(82) Timaeus: For seeing that there are four elements of which the body is compacted,—earth, fire, water and air,—when, contrary to nature, there occurs either an excess or a deficiency of these elements, or a transference thereof from their native region to an alien region; or again, seeing that fire and the rest have each more than one variety, every time that the body admits an inappropriate variety, then these and all similar occurrences bring about internal disorders and disease. For when any one element suffers a change of condition that is contrary to nature, all its particles that formerly were being cooled

(122) "Thou art of fire; return to thy root!" In the body there are seventy-and-two diseases; Disease comes to rend the body asunder, The four elements are as birds tied together by the feet; Death, sickness and disease loose their feet asunder. The moment their feet are loosed from the others, 'The bird of each element flies off by itself. The repulsion of each of these principles and causes That it may dissolve these composite bodies of ours, The bird of each part tries to fly away to its origin;

(86) Timaeus: and it produces diarrhoea and dysentery and all suchlike maladies. When a body has become diseased mainly from an excess of fire, it produces constant inflammations and fevers; when from air, quotidian fevers; when from water, tertian fevers, because that element is more sluggish than air or fire; and when from earth, which is the fourth and most sluggish of the elements and is purged in four-fold periods of time, it causes quartan fevers and is cured with difficulty.

(1) 'If a man is ill, his relatives assemble round him and ask: "Dost thou know me? Dost thou know me?" Now as long as his speech is not merged in his mind, his mind in breath, breath in heat (fire), heat in the Highest Being (devatâ), he knows them.

(114) Behold! Man becomes weak, faint and sick, and if no Remedy be used, then he soon falls into Death. The Sickness is caused either by some bitter and astringent Herb which grows out of the Earth, or else caused by an evil, mortiferous deadly Water, or by several Mixtures of earthly Herbs, or by some evil stinking and rank Flesh or Meats, and Surfeit from thence to Loathing;

(25) The fourth cause of disease was what the Orientals called Karma, that is, the Law of Compensation, which demanded that the individual pay in full for the indiscretions and delinquencies of the past. A physician had to be very careful how he interfered with the workings of this law, lest he thwart the plan of Eternal justice. The fifth cause was the motion and aspects of the heavenly bodies. The stars did not compel the sickness but rather impelled it. The Hermetists taught that a strong and wise man ruled his stars, but that a negative, weak person was ruled by them. These five causes of disease are all superphysical in nature. They must be estimated by inductive and deductive reasoning and a careful consideration of the life and temperament of the patient.

(2) Air is, therefore, twofold in nature-tangible atmosphere and an intangible, volatile substratum which may be termed spiritual air. Fire is visible and invisible, discernible and indiscernible--a spiritual, ethereal flame manifesting through a material, substantial flame. Carrying the analogy further, water consists of a dense fluid and a potential essence of a fluidic nature. Earth has likewise two essential parts--the lower being fixed, terreous, immobile; the higher, rarefied, mobile, and virtual. The general term elements has been applied to the lower, or physical, phases of these four primary principles, and the name elemental essences to their corresponding invisible, spiritual constitutions. Minerals, plants, animals, and men live in a world composed of the gross side of these four elements, and from various combinations of them construct their living organisms.

(1) EACH of the four primary elements as taught by the early philosophers has its analogue in the quaternary terrestrial constitution of man. The rocks and earth correspond to the bones and flesh; the water to the various fluids; the air to the gases; and the fire to the bodily heat. Since the bones are the framework that sustains the corporeal structure, they may be regarded as a fitting emblem of the spirit--that divine foundation which supports the composite fabric of mind, soul, and body. To the initiate, the skeleton of death holding in bony fingers the reaper's scythe denotes Saturn (Kronos), the father of the gods, carrying the sickle with which he mutilated Ouranos, his own sire.

(83) Timaeus: and all other such humors as pour forth in the daily purgings of the body. And all these are factors in disease, whenever the blood is not replenished naturally from meats and drinks but receives its mass from opposite substances contrary to Nature's laws. Now, when the flesh in any part is being decomposed by disease, but the bases thereof still remain firm, the force of the attack is reduced by half, for it still admits of easy recovery;

(32) As Fire, Air, Water, and Earth, lie in one Case, [or Chest,] and they four are but one Thing, and yet of four distinct Differences, and none of them can comprehend, nor retain the other, and something of one of the four being fixed in every Creature, that Creature cannot bind itself as to that, but is manifested therein, and according to that Spirit is comprehensible and perceptible, and yet is incomprehensible to the Spirits of the other Elements.

