Si Miao Wan does not directly treat gout, but can relieve the symptoms of redness, swelling, heat and pain in the joints of patients with gout identified as Damp-Heat Underflow (Dampness and Heat invading the intestines, bladder, pubic area, lower limbs, etc.). Four Miaowan is composed of Cangzhu, Huangbai, Coix Seed, and Cow’s Knee, and its function is to clear heat and relieve dampness (removing heat and dampness from the body). It is often used in the treatment of paralysis caused by dampness-heat injection, such as redness and swelling of the feet and knees, and pain in the muscles and bones, etc. Adverse effects and contraindications are still unknown. Adverse reactions and contraindications are not clear, note that pregnant women should be cautious. If the patient is diagnosed with gout, it is recommended to go to a regular hospital and under the guidance of a professional Chinese medicine practitioner for diagnosis and treatment, avoiding blind use, so as to avoid damage to the body, resulting in adverse consequences.