Gout is a crystal-associated arthropathy caused by deposition of monosodium urate ( MSU ), which is directly related to purine metabolism disorders and/or hyperuricemia due to decreased uric acid excretion. There are at least 20 million gout patients in China (prevalence 1% to 3%), and the incidence is increasing year by year, with the age of the first attack getting lower and lower. Alcohol consumption, a high-purine diet and strenuous exercise may all lead to gout attacks. Standardized medication is the key to treating gout, while diet, weight control and good lifestyle habits are important factors in preventing its recurrence. How to correctly diagnose gout? At present, there are various diagnostic criteria for gout at home and abroad, but the most commonly used clinical criteria are the gout classification criteria updated by ACR (American College of Rheumatology) and EULAR (European Union of Rheumatology) in 2015. The criteria are applied to patients with suspected gout who have had at least 1 episode of peripheral joint swelling, pain, or tenderness. A direct diagnosis of gout can be made in those who have had an attack in which urate crystals have been found in the joint fluid, bursa or gouty stone. The criterion consists of 3 dimensions and 8 entries totaling 23 points, and gout is diagnosed when the score is ≥ 8 points. However, there are racial differences between the subjects included in this criterion and our population, and further relevant studies should be carried out to determine whether it has completely consistent sensitivity and specificity for gout patients in China. For suspected patients with atypical clinical manifestations and low blood uric acid. Joint muscle ultrasound and dual source CT can be performed to confirm the diagnosis. How to treat gout? 1.Uric acid treatment In the period of acute gout can be treated by maintaining the normal value of uric acid, generally speaking: (Normal value of blood uric acid: 0.21-0.44ml/dl (3.5-7.4mg/dl) for men; 0.15-0.39ml/dl (2.6-6.57mg/dl) for women. Protect kidney function to prevent gouty nephropathy. Patients should use drugs that promote uric acid excretion and inhibit uric acid synthesis during this period. Clinical inhibition of uric acid synthesis of drugs is allopurinol, promote uric acid excretion of drugs is probenecid. 2, moderate exercise For gout patients, usually also pay attention to moderate exercise, which helps metabolism, but also pay attention to ban alcohol, because alcohol in the liver with some need a lot of water, affecting the dissolution of uric acid crystals. Simple gout treatment is usually pay attention to diet and health and human movement, do not wait until the gout attack and then take drugs to save the emergency and can not be cured. 3, Chinese medicine Chinese medicine is a relatively common treatment of gout, for phlegm and stasis paralysis type of gout can be applied through acupuncture and moxibustion, in which the ankle pain can be selected in the Feng, Kunlun, Xiexi, Taixi and other points; knee pain can be taken to the eye of the knee, the Yanglingquan, Cengding and other points; wrist pain can be taken to the Yangchi, Yangguan, Waikuan, Hegu and other points; elbow pain can be taken to the hands of the Sanli, Quchi, Heguan and other points; shoulder pain can be taken to the shoulder, Shoulder pain can be treated with shoulder yu, shoulder zhen, shoulder well, and a yes point. In addition to medication, good lifestyle habits are the key to treating gout or hyperuricemia. This is because gout can not only cause acute attacks of pain, but chronic gout can also lead to joint destruction. It also increases the incidence of kidney and heart disease. Gout patients should pay attention to the following life principles, which are summarized in long-term clinical practice, effective lifestyle for gout: 1, limit alcohol; 2, reduce the intake of high-purine foods; 3, to prevent strenuous exercise or sudden exposure to cold; 4, to reduce the intake of fructose-rich beverages; 5, drink a lot of water (more than 2,000 mL per day); 6, weight control; 7, increase the intake of fresh vegetables; 8, Regular diet and work routine; 9, Regular exercise; 10, No smoking. Gout is a chronic and common disease. Whether it is the acute management of an attack, uric acid-lowering therapy, and its lifestyle changes, it is a long-term chronic process.