Hello leelalie, I found this which might help you get a better understanding of the pyramid spreads.
Top Card (Card 1) - Overall Influence at Work
Second Row (Cards 2 & 3) - Choice of Action
Third Row (Cards 4, 5 & 6) - Underlying Forces
Base Row (Cards 7, 8. 9 & 10) - Advice of the Cards
(how to resolve question)
Here I will show you an example ok. so you can better understand it. You can use one single card, but if you want a little more information, you can use two cards. what any amoutn you desire. But its best to keep it less than three cards.
For example:
One Card:
1. Row: Overall Influence at Work:
Tree= Your health issuses.
2. Row: Choice of Action:
Tower=Going to a hospital for treatment.
Crossroad=Taking alternative medicin.
3. Row: Underlying Forces:
Ship=Bladder problems
Moon=Hormonal problems or health issuess that seem to repeate themself
Clouds=Mental confusion.
4. Row: Advice of the Cards
Clover=Keep an optemistic chance.
Stars=Keep taking medication.
Bear=Take a special diet and change eating habbits.
Birds=Communicate with your Dr.'s you are having any problems.
Now if your going to use more than 1 card (no more than 3) then you just connect them to each other read each card from Left to Right.