In Korean medicine, accumulated stress produces Liver Qi Stagnation (肝氣鬱結). When the Liver becomes constrained, the Stomach and Spleen lose harmony, leading to Spleen Deficiency (脾虛). The resulting impairment generates Phlegm-Dampness (痰飮), which manifests as the compulsive urge to binge eat. Even as a practitioner, I remember tearing open snack bags during late-night work shifts and being unable to stop. Breaking this pathological cycle is the core of treatment. For the first one to two weeks, we focus on relieving Liver constraint with acupuncture, pharmacopuncture, and herbal formulas such as Sooshiho-tang (Xiao Chai Hu Tang) to settle the nerves and modulate appetite-regulating hormones. During this phase, the experience is less about white-knuckled restraint and more about feeling relaxed enough that food simply loses its grip on you. From the third to fourth week, we add Spleen-tonifying and Phlegm-eliminating therapy—often using modified Bojungikki-tang (Bu Zhong Yi Qi Tang)—to reduce post-meal fatigue and bloating. As Spleen transformation function recovers, portion sizes naturally shrink, and cravings for sweets or greasy foods diminish. After roughly two months, the binge pattern usually disappears, replaced by a calm rhythm of eating only when genuinely hungry. The timeline varies with individual constitution and stress load. Crucially, Korean medicine does not rely on forced suppression; it restores bodily balance first so that healthy eating becomes effortless. If you come in for a consultation, we can map out a stage-by-stage plan suited to your specific condition.