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Since the early twentieth century, scholarly debate has revolved around the status of the 'political' in the thought of Friedrich Nietzsche. Following Nietzsche's call for a 'philosopher-physician' and his own use of the bodily language of 'health' and 'illness' as tools to diagnose the ailments of the body politic, this book is the first to offer a reconstruction of the concept of 'political physiology' in Nietzsche's thought. Biswas Mellamphy presents Nietzsche's political physiology by inter-relating three concepts not usually treated together: great politics, eternal recurrence, and the philosopher of the future. By bridging some of the interpretive gaps between the Anglo-American, German and French schools of interpretation, Nietzsche's political physiology is presented as a politics of subjective transmutation within the context of that pervasive pathological condition of modernity called 'nihilism'. This book charts the pathology of nihilism in Nietzsche's thought and argues that Nietzsche's political physiology is, first and foremost, a politics of emergent ontology.