Element Mandalas are designed to represent the five elements: water (circle), earth (square), fire (half-circle), air (triangle), and space. These shapes correspond to the elements' characteristics and activities. In Indian Ayurvedic Medicine, these elements formed the basis of health and well-being, a system later incorporated into Tibetan Medicine.

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These elements also exist within us and are connected to our chakras, emotions, colors, body types, illnesses, thinking styles, and character traits. Mandalas were used to illustrate the relationships between diseases and their corresponding treatments within this holistic framework.