Hand shaking in the elderly may be caused by emotional excitement, Parkinson’s disease, idiopathic tremor, etc., and the causes are different. 1. Emotional excitement: when the elderly are emotionally excited, the nervous system is too active, resulting in the elderly body can not be coordinated, the hands will also be uncontrolled, can appear shaking symptoms, smooth emotions after the symptoms can be alleviated. 2. Parkinson’s disease: a neurodegenerative disease common in middle-aged and old people. Static tremor is often the first symptom, mostly starts at the distal end of one side of the upper limb, appears or is obvious when in a static position, decreases or stops during casual movement, and increases when tense or agitated. Commonly used drugs are benzo hydrochloride, amantadine, levodopa and so on. When the effect of drugs is not good, surgery can be used, such as deep brain electrical stimulation. 3. Idiopathic tremor: with tremor as the only manifestation, can start from one side of the limbs, emotional excitement or nervousness, fatigue, cold and so on can make the hand tremor aggravated. No medication is needed for mild cases, and propranolol tablets and pramipexole can be given for symptomatic treatment when the symptoms are obvious. If the elderly hand tremor, short-term failure to improve or accompanied by other symptoms, aggravation, etc., should promptly consult a doctor to clarify the cause of the disease, under the guidance of the doctor to use medication.