The Five Elements Theory – comprising Wood, Fire, Earth, Metal and Water – is often used to describe interactions between the elements in nature and the life force, also known as Qi, that flows through them. This unique philosophy is not just applied to feng shui and fortune telling but also to Traditional Chinese Medicine (TCM).
In TCM, each element is related to different organ networks, colours, emotions, tastes, and sensory organs, which impact your overall health and well-being, including fertility.
Think of the Five Elements approach as one piece of the puzzle in TCM – it can offer insights into your wellness journey, but the personalities and emotions associated with each element are general guides and may not apply to everyone.
How to determine your element

Determining your element isn’t always straightforward. Most people actually have a combination of elements, with one being dominant and others playing supporting roles.
The most accurate way to identify your element is through a consultation with your TCM physician. During your visit, they will assess different factors to determine it. These include:
Physical characteristics
Emotional patterns
Health history
Pulse diagnosis
Once you know your element, you and your TCM physician can work together to create a personalised treatment plan, giving you the best chance of achieving your fertility goals.
Wood element
If you’re a Wood element, you tend to have an intense personality. You may be confident and decisive on most days, but you can also be stubborn and controlling. This temperament may sometimes make you overly stressed, which can interfere with your ability to conceive.
In TCM, the Liver corresponds to the Wood element, and Liver-Qi stagnation can cause irregular menstrual cycles with impeded menstrual flow, making it harder for you to get pregnant.
To support your fertility, you should:
Regulate your stress levels:
Try stress-relieving and meditative exercises such as yoga and deep breathing.
Take care of your Liver:
You can support your Liver health through lifestyle and diet changes.
Try acupuncture:
Acupuncture can also help unblock Qi and restore balance to your body.
Fire element
Like blazing flames, Fire-element people can be passionate and excitable but also impatient and easily frustrated.
If you are a Fire type, it is important to pay more attention to your Heart as you could be more susceptible to cardiovascular issues, as well as glandular and immune problems.
To balance your Fire element, try these lifestyle changes:
Go to bed early and get adequate rest
Limit heaty foods and ingredients like chocolate and stimulants
Opt for more bitter foods, grains, vegetables, and dark leafy greens
You can also consider visiting a TCM clinic for fertility issues – the physician may prescribe Chinese herbal medicine along with other therapies to quell the excess fire.
If you're experiencing fertility challenges, schedule an appointment with Thomson Medical today. Our TCM physicians will assess your unique constitution and create a personalised treatment plan to support your fertility goals.
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Earth element

As an Earth-type, you are easygoing and nurturing but tend to overthink and over-worry, which can contribute to digestive problems, also referred to as “Spleen Qi” in TCM. This Qi is crucial for regulating your menstrual cycle and transforming food into blood and energy to support fertility.
To strengthen your Spleen Qi, TCM recommends:
Avoid cold and raw food:
These can weaken your Spleen Qi, reduce energy levels, and affect your motivation to try for a baby..
Choose warm foods:
For example, spices and broths can support your digestion.
Consider acupuncture:
Acupuncture for fertility can be beneficial too. The acupoint Zu San Li, located on the Stomach meridian, can improve gastrointestinal function as well as manage stress and anxiety.
Metal element
If you’re a Metal type, you are meticulous and organised but can be fickle-minded, sometimes stretching yourself too thin and causing common respiratory problems like sinusitis and asthma to develop.
While your respiratory health does not have a direct connection to fertility, it can take a toll on your overall well-being and affect your mood and motivation to have a baby.
To support your fertility, TCM advises:
Avoid smoking
Try exercises that strengthen your respiratory health, such as swimming
Establish regular mealtimes
Avoid dairy products and overly spicy food that can put you in a restless state
Water element
Water-type people have strong willpower but are also sometimes timid and deep thinkers. If you fall under the Water element, take note of urinary, genital, and reproductive ailments like infertility.
Your Kidneys are also more prone to health issues, which, from TCM’s perspective, are among the most important organs for conception.
Here's what you can do to enhance your fertility:
Stay hydrated:
Drink plenty of water to support your body’s natural processes and overall health.
Use gentle cooking methods:
Boiling and steaming can help retain moisture in foods.
Eat healthy foods:
Add seaweed, black rice, sesame seeds, and walnuts to your diet.
Consider acupuncture:
Acupuncture for fertility can also be especially helpful, as it balances the Yin and Yang of your Kidneys.
If you want to learn more about your element and how to optimise your body for conception, schedule an appointment with Thomson Medical.
Our physicians will guide you through understanding your constitution and recommend specific lifestyle changes, dietary adjustments, and TCM therapies tailored to your elemental type.
FAQ
Can you have multiple elements?
Yes. Most people actually have a combination of elements rather than just one.
You may have a dominant element with one or two secondary elements that influence your health and personality. A TCM physician can help identify your unique elements and tailor treatments accordingly.
How can I naturally boost my fertility?
Natural ways to support fertility that your TCM physician may recommend include:
Managing stress through yoga or meditation
Eating a balanced diet suited to your body type
Getting regular exercise
Getting quality sleep
TCM therapies, such as acupuncture and herbal medicine, can also enhance your natural fertility.
What are the signs of declining fertility?
Common signs of declining fertility you should watch for include:
Irregular or absent periods
Very short or long menstrual cycles
Painful periods
Hormonal changes like severe PMS
Difficulty conceiving after one year of trying (or six months if you're over 35)
If you notice these signs, don’t hesitate to consult your fertility specialist or TCM physician.
What should I do 3 months before trying to conceive?
The three months leading up to conception are very important. You can optimise your health by:
Eating nutrient-rich foods
Taking prenatal vitamins with folic acid
Reducing alcohol and caffeine
Quitting smoking
Managing stress
Addressing any underlying health concerns
You should also consider starting TCM treatments during this time to prepare your body.
How long does TCM treatment take to improve fertility?
TCM usually recommends at least 3-6 months of consistent treatment to see significant improvements in fertility. This timeframe allows your body to regulate hormonal balance, improve egg quality, and strengthen your overall reproductive health.
Can I combine TCM with IVF or other fertility treatments?
Yes, TCM can work alongside Western fertility treatments like IVF.
Acupuncture and herbal medicine help reduce side effects, improve egg quality, support implantation, and increase your overall success rates. Make sure to always inform both your fertility specialist and TCM physician about all treatments you're receiving.
The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice based on your unique situation, please consult a specialist at Thomson Specialist Skin Centre. Schedule an appointment with Thomson Specialist Skin Centre today.
Physician Jun Negoro
Traditional Chinese Medicine
Thomson Chinese Medicine (TCM Paragon Medical Centre) and 1 other
English, Mandarin
Alliance MediNet

