At present, there are no international or domestic guidelines on how to grade gout, it only has a stage and a scoring criteria. However, first of all, we should know that it is divided into four stages: first, the asymptomatic stage, this stage may only be an increase in blood uric acid or fluctuations, from the increase in blood uric acid to the appearance of symptoms, some can be up to several years or some more than ten years, some can be lifelong without gout symptoms. Second, the acute arthritis period, is the first symptom of gout, pay special attention to. Third, gout stone and chronic arthritis period, that is, intermittent and chronic period. Gout stone is a characteristic damage of gout formation. Fourth, nephropathy, nephropathy of gout is a characteristic pathological change of gout, which can be manifested here as nephropathy of gout, and also as uric acid urinary stones. There are also mainly its co-morbidities, such as hyperuricemia and metabolic syndrome, because when hyperuricemia is present, there is often obesity, coronary heart disease, dyslipidemia, hyperlipidemia, and also type 2 diabetes. Gout can mainly aggravate the development of atherosclerosis and increase the incidence of heart attacks and strokes in gout patients. So for gout, it should be taken extremely seriously, clinically it is staged in this way, and it is not yet seen how it is graded.