-Cureveda GoutGem is a fortified synergistic formula which helps to regulate healthy level of uric acid in the body and tone up metabolism. Triphala helps to eliminate toxic substances accumulated in joints and provides analgesic action. Gout is caused by excess uric acid in the body which forms crystals in joints leading to inflammation and pain. Most often the joint in the base of big toe is affected first. Sudden, severe attacks of pain, redness and tenderness in joints are some symptoms of gout.