The most common cause of pain at the base of the big toe is the occurrence of gouty arthritis. Gouty arthritis is a metabolic bone disease caused by disorders of purine metabolism, such as long-term alcohol consumption, drinking white wine, beer, yellow wine, or eating animal offal, seafood, soy products, all of which have a high purine content and are retained in the body, which can easily cause gouty arthritis. The first symptom of gout attack is pain at the root of the big toe in 90% of patients, and can be accompanied by red color, increased skin temperature, severe pain, often at night, the patient does not dare to move, or even dare not touch with their hands, or dare not use the quilt to press the foot bunions, that is, gouty arthritis.