The invention provides a laser and infrared photon acupuncture instrument output head and an acupuncture instrument. The output head comprises a front housing, a middle housing and a rear housing sequentially connected. The output head also comprises therein an infrared PCB assembly disposed at the front end thereof and a laser PCB assembly disposed at the rear end thereof, and a heat sink is provided between the infrared PCB assembly and the laser PCB assembly. The acupuncture instrument is provided with the laser and infrared photon acupuncture instrument output head. The laser and infrared photon acupuncture instrument output head of the invention is added with a metal heat sink having rapid cooling effect, thereby prolonging the product service life. A protective mesh is used for preventing a person (especially children) from inserting a hand thereof and being burned by a bulb.