To explore the distribution of syndrome elements during asymptomatic hyperuricemia phase of gout, urarthritis phase and intermission phase of gout, so as to conclude the pathogenesis of gout. Methods:Questionnaire survey on TCM syndrome was conducted on 100 patients on the phase of asymptomatic hyperuricemia, 69 patients on urarthritis phase and 72 patients on intermission phase of gout. Factor analysis was adopted for the distribution of syndrome elements. Results:The major syndrome elements of asymptomatic hyperuricemia of gout were dampness heat syndrome (36%), yin deficiency syndrome (30%), phlegm dampness syndrome (19%), qi deficiency syndrome (9%), yang deficiency syndrome (6%). The major syndrome elements of urarthritis were phlegm dampness syndrome (29%), dampness heat syndrome (26.1%), yin deficiency syndrome (23.2%), yang deficiency syndrome (11.6%), blood stasis syndrome (7.2%) and qi deficiency syndrome(2.9%). The major syndrome elements of intermission phase of gout were yin deficiency syndrome (36.1%), dampness heat syndrome (23.6%), yang deficiency syndrome (18.1%), phlegm dampness syndrome (15.3%), qi deficiency syndrome (9%). Conclusion: Gout is mixed with deficiency and excess. The major syndromes of early and acute stage of gout are phlegm, dampness and heat. It is repetitive and easy to transfer to yin deficiency and yang deficiency.