A Tale of Two Brothers

It’s been a number of years since I first met the two brothers, Jordan and Samuel. They were as different as two persons could be. Samuel, age 6 at the time, was a gentle, cheerful fellow – easy to smile and easy to talk to. Jordan, 3 years his elder, was retiring and sullen. Communicating with him was challenging at best. And his thin, wiry build was contrasted with the soft, full frame of his younger brother. Reflecting the difference in their constitutional nature, each boy was brought in for quite different reasons. Samuel easily developed respiratory ailments that turned into a bronchitis or asthmatic wheezing. Jordan’s issues were only paritially physical as they had strong emotional and behavioral components.


You don’t hear the word “diathesis” much these days. Diathesis in homeopathy remains important however. Derived from the Greek word ‘diatithenai’, meaning ‘disposition’ or ‘condition’, it is used to describe an innate tendency to become ill in a certain way. The dictionary defines it as, “A hereditary predisposition of the body to a disease, a group of diseases, an allergy, or another disorder.”

All sorts of diathesis are found in medical literature: scrofulous diathesis (glandular swelling), strumous diathesis (thyroid swelling), uric acid diathesis, tubercular diathesis, rheumatic diathesis, hemorrhagic diathesis, sthenic diathesis (excessive inflammation or reaction), scorbutic diathesis (scurvy), lithic acid diathesis (kidney stones) … to name just a few.

Another similar term, especially favored by homeopaths, is ‘constitution’. And it would be reasonable to ask what is the difference is between the two. Generally, they can be thought of almost as parallel to each other: the constitution’ referring to a characteristic way of being in the world and the diathesis a characteristic way of becoming ill.