Background:The acute gouty arthritis causes painful joints and obvious swelling. Sometimes it also causes liquid in joints. The joints are so painful that touch is resisted, it has trouble to curve and extend and the function is greatly hampered. Also fever, palpitation and fatigue are caused. Most cases are in fat people with good diet. The incidence is greatly increased with the development of living condition in recent years and male cases are more than female cases (about 20:1). Purine and colchinine cause slow effect and serious side effects. We began to treat it with Chinese medicine combined with western medicine from 1998 and gained some experience rn