Unconscious shaking of chopsticks may be a normal physiological factor, or it may be related to pathological factors. 1. Physiological factors: If the patient is overworked, mentally stressed, etc., it may lead to involuntary shaking of chopsticks, which does not require special treatment, and may recover naturally with rest and relaxation. 2. Pathologic factors: Pathologic factors generally include hyperthyroidism, idiopathic tremor and other diseases. (1) Hyperthyroidism: If the patient has hyperthyroidism, it may lead to excessive secretion of thyroid hormone in the body, which excites the sympathetic nerves, so the patient may have involuntary shaking when holding chopsticks. (2) Idiopathic tremor: Idiopathic tremor is a disease of the nervous system, usually due to a genetic mutation that causes the patient to develop sudden onset of tremor, which may result in involuntary shaking of chopsticks, and may be accompanied by head tremor. Unconscious shaking of hands holding chopsticks may also be due to Parkinson’s disease, Parkinson’s syndrome, chronic alcoholism, etc. Excluding normal physiological factors, if the patient appears to have involuntary shaking of hands holding chopsticks, it is recommended to go to the hospital in time to clarify the cause of the disease and carry out the correct treatment.