The invention belongs to the technical field of medicine, and particularly relates to a Zhuang medicine for treating gout and a preparation method thereof. The Zhuang medicine is prepared from, by weight, 25-50 parts of herb of glabrous sarcandra, 15-40 parts of polygonum cuspidatum, 15-40 parts of honeysuckle stems, 15-40 parts of fenbixie, 15-40 parts of plantain herb, 10-30 parts of cynanchum paniculatum, 10-30 parts of garden balsam stems and 3-12 parts of liquorice roots. According to the Zhuang medicine preparation for treating gout, the accessories meeting the medicine standard are added, and medical solid particles or a liquid preparation is prepared. The Zhuang medicine preparation for treating gout is scientific and reasonable in formula, and has the functions of clearing heat and promoting dieresis and dispelling wind and removing obstruction in the meridians, and the clinical application result shows that the Zhuang medicine preparation for treating gout has the effects ofclearing heat and toxins, removing damp toxins, removing wind toxins, relieving swelling, adjusting the water channel and dredging the dragon channel and the fire channel, and has a good effect of treating gout caused by rheumatic fever and damp toxins, wherein gout comprises the symptoms of arthralgia, swelling, scorching hot, inhibited bending and stretching, increasing blood uric acid, uratomaand the like.