Lowering uric acid is the basic method for the treatment of gout and hyperuricemia. The current way of lowering uric acid is mainly through inhibiting the activity of xanthine oxidase, adenosine deaminase and other synthetic enzymes, or (and) affecting the renal uric acid transporter (OAT1). , OAT3, URAT1, GLUT9), etc., and then reduce the level of uric acid. Since the mechanism of action of traditional Chinese medicine in the treatment of hyperuricemia and gout is not clear, this article searches the databases of CNKI, Weipu, Wanfang, pubMed, Embase and other databases to screen the relevant literature and summarizes the mechanisms that have a clear uric acid-lowering effect. Single-flavor Chinese medicine and its efficacy classification will help to further study its mechanism of action and provide a more reliable and safer TCM treatment basis for the prevention and treatment of gout and hyperuricemia.