Objective: To Find the core targets and drug action mechanism of Si Miao decoction for the treatment of acute gouty arthritis. Methods: Through the TCMSP database, the chemical composition of all the drugs in Si Miao decoction was obtained. The Perl script was compiled and the UniProt database was searched to determine the corresponding target of the chemical composition. Then, the disease databases such as OMIM, DisGeNET, and GeneCards were searched in order to determine acute gouty arthritis Related targets. Finally, screen common targets for drugs and diseases, use the STRING database and Cytoscape software to build a network control map of drugs-chemical components-targets-disease. Use R language software to screen common targets and find the four best The core targets of San for the treatment of acute gouty arthritis. The GO and KEGG analysis of the core targets were performed to clarify the core targets and mechanism of Si Miao decoction for the treatment of gout. Results: There are 64 effective chemical components in Si Miao decoction, 197 genetic targets, 600 disease targets, and 58 common targets. It is predicted that IL6, VEGFA, IL1B, JUN, PTGS2, and CCL2 may be treated by Si Miao decoction for gout The core target of arthritis. GO enrichment analysis identified 85 entries, of which biological processes mainly included the regulation of cytokine activity, protease activation, nucleic acid expression, etc.; KEGG pathway enrichment analysis identified 135 signaling pathways, of which signaling pathways involved the IL-17 signaling pathway , TNF signaling pathway, Th17 cell differentiation and other pathways. Conclusion: Si Miao decoction acts on acute gouty arthritis by regulating the occurrence of inflammation, and has significant anti-inflammatory and immune effects. The formula is rigorous and scientific, and it is worthy of clinical application.