A. To find the cause of obesity, start by checking your body's condition with this checklist: ✓ Do you have uncontrolled appetite or food intake? ✓ Is weight gain mainly in the belly, thighs, or arms? ✓ Do you have digestive issues like bloating, constipation, or diarrhea? ✓ Do you often feel tired or not refreshed after sleep? ✓ Do you binge eat or crave sweets when stressed? ✓ Have you experienced rapid weight loss or yo-yo dieting in the past? Going through these items gives you a general direction.
📝 Detailed Answer
In Traditional Korean Medicine, obesity is not simply a matter of calorie balance but is understood as an imbalance of internal organ functions leading to patterns like phlegm-fluid (痰飮, dam-eum), blood stasis (瘀血, eo-hyeol), or spleen deficiency (脾虛, bi-heo). For example, if your checklist shows increased appetite but poor digestion and bloating, it may indicate spleen deficiency—the spleen fails to transform food into energy, allowing waste (phlegm-fluid) to accumulate as fat. Conversely, stress-related binge eating accompanied by chest tightness suggests a liver depression (肝鬱, gan-ul) mechanism: qi flow is blocked due to stress. If you feel easily fatigued and heavy, poor qi and blood circulation—often involving blood stasis—may be at play. I once suffered from yo-yo dieting after extreme calorie restriction, only to find that spleen deficiency was the root cause. This is why identifying the pattern is crucial. Using this checklist to assess your body shape and symptom patterns, a Korean medicine doctor can make a more precise diagnosis through pulse and abdominal examination. If you visit, we can tailor herbal medicine, acupuncture, and herbal dietary therapy to your constitution and current condition—so don't hesitate to seek consultation.