Acute gouty arthritis is the most common first symptom. Acute gouty arthritis mostly occurs in the small joints of the lower limbs, especially the first toe-plantar joints. Moreover, it often develops suddenly at night, with localized redness, swelling and severe pain in the affected joints, which are extremely sensitive to temperature, touch and vibration.

I don't know if you've heard of Zhu Jianfu, you can learn about it on the Internet, is an authoritative expert, has a deeper study of Chinese medicine, I think it should be able to help you.