Abstract： This paper presents Professor CHEN Hong's clinical experience in stage-specific treatment of gout. Professor CHEN holds that the core pathogenesis of gout is "root deficiency with branch excess， " in which spleenkidney deficiency constitutes the root， turbid phlegm and blood stasis interwine as the branch， and disturbed qi movement in the triple energizer serves as the pivotal link. Internal accumulation of turbid toxins persists throughout the disease course and closely correlates with hyperuricemia and inflammatory responses in modern medicine. In clinical practice， he treats by stages： during asymptomatic hyperuricemia， he focuses on resolving phlegm and descending turbidity with Chinese medicines such as Smilacis Glabrae Rhizoma，Coicis Semen and Dioscorea Hypoglauca together with medicated diet； during acute attacks， he emphasizes clearing heat， resolving phlegm， unblocking collaterals， and relieving pain； in the intercritical period， he combines attack and supplementation， strengthening spleen and kidney while draining damp-turbidity； and in the chronic arthritic stage， he takes fortifies spleen and kidney as the main strategy，assisted by unblocking collaterals and dispersing masses with modifications of the classic Siteng Yixian Decoction. He stresses three key principles：to reinforce the kidney and regulate the spleen while combining tonification with unblocking， to harmonize qi movement of the triple energizer， and to treat both phlegm and stasis to unblock collaterals and eliminate masses. Clinical prescriptions are selected and modified according to syndrome differentiation at each stage， and modern pharmacological findings are integrated to employ uric-acid-lowering herbs， yielding favorable therapeutic outcomes.