Summary of case history,　The patient was an elderly male, complaining of "repeated redness, swelling and heat pain of ankle and metatarsophalangeal joint for more than 7 years, aggravated for 2 days with limited walking". Seven years ago, the patient developed red swelling and hot pain in the metatarsophalangeal joint after drinking alcohol, which had not been systematically diagnosed for several years. He self-confessed that he had been checked for uric acid in the blood of a local hospital for many times, and the value fluctuated between 600-730 μmol/L. After self-administration of diclofenac sodium capsules and colchicine in every case, the symptoms were relieved and gradually worsened. Accompanied by the formation of bilateral foot, ankle joint, elbow joint, wrist joint, interphalangeal joint gouty. More than 2 months ago, she suffered from frequent attacks due to surgical inducement, and the symptoms recurred two days ago. Now, for further diagnosis and treatment, she is seeking outpatient service of our hospital. Four diagnosis information: local redness, swelling, swelling and pain of the ankle and metatarsophalanthus joint, local skin temperature rising, abdominal swelling and tightness, pain affecting sleep since the onset, dry mouth, poor appetite, yellow urine, sticky stool, dark red tongue with tooth marks, yellow greasy moss, pulse and string number.,TCM diagnosis,　Arthralgia syndrome (syndrome of dampness turbidity and heat stasis),Western medicine diagnosis,　Acute gouty arthritis,Therapeutic methods,　The diagnosis and treatment of traditional Chinese medicine(TCM) centers on the core pathogenesis of "dampness, turbidity and stasis", and closely follows the syndrome characteristics of gout in different periods to form prescriptions and apply medicine, while western medicine provides routine symptomatic treatment.,Clinical outcomes,　After diagnosis and treatment, the symptoms such as joint swelling and pain were cured, gout nodules became soft and smaller, walking function recovered, TCM symptom score decreased, quality of life improved, and the curative effect was obvious.