The invention provides a temperature-adjustable and distance-adjustable needle warming moxibustion instrument with far infrared and belongs to physiotherapy instruments. The needle warming instrument is characterized in that a needle warming moxibustion body is fixedly mounted on a universal connecting plate, the needle warming moxibustion body mainly comprises a top cover, a net cover, a shell, an insulation box, a main cover plate, a heater, a supporting net, a protective cover, temperature controllers, a temperature controlled switch, a power line connecting seat, a micro-fan and a far infrared luminous tube, the top cover is an inverted basin-shaped cover with an outward flange at the bottom, the upper portion of the net cover is a hollow frustum body while the lower portion of the net cover is a hollow barrel body, the heater is an inverted basin body with an outward flange edge at the upper end, the temperature controllers are arranged at the top of the heater, electrical heating tubes or electrical heating pieces are mounted on the heater, an inner cavity of the heater is an inverted heating bin, the supporting net is hinged onto a lower annular step by a hinge pin or clamped on the lower annular step by a snap ring, the far infrared luminous tube is mounted at the bottom of the shell, and the temperature controlled switch and the micro-fan are fixedly mounted on the right outer lateral wall of the shell. The temperature-adjustable and distance-adjustable needle warming moxibustion instrument with far infrared is complete in medicinal cure effect, safe in moxibustion therapy and excellent in effect.