📝 Detailed Answer
For patients with spleen qi deficiency (脾虛) or damp-phlegm (濕痰) constitution, herbal medicine can strengthen spleen function and promote metabolism, which often helps stabilize appetite and reduce cravings. I've observed this pattern in many cases. However, if food intake doesn't decrease significantly, weight changes tend to be gradual. The main advantages include establishing fundamental metabolic balance with minimal side effects compared to Western weight loss medications. The disadvantages are that results take time to appear, there are practical limits to herbal medicine without dietary changes, and treatment costs can add up over time. From a practical standpoint, starting with something as simple as changing just one meal per day is more sustainable than attempting a complete diet overhaul. From a TCM practitioner's perspective, rather than claiming that 'herbal medicine alone can solve everything,' it's better to work collaboratively with patients to find an approach that fits their lifestyle.