Dear David An imbalance in the elements can be caused by a deficency of an element or an excess of a different element.For example an overheated body may be due to a lack of the water element causing the fire element to be predominant.Or there could be just a straight surfeit of fire.In both cases symptoms and signs can be similar,though there are differences.Treatment is definitely NOT the same. There is a discussion of this in IIH in the theory section under Man_About the body.In my edition the relevant section starts midway through the second last paragraph with the words "If any element were missing,...".The author talks about the deficient then the excess scenario. For diagnosis and treatment visit Malkuth in The Eight Temples Meditation Project.If you can handle it,visit Yesod for the psychological perspective. Regards Will __________________________________ Do you Yahoo!? Free Pop-Up Blocker - Get it now http://companion.yahoo.com/