The invention relates to a traditional Chinese medicine composition for the treatment of the acute attack of gouty arthritis. The traditional Chinese medicine composition comprises, by weight, 10 g of cortex phellodendri, 10 g of rhizoma atractylodis, 30 g of coix seeds, 15 g of achyranthes bidentata, 12 g of folium isatidis, 12 g of polygonum cuspidatum, 10 g of rhubarb, 30 g of salviae miltiorrhizae, 30 g of smilax glabra, 15 g of fish poison yam, 30 g of honeysuckle stem, 10 g of rhizoma chuanxiong, 30 g of honeysuckle, 15 g of scrophulariae, 10 g of angelica pubescens, 15 g of dandelion, 12 g of bunge corydalis herb, 15 g of lily, 15 g of pleione bulbocodioides and 12 g of radix glycyrrhizae. The traditional Chinese medicine composition for the treatment of the acute attack of gouty arthritis has the advantages that a good treatment effect is possessed on the treatment of the acute attack of gouty arthritis, the effects of clearing away heat and toxic materials, dispersing blood stasis and dredging collateral, clearing damp and rushing down turbid damp and relieving swelling and pain are possessed, and effective treatment effect is possessed on the heat toxin stasis type gouty arthritis; the clinical cure rate is high, the cure rate is 59.09%, and the total effective rate is 93.64%; the improvement of symptoms is obvious, the pain of a patient is relived greatly, and the living quality of the patient is improved.