Even as a practitioner, I often experience leg swelling after long hours of clinical work; gravity makes it easy for waste to accumulate in the lower body, making it difficult to resolve through exercise alone. Traditional Korean Medicine (TKM) approaches this through a systematic process: 1. Constitutional Diagnosis: We determine whether the weight gain is muscular or edematous (swelling-based) and identify the fundamental constitutional flaws hindering lower body circulation. 2. Clearing Phlegm-fluid (痰飮) and Blood Stasis (瘀血): In TKM, 'phlegm-fluid' refers to accumulated internal metabolic waste, while 'blood stasis' refers to stagnant, impure blood. If these block the 'waterways' of the lower body, the thighs will remain resistant to weight loss regardless of food intake. We focus on clearing these pathways first. 3. Addressing Spleen Deficiency (脾虛): The Spleen (Pi) in TKM is responsible for the 'transformation and transportation' of nutrients. When Spleen Qi is weak, energy is not metabolized correctly and instead sags and accumulates in the lower body. We invigorate the Spleen to lift energy and activate systemic metabolism. 4. Balancing Body Composition and Maintenance: To prevent the yo-yo effect, it is vital to lose fat rather than muscle. we support protein metabolism to ensure your body focuses on burning body fat while maintaining muscle mass. Rather than reckless fasting, the secret to successful lower body dieting lies in inspecting and opening the blocked circulation within your body.