Sweating and shaking in the elderly may be referred to endocrinology and neurology to rule out hyperthyroidism, hypoglycemia, and vegetative nerve disorders as causes of sweating and hand shaking. Hyperthyroidism can cause increased excitability of the nervous system due to hyperthyroidism, resulting in symptoms such as hand shaking and sweating. In addition, it can be accompanied by symptoms such as protruding eyes, agitation, increased frequency of bowel movements, and increased heart rate. Patients need to check the thyroid function to see if there is any abnormality in the thyroid function. Hypoglycemia can also be accompanied by sweating, shaking hands, etc. In addition to this, the patient may also have panic attacks, hunger pangs, or even unconsciousness. A random blood glucose test can be performed to determine if there is hypoglycemia. If there is no obvious abnormality in the examination, there is also a possibility that the patient is suffering from vegetative nerve dysfunction. Patients can often also be accompanied by insomnia, anxiety and other symptoms, need to consult the neurology department, can be given appropriate anti-anxiety treatment. Elderly patients with symptoms such as sweating and hand tremors may consider visiting an endocrinologist and neurologist to rule out related diseases.