If the tremor is caused by physiological factors such as emotional stress and overwork, no special treatment is needed. If the tremor is caused by idiopathic tremor, hyperthyroidism or other diseases, medication or surgery should be taken to treat the cause. 1. Physiological factors: hand tremor in writing may be caused by emotional tension, anxiety, overwork, fear, muscle fatigue and other physiological factors. Generally, there is no need to take special treatment measures. Appropriate rest and maintaining a happy mood can alleviate the phenomenon of shaky writing hands. 2. Idiopathic tremor: Shaky writing hands may also be caused by idiopathic tremor. It is recommended that patients take antiepileptic drugs such as propranolol and pramipexole orally or undergo stereotactic thalamus destruction or deep thalamus stimulation under the guidance of a doctor, so as to improve the tremor. 3. hyperthyroidism: writing hand tremor may also be caused by hyperthyroidism. The patient can follow the doctor’s instructions to take formamide imidazole, propylthiothiophene and other anti-thyroid drugs, can also be under the guidance of the doctor for thyroidectomy. Writing hand shaking patients, it is recommended to go to the hospital in a timely manner, under the guidance of the doctor, the relevant examination, symptomatic treatment measures.