Gout is also known as “emperor’s disease”, “disease of wealth”, “disease of wine and meat” and so on. As people’s living standards improve, the incidence of gouty arthritis is increasing. The usual precautions for patients with gouty arthritis are as follows: (1) timely anti-inflammatory and pain relief during the attack period: immediately use non-steroidal anti-inflammatory drugs such as fotarine, mobic, aminoglycoside or lexon, etc. Choose one of these drugs for short-term treatment, and stop the drug after the joint symptoms disappear. The dosage of drugs can be increased appropriately in the first 1-2 days of the beginning of the attack, and can be used orally and externally at the same time. Note that local compresses should not be applied hot, but cold, and the limbs need to be elevated for rest. Although colchicine has a good pain relief effect, it has been eliminated due to many side effects and should not be used as the first choice. Do not add new drugs that lower blood uric acid such as ligarixen or allopurinol during the attack period, so as to avoid dramatic fluctuations in blood uric acid level, which may cause prolongation of the acute period. (2) Drink more water and take oral sodium bicarbonate: more than 2000 ml per day, and take alkaline drugs such as sodium bicarbonate in appropriate amount to alkalize urine and promote uric acid excretion. Pay attention to monitoring the PH value of urine while taking this medicine, preferably with a value of 6.5-6.8. (3) Strictly low purine diet and abstain from alcohol: low purine diet is mostly vegetarian, eggs, milk and colloidal foods, etc. (see my blog post for details on diet). Pay attention to reduce high purine diet such as all kinds of animal offal, seafood, meat soup, fish soup and beef, especially during the attack period. Alcohol consumption can often trigger or aggravate gouty arthritis. (4) Prohibit staying up late: Staying up late makes the body an acidic environment, which is not conducive to uric acid excretion and can instead trigger gouty arthritis. (5) Regularly monitor the blood uric acid level and the PH value of urine, and visit the doctor regularly. Long-term drug users should also frequently check blood and liver and kidney functions to observe adverse drug reactions. (6) Actively prevent and treat related diseases: Many related diseases often exist in combination with gout, such as obesity, diabetes, hyperlipidemia and hypertension, which need to be treated actively. Obese people should pay attention to slow weight loss. When using certain drugs, you need to read the instruction manual carefully, many drugs may lead to an increase in blood uric acid, and induce gout, then you need to switch to other drugs.