In clinical practice, we often encounter patients who treat gout on their own, and there are some treatment errors in this case, which are introduced here as follows. During the acute attack of gouty arthritis, i.e. sudden redness, swelling and heat of the joints, some patients take allopurinol or benzbromarone to treat the condition, which is actually a big mistake. This condition can make arthritis attacks prolonged or difficult to treat. The correct treatment is to quickly control joint inflammation with medications, which commonly include nonsteroidal anti-inflammatory drugs, glucocorticoids, colchicine, and topical treatments. Originally colchicine was the classical drug used to treat acute attacks of gout. Since its therapeutic and toxic doses are very close to each other and there are now some relatively safe and effective drugs to treat it, colchicine is not as widely used in the acute phase of gout as it was. Some patients never come to the clinic after the acute arthritis is under control, and some even do not control their diet even after several episodes of acute arthritis, which is wrong. The correct approach is to rapidly control joint inflammation during the acute phase and to choose the appropriate method (diet control, weight control, medication) to minimize acute arthritis attacks during the remission phase (non-acute attacks) according to the patient’s overall condition (including age, gender, complications and medication, height, weight, liver and kidney function, etc.).