I tend to binge eat when I'm stressed. How does Traditional Korean Medicine approach this?
Stress-induced binge eating is generally seen as two patterns: Liver qi stagnation causing sweet cravings, or Spleen/Stomach weakness with phlegm-fluid causing persistent hunger after overeating. The former is treated by soothing the Liver and regulating qi, the latter by tonifying the Spleen and eliminating phlegm. Identifying your specific pattern through diagnosis is key.
In Traditional Korean Medicine, stress-induced binge eating is closely related to Liver qi stagnation (gan gi ulgyeol) or Spleen deficiency (bi heo) with phlegm-fluid (dameum). When stress obstructs the Liver's dredging and discharging function, qi flow becomes blocked, leading to impulsive cravings for sweets. This is addressed with treatments that soothe the Liver and regulate qi (sogan i-gi). Conversely, prolonged stress can weaken the Spleen and Stomach's transformation and transportation function, causing food to stagnate and phlegm-fluid to form. This results in a feeling of fullness yet emptiness, prompting continued eating; treatment focuses on strengthening the Spleen, eliminating phlegm (geonbi geodam), and warming the middle (onjung). Since Liver depression and Spleen deficiency often coexist, accurate diagnosis via pulse examination is essential. Lifestyle adjustments and stress management are also crucial for lasting results. Personally, when I'm busy, I used to tear open snack bags at night—in hindsight, that was likely due to Liver stagnation. (smiles)
Clinician review