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Q. I tend to binge eat when I'm stressed. How do TKM clinics handle this?

A.

Stress-induced binge eating isn't just a willpower issue. We need to first examine your body's internal balance. Is it especially bad at night? Phlegm-dampness (Tan-eum) and blood stasis (Yeo-hyeol) may be combined. Do you feel chest tightness and anxiety? Spleen deficiency (Biheo) and qi stagnation (Gieul) often occur together. Do you quit and then repeat? This is a signal that your constitution needs recovery. Consulting with the practitioner to identify your pattern is the first step.

📝 Detailed Answer

Opening the fridge at night when stressed—I totally understand how disorienting that feels. It doesn't work with willpower alone because the root is in your body. ✓ Do you feel stuffed and heavy long after binge eating? → This indicates Spleen deficiency (Biheo). When spleen function weakens, food and fluids aren't properly transformed into energy. Phlegm-dampness (Tan-eum), described as 'congealed waste that couldn't be metabolized,' accumulates in the body. It presses on the stomach, creating a vicious cycle where you feel hungrier even after eating. ✓ Do you crave sweets or salty foods along with suffocating anxiety? → This is when qi stagnation (Gieul) combines with blood stasis (Yeo-hyeol). Stress blocks qi circulation and distorts blood flow, making the body urgently seek sugar and salt. In TKM terms, we describe this as 'emotions attaching to the body.' ✓ Are you not losing weight but accumulating fatigue? → When Spleen deficiency deepens, phlegm-dampness and blood stasis coalesce, 'hardening' your constitution. The feeling of heaviness and bloating comes from this. Forcefully suppressing appetite at this stage weakens qi further, making the yo-yo effect even worse. From early clinical experience, I've learned that to stop binge eating, your body must first feel comfortable. Using acupuncture and herbal medicine to gently restore spleen function and qi-blood circulation naturally reduces late-night cravings. Please don't whip yourself—visit the clinic when convenient just for a consultation.
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Dr. Yeonseung Choe

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Dr. Yeonseung Choe

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