Gout is a disorder of purine metabolism that leads to a wide range of diseases. The typical clinical manifestations include acute or chronic gouty arthritis with repeated acute attacks and increased uric acid concentration in the blood; long-standing disease with gout stone deposits, resulting in joint deformities, and renal lesions, often complicated by nephrolithiasis. In Chinese medicine, it is called “white tiger” and belongs to the category of paralysis, which is also called gout in modern times. Diagnosis: 1. Middle-aged or older males have a high incidence and family history of the disease. 2. The bunions, wrists, ankles, knees and elbows are most commonly affected. Initially, a single joint inflammation is seen. 3. In the acute stage, the joints are red, swollen, hot and painful, with increased body temperature. White blood cells and neutrophils are increased. 4. In the chronic stage, the joints are enlarged, stiff and even deformed. When there are large gout stones, the joints often ulcerate and white urate crystals ooze from the wounds. 5.Laboratory examination: blood uric acid 9mg%, 6.X-ray examination: the bones near the joint surface, because the bone tissue is replaced by uric acid, appear chisel hole-shaped round defect shadow. Treatment: Chinese medicine for the acute stage of fever, must be annoyed, severe pain in the joint, or wandering, local redness and swelling, fever, yellow tongue coating, pulse string slippery number, diagnosed as damp-heat evil poison, paralysis of joints; treatment with Baihu Tongzhi Tang; medicine: 30 grams of honeysuckle, 15 grams of forsythia, 15 grams of Zhi Mu, 50 grams of gypsum, 12 grams of scutellaria, 15 grams of antiphlogistic gentiana, 15 grams of mulberry, 30 grams of schoenanthus, 10 grams of fine spice, 10 grams of systemic cao wu 10 grams (boiled first), 12 grams of yellow cypress, 15 grams of cowberry, 15 grams of Lu Feng Fang, 6 grams of licorice, daily dose, water decoction. In the chronic stage, there are deformed and stiff joints, loss of movement, or local ulceration (with white salt-like material discharged from the wound), fatigue and anorexia, white moss, and sunken pulse, most of them are deficient in qi and blood; the treatment is to supplement the qi and blood with astragalus and cinnamon five-item soup with extra flavor; medicine: astragalus 60g, red peony 15g, cinnamon 15g, rehmannia 15g, angelica 15g, ginger 15g, dulcimer 15g. The bone marrow 30 grams, the system of Chuan Wu 15 grams (first boiled), 12 grams of Atractylodes Macrocephalae, 20 grams of wuzhang snake, the whole scorpion 8 grams, deer horn cream 15 grams, 8 grams of licorice, daily 1 dose, decoction. If the pain is severe, add frankincense and myrrh. It can be routinely combined with cross-century bath soaking method, as well as acupuncture, massage, local laser irradiation method. Patients should have a regular life, prohibit alcoholism, and eat less food containing purine, such as animal offal (liver, kidney, brain, etc.), and seafood, etc.