Increasing incidence of gout and its importance as a risk factor for arteriosclerosis stimulate the practitioner to improve his knowledge about therapeutic possibilities. Therapy of gout includes (1) treatment of acute attack with colchicine and indometacin, (2) decrease of uric acid blood concentration in tophaceous gout using uricosurica, alkalinization of urin, increased diuresis, and blockade of de-novo synthesis of uric acid, and (3) maintenance therapy with allopurinol or uricosurica to avoid recurrent arthritis as well as tophi. In addition, surgical removal of larger tophi may be of benefit.
痛风发病率的不断上升及其作为动脉粥样硬化危险因素的重要性促使从业者提高对治疗可能性的认识。痛风的治疗包括：（1）用秋水仙碱和吲哚美辛治疗急性发作；（2）在痛风石性痛风中使用促尿酸排泄药、碱化尿液、增加利尿以及阻断尿酸的从头合成来降低血尿酸浓度；（3）用别嘌醇或促尿酸排泄药进行维持治疗，以避免复发性关节炎和痛风石。此外，手术切除较大的痛风石可能有益。
