Gout is a common and frequent disease in hospital clinics, and there is no shortage of such patients around us. The symptoms of gout are joint pain, swelling of the first metatarsal joint, leukocytosis, hyperuricemia, fatigue, joint swelling, and joint deformity. Gout brings endless pain to patients. Gout is so harmful to the human body, but how much do we know about gout? Gout is a recurrent inflammatory disease caused by increased purine biosynthesis, excessive production of uric acid or poor uric acid excretion, and deposition of urate crystals in synovial membranes, bursae, cartilage and other tissues. It can be seen that a high uric acid value is the main factor that triggers gout. Does a high uric acid value necessarily lead to a gout attack? 1. Hyperuricemia and gout are, in fact, the same disease. A high uric acid value is a biochemical indicator of the disease, while gout is a symptom that patients can feel themselves “dying”. 2, gout attack and elevated uric acid is intrinsically positively correlated, must be high uric acid, only then will gout occur, this is the physiopathological basis of gout attack. 3, but the value of uric acid is elevated, gout will not necessarily attack. There is not an immediate response relationship between them. However, it is certain that the risk of gout attack will increase with high uric acid value. 4. Sometimes when uric acid values are lowered, gout attacks occur instead. This is triggered by the dissolution of uric acid crystals in the joint cavity and shedding of fragments to irritate the joints, which is related to the fact that the uric acid value was not up to the standard for a long time in the past. This shows that high uric acid tends to trigger gout symptoms, and gout is caused by high uric acid. Therefore, whether it is high uric acid or gout, the goal of treatment is the same, and that is to lower uric acid. Most of the uric acid in human body is excreted through the kidneys, so the good or bad kidney function has a decisive role in the excretion of uric acid.