Elderly people need to identify the causes of hyperactivity and sleeplessness, which may be physiological or pathological; physiological causes need to adjust the lifestyle, and pathologically induced ones need to be treated under the guidance of a doctor, such as medication, surgery, and so on. 1. Physiological: Considering more sleep during the day, thus depriving the night sleep time. It is suggested that in normal life to fully rationalize the arrangement of sleep time, do not try to sleep during the day, use hot water to soak feet for half an hour before going to bed, and do not watch programs that can easily cause excitement before going to bed. 2. Pathologic: (1) Consider that it is caused by neurasthenia, which is mainly manifested in the weakening of brain and physical strength, and some patients may also have symptoms such as easy to be excited, easy to worry, easy to be provoked, tension pain, sleep disorder and so on. You can use anti-anxiety and depression drugs, such as mirtazapine, trazodone, doxepin and so on. (2) Considering that insomnia is caused by nerve excitation due to hyperthyroidism, anti-thyroid drugs, such as methimazole, propylthiouracil, etc., can be given, and radioactive iodine treatment or surgery can be given if necessary. However, this symptom alone cannot determine the disease, and it is not excluded that it is caused by other factors. Mental hyperactivity is not sleeping obviously, if the adjustment of lifestyle is not obvious, we should go to the hospital in time to clarify the cause of the disease, and follow the doctor’s instructions to standardize the treatment.