Involuntary hand tremor in the elderly with bowls may be related to idiopathic tremor or due to hyperthyroidism, Parkinson’s disease and other causes. In terms of treatment, the main focus is on the primary cause of the disease. 1. Idiopathic tremor: This disease can cause involuntary shaking of a part of the body, which can be manifested as hand shaking, especially when doing fine movements, hand shaking symptoms are more obvious, such as serving bowls, chopsticks often appear obvious hand shaking symptoms. Generally, no special treatment is needed. If it seriously affects daily life or work, drugs such as Almal and propranolol can be applied to reduce the amplitude of limb tremor. 2. Hyperthyroidism: If the elderly suffer from hyperthyroidism, thyroid hormone secretion increases, resulting in the body’s basal metabolic rate increases, nerve excitability increases, it may show end bowl involuntary hand tremor symptoms. The application of methimazole, propylthiouracil and other anti-thyroid drugs for treatment. 3. Parkinson’s disease: this disease belongs to the neurodegenerative disease, which can lead to the patient’s static tremor, thus showing the involuntary hand tremor of bowls, and may be accompanied by posture and gait abnormalities, slow movement and other symptoms. Levodopa, amantadine, phenazopyridine hydrochloride and other drugs can be used for treatment to improve clinical symptoms. Elderly people with involuntary hand tremor, it is recommended to seek medical advice as soon as possible, after diagnosis of the cause of the disease, under the guidance of the doctor for treatment, do not blindly self-medication.