The invention discloses a CO2 laser therapeutic instrument. The instrument comprises a main body, wherein the main body comprises a laser main power supply, a main control panel (LCD touch screen), a pedal switching and an articulated arm, wherein the joint arm is fixed on an articulated arm seat; a scanning galvanometer is fixed at the other end of the articulated arm; the articulated arm is a seven-joint spring type light-guide articulated arm, and a reflector M1, a reflector M2, a reflector M3, a reflector M4, a reflector M5, a reflector M6 and a reflector M7 are arranged on joints of the seven-joint articulated arm; and a sealed-off CO2 laser and an indicating light are arranged inside the main body, and a shutter and a germanium wafer are arranged above the sealed-off CO2 laser. The CO2 laser therapeutic instrument is of a vertical structure, has the characteristics of high cutting speed, good coagulation effect, slight hemorrhage during operation, clear operative field and the like, is flexible and convenient to use and large in operating area, has high laser power stability, randomly preset volume and status self-diagnosis indication, and can be used in sickrooms, beauty salons and private clinics.