Knowledge/Five Elements Theory — Earth, Water, Fire, Wind, Space
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Fundamentals

Five Elements Theory — Earth, Water, Fire, Wind, Space

Five Elements
Fundamentals
Earth Water Fire Wind Space
Tibetan Pharmacology
Manthang
Sichuan School
Five Elements Theory — Earth, Water, Fire, Wind, Space
倍速

Five Elements Reference Table Trilingual

Five Elements: the five basic elements that constitute the human body.

ElementCharacteristicsFunctionsThree Humors RelationshipMedicinal Relevance
土 ས་<br/>EarthHeavy, stable, dull, soft, moist, dryProvides solidity, support, and stability. Forms bones, muscles, firm tissues.Phlegm's fluid regulation — Earth's moist quality.Earth is the source of growth for medicinal plants.
水 ཆུ་<br/>WaterWet, moist, soft, heavy, cold, thinMoistens, binds, and coalesces. Forms blood, saliva, and bodily fluids.Phlegm's fluid regulation — Water's moist quality.Water is the vital juice for medicinal plant growth.
火 མེ་<br/>FireHot, sharp, light, mobile, coarse, dryWarms, matures, and transforms. Generates body heat and digestive fire.Bile's heat production — Fire's hot quality.Fire is the heat source for medicinal plant growth.
风 རླུང་<br/>WindLight, mobile, cold, coarse, astringent, dryMoves, breathes, and pervades. Forms gases and energy, drives all movement.Wind's propelling function — Wind's moving quality.Wind is the motive force for medicinal plant circulation.
空 ནམ་མཁའ་<br/>SpaceEmpty, open, unobstructedProvides room and possibility. Forms internal cavities and orifices within the body.Wind's field — Space quality.Space is the open ground for medicinal plant growth.

Notes

When the five sources in the body are balanced (neither increased, decreased, nor disturbed), there is health. When they are imbalanced, there is disease. — From the Four Medical Tantras (rGyud-bzhi)


Five Elements → Three Humors Flowchart

Mutual interaction and dynamic balance

Five Elements → Three Humors Flowchart

Three Factors & Five Elements

rLungmKhris-paBad-kan
WindFireEarth
SpaceWater

The Color Code of Medical Thangkas (Manthang)

Manthang — Tree of Health & Disease

The Four Tantras medical thangkas — Tree of Health & Disease

Claim ②:

Yellow represents the Earth element;
White represents the Water element;
Red represents the Fire element;
Green represents the Wind element;
Blue represents the Space element.

Claim ①:

White represents Bad-kan, the body's "Water" system;
Yellow represents mKhris-pa, the body's "Fire" system;
Blue represents rLung, the body's "Wind" system.


Sichuan School Tibetan Medicine

Comparison

Northern SchoolSouthern School
Geographic rangeCold, dry highland northwest of LhasaSoutheast of Lhasa and Kham region (Sichuan, Yunnan, eastern Tibet, Qinghai)
Key figuresJangpa Namgyal DrakpaZurkhang Nyamnyi Dorje
Core strengthTheory, physiology and pathologyPractice, pharmacology
Prescribing stylePrefers warming drugs; formulas often have many ingredientsPrefers cooling drugs; formulas often have fewer ingredients
Therapeutic specialtyMoxibustionPlant identification, bloodletting, compounding, and processing
ContributionDrew early medical charts; laid base for ManthangRecovered original Four Tantras; printed Zatang edition

Sichuan-school Tibetan Medicine

The "Sichuan School" usually refers to the Southern School, as its center is in the Kham region of Sichuan.

  • Geographic center: Ganzi Prefecture in Sichuan is the homeland and birthplace of the Southern School; Dege County is known as the "birthplace of Southern Tibetan medicine".
  • Theoretical foundation: The foundational framework was established by Zurkhang Nyamnyi Dorje in the 12th–15th centuries.
  • Diagnostic and therapeutic features: Specializes in the three diagnostic methods: observation, inquiry, and pulse-taking. Mainly treats digestive disorders (Phlegm/Bekan diseases), high-altitude rheumatism, and hypertension.
  • Prescribing style: Uses multi-ingredient compound formulas, cooling herbs, and bloodletting therapy.
  • Cultural status: Inscribed on China's national intangible cultural heritage list in 2006.
Updated 2026-08-01