📝 Detailed Answer
In clinical practice, patients generally fall into two categories: the 'Low Metabolism Type,' where willpower is high but the body doesn't respond, and the 'Psychological Hunger Type,' characterized by stress-induced binge eating.
From a TKM perspective, the former often suffers from Spleen Deficiency (Bi-heo, 脾虛), where impaired metabolic function makes fasting counterproductive, leading to fatigue. In these cases, we prescribe herbs that boost vital energy while eliminating waste. The latter often experiences Qi Stagnation (Gi-che, 氣滯) or an accumulation of Phlegm-Fluid (Dam-eum, 痰飮). For them, medicinal herbs that clear blockages and improve circulation are most effective.
While medication alone is not a cure-all, removing Blood Stasis (Eo-hyeol, 瘀血)—which hinders blood flow—and lowering inflammation helps patients feel satiated with smaller portions and reduces edema (swelling) significantly.
Because responses vary by constitution, a tailored approach is essential. Rather than starting with potent formulas, it is crucial to accurately diagnose your current state and adjust the dosage incrementally. I encourage you to consult with me to determine your specific body type and find the most suitable path for your health.