Upright Meaning:
When the Four of Pentacles shows up in a health reading, it can show that there are issues you are holding on to that are having an effect on your health.
Since Pentacles relate to the physical, it can indicate that holding on to emotions for too long is starting to manifest in your physical body and causing health issues. To a lesser extent, it can also indicate a health issue that seems to be lingering and needs to be dealt with.
Reversed Meaning:
In a health reading, Four of Pentacles reversed indicates that you are releasing blocks of energy, tension, and the like, and on your way to a release and perhaps on the road to better health. It could be a sign that it is time to seek treatment for tension such as chiropractic adjustment, or massage.