I may have been wrong about the 5 Elements on You are not allowed to view links.
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Login to view. . They may be the associated 4 Humors. This better explains their placement:
At the top/center: Aether / Spirit: otork (
otork )
Middle "active": Water / Phlegm: otedy (
otedy ) and Fire / Yellow bile: otol (
otol )
Ends "structural": Air / Blood: olkchs (
olkchs ) and Earth (Land) / Black bile: dchdy (
dchdy )