This study employs an interdisciplinary approach combining material feminism and trauma theory to systematically examine how traditional “women’s needlework” practices, particularly those centered on “piercing” and “sewing”, have transformed from tools of female discipline into effective mediums for contemporary women’s physical/mental healing and cultural empowerment. Material feminism emphasizes the interplay between body, material, and discourse, revealing how needles, threads, and fabrics are not passive tools but active participants in shaping creative processes, influencing emotional experiences, and co-creating meaning. The therapeutic mechanisms of needlework practices manifest through three dimensions: bodily engagement, metaphorical expression of trauma, and value reconstruction of traditional skills. Trauma theory focuses on non-verbal and fragmented traumatic experiences, while needlework practices provide unique pathways for articulating such experiences, offering critical analytical perspectives for understanding their healing processes. The research posits that needlework practices not only regulate the nervous system at the physiological level but also provide symbolic expressions for unspoken trauma at the psychological level, thereby reconstructing the body-mind connection. Ultimately, at the cultural level, these practices consolidate fragmented personal experiences into collective archives, enabling women to co-create historical narratives, elevate individual healing into collective cultural power, and achieve the reconstruction and empowerment of female agency.