The development of an indigenous model of counseling has been a major goal of Taiwanese counseling psychology. This article aims to contribute to this framework by integrating the five elements theory of Chinese medicine to counseling practice. This article presents a literature review on the five elements theory and on the statistical concept of mediation, and integrates principles from both to present a counseling model in which the principles of generation and control are applied to the interpretation of mediation analysis. I also delineate a four-stage model for the establishment of a indigenous counseling model. The models proposed by this article have the potential to contribute to the growing field of Taiwanese counseling psychology.