Acute gout, or acute gout attack, is a stage in the development of gout disease. The acute attack of gout is exceptionally painful for patients because there will be severe swelling and pain in the joints. At this time, the swelling and pain in the joints should be relieved quickly, and the commonly used drugs are non-steroidal anti-inflammatory painkillers, such as etoricoxib and celecoxib, or colchicine and glucocorticoids. Patients with acute gout need to use non-steroidal anti-inflammatory painkillers, etoricoxib, celecoxib, etc. Because these drugs can effectively relieve the pain symptoms caused by gout, but need to pay attention to the cardiovascular and gastrointestinal adverse reactions of the drugs. Colchicine is also very commonly used in the acute phase of gout, but because of its high incidence of gastrointestinal adverse reactions and because it is easy to cause patients to stop taking it because they cannot tolerate it, colchicine is currently used for patients in the acute phase of gout for whom the use of non-steroidal anti-inflammatory analgesics is contraindicated. If the patient’s condition is severe and conventional drug therapy is not effective, or if there are contraindications to the use of both NSAIDs and colchicine, short-term use of glucocorticoids can be considered to control symptoms. In acute gout attacks, drugs that lower uric acid cannot be used, otherwise there is a possibility of aggravating joint swelling and pain. Patients with acute gout should also pay close attention to their diet, which should be based on a low purine diet, such as fruits and vegetables, and should avoid high purine foods, such as animal offal, seafood, beef and mutton, etc.