(6) We may now consider the question whether fire is the sole element existing in that celestial realm and whether there is any outgoing thence with the consequent need of renewal.

Timaeus pronounced the material frame of the All to consist primarily of earth and fire for visibility, earth for solidity- and deduced that the stars must be mainly composed of fire, but not solely since there is no doubt they are solid.

And this is probably a true account. Plato accepts it as indicated by all the appearances. And, in fact, to all our perception- as we see them and derive from them the impression of illumination- the stars appear to be mostly, if not exclusively, fire: but on reasoning into the matter we judge that since solidity cannot exist apart from earth-matter, they must contain earth as well.

But what place could there be for the other elements? It is impossible to imagine water amid so vast a conflagration; and if air were present it would be continually changing into fire.

Admitting that two self-contained entities, standing as extremes to each other need for their coherence two intermediaries; we may still question whether this holds good with regard to physical bodies. Certainly water and earth can be mixed without any such intermediate. It might seem valid to object that the intermediates are already present in the earth and the water; but a possible answer would be, "Yes, but not as agents whose meeting is necessary to the coherence of those extremes."

None the less we will take it that the coherence of extremes is produced by virtue of each possessing all the intermediates. It is still not proven that fire is necessary to the visibility of earth and earth to the solidarity of fire.

On this principle, nothing possesses an essential-nature of its very own; every several thing is a blend, and its name is merely an indication of the dominant constituent.

Thus we are told that earth cannot have concrete existence without the help of some moist element- the moisture in water being the necessary adhesive- but admitting that we so find it, there is still a contradiction in pretending that any one element has a being of its own and in the same breath denying its self-coherence, making its subsistence depend upon others, and so, in reality, reducing the specific element to nothing. How can we talk of the existence of the definite Kind, earth- earth essential- if there exists no single particle of earth which actually is earth without any need of water to secure its self-cohesion? What has such an adhesive to act upon if there is absolutely no given magnitude of real earth to which it may bind particle after particle in its business of producing the continuous mass? If there is any such given magnitude, large or small, of pure earth, then earth can exist in its own nature, independently of water: if there is no such primary particle of pure earth, then there is nothing whatever for the water to bind. As for air- air unchanged, retaining its distinctive quality- how could it conduce to the subsistence of a dense material like earth?

Similarly with fire. No doubt Timaeus speaks of it as necessary not to the existence but to the visibility of earth and the other elements; and certainly light is essential to all visibility- we cannot say that we see darkness, which implies, precisely, that nothing is seen, as silence means nothing being heard.

But all this does not assure us that the earth to be visible must contain fire: light is sufficient: snow, for example, and other extremely cold substances gleam without the presence of fire- though of course it might be said that fire was once there and communicated colour before disappearing.

As to the composition of water, we must leave it an open question whether there can be such a thing as water without a certain proportion of earth.

But how can air, the yielding element, contain earth?

Fire, again: is earth perhaps necessary there since fire is by its own nature devoid of continuity and not a thing of three dimensions?

Supposing it does not possess the solidity of the three dimensions, it has that of its thrust; now, cannot this belong to it by the mere right and fact of its being one of the corporeal entities in nature? Hardness is another matter, a property confined to earth-stuff. Remember that gold- which is water- becomes dense by the accession not of earth but of denseness or consolidation: in the same way fire, with Soul present within it, may consolidate itself upon the power of the Soul; and there are living beings of fire among the Celestials.

But, in sum, do we abandon the teaching that all the elements enter into the composition of every living thing?

For this sphere, no; but to lift clay into the heavens is against nature, contrary to the laws of her ordaining: it is difficult, too, to think of that swiftest of circuits bearing along earthly bodies in its course nor could such material conduce to the splendour and white glint of the celestial fire.

