Gout is a kind of metabolic rheumatism which is easy to recur and difficult to cure. According to theories of traditional Chinese medicine, gout occurs due to the deficiency of innate endowment and the influence of the acquired dietary environment, and the core pathogenesis never deviates from spleen deficiency and dampness obstruction, and dampness-heat accumulation. It is believed that spleen deficiency is the origin of the disease, dampness-heat serves as the triggering factor, and spleen deficiency with dampness obstruction runs through the whole process, and spleen deficiency with dampness obstruction run through the whole process. Treatment methods are conducted on the basis of stage differentiation. In the acute stage, dampness and heat need to be removed so that collaterals can be dredged and pain can be relieved. Intermittent period and chronic period should be invigorated spleen infiltration wet. Through literature review, this paper discusses the rationality of treatment by stages of spleen deficiency and dampness obstruction, in order to provide theoretical basis for clinical treatment.