Between the alternative readings there is no marriage possible; on the one hand, riches, fortune, magnificence; on the other, physical suffering, disease, chagrin, sadness, mortification. The design gives one suggestion; here is a lord overlooking his dominion and alternately contemplating a globe; it looks like the malady, the mortification, the sadness of Alexander amidst the grandeur of this world's wealth.
A tall man looks from a battlemented roof over sea and shore; he holds a globe in his right hand, while a staff in his left rests on the battlement; another is fixed in a ring. The Rose and Cross and Lily should be noticed on the left side.
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The Rider-Waite-Smith deck (1909) is no longer subject to copyright, so if you want to copy it, knock yourself out. I got all of Rider-Waite-Smith-deck-(1909) on the website Tarotlore a Reading into the Tarot