Hand tremor is common in young people with idiopathic tremor and hyperthyroidism. Idiopathic tremor, which has a family history, is characterized by shaking of the hands during stressful moments, obvious shaking when holding an object, and lessened or disappeared when standing still, and the shaking can be stopped after drinking alcohol. Hyperthyroidism can cause hand tremor, which is often accompanied by symptoms such as fatigue, weight loss, increased appetite, increased meal size, irritability, short-temperedness, and panic. In addition to the above two diseases, the elderly also need to exclude Parkinson’s disease and the sequelae of cerebrovascular disease, Parkinson’s disease is mostly seen in elderly patients, hand tremor is mainly manifested as obvious when at rest, and reduced when moving, at first manifested as a side of the hand tremor, and gradually developed to the same side of the lower limbs and the opposite side of the upper and lower limbs tremor. It is accompanied by walking difficulties, limb stiffness, fixed facial expression, etc. The sequelae of cerebrovascular disease have a history of cerebrovascular disease, which will leave one side of the hand shaking, the same side of the limb weakness, numbness and other symptoms.