Abstract： Objective： To observe the curative effect of five-phase medicinal moxibustion cupping therapy combined with press-needle on abdominal obesity in type 2 diabetes mellitus. Methods：A total of 90 cases of patients with abdominal obesity in type 2 diabetes mellitus treated in the Endocrinology Department of Ningbo Hospital of Traditional Chinese Medicine from September 2023 to March 2024 were selected and randomly divided into the routine group，the control group and the treatment group，with 30 cases each，according to random number table method. The routine group received routine diet and exercise treatment，the control group received five-phase medicinal moxibustion cupping therapy in addition to the routine group，and the treatment group received acupuncture treatment in addition to the control group. All the three groups were treated for 12 weeks. Compared the changes in visceral fat area （VFA）， physiological indicators of overweight and obesity [body mass index （BMI）， waist circumference， waist to hip ratio （WHR）]， glucose metabolism indicators [fasting blood glucose （FBG） ， 2-hour postprandial blood glucose （P2hBG）， and fasting insulin level （FINS）]， insulin resistance index （HOMA-IR）， and lipid metabolism indicators [total cholesterol （TC）， triglycerides （TG）， low-density lipoprotein （LDL）， and high-density lipoprotein（ HDL）] before treatment，after 12 weeks of treatment，and three months after treatment in the three groups. Results： After 12 weeks of treatment， the VFA， BMI， waist circumference and WHR in the three groups were decreased when compared with those before treatment，and the values of the above four indicators in the treatment group were lower than those in the control group and the routine group， differences being significant （P＜0.05）； three months after the end of treatment，the VFA，BMI，waist circumference and WHR in the treatment group and control group were lower than those before treatment，while the values of the above four indicators in the treatment group were lower than those in the control group and the routine group，differences being significant （P＜0.05）. After 12 weeks of treatment， FBG， P2hBG， FINS， and HOMA-IR in all the three groups were decreased when compared with those before treatment； the values of the above four indicators in the treatment group were lower than those in the control group and the routine group， differences being significant （P＜0.05）； three months after the end of treatment， the FBG，P2hBG，HOMA-IR，and FINS levels in the treatment group were lower than those in the control group and the routine group （P＜0.05）. After 12 weeks of treatment， the levels of TC， TG， and LDL in all the three groups were decreased when compared with those before treatment，while the levels of HDL were increased；The levels of TC，TG， and LDL in the treatment group were lower than those in the routine group and the control group，while the HDL level was higher than that in the routine group and the control group，differences being significant （P＜0.05）；three months after the end of treatment，the levels of TC，TG，and LDL in the treatment group were lower than those in the routine group and the control group， while the HDL level was higher than those in the routine group and the control group， differences being significant （P＜0.05）. Conclusion： Five-phase medicinal moxibustion cupping therapy combined with press-needle can reduce VFA in abdominal obesity patients with type 2 diabetes mellitus， achieve the effect of reducing fat and shaping，and improve glucose and lipid metabolism.