The invention discloses a wrist-type laser acupuncture instrument which comprises a laser acupuncture instrument mainframe, a treatment monitoring device, an electric lead and a wrist band. Th laser acupuncture instrument mainframe comprises a microprocessor, three independent laser driving modules, a state display module, a display screen, a button, a power driving module and a lithium battery, the treatment monitoring device comprises a fixing plate, three independent laser emitting devices and a temperature sensor, and the wrist band comprises a main wrist band used for fixing the mainframe and an auxiliary wrist band used for fixing the treatment monitoring device. The mainframe simulates various reinforcing and reducing techniques and treatment methods of conventional acupuncture through program setting, and the treatment monitoring device is controlled to perform laser modulation irradiating and temperature monitoring on related acupuncture points through the electric lead. The wrist-type laser acupuncture instrument is convenient in acupuncture point selecting, wide in treatment suitable object range, more targeted in treatment, high in treatment effect and low in energy consumption; a temperature monitor is arranged, so that the wrist-type laser acupuncture instrument is safer in treatment process.