Sodium bicarbonate can be used as an adjunctive treatment for gout patients, mainly because it has the effect of alkalizing urine, which can reduce the risk of uric acid kidney stones. However, it should be noted that sodium bicarbonate does not relieve pain and does not lower blood uric acid, so it should not be used as the primary treatment for gout. In the acute phase of gout, rapid pain relief is the main focus, and non-steroidal drugs with colchicine can be chosen for treatment, and if necessary, hormonal drugs can also be chosen to relieve pain. During the remission period of gout, it is necessary to actively lower the blood uric acid, and only when the uric acid is controlled in the normal range, it is possible to avoid further attacks of gout. Strict dietary control, such as not drinking alcohol, not eating meat with too much purine, etc., is necessary. It is also necessary to use uric acid-lowering drugs for treatment. Commonly used uric acid-lowering drugs such as benzbromarone, allopurinol, febuxostat, etc. can be chosen according to the type of uric acid increase for treatment.