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한의학 접근
한의학 접근

Q. How do I proceed step by step for weight loss using a Traditional Korean Medicine approach?

A.

Yes, you've likely tried many times and it's not easy. We approach it in three main stages. The first 1–2 weeks is a 'preparation period' where we assess dietary habits and constitution. Then 4–8 weeks is the 'active regulation period' using herbal medicine and acupuncture to address root causes like Spleen Deficiency or Phlegm-Fluid. Finally, 2–4 weeks is a 'stabilization period' to solidify lifestyle habits. Think of it as helping the body find balance without strain.

📝 Detailed Answer

In Traditional Korean Medicine, weight loss is not simply about reducing calories—the key is understanding why the body tends to gain weight. We therefore proceed in stepwise stages. **Stage 1: Initial 1–2 weeks – Constitution assessment and lifestyle correction** First, we diagnose the patient's constitutional type (體質) and current digestive state. For those with Spleen Deficiency (脾虛), food is not properly transformed into energy and instead accumulates as Dampness (濕) or Phlegm-Fluid (痰飮), leading to weight gain. During this period, we adjust meal timing and food combinations, and perform a light lifestyle check. Sudden fasting or high-intensity exercise is avoided. **Stage 2: 4–8 weeks – Focus on herbal medicine and acupuncture** This is the active regulation phase. If the cause is Spleen Deficiency, Phlegm-Fluid, or sometimes Blood Stasis (瘀血), we prescribe corresponding herbal formulas to correct organ function. For example, those with weak Spleen function and tendency to edema receive 'Strengthen the Spleen' (健脾) formulas to improve water metabolism. For stress-related binge eating, we combine acupuncture to relieve Liver Qi Stagnation (肝氣鬱結). Herbal medicine aims to shift the body's metabolic pathways, producing gradual effects and helping reduce rebound weight gain. **Stage 3: 2–4 weeks – Stabilization and self-management** The final stage trains the patient to maintain the restored balance in daily life. We provide constitution-appropriate dietary guidelines and simple exercises, then gradually reduce supplementary prescriptions and set a discontinuation point. Proper completion of this stage is crucial to prevent future weight regain. What’s important is that all stages are flexibly adjusted according to the patient’s current condition. Rather than setting a target like 'lose X kg this week,' we proceed slowly toward a state where the body feels comfortable. Please feel free to ask any questions during your visit.
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Dr. Yeonseung Choe

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Dr. Yeonseung Choe

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