
With the aspect of Neptune in the 4th house all your mysterious encounters, however transparent they may seem upon the surface will have certain hidden disadvantages which only appear later on when the pain and trickery has already been installed in your life. In other words this can be a gateway for painful karmic lessons. This placement is sometimes associated with the final lifetimes with this needing to learn foundational themes in a very powerful way.
Persons born with Neptune in this position should be extremely careful not to play any tricks with the consciousness. They may suffer severely from insomnia, but they must on no account attempt to seek relief from narcotic drugs, even those reputed most harmless for there is it peculiarity in their constitution which may make a dose that the majority of people could take with immunity fatal to them. Surgical operations, even of the slightest character should be handled with caution, more especially in Neptune is afflicted by Mars, or if Mars himself itself is weak. The utmost precaution should be taken in the administration of anesthetics.
Neptune in this position may also find themselves a bit lonely at old age. They will probably outlive those who are dear to them and there may be a strong tendency to isolate as a consequence of this. The mental forces too may be impaired; in particular, the memory may become affected and unreliable. Although the second childhood will be full of pleasant fancies, possibly similar to those which characterized the early years of life, though naturally modified, to some extent by the experiences of the entire lifetime. The fourth house also indicates the mother-in-law and her family. If she is still living, healing and letting go may be a part of your lives together generationally.
It is important for those with this placement to create a beautiful and ethereal home environment, a place where they feel comfortably exposed to beauty on a daily basis. Decoration has to be chosen carefully as there is a sensitivity on a soul level to light, shades, and colors and nuances. Living close to a body of water or in a remote natural setting is an ideal way of allowing this energy to flow in a healthy and generous way.