Ephrathah was the ancient name of Bethlehem (Genesis 35:16; Ruth 4:11), where David was born. In the future, a ruler greater than David would come from there (Matthew 2:5–6; John 7:42). This future king's influence would span from the distant past (Hebrew qedem; compare Deuteronomy 33:27; Proverbs 8:22–23; Isaiah 37:26) to a time yet to come, suggesting a divine-human being.