Yes, this card got me very confused at first, but after some thought and a little bit of help, I think I have come up with something.
First of all, I looked at the card, and saw the fish flying or swimming around her head, which seemed strange since there is water below, but not where her head is. I just kept thinking but fish can't breathe air! They can only breathe by the gills, which only works in water.
Then I looked at the lanterns or whatever they are. I looked at it, and all I could think of is like a flower bud, that opens up, omits something. I thought that it might be a stink bomb, but that search came up with nothing.
Then I just thought that she must be hallucinating, which made me think of opium.
http://library.thinkquest.org/4025/cough.htm
http://www.poppies.org/images/dea/2.gif
http://en.wikipedia.org/wiki/Opium
