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Objective: To study the therapeutic effect of treatment of acute gouty arthritis (AGA) respectively by electroacupuncture (EA) with different frequency and oral intake of West medicine. Methods: Seventy-two patients of AGA were randomly assigned into three groups, 24 in each group. Group A was treated with EA 100 Hz; Group B with EA 2 Hz; and Group C with West medicine. The analgesic effect,initiating time and sustaining time of analgesia were observed and the level of serum uric acid was measured before and after treatment. Results; The initiating time of analgesia was shorter while the sustaining time of analgesia was longer in Group A and B than those in Group C (all P＜0.01 ). The efficacy of analgesia was higher in Group B than that in Group A , and a better effect was shown in Group B in reducing serum uric acid level than that in Group A (P＜0.01), which was near that in Group C (P＞0.05). Conclusion: EA is an effective treatment for AGA, and low frequency (2 Hz) EA showed a better efficacy.