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Let’s look at important things here –
Ketu – Ketu represents Isolation, Separation, Spirituality, Mystical World, Other Dimension means things related to Alien World. It also represents Son, Dog, Intuition, Research Ability, Curious Nature, things which we have already achieved in past life and not much concerned to perform in this life.
Shatabhishak Nakshatra - It is a nakshatra related with healing and health care. It is related with serving humanity or higher cause. Please check this link for more info on Shatabhishak Nakshatra - https://www.astrosaxena.com/shatanaksh.
Aquarius - As Shatabhishak is part of Aquarius sign, Aquarius and things represented by Aquarius are also important here. Aquarius is 11th sign of zodiac belt, hence it signifies the things and energy related with 11th house of horoscope, such as Gains, Desires, Hopes and Wishes, Large Organisations, Network Circles etc. Besides this, Aquarius also represents Scientific Thinking & Research, Uplifting the Society, Higher Goals & Rewards for all. Aquarius is made of another set of 2 and half Nakshatra, i.e. Dhanishtha, Satabhisha and Purva-Bhadrapada. Aquarius Lord is Saturn & Rahu.
Saturn & Rahu - As Saturn rules Capricorn & Aquarius and Rahu co-rules Aquarius & also rules Shatabhishak, their position and dignity is important to know about the overall functioning of any planet in Shatabhisha/Aquarius.
Houses Involved – Also, we can’t afford to forget the houses involved as a planet can be ruling different houses and sitting in different house for every person as per ascendant and planet’s position. To know overall affect, we have to consider the houses involved as those areas of life are being impacted.
Interpretation of Ketu in Shatabhishak Nakshatra – Here, Ketu is in sign of Saturn-Rahu's sign and Rahu's nakshatra. Shatabhishak is healing, health care and service to others. Ketu represents our past-life expertise. So, these people can be inherently good at serving others. They can be natural healers as they have already dealt with health care in past-life. As Shatabhishak remains a nakshatra of healing, health care and medicines, most commonly they can be working in health-care related work. Ketu represents alternate ways of healing. So, Ketu in Shatabhishak Nakshatra shows someone who is serving others in alternate ways of healing. This is also middle portion of Aquarius which represents new-age technology. Ketu there can show past-life expertise in that area also. But as Ketu represents separation, it can be the case that they may feel separated from these activities initially but when they are left with no other choice but to work in these areas of healing or new-age technology then they can do it easily as they may realize that they are naturally good at it.
As Ketu itself represents separation, split, break-up etc, if Ketu is getting involved in relationship matters in a chart, it is never a good placement. Person will be feeling separated in relationship either physically or mentally or both ways. This will bring a tug-of-war kind of result where they may feel separated when they are in relationship but when they are single, they may desire relationship. As Ketu remains illusion, possibility of cheating is high in relationship.They may have to adjust a lot to make their relationship work. They can be eccentric or unorthodox in their relationship matters. They can go against social rules in relationship matters.
Role of Saturn & Rahu - Also, Saturn-Rahu placement is important to guide Ketu in right direction, being Aquarius & Shatabhishak lords.
Other Factors – And of course, we need to consider conjunction, aspects, house lordship, house position and dashas etc to know the exact results of Ketu in Shatabhishak. So, we always need to take a holistic view of chart rather than just 1 planetary position.
Conclusion – So, this is how I see Ketu in Shatabhishak can work in a chart.
Hope this helps. Please post any comment or query you may have.
Swami Premanand Bharti
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