Objective： To observe the clinical effect of floating acupuncture combined with traditional She medicine Xiaoxianggou for acute gouty arthritis.Methods：Divided 60 cases of patients with acute gouty arthritis into two groups randomly，30 cases in each group.The treatment group was given floating acupuncture combined with traditional She medicine Xiaoxianggou for treatment，while the control group was given eloricoxib tablets.The course in the two groups was both seven days.Observed the clinical effect and adverse reaction，evaluated the changes of pain degree of patients before and after treatment in the two groups by means of visual analogue scale(VAS)， and detected the white blood cell(WBC)，c-reactive protein(CRP)and changes of levels of serumuric acid(UA).Results：The total effective rate was 93.33%in the treatment group and 73.33%in the controlgroup，difference being significant(P ＜ 0.05).After treatment，VAS，joint swelling and scores of range of motion in the two groups were all decreased when compared with those before treatment( P ＜0.05).Compared the difference between the above indicators before and after treatment，difference being significant(P ＜ 0.05).The decease of score in the treatment group was better than that in the control group.After treatment，the count of WBC，UA and levels of CRP in the two groups were all decreased when compared with those before treatment(P ＜ 0.05)，but there was no significant difference being found in the difference among the previous indexes(P＞0.05).The incidence of adverse reactions was 6.67% in the treatment group and 26.67% in the control group，difference being significant( P ＜0.05).Conclusion：The therapy of floating acupuncture combined with traditional She medicine Xiaoxianggou has an effective in treating acute gouty arthritis and fewer side effects and is worthy of clinicalapplication.