The present invention provides a gout treatment traditional Chinese medicine preparation, which comprises an oral medicine and an external application medicine, wherein the oral medicine is prepared from raw materials such as common anemarrhena, blueberry, safflower, Chinese clematis root and rhizome, szechwan lovage rhizome, psoralea corylifolia, doubleteeth angelica root, ma-yuen jobstears seed, amur corktree bark, yam rhizome, giant knotweed rhizome, suberect spatholobus stem, fourstamen stephania root, medicinal cyathula officinalis root, costusroot, Chinese starasmine stem, nonglutinous rice, dandelion, myrrh, glabrous greenbrier rhizome, largehead atractylodes rhizome, kadsura pepper twig and leaf, oriental waterplantain tuber and asiatic plantain seed, and the external application medicine is prepared from raw materials such as sappsn wood, centipede, east asian tree fern, nux vomica, incised notopterygium rhizome and root, swordlike atractylodes rhizome, garter snake, different leaves pseudostellaria root tuber, dragon's blood, cassiabarktree twig and Haier tea. According to the present invention, the traditional Chinese herbs are adopted as the raw materials, repeated clinical trial verifications are performed to obtain the gout treatment traditional Chinese medicine preparation, the traditional Chinese medical science theory is met, the complete comprehensive therapy is performed through adopting the oral traditional Chinese medicine as the foundation and matching with the external application Chinese herbs, and the traditional Chinese medicine formula has characteristics of avoidance of side effects of the western medicine therapy unidirectional effect, and reinforcement and elimination in combination so as to ensure a treatment effect, and achieve purposes of symptom and root cause treatment, and recurrence resistance after prognosis.