With the improvement of the standard of living, the incidence of gout is increasing year by year, and the degree of its onset is getting heavier and heavier like a snowball. Many patients are often in the acute stage, and because of the severe degree of pain (which people who have not experienced an acute attack of gout may not be able to imagine), their patients often feel like they want to saw their legs, and it is common in clinical practice for patients to take large amounts of colchicine, which is actually very harmful. The therapeutic and toxic amounts of colchicine drugs are close to each other, and the adverse effects include nausea, vomiting, diarrhea, liver damage, bone marrow suppression and hair loss.1 The most common is abnormal liver function. Most patients with gout have abnormal liver function due to eating a large amount of high-energy diet. After taking colchicine, liver function often appears to be significantly elevated, and western doctors often add liver-protective drugs to treat this situation. Many patients are very squeamish about hormones, or they have diabetes mellitus or hypertension (gout patients are easily combined with cardiovascular diseases), so the use of hormones raises blood pressure and blood glucose, causing other diseases to worsen when one disease is not under control.3 If liver function is abnormal during the remission period, the subsequent uric acid-lowering drugs can be used to reduce the liver function. In the remission period, the subsequent treatment to lower uric acid cannot be followed up in time, which will easily lead to another acute attack of gout (after the first gout attack of the year, the recurrence rate of the year is more than 60% according to clinical statistics). Therefore, in the acute phase, you can use short-acting anti-inflammatory painkillers to control pain, and if you use colchicine, try to control the dose to reduce side effects. My personal experience is that if you can use Chinese herbal medicine alone in the acute stage, you can usually control the disease in 1-5 days. Chinese herbal medicine is the result of thousands of years of human experimentation, and the understanding of gout disease has been documented since the Yellow Emperor’s Classic of Internal Medicine. The side effects are even less if the commonly used Chinese medicine is taken internally. It also lays a good foundation for the combination of Chinese and Western medicines to treat gout and lower blood uric acid during the remission period. Chinese medicine has the advantage of individualized treatment, but it is not sufficient when it needs to look, smell, ask questions, and need face-to-face consultation, and in general, the acute stage of gout is dominated by “damp-heat paralysis and obstruction”. At the same time, Chinese medicine can lower blood uric acid in the acute stage, while western medicine does not have the effect of lowering blood uric acid in the acute stage. Chinese medicine can control gout more thoroughly than western medicine, after the patient’s blood uric acid is reduced to normal, Chinese medicine continues to break the “soil” of gout, and at the same time, taking Chinese medicine can reduce high uric acid by 1/4-1/3.