With over a decade of clinical experience in Traditional Korean Medicine, I have found that non-face-to-face consultations require even more attention to a patient's vocal cues and specific symptom shifts. In clinical practice, weight gain is often categorized into specific patterns. The first is the Phlegm-Fluid (Dam-eum) type, where metabolic waste accumulates, causing the body to feel heavy and prone to morning edema; here, the focus is on clearing these 'sticky' wastes. The second is the Blood Stasis (Eo-hyeol) type, where poor circulation leads to localized fat accumulation; prescriptions must unblock the flow of Qi and Blood. Furthermore, for those with Spleen Deficiency (Bi-heo), simple fasting can be detrimental to health. We focus on strengthening the Spleen's transport function to manage appetite naturally and prevent the yo-yo effect. Success in remote treatment depends on consistent communication between the practitioner and the patient to ensure the medicine harmonizes with the body’s internal state.