The invention relates to the technical field of moxibustion devices, and discloses a smoking type moxibustion instrument which comprises a moxibustion shell, a smoking structure and a control panel, the smoking structure is arranged in the moxibustion shell, the moxibustion shell is provided with a moxibustion cavity, and the moxibustion cavity extends towards the top and is communicated with the outside; an attaching cavity is formed in the bottom of the moxibustion shell, the attaching cavity is provided with an attaching face, the attaching face is arranged in an arched mode in the top direction, and the attaching face is used for being attached to a human body; the smoking structure comprises a smoking piece and a connector, the smoking piece is connected and communicated with the connector, the connector is electrically connected with the control panel, the smoking piece is used for heating and smoking the moxibustion piece, the upper portion of the smoking piece extends and is embedded in the moxibustion cavity, the smoking piece is used for inserting the moxibustion piece, and when the moxibustion device is used, the moxibustion piece is arranged in a heating and non-burning mode. Therefore, the moxibustion piece does not generate a large amount of smoke, outward diffusion of the large amount of smoke is avoided, discomfort of a user caused by the smoke is effectively avoided, and then the use experience feeling of the user is improved.