Q. I tend to binge eat when I'm stressed. How can Traditional Korean Medicine help me with this?

In Traditional Korean Medicine, stress-induced binge eating centers on Liver Qi depression (gan-ul). The Liver is the organ responsible for the smooth flow of Qi (energy); accumulated stress obstructs Liver Qi, causing Qi circulation to stagnate. This not only disrupts emotional regulation but also affects the appetite center, driving cravings for sweet or high-calorie foods. I can relate—I used to order fried chicken as a late-night snack during heavy work stress. If this pattern repeats, it can weaken Spleen function leading to Spleen deficiency (bi-heo), and undigested fluids accumulate into Phlegm-fluid (dam-eum), making it easier to gain weight. To improve, self-check these items: ✓ Do you binge two or more times per week after stress? → Liver Qi depression is suspected; practice expressing emotions rather than suppressing them. ✓ Do you feel bloated or gassy after meals? → Likely concomitant Spleen deficiency; stabilizing digestion is priority. ✓ Do you often have a dry mouth or feel phlegm in the throat? → Phlegm-fluid has formed; herbs with diuretic or phlegm-resolving action may be needed. The Korean medicine approach does not simply suppress appetite—it aims to relieve Liver Qi depression, strengthen the Spleen, and increase resilience to stress itself. For example, prescriptions in the Xiao Chai Hu Tang (Small Bupleurum Decoction) family soothe Liver Qi, while Bu Zhong Yi Qi Tang (Tonify the Middle and Augment Qi Decoction) boosts Spleen-stomach function. Acupuncture also helps normalize appetite signals by stimulating points on the Liver and Stomach meridians. However, not everyone responds to the same formula; an actual pulse diagnosis is needed to determine whether Liver depression, Spleen deficiency, or Phlegm-fluid is dominant before tailoring treatment. For lifestyle changes, I suggest small habits like drinking a glass of water before meals or taking a 10-minute walk when the urge to binge strikes. While you cannot eliminate stress itself, learning to manage your response to it will definitely bring improvement.