針對影響良導絡值及其變化的幾項因素，以門診病人 300 名及健常 大學生 30 名自願者為研究對象，進行相關分析，初步歸納以下七點結論：
1.信度分析：間隔 30 分鐘再測之數據再現性（可重覆性）分析，若操作 正確熟練，取穴精準時，兩次量測值可達不錯至良好的一致性。
2.年齡因素：良導絡值不論是 24 經穴總計或個別計算，都隨年齡增加而 良導絡值遞減的結果。
3.根據統計結果，三焦經代表點良導絡平均值最高，膽經最低。左側經 穴的良導絡值較右側經穴高，上肢經穴的良導絡值較下肢經穴高。
4.時間因素：下午組平均值明顯高於上午組。30 分鐘再測之良導絡變化 量平均值並無上、下午之差異。
5.刺激因素：在 0 至 30 分鐘間隔若是靜坐休息，良導絡值平均而言大多 下降；其間介入針刺雙側足三里穴 20 分鐘後，30 分鐘再測之良導絡 平均值有升有降，大多上升；其間介入冰刺激雙側足三里穴 20 分鐘 後，30 分鐘再測之良導絡平均值全部下降，且以胃經經穴降低最多；
其間介入艾灸雙側足三里穴 20 分鐘後，30 分鐘再測之良導絡值平均 全部上升，且以膀胱經經穴上升最多。
6.每週 0 分鐘起始點的各經穴量測值在除以該週 24 經穴的平均值，所得 到的衍生變異值(derived variable)，針對間隔為一週的四組衍生變 異值統計分析，近九成有中度以上的相關性。
7.健常族群與門診族群在某些經絡的良導絡值，有顯著的差異，值得臨 床進一步研究。
綜合以上結果，對於日後從事良導絡臨床應用或研究時，提供以下 幾點建議。（1）針對廠商的建議：最重要莫過於正常值的訂定，由於影 響良導絡的因素很多，故需在受測環境溫濕度穩定下，健常受測者睡眠 充足、飲食正常、心情穩定的狀態下，進行大規模取樣量測，然後依不 同年齡層、性別、體重、身高、婦女月經、生產前後、及不同時間等，
去統計分析量測結果，正常值需依各個變項做調整才客觀。（2）針對實 驗研究者的建議：實驗操作者需做過信度測試，以確認數據取得可重覆 操作的一致性。實驗量測時間需統一固定，以排除時間因素造成良導絡 變異的可能，但若間隔30分鐘，僅比較變化量時，較無時間限制；若量 測時間間隔過大且在一天的不同時間，其兩次量測值的變化量除非有很 對應的對照組，否則是不能用變化的升降去加以分析的，因為無法排除 時間因素的干擾，這時可試著用衍生變異數去進行分析評估。（3）針對 臨床醫師的建議：需從整體生理能量及個別經絡能量兩方面去判讀數 據，在環境及生活作息穩定下，若整體生理能衰退，個別的經絡能量值 亦會隨之降低，故勿以某經絡的良導絡值低，就判定他這經絡有問題，
可由衍生變異值看各經絡能量分佈曲線，以評估經絡是否失衡情況，或 與三焦經良導絡值最高，膽經最低的統計結果比較參考。也可給與激發 實驗去看看各經絡的反應活性如何。
最後，良導絡客觀反應量化了經絡在皮膚電阻的導電特性，尤其在 反應體表交感神經的活性及經絡在體溫調節所扮演的角色，值得臨床繼 續深入探討，以更清楚經絡的真相。
參考文獻
2001;pp.40-51.
5.李約瑟著、陳立夫譯：中國之科學與文明（二），臺灣商務印書館，台北 1974 6.李曜暄：進階診治偏頭痛談如何提升中醫實力來整合中西醫學，台中縣中醫
會刊第 18 期， p27~31，2005 Sep.。
7.陳方周：經絡物理學專論 http://cmedicine.cmu.edu.tw/~fjchen
8.長濱善夫、丸山昌郎著、承淡安譯：經絡之研究，千頃堂書局，上海 1955 9.祝總驤、郝金凱：針灸經絡生物物理學，北京出版社 1989 年初版
10.孟競璧、田嘉和：十四經脈顯像探秘，中國科學技術出版社 1998 年初版 11.張維波：經絡是什麼，中國科學技術出版社 1997 年出版
12.張維波：中醫經絡的科學探索，啟業書局 1999 年出版 13.胡翔龍：中國經絡研究十年。中國針灸 1999;19(7):389-393
14.胡翔龍,汪培請,許金森：人體體表循經紅外輻射軌跡的主要特徵和顯現規 律研究。紅外與毫米波學報 2001;20(5):325～328.
15.魏凌雲：鍼灸科學與技術，臺灣中華書局 1987 年初版 16.王唯工：氣的樂章，大塊文化 2002 年初版
17.Voll D. Twenty years of electroacupuncture diagnosis in Germany. Am J Acupunt. 1975;3(1):7-17
18.Voll D. Topographic positions of the measurement points in electroacupunture.
Am J Acupunt. 1977;5(2):97-100
19.鍾傑：傅爾電針入門，正光書局 1973
23.陳國鎮：信步走入經絡的世界。科學月刊 1997;28(3):pp.200-207.
24.Nakatani Y.: Skin electric resistance and Ryodoraku. J Autonomic Nerve.
1956;pp.6-52
25.賴逢甲：良導絡理論的研究，日新文化出版社 2001
26.賴逢甲：良導絡測定診斷法，日新文化出版社 1986 27.賴逢甲：科學正經絡電針治療法，日新文化出版社 1998
28.Zach F.S. Autonomic Regulation in Skin Resistance Pattern. Brit. J. Med.
