Abstract： Gout is a crystal- related joint disease caused by deposition of monosodium urate， which belongs to the category of impediment syndrome in Chinese medicine. Western medicine mainly adopts anti- inflammatory and analgesia，and controls uric acid to treat gout， which can only control symptoms and patients are easy to relapse after medicine withdrawal. Chinese medicine adopts internal treatment or external treatment according to the condition to treat gout，which can reduce adverse reactions. The internal treatment of Chinese medicine includes Simiao powder， Guizhi Shaoyao Zhimu tang，Danggui Niantong tang and Bixie Shenshi tang. Acupuncture therapy includes electroacupuncture，fire needle，bloodletting， minimally invasive acupotomoscope， scraping and so on； the external treatment of Chinese medicine includes external application of Chinese herbs，ion conduction，Chinese herbal fumigation，etc. The author summarized the literature in recent years in order to provide a clinical reference for the treatment of gout.