The present disclosure provides a moxibustion device, a method and a system for controlling the moxibustion device. The moxibustion device includes a box provided with at least one through-hole; a lid detachably connected to the box and cooperating with the box to define a combustion chamber where moxa is burnt, the lid being provided with at least one opening which cooperates with the through-hole in the box to define an air vent of the combustion chamber; a collection module provided within the combustion chamber and configured to collect one or more real-time state parameters of the moxa within the combustion chamber; a control module electrically connected to the collection module and configured to output a control instruction based on the one or more real-time state parameters collected by the collection module and one or more preset control parameters; and a drive module electrically connected to the control module and configured to adjust a size of the air vent based on the control instruction.