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The praying hands represent the call to prayer in verse 13. The money bag and briefcase represent the warning against the love of money in verse 1-6. The needle represents the call to be patient in suffering in verse 7-11. The flexed bicep represents the power of prayer in verse 16. The fire represents the call to turn sinners from their ways in verse 20.
James 5:16 – "Therefore confess your sins to each other and pray for each other so that you may be healed. The prayer of a righteous person is powerful and effective." ππͺπ₯