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Studying health and working health (or it's Skill) will generate vitality.
If you get illness, dream of it with funds or vitality to restore it to health.
If you remember to do this, you should suffer no net loss of Health.
So you'll quickly acquire a health card. There are 2 general ways to get the vitality necessary to get your second health card: Working the health card. Studying the health card. Either route nets you a guaranteed vitality at the end of 60 seconds but working straight health with no skill card attached carries the risk of injury -- something to consider. Be that as it may, once you net yourself 2 vitalities, study them together for your second health card and your new skill card.
Now that you have 2 health cards, you'll want to use one to study the other for work + skill card. Do this twice each and you'll fairly quickly generate the 4 vitalities necessary to study with your new skill card and earn an even better upgraded skill card and your 3rd health card. (Side note: exhausted health cards from work take 60 seconds to recover. If you immediately Dream your exhausted health cards you can have them back in action in 30 seconds cutting down time in half.)
Now that you have 3 health cards, you can work health much more efficiently. That additionall efficiency should be more than enough to get you the 6 vitalities necessary for the final skill card upgrade and your 4th health card.
Each additional health upgrade requires 8 vitalities, they still need to be studied with the skill card but the skill card wont get any better. It is nigh impossible to have 8 vitalities on the board at the same time just working health cards and studying health cards unless you get really lucky with a Course of the Heart event. To hit 8 vitalities on hand at the same time you'll need a 3rd source of vitality and unfortunately that's somewhat random. The way you're going to get this 3rd source of vitality most consistently is by going to the Woods and always picking The Well option (or the upper option if I rememered the name wrong). It's random, but there's a chance for a vitality to be there. What's going to happen is you'll be working health and studying health at max efficiency and you'll just see old vitalities burning away until you'll get lucky at The Well and then pretty much whether or not The Well has a vitality for you is going to dictate whether or not you can upgrade your health.
Never bothered to check if there was a cap on health, but really... I mean 4 or 5 health was the sweet spot for me. It's really easy for your work/study chain to get disrupted by an affliction and when you're trying to get 8 vitalities on board at the same time and it really sucks.
But yeah, get more health by doing backbreaking manual labor and taking long walks in the park for that sweet vitality