Q. I keep binge eating whenever I’m stressed. What can I do?

In Traditional Korean Medicine, stress-induced binge eating often involves Liver Qi Stagnation (ganqi yujie) as the core mechanism. The Liver governs the smooth flow of Qi; when stress accumulates, Liver Qi becomes stuck and stagnates. This can invade the Spleen, leading to Spleen Deficiency (pixu), which impairs digestion and paradoxically intensifies binge urges. I used to experience this myself—stress would keep me opening the refrigerator door. Approaches must be tailored by constitution. For example, Taiyin (Taiyin) types tend to have severe Liver Qi Stagnation and are prone to Phlegm-Fluid (tanyin), so they feel bloated long after a binge. Shaoyang (Shaoyang) types may have Heart Fire (xinhuo) further irritating the Liver, making impulse control harder. Shaoyin (Shaoyin) types primarily have Spleen Deficiency—they feel full easily but may crave sweets or lose appetite under stress. Step 1: Acknowledge the stress situation as it is. Knowing that stress triggers binge eating helps you objectively think, ‘Ah, my Liver Qi is clumping up right now.’ Step 2: Establish a regular eating rhythm. Those with Spleen Deficiency are more likely to binge at lunch if they skip breakfast. Soothe the stomach with easily digestible foods like congee, rice water, or sweet pumpkin. Step 3: When the binge urge strikes, immediately shift to another activity. For Taiyin types, light aerobic exercise (e.g., brisk walking) helps move Liver Qi; for Shaoyin types, drinking warm tea while meditating works better. Step 4: At a Korean medicine clinic, after a precise constitutional and condition diagnosis, herbs that relieve Liver Qi Stagnation (e.g., modified Xiao Chai Hu Tang) or tonify the Spleen, along with acupuncture and moxibustion, can stabilize the autonomic nervous system. Personalized prescriptions based on constitutional differentiation are possible. No one can promise immediate or guaranteed results, but with consistent management, you can experience a reduction in binge patterns.