Recurrent gout attacks are caused by fluctuations in uric acid up and down, or recurrent factors that induce acute attacks of gout, as follows: 1. Fluctuations in uric acid up and down: Factors that cause fluctuations in uric acid up and down include alcohol consumption, high purine diet, and irregular consumption of uric acid-lowering drugs, all of which cause fluctuations in uric acid and induce recurrent attacks of gout. 2. Recurrent factors that induce acute attacks of gout: Easy The main factors that cause acute attacks of gout are cold, staying up late, strenuous exercise as well as drinking alcohol and high purine diet. Therefore, if there are recurrent attacks of gout, it is necessary to clarify whether there are triggers, and avoiding triggers is fundamental. It is also necessary to stabilize uric acid. Not only does uric acid lowering treatment need to meet the standard, but also the process of treatment needs to be stable to lower uric acid, not to suddenly make uric acid fall or rise, both of which may lead to recurrent gout attacks.