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I have been asked by quite a few people to explain what the words choleric, phlegmatic, sanguine and melancholic mean. In the human organism the fire and air make up what the ancient Greeks called the vital force (pneuma zotikon). The combination of the vital force and the natural force distills the essences of the four elements which become the four humours of the body, the bile (earth), phlegm (water), blood (fire) and atrabile (air).The essence which is left over is distilled into the psychic force (pneuma psychikon) which is stored in the pineal gland and nourishes the spirit (Anima). The astrologers out there should have no trouble relating the temperaments to the four cardinal elements. This is no easy task to do briefly but I will try to give some of the most basic images related to the Mappa Mundi. Due to the innate heat of the fire element stored in the heart, the outer air is drawn deeply into the lungs to cool the body. The bilious humour is made up predominately of the dry earthy element but has a secondary part of fiery heat. When there is a predominance of the bilious humour this makes the dry and hot choleric temperament.
The choleric temperament (earth) usually has a warm, dry, rectangular or square body, tight connective tissue, yellowish complexion, and are practical and rational, yet prone to anger, irritability, and impatience. Unfortunately, most medical astrology books that use the temperaments follow the Aristotelian-Galanic relationships rather than the Pythagorean-Hippocratic system.

In the old Pythagorean works the entire universe is said to be revolving around a universal center of etheric fiery pneuma (The old Greek word pneuma and the Sanskrit word prana have similar roots).
These complimentary opposites produce the energy cycle of the vital force that is circulated through the arteries (fire) and the nervous system (air). The phlegmatic humour is made up predominately of the moist water element but has a secondary part of cool air. The phlegmatic temperament (water) usually has chilly, watery, round or oval body with a white complexion, lax soft tissue, and are sympathetic and sensitive, yet prone to fearfulness, tearfulness, and sadness. This is why most books based on the middle age version have the wrong elemental qualities and zodiacal rulerships. Due to the complimentary actions of attraction and aversion different concentrations of this primordial pneuma produced heat (fire), gases (air), fluids (water) and solids (earth), which are called the four root elements.
The water and earth element make up the natural force (pneuma physikon) which rules from its seat in the liver, the transformation of food (earth) and drink (water). The hot sanguine blood humour is made up predominately of the fire element but has a secondary part of moist water. The sanguine temperament (fire) usually has a hot, moist, triangular or barrel chested body, muscular or fleshy tissue, a red complexion, and are optimistic and joyful, yet prone to pride, passion, and cruelty.
It is a mixture of these elements that produced the galaxies, solar systems, planets and moons as well as all life on Earth Mother Gaia.

The atrabilious humour is made up predominately of the cold air element but has a secondary part of the dry earth element. The nervous melancholic temperament (air) usually has a cool, dry, thin, body with pipe stem bones, little flesh, a gray, ashy complexion, and are intelligent and sophisticated, yet prone to be pensiveness, restlessness or depression. Not only did Galen record the Pythagorean elements wrong, he also changed the ancient law of Likes Cure Likes to Opposites Cure Opposites. Each of these four temperaments is associated with its own sphere of influence in the constitution. With these correspondences in mind please look at the Mappa Mundi below and allow the images to take hold of your subconscious mind where they may draw on information from the collective unconscious.
Only a study of the ancient pre-Socratic texts reveal the mistakes made by the Scholastic schools. As destiny would have it the homeopaths (Reeves, Norland and myself) have all fallen into the correct early version!
A few years ago I saw a Tibetan Mandala like version of the mappa mundi from Misha Norland and was very happy to see we have agreed on the elements, humours and temperament.

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