I understand how this feels deeply because I've personally struggled with it. In Korean medicine, this pattern is understood as liver depression (ganul) causing spleen deficiency (biheo). Stress obstructs the liver's qi flow, making emotional regulation difficult, which weakens the spleen's function and disrupts blood sugar control and satiety perception. This creates a vicious cycle of 'eating but still feeling hungry,' and over time phlegm-fluid (dameum) and blood stasis (eohyeol) accumulate, further hindering weight management. At our clinic, we take a phased approach: weeks 1–2 focus on resolving liver qi stagnation with acupuncture and herbs to ease acute binge urges; during this time you won't feel desperate to 'white-knuckle it' because the medicine supports calmness. Weeks 3–4 shift to strengthening the spleen and stomach to reduce appetite fluctuation — you may notice less self-blame when a slip happens. After one month, we stabilize whole-body qi and blood circulation, and if needed, regulate the liver and gallbladder to improve stress coping. The key is understanding that binge eating is not a willpower issue — it's a breakdown of your body's signaling system that takes time to restore. If challenges arise during the process, we adjust through regular counseling without imposing harsh weight-loss goals, gradually guiding you toward a daily life where bingeing naturally fades.