(44) "And upon the earth are animals and men, some in a middle region, others (elementals] dwelling about the air as we dwell about the sea; others in islands which the air flows round, near the continent; and in a word, the air is used by them as the water and the sea are by us, and the ether is to them what the air is to us. More over, the temperament of their seasons is such that they have no disease [Paracelsus disputes this], and live much longer than we do,

(115) now if a learned Physician inquires of the sick Person, from what his Disease proceeds, and takes that which is the Cause of the Disease, whether it be Flesh, Water, or Herbs, and drys or burns it to Powder, according as the Matter is, and so burns away the outward Poison thereof which stands in Death's Disease, then, in that distilled Water, or burnt Powder, the astral Birth remains in its Seat, where Life and Death wrestle one with another, and are both capable of being raised up; for the dead Body is gone. And

(24) Then thus say the three Elements (the Fire, the Air, and the Water) to the Earth; Thou art indeed too dark, too rough, and too cold, and thou art rejected by the Fiat: We cannot take thee in; thou destroyest our Dwelling, and makest it dark and stinking, and thou afflictest our Virgin, which is our only Delight and Treasure wherein we live. And the Earth says; Yet pray take my P Children in; they are lovely, and of good Esteem; they afford you Meat and Drink, and cherish you, that you never suffer Want.

(1) That, then, from which the whole Cosmos is formed, consisteth of Four Elements—Fire, Water, Earth, and Air; Cosmos [itself is] one, [its] Soul [is] one, and God is one. Now lend to me the whole of thee, —all that thou can’st in mind, all that thou skill’st in penetration. For that the Reason of Divinity may not be known except by an intention of the senses like to it. ’Tis likest to the torrent’s flood, down-dashing headlong from above with all-devouring tide; so that it comes about, that by the swiftness of its speed it is too quick for our attention, not only for the hearers, but also for the very teachers.

(67) The three Elements, Fire, Air, and Water, have a threefold Moving or Qualification, but proceed from one Body; and consider, the Fire or Heat swells and flies aloft from the Sun and Stars; and from the Heat the Air swells and flies aloft; and from the Air comes the Water. [Or expands itself.]

(9) Moreover, what has proceeded from the four Elements may be perceived in the Fierceness of the Fire, how instantly the strong Air goes forth from the Fire; and the Stone or Wood is nothing else but a Sulphur from the Water and from the Earth; and if the Tincture be consumed by the Fierceness, then the [Wood or Stone] would come to Ashes, and at last to nothing; as indeed, at the End, this World with the four Elements will come to nothing, and there shall remain nothing else of them in the eternal Element, but the Figure and the Shadow in the Wonders of God. How then canst thou think that God has created the eternal Man out of the four Elements, or what has proceeded from them, which are but corruptible?

(32) But alas! the Life has many greater and more powerful Enemies; especially the four Elements and the Constellations [or Stars.] As soon as [any] one Element becomes too strong, the Tincture flies from it, and then the Life has its End: if it be overwhelmed with Water, it grows cold, and the Fire goes out, then the Flash flies away like a Glance or Shadow: If it be overwhelmed with Earth, viz. with impure Matter, then the Flash grows dark, and flies away: If it be overwhelmed with Air, that it be stopt, then the Tincture is stifled, and the springing Essences, and the Flash breaks into a Glance, and goes into its Ether. But if it be overwhelmed with Fire or Heat, the Flash is inflamed, and burns up the Tincture, from whence the Blood becomes dark, and swarthy, or black, and the Flash goes out in the Meekness.

(29) Now when this Conference (which is spiritual, between the three Elements, Fire, Air, and Water,) was perceived by the Spirit of the Earth (viz. the Essences in the Region of the Lungs) then ait comes at last (when the Habitation or the Court was already built for the Children of the Earth) and says to the three Elements; Wherefore will you take the Body for the Spirit? Will you take the Children of the Earth, and feed upon them? I am their Spirit, and am pure; I can strengthen the Essences of the Soul with my Virtue and Essences, and uphold them well, take me in.

(26) The sixth cause of disease was a misuse of faculty, organ, or function, such as overstraining a member or overtaxing the nerves. The seventh cause was the presence in the system of foreign substances, impurities, or obstructions. Under this heading must be considered diet, air, sunlight, and the presence of foreign bodies. This list does not include accidental injuries; such do not belong under the heading of disease. Frequently they are methods by which the Law of Karma expresses itself.