Gout is not caused by kidney deficiency, from the Chinese medicine point of view, the pathogenesis of gout for the actual evidence, from the Western medicine is a metabolic rheumatism, as follows: 1, Chinese medicine: kidney deficiency is the concept of Chinese medicine, gout belongs to the category of paralysis in Chinese medicine, the basic pathogenesis of its dampness and heat obstruction of collaterals, phlegm, phlegm and blood stasis obstruction of collaterals is the main, so the onset of its gout is mainly in the actual evidence-based, and with the dampness of the closest, but not a deficiency of the kidney. 2, Western medicine: gout in Western medicine is a metabolic rheumatism, clinical gouty arthritis, gout stone, and gouty nephropathy performance. Gout is also divided into primary gout and secondary gout, and secondary gout is mainly induced by hyperuricemia caused by kidney disease. Patients with primary gout have normal kidney function, but will have elevated uric acid, which induces gout, and with the prolongation of the course of the disease, the manifestation of gouty nephropathy can also occur. This is a concept in Western medicine and cannot be equated with kidney deficiency in Chinese medicine.