Tuesday, October 8, 2024

Exploring the Neurological Components of the Eight Extraordinary Vessels

Traditional Chinese Medicine (TCM) offers a profound system for understanding the body’s energy channels, and within this system, the Eight Extraordinary Vessels hold a unique position. These vessels, especially the Ren Mai, Du Mai, and Chong Mai (channels of first ancestry), are foundational to prenatal development. However, as we explore the channels of secondary ancestry—the Wei Mai and Qiao Mai—it becomes clear that they carry a neurological component previously unexplored in TCM. This is particularly relevant as we begin to understand their connections to postnatal development and the autonomic nervous system (ANS).

Classically, the channels of first ancestry—Ren Mai, Du Mai, Chong Mai, and Dai Mai—govern prenatal development, laying the foundation for life by anchoring the essential energies needed for growth in utero. In contrast, the channels of secondary ancestry—the Wei Mai and Qiao Mai—become active after birth, paralleling the shift from an internal, yin-based experience in utero to the external, yang-based experiences of the outside world. All postnatal experience is under the influence of the ANS, mediated by cranial nerves and shaped by primitive reflexes.

An undeveloped nervous system perceives external stimuli, such as a loud noise or physical discomfort, as potential threats until neutralized. The Wei Mai and Qiao Mai channels qualitatively describe this shift in developmental energy, reflecting the transition from gestation to lived experience and processing both physical sensations and their emotional interpretations. Postnatal development is shaped by the autonomic nervous system, where experience and its interpretation lay the foundation for volitional motor movement, myelination, and the eventual support of the musculoskeletal structure, along with parasympathetic functions supporting the limbic, enteric, and immune systems.

The meridians associated with the Eight Extraordinary Vessels can be understood on two levels: a primary meridian that operates at a 'working level,' and a deeper, more fundamental role tied to their connection to vital body processes. By reinterpreting the classical texts of Traditional Chinese Medicine (TCM) through a polyvagal lens, we can explore how these meridians interface with the developing nervous system. This dual perspective allows us to bridge the traditional qualitative descriptions of these essential channels while illuminating their relationship with the nervous system to offer new perspective for today's problems.

Ren Mai and Du Mai: Interdependence and Transformation

In TCM, the Ren Mai and Du Mai—two of the Eight Extraordinary Vessels—are foundational pathways governing the body's central axis. The Ren Mai runs along the anterior midline, while the Du Mai follows the posterior spine. Traditionally associated with yin (Ren) and yang (Du), these channels work as an inseparable unit, reflecting the interconnected nature of parasympathetic (rest, repair) and sympathetic (action, movement) systems. When utilizing a point on the Ren Mai, its influence cannot be separated from that of the Du Mai, and vice versa. Their interdependence means that it is impossible to impact one without affecting the other.

The Ren Mai represents yin qualities—calm, rest, nourishment—and its parasympathetic functions are closely tied to the vagus nerve, which governs neuroplasticity, regeneration, and restoration. Meanwhile, the Du Mai governs action and movement, reflecting the yang aspect of the nervous system. Together, they form a 3-dimensional network that reflects the balance between parasympathetic and sympathetic dominance, guiding how the body responds to internal and external stimuli.

The Role of the Nervous System and Post-natal Experience: The Activation of the Dai Mai

Postnatal movement and development are reflected by the Dai Mai (Belt Vessel). While the Ren Mai and Du Mai govern foundational aspects of growth and stability, the Dai Mai becomes operational when rotational movements emerge in the post-natal stage. Since all movement stems from the trunk, the Dai Mai plays a significant role in facilitating this. This connects it deeply to the developing vestibular system, which governs balance, spatial orientation, and the subtle coordination of movement.

Movement, Rotation, and the Dai Mai

The higher-order reflexes, such as STNR (Symmetrical Tonic Neck Reflex) and ATNR (Asymmetrical Tonic Neck Reflex), initiate rotational movements in early childhood development. These reflexes stem from the trunk, and their coordination is critical for the development of balance, posture, and smooth motor functions like heel-to-toe walking, which are not fully developed in infants. The Dai Mai serves as the central axis supporting the body's ability to rotate and manage coordinated movements above the diaphragm.

As the child matures, the smooth coordination of movement is heavily dependent on the vestibular system, which regulates not only physical balance and spatial orientation but also plays a key role in emotional responses. The vestibular system’s anatomical correlation to the Gallbladder (GB) channel is significant, as the GB channel’s trajectory on the head mirrors the temporal region—where vestibular function is primarily mediated. This highlights the intricate relationship between the Dai Mai and the GB channel, underscoring their role in supporting movement, balance, and emotional regulation.

Post-natal Experience and Higher-Order Movements


Higher-order movements, such as sagittal or rotational actions, are more sophisticated and require the integration of multiple channels working in concert. For example, while sagittal movement might appear simple, it requires coordination from multiple fascial lines and meridians. Young children walk stiffly because smooth motor functions, such as heel-to-toe gait, are higher-order skills that develop over time. The smoothness of these movements is facilitated by the coordinated interaction of the Dai Mai and the Gallbladder channel (vestibular system).

