Objective To observe the clinical curative effect of Xiaotong decoction to the acute gout disease by professor Jiang Xiao Min. Methods 80 cases of acute gouty arthritis patients were randomly divided into treatment group and control group， 40 cases in each group， the treatment group take Xiaotong decoction， the control group take zyban diclofenac sodium and allopurinol of 4 weeks. Results 28 cases of the treatment group were clinical recovered， 7 cases were markedly improved， 3 cases were effected， the total effective rate is 95%；17 cases of the control group were clinical recovered， 13 cases were markedly improved， 2 cases were effected， the total effective rate is 80%. The total effective rate of the two group have significant difference（P<0.05）. The blood uric acid， c-reactive protein and blood sedimentation of the two groups were lower after treatment than before（P<0.01）， and the treatment group decreased more significantly（P<0.05）. Conclusion Xiaotong decoction has clinical effect of acute gout disease， and has good effect of lowering uric acid which has worthy clinical promotion.