Q. When I'm stressed, I keep binge eating. Is there a solution?

Stress-induced binge eating—I experienced it myself before becoming a Korean Medicine doctor. When stressed, the Liver is first affected; in TKM, the Liver governs the smooth flow of Qi. Accumulated stress leads to Liver Qi Stagnation (ganyu), which disrupts the Stomach and Spleen. The Spleen manages digestion and fluid metabolism; when weakened (Spleen Qi Deficiency, pixu), food cravings and binge eating arise. Treatment proceeds in three stages. The first 1–2 weeks focus on acute stabilization: using modified Xiao Yao San (Free and Easy Wanderer) to relieve Liver stagnation, supplemented with herbs to tonify the Spleen, helping regulate appetite without pressure to 'hold back.' Patients often report feeling less urgent hunger. From the second month, body rhythms recalibrate: as Liver Qi stagnation resolves, stress hormone reactivity decreases; as Spleen Qi improves, nutrient absorption and energy metabolism stabilize. Binge urges weaken, and patients gain awareness of why they eat. By the third month, maintenance strengthens Liver–Spleen balance, reducing relapse risk. Individual progress varies by lifestyle and stress levels. The key is not a forced diet but transforming the body first; herbal medicine gently supports that process.