Objective To explore the effect of abdominal cupping combined with Wuji powder in the improvement of abdominal obesity in overweight/obese women. Methods A total of 80 overweight/obese women with abdominal obesity who visited the TCM Preventive Treatment Department of Liyang Hospital of Traditional Chinese Medicine from June 2024 to June 2025 were selected, and they were divided into the control group and the observation group according to the random number table method, with 40 women in each group. Both groups received the same basic treatment. The control group was given abdominal cupping treatment, and the observation group was given abdominal cupping combined with Wuji powder treatment. The body beauty effect, psychological state, blood lipid indexes and glucose metabolism indexes were compared between the two groups. Results After treatment, the waist circumference, body fat rate and waist-hip ratio in the observation group were lower than those in the control group (P <0.05). After treatment, the scores of SAS and SDS in the observation group were lower than those in the control group (P <0.05). After treatment, the levels of TC, TG, FPG, 2h PPG and HbA1c in the observation group were lower than those in the control group (P <0.05). Conclusion Abdominal cupping combined with Wuji powder has a positive effect on improving abdominal obesity in overweight/obese women, which can enhance the body beauty effect, relieve negative emotions, and improve glucose and lipid metabolism disorders.