Latency hides a pathogenic factor. This is the stage where conditions become
insidious and mysterious. The immune system of the body may be overacting, or the humors of the body continually deficient, yet the cause may be
unclear. A viral or bacterial agent may not show up in Western blood tests
during a state of latency. By understanding disease progression however, a
Chinese Medical practitioner may be able to explain the mysterious
symptoms. Many such "mysterious symptoms are attributed to the Luo
Vessels and Divergent Channels: two channel systems that deal with latency
via the blood and bones.
A classical Chinese acupuncturist might argue that knowledge of the Primary
Channels alone is not enough to understand subtle concepts in Chinese
Medicine, such as latency. The so-called "Secondary Channels of
acupuncture provide more in-depth discussion into the concept of latency and
how it works within the body. The Luo Vessels and Divergent Channels are
two channel systems that provide the greatest insight into concepts and
treatment of latency.
Prior to the Tang Dynasty, the medical tradition of the north was
acupuncture; the tradition of the south was herbal medicine. During the
Tang, the north and south of China merged. The acupuncturists from the
north began learning herbal theories from the south, and vice versa. It soon
became common for medical practitioners to learn both systems. Herbal
medicine and acupuncture both have unique ways of looking at Chinese
medicine. Acupuncturists and herbalists alike can learn a great deal by
comparing and contrasting their systems with that of the other.
The concept of latency can be viewed from a herbal Zang Fu approach as
follows: according to Shang Han Lun, heat is created when wind or cold
internalize at the Yang Ming Stage. Yang Ming is represented organically as
the stomach. Pathology at the stage of the stomach is seen as excess
internal heat, often complicated by dampness. From the herbal perspective,
treating the stomach treats heat anywhere in the body. From Yang Ming, heat
can progress into the yin level. When heat travels into the levels of Tai Yin,
Shao Yin and Jue Yin, this results in deficiency of qi, blood, fluids and
eventually yin and yang.
The pathogen that has internalized into Yang Ming and the yin level is being
held in the deeper energetic regions of the body. From an herbal point of
view, the Liver and Kidneys: the Yin organs classically associated with the
lower jiao, are seen to hold onto internalized pathology. They do so through
trapping the pathogen within the yin humors that they physiologically store:
the blood and Jing.
The two channel systems associated with maintaining latent pathology within
classical acupuncture are the Luo Vessels and the Divergent Channels. The
Luo Vessels hold latent pathology within the blood in the form of varicosity.
The Divergent Channels utilize the joints to hold pathogens latent. The joints
are an external expression of the Jing.
From the point of view of classical Chinese medical theories contained in the
Nei Jing and Shang Han Lun, wind and cold are true etiologies. As they
contend with the physiology of the body, they create the complications of
heat and dampness: physiological yang qi, in the form of wei qi creates
friction with pathology, generating heat; pathology stagnates fluids used to
flush out wind and cold, creating phlegm. Heat and damp damage and
consume post-natal qi and blood, giving rise to deficiency. Wind and cold
internalize and become embedded in the deeper terrain of the body,
represented by Jue Yin and Shao Yin: Liver and Kidney: the blood and Jing.
As the Primary Channel sequence continues past Small Intestine into the
Bladder and Kidney Channels, yin and yang also become deficient. When
progression reaches the level of Triple Heater, latent pathology begins to leak
out, signifying loss of latency. Gallbladder becomes the body's last attempt to
discharge pathogens that have consumed the body's resources. Without the
necessary yin, yang, qi and blood, the body's ability to maintain the latency
needed to control overwhelming pathology diminishes.
The Divergent Channels can be seen as a continuum of latent pathology.
They are also a progression illustrating the body's consumption of humors as
it tries to maintain latency. Chapter 63 of the Su Wen call the Divergent
Channels "Sun Luo": the grandchild Luo. To understand the Divergents, and
latency in general, it is helpful first to understand the concept of "Luo," and
disease progression from the point of view of all six channel systems.
The Sinew Channels represent the most superficial level of qi within the
body: they are conduits of wei "defensive qi. They are the bodys first
defense against external pathogenic factors. Wei qi is supported by ying qi,
produced in the stomach from the jinye fluids. Wei qi is also supported by
yang qi, rooted in the Kidneys.
The Nan Jing teaches, through the principles of yin and yang, the concept of
mutual consumption. Ying qi supports the "wei level through transforming
itself into reinforcements for wei qi. The more severe a condition, the more
reinforcements are called for. The Nan Jing alsoteaches that excess leads to
deficiency, and deficiency leads to progression. When a pathogenic factor is
severe, it can create deficiency, exhausting wei qi and the humors that
support it.
The Shang Han Lun describes the progression of an external condition. In the
initial Tai Yang stage, associated with "wind-cold, one can predict possible
progression based on deficiencies that already exist, or those beginning to
show up. Progression into the Yang Ming stage is predicated on the jin
("thin) fluids produced by the stomach. If the jin fluids become exhausted, it
is likely the Tai Yang condition will progress into the Yang Ming stage.
drilling holes into the rocks. The chapter goes on to discuss the Extraordinary
Vessels, likening these channels to reservoirs where pathology can drain into,
away from the post-natal level.
