Vision-language models (VLMs) achieve promising results in medical reasoning but struggle with hallucinations, vague descriptions, Inconsistent logic and poor localization. To address this, we propose a agent framework named Medical Visual Reasoning Agent (Med-VRAgent). The approach is based on Visual Guidance and Self-Reward paradigms and Monte Carlo Tree Search (MCTS). By combining the Visual Guidance with tree search, Med-VRAgent improves the medical visual reasoning capabilities of VLMs. We use the trajectories collected by Med-RAgent as feedback to further improve the performance by fine-tuning the VLMs with the proximal policy optimization (PPO) objective. Experiments on multiple medical VQA benchmarks demonstrate that our method outperforms existing approaches.