The Role of the Vestibular System in Emotional Development


In addition to facilitating physical coordination, the vestibular system is integral to the transition from postural to emotional reflexes as a child matures. Initially, the nervous system responds to physical threats with reflexive movements, but as children grow, these reflexes evolve into emotional reactions that help them navigate social interactions. This development is mirrored in the limbic system, which processes emotions and governs the transition from basic survival reflexes to more complex emotional responses. The Dai Mai, by supporting rotational movements and balance, also contributes to the development of emotional flexibility. Greater movement flexibility allows for more nuanced emotional responses, laying the foundation for empathy, compassion, and more advanced social behavior.

In summary, all post-natal movements—particularly rotation—stem from the trunk and are reflected by the Dai Mai. This makes the Dai Mai a central player in both postural and emotional development, especially as higher-order reflexes and movements become integrated into a child’s nervous system. The Dai Mai, working in conjunction with the Gallbladder channel and vestibular system, supports the child’s ability to manage both physical coordination and emotional regulation.

Channels of Secondary Ancestry: Qiaos and Weis

The channels of secondary ancestry—the Qiao Mai and Wei Mai vessels—become active after birth, aligning with the transition from prenatal to postnatal development. As the child begins to engage with the external world, these channels mediate the complex relationship between physical movement, emotional development, and neurological maturation.

Qiao Mai Channels: Vertical Alignment and Postural Reflexes

The Qiao Mai channels (Yang Qiao and Yin Qiao) can be understood as governing the Y-axis of movement, focusing on vertical alignment and the coordination of postural reflexes. These channels manage upright posture and play a critical role in the development of volitional movement and reflexive responses that involve balance, stance, and walking. It becomes evident that these channels reflect aspects of development under the influence of the cranial nerves (CN) and primitive reflexes (PR). This perspective illuminates why these channels of secondary ancestry were used historically for mental-emotional conditions, as their involvement with the autonomic nervous system regulates the emerging physical posture and emotional stability via the limbic system.

  • Yang Qiao Mai manages external, yang aspects of postural alignment, facilitating upright movement, stability, and reactions to external stimuli like visual and vestibular input.
  • Yin Qiao Mai governs internal, yin aspects of reflexive balance, stabilizing the body’s lower core and managing responses to internal stimuli like emotional stress or physical discomfort.
The Qiao Mai channels are tied to vestibular function for the Y-axis, as smooth coordination and movement require real-time balance and orientation adjustments throughout the length of the spinal cord. This connection with the vestibular system (reflected by the Gallbladder channel) shows how these meridians support the body's ability to move fluidly and maintain posture.

Wei Mai Channels: Horizontal Planes and Nutritional Flow

The Wei Mai channels (Yang Wei and Yin Wei) work to coordinate horizontal planes of movement, facilitating cross-body coordination and the integration of the limbs with the trunk. From a fascia standpoint, the Wei Mai vessels can be thought of as controlling the body’s nutrient flow, as fascia is nourished by the capillary network that provides the tissue with essential nutrients and fluids.

Jean-Pierre Barral, a pioneer in visceral manipulation, emphasizes the critical role of the capillary network and how adhesions in these micro-capillary beds hinder oxidative respiration, a key process for tissue health. In states where the Wei Mai vessels are excessively spastic or under sympathetic dominance, the body’s tissue pH lowers, creating an environment that impairs oxidative respiration and prevents rest, digestion, and repair. Barral found that restrictions in visceral and fascial tissues lead to diminished physiological function and healing capabilities. This would obviously affect neuroplasticity.

  • Yang Wei Mai governs external, cross-body movements, manages rotational and lateral movements and stabilizes the trunk during movement in conjunction with the Dai Mai.
  • Yin Wei Mai coordinates internal, horizontal planes of movement, managing the body’s internal processing of postural and emotional reflexes. Via the limbic system, it links emotional experience to physical posture.

Qualitatively, the Wei Mai vessel act as nutrient conduits for the fascia, supporting the distribution of nourishment through capillaries and facilitating smooth muscle movement. This is a parasympathetic (yin) function. The channels facilitate optimal vagal tone along the X-axis to nourish the fascia in horizontal planes, and to connect the lower body to the upper body via the vestibular system, operating in conjunction with the Dai Mai. Barral’s work on neural and visceral manipulation reinforces the importance of maintaining capillary bed patency without adhesions (fascial mobility) for overall movement and well-being.

In this way, the Wei Mai vessels act as the nutrient conduits for the fascia, supporting the distribution of nourishment through capillaries and facilitating smooth muscle movement. They are integral to maintaining balance in the horizontal planes and connecting the lower body to the upper body.

