The initial attack of metabolic disease marked by uric acid deposits in the joints. The disorder causes painful arthritis, especially in the joints of the feet and legs.

Gout is caused by a defect in metabolism that results in an overproduction of uric acid, or a reduced ability of the kidney to eliminate uric acid. The exact cause of the metabolic defect is unknown. The condition may also develop in people with diabetes mellitus, obesity, sickle cell anemia, and kidney disease, or it may follow drug therapy that interferes with uric acid excretion. The incidence is 5 out of 1000 people.

The disorder itself may not be preventable, although some precipitating factors may include trauma, alcohol consumption, and dietary purines. Medications may reduce attacks in a person with gout.

Symptoms are joint pain, begins suddenly, in one or more joints (hip pain, knee pain, ankle pain, foot pain, shoulder pain, elbow pain, wrist pain, hand pain, or pain in other joints) the great toe, knee, or ankle joint are most often affected, joint swelling of any of the above joints, stiffness of the joint, the joint may be warm and red, fever may be present, skin lump over a joint, may have chalky material draining out of the lump, finger pad abnormalities.

In homoeopathy medicine like Ruta , Benz acid, Rhustox are used for the treatment. The proper analysis of the case with the qualified homoeopathic physician will give the better results.