Disclosed are an acupuncture robot (400) and an intelligent acupuncture system (600) and method. The acupuncture robot (400) comprises an acupuncture treatment host (200), a treatment electrode (100) and a palm fixing frame (300), wherein the palm fixing frame (300) is used for fixing a palm, and the treatment electrode (100) is used for carrying out acupuncture massage treatment on holographic acupuncture points of a second metacarpal bone of the palm of a patient; and the acupuncture treatment host (200) is in communication connection with a server (500) to acquire an operation instruction, instructs, according to the operation instruction, the patient to use the acupuncture robot (400), and controls, according to the operation instruction, the treatment electrode (100) such that same carries out acupuncture massage treatment on the holographic acupuncture points of the second metacarpal bone of the patient. The intelligent acupuncture system (600) comprises the acupuncture robot (400) and the server (500). The acupuncture robot (400) and the intelligent acupuncture system (600) and method can carry out acupuncture massage treatment on different patients, realize remote adjunctive treatment, and with the treatment effect of the palm of the patient being uploaded, facilitate medical personnel to serve the patient better.