The invention belongs to the technical field of medical acupuncture and moxibustion, and particularly relates to a traditional Chinese medicine acupoint acupuncture and moxibustion treatment device which comprises a handle, a needle groove, a rotating ring and a limiting plate, the needle groove is formed in the handle, the bottom of the handle is sleeved with the rotating ring, two conveying motors work to drive a driving roller to rotate, and under cooperation of a driven roller, a conveying belt is driven to rotate; the silver needle is located on the center shaft of the handle, the handle is held by hand to conduct acupuncture operation, accurate grasping of the silver needle can be achieved, operability of the silver needle is improved, operation errors are reduced, hot steam is output into a trigger ring through electrification of an electric heating plate and a draught fan, and the acupuncture effect is improved. The acupuncture and moxibustion device has the advantages that the skin is relieved, the skin is prevented from being tightened emergently, the silver needle is prevented from penetrating, the comfort degree of acupuncture and moxibustion is improved, the skin is disinfected, the safety of needle application can be guaranteed, and the sanitary level of operation is improved.