A saintly looking woman holds up a large sheet picturing seven golden cups, each holding something beautiful or fantastical or frightening. She looks rather sad, as if she regrets that she has to deal with such unholy or mundane thoughts as are pictured on the sheet.
The cups that are pictured all contain things that we may desire or fear, such as a beautiful face, a golden crown and jewels, a victory wreath, a large house, a dragon, and a snake.
In each lower corner of the image are three young angels. The ones on the right hold a book, and the ones on the left hold a scroll. They look like they are comparing what is written in the book or on the scroll with what is pictured on the sheet. Maybe it is their job to keep track of man's wishes and fears so that they can assist us in either realizing or overcoming our earthly desires and terrors. They are angels, after all. They look like they might be the students of the sad woman holding up the sheet.
To me, the card seems to speak about being lost in materialism or ego-gratification. The book suggests another meaning as well, that achieving one's desires is possible, but you must be careful to choose the right path.