The disclosure provides an apparatus, system and method for remotely determining acupuncture point. The apparatus comprises a first controller, an image acquisition module, a first image transport module and a positioning mark generation module, the image acquisition module used for acquiring a target image of a part of the body of a target person on which the acupuncture point is required to be determined; the first image transport module used for transmitting the target image to a remote device; the first image transport module further used for transmitting the received target image marked with a first mark to the first controller; the first controller used for determining a position coordinate of the acupuncture point according to the target image marked with the first mark and controlling the positioning mark generation module to generate a second mark at the position coordinate of the acupuncture point according to the position coordinate.