Gout herbal treatment needs to be taken according to the patient’s onset and clinical symptoms, the treatment methods are as follows: 1. Acute attack: fever, pain, obvious redness, swelling and pain in the joints and restricted movement are rheumatic heat paralysis. Treatment should be to clear heat and dampness, dispel the wind and open the ligaments. Commonly used formula is to use Si Miao San plus flavor soup. 2. True cold and false heat: redness and swelling of the joints, pain, thirst and unwillingness to drink, white tongue with yellow coating, and weak pulse. Commonly used formula Liu Wei Di Huang Tang to nourish Yin, tonify kidney and clear damp-heat; add Gui Zhi and Shao Shen Pian to warm the meridians and disperse cold; add Mu Gua and Chuan Niu Kne to invigorate blood and relieve tendons. 3. Chronic stage: joint pain, recurrent attacks, local burning is obviously reduced, but joint stiffness, deformity and restricted movement appear. Treatment is recommended to regulate the qi and blood, tonify the liver and kidney, and cooperate with the treatment of opening the meridians and activating the blood circulation and removing blood stasis. The common formula is Huangqi Gui Zhi Wu Wu Wu Tang with addition of flavor. 4, gout stone fistula evidence: this period of the disease is longer qi failure, Yin cold internal accumulation, cold blocking blood clotting, skin loss of nourishment, broken into fistula. The external application of Hui Yang Yu Long cream to warm the blood and generate muscle. 5, urinary tract infection or stones: clinical manifestations include urinary urgency, urinary frequency, urinary pain or urinary discomfort, impassability, etc., which can be treated according to the symptoms of the disease, and can also be treated by adding and subtracting lithotripsy soup, which has the effect of alkalizing uric acid and promoting the dissolution of uric acid stones, or by decocting Chinese herbs such as money grass, green peel, Chen Pi, raw hen’s nest, duck plant grass, plantain grass, and psyllium for drinking. Chinese medicine treatment of gout varies greatly from north to south, the reason for this is that the population with the disease and the level of regional development are related, so the specific treatment should be carried out under the guidance of a doctor.