High uric acid, also known as hyperuricemia, can be classified according to the disease state as acute gout attack, asymptomatic hyperuricemia, chronic gouty arthritis and gouty nephropathy. For acute attacks of gout, colchicine, or non-steroidal anti-inflammatory and analgesic drugs or even glucocorticoids can be used for treatment to control the inflammatory response and provide rapid symptom relief. Chinese herbs with clearing heat and decongestion that cool the blood and reduce swelling can also provide good relief of clinical symptoms through oral and topical application. For the chronic arthritis stage, where the joint swelling and pain persist repeatedly and does not subside, some herbs that dissolve phlegm and disperse knots and invigorate blood circulation and remove blood stasis can be applied orally and externally to achieve a therapeutic effect. For patients with asymptomatic hyperuricemia, appropriate treatment is given after assessment of blood uric acid levels and risk factors. For the treatment of the chronic phase, it is extremely important to prevent the recurrence of arthritis, control blood uric acid and maintain it in the ideal range. There are two types of drugs commonly used in clinical practice, the first is to promote uric acid excretion, commonly used is benzbromarone, the other is to inhibit the synthesis of uric acid in the body, the most commonly used are allopurinol and febuxostat, these two types of drugs in clinical practice, we must pay attention to the use of small doses when taking. Chinese medicine treatment: we can use the stone removal soup with alkalizing uric acid and promoting the dissolution of uric acid stones plus reduction, or use the decoction of Chinese herbs such as money grass, green peel, Chen Pi, raw chickweed, duck-plantar grass, plantain and psyllium for drinking. Lifestyle changes are also an important part of the treatment, including weight control, low purine diet, and abstinence from alcohol. In addition, during the process of treatment, it is important to monitor the blood uric acid concentration and liver and kidney function, and you need to follow the doctor’s guidance at the hospital for the specific type of medication to be chosen.