Many people experience a period where their weight remains constant, yet their abdomen protrudes, leading to confusion about why weight loss isn't happening. From a modern medical perspective, a high WHR is a signal of excess visceral fat. Visceral fat acts like a small factory producing inflammatory substances, which disrupts blood glucose regulation and increases insulin resistance, creating a body state where you feel like you 'gain weight just by drinking water.' In Traditional Korean Medicine (TKM), this condition is viewed through the lens of Dam-eum (痰飮, phlegm-fluid retention) and Eo-hyeol (瘀血, blood stasis). Dam-eum refers to metabolic waste products that fail to circulate and instead clump together in a viscous state, while Eo-hyeol refers to stagnant blood flow. When these wastes accumulate in the abdomen, they block the flow of Qi (vital energy), further slowing down the metabolism. Specifically, if a patient is in a state of Bi-heo (脾虛, Spleen deficiency/weakness of the digestive system), the body fails to convert nutrients into energy and instead tends to store them in fat depots. In such cases, indiscriminate fasting can actually worsen the Spleen deficiency, leading to a vicious cycle and a quicker rebound effect (yo-yo dieting). A value of 0.81 serves as a warning light that your body's 'metabolic switch' may currently be turned off. Reducing calories alone is insufficient. To achieve true weight loss, you must combine caloric management with constitutional improvement—specifically by clearing stagnant Dam-eum and restoring the function of the Spleen.