Q. Whenever I get stressed, I end up binge eating. Is there a way to solve this in Korean medicine?

In Traditional Korean Medicine, stress-induced binge eating is seen as a combination of Liver Qi Stagnation (ganul) and Spleen Deficiency (biheo). Stress causes Liver Qi to stagnate, generating Fire that weakens the Spleen. A weakened Spleen impairs food regulation, leading to cravings for sweets and carbs. Personally, I experienced this during exam periods—stress would send me straight to a bag of snacks, leaving me dizzy. Breaking this cycle is key. In weeks 1–2, acupuncture and herbs like modified Xiao Yao San (Soyo-san) relieve Liver stagnation and include appetite-stabilizing herbs such as licorice (gamcho) and white atractylodes (baekchul). Improving sleep also helps balance hormones. Most patients feel less constrained within the first week. In weeks 3–4, we switch to tonifying Spleen Deficiency, which reduces post-meal bloating and lessens sensitivity to hunger. The focus is on regular meal timing rather than strict restriction. After one month, we recommend dietary and exercise adjustments based on your constitution—e.g., avoiding greasy foods for Phlegm-Fluid types, or aerobic exercise for those with severe Liver stagnation. Stress management counseling addresses the root cause. While individual results vary, consistent care over 2–3 months typically greatly reduces binge urges. Importantly, herbal medicine is not magic; it requires your active participation. If you simply rely on medication, relapse is likely. A systematic, stage-by-stage approach at a Korean medicine clinic can lead to significant improvement.