This reading connects to the energy of the Elements (earth, water, fire, air, ether) as well as the energy of the Directions (S, W, N, E). Three other cards will be drawn for present, shadow and moving forward. This is a complex reading that will look at interactions between and among spiritual teachings from several disciplines including shamanism and yoga. The purpose of this spread is to examine your spiritual development, its aspects and challenges. The card representing the East as well as the "moving forward" card usually indicate your soul's purpose.
 
For more details on the "Medicine Wheel Sacred Connections" reading as well as a sample reading, refer to Sadhana's blog: https://www.integrativehealingwithsadhana.com/post/medicine-wheel-sacred-connections
Image: Vision Quest Tarot, Mystical Shaman Oracle