The utility model provides a shock wave therapeutic instrument. Wherein shock wave therapeutic instrument includes: shock wave treatment handle including striking component and treatment head, wherein impactes the component and at compressed air drive striking treatment head down, makes the first coupling shock wave energy of treatment and apply the shock wave to the body surface position of leaning on rather than subsides by treating, the thermal infrared imager configures the infrared thermal imagery picture that acquires by the body surface position of treatment into, the treatment host computer is connected respectively with shock wave treatment handle and thermal infrared imager to configure the infrared thermal imagery picture of real time output into, and controlled provide compressed air therapeutic regimen in order to change shock wave treatment handle to shock wave treatment handle. Use the utility model discloses a scheme, the real -time shooting by the infrared thermal imagery picture of the body surface position of treatment to confirm the concrete position of focus inflammation according to infrared thermal imagery picture, it sets up the therapeutic regimen of shock wave to make pointed references, has improved the accuracy of treatment, provides objective foundation for the treatment personnel carry out the shock wave treatment.