Objective To explore the application of dialectical nursing of traditional Chinese medicine in patients with gout.Methods Totals of 68 cases with gout were randomly divided into control group( n =36)and observation group (n =34).Types such as wet- hot,heat and blood stasis block,phlegm,yin deficiency of liver and kidney of cases were divided.The observation group received the dialectical nursing and selfdesigned special care programs,many special form were used such as drawing the blood uric acid detection curve,symptom observation,daily diet records list,daily medication and external treatment record.Then,the time of symptoms better,effective,cure were observed and diet,living,grooming emotion were strictly guidanced.Control group only rceived the dialectical nursing without self-designed nursing program.Results The time of blood uric decrease to normal of observation group significantly short than that of control group(15.0 ±2.5) d vs (22.0 ±7.5) d,(t =5.1629;P ＜0.05).The whole effective cases number of observation group was significantly more than that of control group ( 33 vs 26 ),( x2 =4.6102 ; P ＜ 0.05 ).Conclusions Dialectical nursing application,detailed records in every day,strict implementation of the living,diet,emotional guidance for the patients with gout have positive clinical influencing.