Many people make the mistake of simply eating less and moving more, but pushing your body without considering its internal state often leads to the wall of the 'yo-yo effect.' If general obesity is the result of 'input (food)' exceeding 'output (activity),' hormonal obesity often stems from blocked internal flow. In Traditional Korean Medicine (TKM), this is viewed as a decline in metabolism caused by an accumulation of Dam-eum (痰飮, phlegm-fluid retention) or Eo-hyeol (瘀血, blood stasis). Particularly in patients with Bi-heo (脾虛, Spleen Deficiency/weakness of the digestive system), there is a tendency to feel bloated and gain weight even with minimal food intake. In such cases, the key is not to suppress appetite blindly, but to revitalize Spleen function so the body can utilize energy efficiently. | Category | General Obesity (Energy Surplus) | Hormonal/Metabolic Obesity | | :--- | :--- | :--- | | Primary Cause | Overeating, lack of activity | Decreased metabolism, hormonal imbalance | | Characteristics | Rapid response to dietary control | Slow weight change despite eating less | | Physical State | Relative energy surplus | Low energy, edema, chronic fatigue | | TKM Perspective | Focus on removing Dam-eum (痰飮) | Improving Bi-heo (脾虛) and Qi-Blood circulation | | Treatment Core | Appetite control and metabolic boost | Restoring metabolic switches and constitutional improvement | | Expected Goal | Body fat reduction and habit correction | Recovery of homeostasis and metabolic normalization | Ultimately, the first step is to distinguish whether your body is in a state of 'simply having eaten too much' or 'being unable to utilize energy.' Only by identifying your precise condition can we provide the most efficient and effective treatment.