This refers to four things that are impossible to suppress or control (e.g., a sneeze, laughter, love, or a cough). It highlights the futility of trying to restrain natural impulses.
Chinese philosophy often acknowledges the power of natural forces and human emotions, which cannot be forced or hidden.
It is a humorous way to accept human nature, reminding people that some things are beyond willpower, so it's better to let go.
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