This article, written from the perspective of a Five-Element practitioner and teacher, begins with an account of his experience of the Fire element and its significance for him personally. It moves on to give the classical context of the author’s understanding of the Fire element, outlining the roles of the four Fire Officials (heart, small intestine, heart protector and three heater). The Five-Element approach to treatment is then illustrated using two vividly portrayed and sharply contrasting examples of patients with Causative Factors in the Fire element, addressing the diagnosis, treatment and outcome in each case.