Older people with cold hands and feet are mainly seen in the cold environment, internal organs function degradation and other physiological phenomena, or chronic wear and tear disease and other pathological factors. 1. Physiological phenomenon: due to the cold environment or the degeneration of their internal organs, the ability of the heart to supply and send blood is weak, unable to transport enough blood to the end of the limbs, the body produces heat inefficiently, so there will be cold limbs. 2. Pathological factors: due to anemia, heart disease, low blood pressure or tumors and other chronic wear and tear diseases, the body’s metabolic rate slows down, the efficiency of heat production is getting lower and lower, there will be cold hands and feet, and mostly accompanied by fatigue, poor appetite, dizziness and other symptoms. The causes of prolonged cold hands and feet in the elderly are complex, and it is recommended to go to the hospital for a clear diagnosis and take medication under medical advice.