The invention discloses an adjustable self-heating acupuncture needle for needle warming moxibustion. The adjustable self-heating acupuncture needle comprises an acupuncture needle body filled with a self-heating material, a plurality of micro holes are formed in the tube wall of the acupuncture needle body, and air-permeable membrane is attached to the micro holes; the portion, corresponding to the air-permeable membrane, on the tube wall of the acupuncture needle body is wrapped with a sealing membrane; the air-permeable membrane is arranged on the outer side or inner side of the tube wall; the micro holes are formed in the circumferential direction of the acupuncture needle body. The adjustable self-heating acupuncture needle is disposable and low in manufacturing cost. The temperature of the adjustable self-heating acupuncture needle is controlled by the self-heating material, the contact amount between the self-heating material and air can be controlled by selecting different air-permeable membranes, then the temperature is adjusted, the heating temperature is 40-70 DEG C, and the heating time is 5-50 min; the self-heating material is completely arranged in the adjustable self-heating acupuncture needle and does not leak or harm the human body in use, and the acupuncture needle is good in hygiene and safety.