In this card we see a Dragon grasping a Pentacle that appears to contain the Universe. Dragons are creatures that symbolize pure perfection and of being in harmony with both the material world and the spiritual realm.The conclusion of your progress is near, you need only to travel a short distance further and you can actually have a glimpse of what lies ahead. The Aces are all about a new start and this one as a Ace-Pentacle indicates that you need only undertake the work and do it joyfully and be confident about it.
The reversed Ace of Pentacles can indicate that you are worrying too much about money. We all need to pay attention to our finances but to be overly concerned can steal our capacity for happiness in the present moment. Count your blessings... do what you can and leave the rest to the Universe. In spiritual issues, the reversed Ace of Pentacles is a signal that you may benefit greatly from increased contact with people who are on a spiritual path.
Whether that's a path that's very similar to your own or whether you wish to learn more about very different ways of looking at things is up to you. The point is to go out into the world, and learn more about what others are saying, thinking and experiencing.
In health concerns, you don't have to spend a fortune to get and stay healthy. Simple things help support your health and many things are under your direct control, such as thinking positively, eating well, resting, getting exercise, and so on. Start small. Live one day at a time.