such as benzbromarone: 25mg-100mg once a day, propofol: 0.25, twice a day. 2. Drugs to inhibit uric acid production: Allopurinol: 100mg each time, 2-4 times daily, maximum dose 600mg daily. When the blood uric acid drops to 360umol/L, the dose can be reduced to a maintenance amount to maintain the level.