The 45-year-old man’s right hand long-term shaking may be physiological factors, may also be idiopathic tremor, hyperthyroidism, treatment methods include drug treatment, surgical treatment and so on. 1. Physiological factors: excessive tension, fatigue, lack of sleep, long-term work stress and other factors may lead to the phenomenon of long-term shaking of the right hand. Adopting a good work routine, exercising and maintaining a good attitude can effectively relieve the symptoms. 2. Pathological factors (1) idiopathic tremor: often associated with family genetics, the incidence of the disease gradually increases with age, and men at the age of 45 years can experience long-term shaking of the right hand. Treatment includes medication, such as propranolol, alprazolam, etc. Surgical treatment includes deep thalamic stimulation. (2) Hyperthyroidism: the patient’s body has too much thyroid hormone and thus the symptoms of hand shaking and hyperactivity, drug treatment such as formamide imidazole, iodine, etc., can also be treated by surgical removal of the thyroid gland. The 45-year-old man’s right hand shaking for a long time may also be caused by other reasons, it is recommended that the patient seek medical treatment in a timely manner. Drugs need to be used under the guidance of a doctor, and when discomfort occurs, you should go to the hospital in a timely manner.