The clinical manifestations of gout can be categorized into 3 phases: asymptomatic phase, acute arthritic phase and intermittent phase, and gout stone and chronic arthritic phase. Initially, there may only be fluctuating or persistent hyperuricemia, no discomfort symptoms, gradually progressing to the appearance of arthritis symptoms. 1. Asymptomatic period: gout is a heterogeneous group of diseases caused by purine metabolism disorders and uric acid excretion disorders in the body, and its first clinical feature is elevated blood uric acid, initially there is only fluctuating or persistent hyperuricemia, from the increase in blood uric acid to the emergence of symptoms can be up to a few years, and some can be lifelong asymptomatic. 2. Acute arthritis and intermittent period: when uric acid gradually crystallizes and deposits into the joints causing arthritic manifestations, redness, swelling, heat and pain may appear in the affected joints, with the 1st metatarsophalangeal joint being the most common. 3. Gout stone and chronic arthritis stage: chronic arthritis is mostly seen in patients without standardized treatment, the affected joints are asymmetric and irregularly swollen and painful, and a large number of gout stones deposited in the joints can cause joint bone destruction. Gout stones appear as yellowish-white bulges of different sizes and elevations. Later stages of the disease can damage the kidneys. Gout is a chronic disease that can lead to a reduced quality of life. If you are experiencing joint pain and high uric acid, you should seek medical attention to determine the cause of the problem.