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The five elements, or five phases, are used as a diagnostic tool. They are used to help discover what is out of equilibrium in the body. The characters below indicate each of the elements. Starting at the top and working clockwise: - fire, metal, water, wood, and centrally is earth. This may seem simplistic, but realistically all of these elements are essential for the existence of life. Each of the elements interact and exert a balancing effect on the other. This means if one becomes unbalanced so do the others, to varying degrees.