Hi
@lot ,
I think gout could be related to the injured water, especially if it happened over the past 2 years.
Since there is a urinary and bones association.
2022 - 戊 earth clash 壬 water
2023 - 戊 earth combines with 癸 water
Neuro could be linked to fire, since it also affects the nervous system.
In the past decade luck, there is an 午 fire in the branch.
While the 午 fire doesn't come under attack, it is still drained having to feed 2x 辰 earth for years.
The 午 fire is gone this decade luck, so perhaps the symptoms has gone away.
If this logical association is correct, then beware of 2026 where fire is very strong (stem + branch), but yet your chart has even more earth to feed.
2027 too, but to a lesser extent.