Gout that has lasted for a month and is still not well is mainly because the blood uric acid is not normally controlled within the target range, so it causes chronic migration. If the blood uric acid is controlled below 300 μmol/L, this usually does not occur. Gout acute attack can be treated with colchicine or non-steroidal anti-inflammatory drugs to relieve symptoms, if the treatment effect is not good, you can use glucocorticoid treatment, if the effect is still not good, you can also choose tramadol, a class of strong painkillers. The basis of gout is hyperuricemia, mainly because long-term high uric acid is not effectively controlled, resulting in the deposition of uric acid crystals around the joints causing joint inflammation, mainly manifested as joint redness, swelling, heat, pain and functional impairment. If it continues to be bad for a month, we still need to find the reason from ourselves, whether we have controlled the diet and used the medication strictly according to the medical advice.