Objectives: In Oriental medicine, it is essential to understand Five elements theory and Jang-Fu theory. However, it is controversial how Jang-Fu theory and Five elements theory have been changed and when two theories were combined. Methods : Now, we reviewed several literatures concerning the formation of Five elements theory and Jang-Fu theory. Results : This short review includes: (1) the origins of Five elements in old oriental medical literatures. (2) the changes in concepts or contents of Five elements theories according to the periods : Interaction of five movements - the creation cycle (sheng, 生, promotion) - overcoming cycle(ke, 剋, inhibition) (3) that the origins and formations of Jang-Fu in old oriental medical literatures. Conclusions : Two theories of Five elements and Jang-Fu had formed, changed in different ways and were successfully combined over long-time.