Integration of the Limbic System and Emotional Reflexes

As children develop, the limbic system (mediated by cranial nerves and primitive reflexes) becomes the center for processing emotional responses and threat assessments. This neurological center translates emotional experience into physical responses in the developing fascia. Both Stanley Keleman and Moshe Feldenkrais observed that maladaptive experience often manifest as retained flexion responses in the body. Keleman emphasized how emotional trauma tends to become "bodily armor" and is stored within the fascia as a defensive posture, while Feldenkrais highlighted the role of flexion patterns in spastic movement responses.

Polyvagal Theory (PVT) further illustrates how a retained freeze response, often stemming from unresolved trauma, inhibits the body's ability to discharge sympathetic charge from the nervous system, leading to a nervous system in a prolonged state of tension. One of the consequences of this retained sympathetic charge is the skewed activation of micro-fibroblasts within the fascia, to produce tissue that is more bone-like, with higher chondroitin levels. Over time, the contributes to diminished range of motion within the fascia, and diminished emotional resilience in the emotional system.

Understanding the developing limbic system illustrates qualitatively how the Qiao Mai and Wei Mai channels translate emotional experiences into physical responses in the sinews and why we can use them to effect treatment for mental emotional symptoms.

The limbic system evaluates threats and coordinates the sympathetic nervous system (SNS), activating reflexive postural responses through the Qiao Mai and Wei Mai channels.
The Wei Mai channels play a role in mediating emotional responses by reflecting the body’s internal alignment with the external world, managing how the body handles emotional stress through its horizontal planes. It coordinates the parasympathetic response via the vestibular system, working in conjunction with the Yang Wei mai.

As emotional reflexes evolve, particularly in childhood and adolescence, flexibility and spasticity in the Qiao Mai and Wei Mai channels reflect a child’s ability to manage social interactions, threat perception, and emotional maturity. In adults, these long-term spasticity pattens become the clinical road map to restoring balance to the autonomic nervous system.


  • Qiao Mai channels play a key role in the development of postural alignment, responding to emotional reflexes tied to external validation and self-image.
  • Wei Mai channels facilitate the processing of emotional experiences, particularly those linked to self-regulation and internal emotional responses.

Conclusion: The Interconnected Role of Channels and Emotional Reflexes

Through this lens, the 8 Extraordinary Vessels extend far beyond their classical TCM descriptions, reflecting the body’s neurological and emotional layers. They describe qualitatively the connection between movement, posture, and the limbic system. As we will see in upcoming articles, their tissue spasticity and visible sinew tone become a primary clinical marker in TCM for restoring balance to the nervous system. 
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Pericardium Channel: Smooth Muscle and Vascular Patency

The Pericardium Channel can be viewed as the gestalt of smooth muscle control, particularly over the vascular system, ensuring patency and smooth nutritional delivery. It may also correspond with parasympathetic regulation of smooth muscle tissue, including the vasculature that controls blood flow and nutritional support to tissues. This channel likely reflects the parasympathetic function of nutrient distribution and smooth muscle tonus.

In essence, the Pericardium Channel represents the vascular network and the nourishment it provides to the body’s tissues. Under sympathetic dominance, when the vagus nerve is inhibited, the Pericardium functions to maintain smooth muscle patency, distributing nutrients effectively. The parasympathetic influence over the Pericardium becomes crucial in periods of rest and repair, where blood flow and nutritional support are optimized.


San Jiao Channel: Sympathetic Nervous System

The San Jiao (Triple Burner Channel) may correspond to the Sympathetic Nervous System (SNS), particularly in how it manages energy distribution and facilitates Fight-Flight-Freeze (FFF) responses. George SouliĆ© de Morant's work aligns the San Jiao with sympathetic dominance, mediating fluidity and metabolic processes across the body’s three burners or cavities (upper, middle, lower), which is a key aspect of sympathetic activation related to energy mobilization.

The San Jiao's function as a conduit for sympathetic responses means it controls the body's immediate reactions to perceived threats, mobilizing resources for defense, regulating fluids in different parts of the body, and maintaining homeostasis under stress. When sympathetic dominance persists, this can lead to chronic overactivation and ultimately impact the body's ability to self-regulate.


Gallbladder Channel: Vestibular System


The Gallbladder Channel appears to correspond with the vestibular system, which controls balance, orientation, and smooth movement. Anatomically, the Gallbladder Channel aligns with the trajectory of the temporalis muscle on the head, following the temporal region where the vestibular system is located. This suggests that the Gallbladder Channel plays a significant role in real-time balance adjustments, orientation, and postural control as the body moves through space.

In Traditional Chinese Medicine, the Gallbladder Channel is associated with decision-making and judgment, reflecting the vestibular system’s role in maintaining equilibrium and spatial orientation. When vestibular dysfunction occurs, such as in cases of trauma or chronic stress, the Gallbladder channel may be hyperactivated, leading to postural imbalances and disorientation.

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