Non-face-to-face consultations are convenient, but accurate assessment of constitution and condition is crucial for herbal medicine. In Traditional Korean Medicine, Spleen Deficiency (biheo, 脾虛) is often observed. When spleen function weakens, digestion and absorption become impaired, leading to slow metabolism and a constitution prone to weight gain. However, it is difficult to accurately diagnose Spleen Deficiency through teleconsultation alone. Another concept is Phlegm-Fluid Retention (dameum, 痰飮), a state where metabolic waste accumulates. If this is not addressed and appetite alone is suppressed, yo-yo effects are likely. In practice, those who reported positive results with non-face-to-face herbal medicine had usually undergone an initial in-person pulse diagnosis and used telemedicine only for maintenance. Conversely, those who relied entirely on telemedicine often reported little effect or weight regain after discontinuation. Herbal prescriptions vary based on constitution and symptoms, either tonifying the Spleen or eliminating Phlegm-Fluid. Telemedicine alone may miss this nuance. Therefore, we recommend starting with an in-person consultation and pulse diagnosis to assess your current condition, then using telemedicine for follow-ups or re-prescriptions.