The image of holes in the rocks is illustrated on the body by the Liao points,
which are holes in the bones where pathology can drain into. The bones are
likened to rocks. The bones are also considered Curious organs. The
Divergent Channels utilize hollow areas of the bones via the joints to
maintain latency.
The Extraordinary Vessels are also argued as being Curious organs, as are
the blood vessels. Chapter 27 of the Nan Jing provides the image of drainage
into the Curious organs to deal with "flooding." The Luo Vessels, uterus,
brain, bones and Extraordinary Vessels are all inferred as being yuanassociated drainage ditches.
The concept of drainage into the Curious Organs and level of yuan qi is
represented in the Luo Vessel continuum through the Great Luo of the
Spleen: "Da Bao." The Great Luo is a vessel that wraps around the chest,
draining unresolved pathology from the Luo Vessels into the constitution. It
connects with the Extraordinary Vessel "Dai Mai" via another wrapping
channel called "Bao Mai." The three channels create a loop around the chest
and a loop around the belt which are connected by another loop that travels
from Jiuwei REN 15 (the Luo point of the Conception Vessel) to Changqiang
DU 1 (the Luo point of Governor Vessel).
Pathology from the Great Luo of the Spleen can drain via Bao Mai into Dai
Mai where it is held in the yuan level as latency. Yuanye GB 22 is classically
known as the Great Luo of the Spleen by the Nei Jing. Dai Mai is visited by
Daimai GB 26, Wushu GB 27 and Weidao GB 28. This is a philosophical
statement acknowledging Gallbladder as the bridge by which post-natal
pathology finds its way into the constitution. The term "Bao" is also used for
the uterus, another Curious organ where unresolved pathology deposits.
Philosophically: that which is unresolved in the Luo Vessels can be passed
onto the next generation via conception.
From the Great Luo, pathology deposits into the Constitution via its Luo.
There is a debate between the Nei Jing and Nan Jing about the constitutional
Luo Vessels. According to the Nei Jing, pathological movement occurs from
the Great Luo of the Spleen into the Conception Vessel and Governor Vessel,
represented by their respective luo points: Jiuwei REN 15 and Changqiang
DU 1. Whereas, the Nan Jing describes the Qiao Vessels as the Luo of Yin and
Yang.
Classically, the Extraordinary Vessels were believed to be beyond the reach of
medical intervention. According to Confucian and Daoist philosophical
influences on medicine, pathology that has drained into this level became the
Gallbladder and Divergent Channels were ways of indirectly working with the
yuan level.
Tang Dynasty patriarch Sun Si Miao viewed pathology as inseparable from
our reactions to the world. It is stated in chapter 3 of the Su Wen that wind is
"the cause of hundreds of diseases." Wind is a philosophical representation of
change in the Chinese classics. It is acknowledged as the root of all
physiological disturbance.
Wind is a constant in life. Change is the one sure thing. How we "course the
wind," or react to change determines the weather within our bodies. Chapter
3 of the Ling Shu introduces this theme, saying pathology is always a
struggle between the "zhu" host (physiology) and "ke" guest (pathology): a
struggle between ourselves and the world as we try to establish homeostasis.
The guest is not necessarily negative. Pathology results only if we have
resistance to it. This is a Daoist view, which can conflict with the Confucian
concept of perverse "xie qi" and "zheng" upright qi. One view sees the world
in terms of good and bad, the other says it's our reaction that creates
problems: change our mind, and we transcend the difficulty.
The Divergent Channels indirectly connect to the Curious Organs, as they
connect with the bones which are themselves a Curious Organ. Arguably,
working with the Divergent Channels, one can work with the marrow. The
Divergent Channels deal with the relationship between our nature (yuan qi)
and the external world (wei qi): how the constitution adjusts to wind.
According to the statement by Sun Si Miao, sometimes healing requires
adjusting the part of ourselves that continues to resist change; finding the
oneness between the host and guest qi. We cannot change our nature, but
we can adjust our perception of the world to find a way to "course the wind"
so we are no longer bothered.
The Divergent Channels provide an outlet from the yuan level to the wei
level: they are a connection between the two. They are the channels that are
mentioned the least in Chinese medical literature. They remain the most
mysterious. However, they are advocated as being the first channels
clinicians should learn during their training, seemingly possessing clues to
the mysteries of the body.
Jeffrey Yuen has often said "the consciousness that created a disease cannot
be the same consciousness that heals the disease." This statement resonates
with that of Sun Si Miao, suggesting healing, especially from a very deep
condition, may require a change in our perception of the world.
When pathology has penetrated so deep that it is challenging the
constitution, something deep within must change. This is stated most clearly
by the stage of pathological progression represented by the Triple Heater
Divergent Channel. This channel is "opened" by the point Triple Heater 16.
The name of this point is "Tian You," meaning "the celestial orbit." It has