The Lum Medicinal Bathing of Sowa Rigpa (Tibetan Medicine) has been developed by the Tibetan people within a life view based on Jungwa-nga (five elements) – i.e., Sa (earth), Chu (water), Me (fire), Lung (wind) and Namkha (space) – and a view about health and illness based on Nyepa-sum (three dynamics) – i.e., Lung, Tripa and Pekan. In Tibetan, “Lum” indicates the traditional knowledge and practices of bathing in natural hot springs, herbal water or steam to adjust the balance of mind and body, to ensure health and treat illnesses. Influenced by the Bon religion and Tibetan Buddhism, Lum embodies folk experiences in illness prevention and treatment, and reflects the transmission and development of traditional knowledge represented by the treatise Gyud zhi (the Four Tantras) in present-day health practice. Lum is practiced under the guidance of a Manpa (traditional physician) in two ways. One is bathing in Five Types of Hot Springs containing different minerals. The other, bathing with Five Medicinal Nectars, includes three methods: immersion, steam-bathing and applications with sachets. In this process, Manpa, in collaboration with Lum Jorkhan (pharmacist) and Manyok (Lum assistant), conducts symptom differentiation based on observation, questions and pulse palpation. Then preparation of medicines includes herb compound, boiling, fermentation and addition of extra herbs. The element has been transmitted over generations through daily life, religious rituals, folkloric activities and medical practices on account of its safety and accessibility. While providing Tibetans with a sense of identity and continuity, the element reflects cultural diversity and human creativity.