I completely understand the frustration of wanting to reduce lower body volume; many patients come in with a strong desire for a targeted solution. It is important to realize that simply exercising without considering your body type can sometimes lead to joint strain rather than weight loss. The greatest strength of Traditional Korean Medicine (TKM) is its focus on personalized treatment based on one's constitution. We focus on removing 'Dam-eum' (痰飮, abnormal fluid accumulation) that causes waste to build up in the lower body and resolving 'Eo-hyeol' (瘀血, blood stasis) that obstructs circulation, which will make your body feel significantly lighter. However, herbal medicine alone may not be sufficient. To maximize efficiency, it is often necessary to combine it with physical therapies such as acupuncture or Chuna manual therapy. Additionally, for those with 'Bi-heo' (脾虛, deficiency of the Spleen/digestive function), the herbal prescription process is more complex as the ingredients must be meticulously adjusted to avoid digestive distress. Ultimately, there is no 'one-size-fits-all' answer. The approach differs entirely depending on whether you are dealing with severe edema despite low muscle mass, or a general decline in metabolic capacity. I suggest you visit the clinic so we can carefully examine your physical state and determine the best path forward together.