1955;Vol.18:50
29.楊朝旺、盧裕文：穴位表皮溫度與其經絡電性變化之探討。九十二年農機 與生機論文發表會 2003;pp.153-154
30.Schmidt, J., Sparenberg, C., Fraunhofer, S. & Zirngibl, H. Sympathetic nervous system activity during laparoscopic and needlescopic cholecystectomy. Surg Endosc 2002;16:pp.476-480.
31.Sherberger RM. Acupuncture meridians retains identity after death. Am J Acup.
1977;5(4):357-361.
32.Thomas EC. Electrical acupuncture point conductance in the living compared to that in the dead. Am J Acup. 1986;14(1):57-60.
33.林溟鯤、陳太羲、陳聰榮：皮膚阻抗之變化與子午流注之關係。中國醫藥
40.Sancier, K.M. Electrodermal measurements for monitoring the effects of a qigong workshop. J Altern Complement Med. 2003;9:235-241.
41.Weng, C.S., Hung, Y.L., Shyu, L.Y. & Chang, Y.H. A study of electrical
conductance of meridian in the obese during weight reduction. Am J Chin Med.
2004;32:pp.417-425.
45.王士豪：超音波針灸儀系統之研發及其可行性研究。私立中原大學醫學工
52.Tsuneo Kobayashi.Cancer diagnosis by means of Ryodoraku neurometrance patterns。Am J Acup. 1984;12(4):305-313
53.飯田誠、朱元根譯：良導絡療法對腦性癱瘓的作用機制及效果。國外學中 醫中藥分冊 1992;14(2):63
54.兵頭正義、陸靜譯：各種疼痛性疾病良導絡測定之特徴。國外學中醫中藥 分冊 1994;16(4):50
55.Babichenko, M.A.: Acupuncture reflexotherapy in the treatment of hypertension patients Lik Sprava. 2000;pp.95-7.
56.Okazaki, K., Sadove, M.S., Kim, S.I., Lee, M.H. & Cheng, D. Ryodoraku therapy for migraine headache. Am J Chin Med. (Gard City N Y)
1975;3:61-70.
中醫藥雜誌 1993;4(3):191-198.
61.崔玖、王唯工：人體生物能在臨床診斷之研究—練氣功者心臟血管測量值 之分析。行政院國家科學委員會研究報告 1993 計畫編號：
NSC-80-0412-B010-71R。
62.崔玖：練氣功者心臟血管系統生物能測量值之分析。國立體育學院國術研 究中心研究成果報告書 1996.
63.鍾傑、崔玖、陳光耀：糖尿病及肺癌病人的生物能研究。生物能醫學會研 討會論文集 1989:pp.363-377.
64.崔玖、鍾傑：人體生物能在臨床診斷之研究二--肺癌及糖尿病患者測量值 之分析。1989，行政院國家科學委員會研究報告。計畫編號：
NSC77-0412-B010-35。
65.高宗桂、林昭庚、謝慶良、張永賢、張家昇、周德陽：電針對腦中風手術 後顱內壓與經絡電阻之影響。中國醫藥科學雜誌 2000;1(3):157~166.
66.鄭建民、李嗣涔：修練香功者的生物能測量值分析。國立高雄應用科技大 學體育室，行政院國科會專題研究計畫，2000 計畫編號：
NSC89-2320-B-151-001-M08。
67.何宗憲：慢性肝炎患者的穴位電性表現。中國醫藥大學中醫研究所碩士論 文 2001
68.廖承慶、黃新作：太極拳運動對老年人生物能量與心臟自律神經活動狀態 之影響。國立體育學院運動傷害防護研究所碩士論文 June，2004.
69.林巧瑩、翁清松：改良式雷射針灸儀之研發及用於疼痛療效之評估 中原 大學醫工研究所 2005.
70.陸瘦燕、朱汝功：針灸腧穴圖譜，文光圖書有限公司 1996 年初版 71.吳東霖、林傑斌、劉明德：SAS 與統計模式建構，文魁資訊股份有限公司
2003;pp.16-1~16-9.
72.吳明隆：問卷分析與應用統計，知城數位科技股份有限公司 2005;pp.5-1~5-20.
附 錄
圖 13 同一健常人，不同時間量測之良導絡值多重能量比對
由圖 13 比對圖可見該受測者之腎經、脾經、膀胱經良導絡值偏低（機能衰退）， 甚至有時較膽經低，且不因整體能量的上升而相對應上升，與該受測者大便 常軟溏、日多行，手足易怕冷，頻尿，腰痠的脾腎膀胱氣虛證吻合度極高。
圖 14 不同年齡的健常人，其良導絡值之多重能量比對圖
由圖 14 比對圖可見隨年齡增長，良導絡值有遞減的趨勢。
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Analysis on the change of Ryodoraku values by time, age, or acupuncture, moxibustion, and ice stimulation on the Zusanli acupoints
Yao-Hsuan Li1, Bih-Cheng Chen2, Tsai-Chung Li3
1Graduate Institute of Integration Chinese and Western Medicine, 2School of Post Baccalaureate Chinese Medicine, 3Graduate Institute of Chinese Medical Science,
China Medical University, Taiching, Taiwan, R.O.C.
For the time being, Ryodoraku instrument discovered by Dr. Yoshio Nakatani which measures the skin electric resistance to reflect the bioenergy of the meridians is the most useful noninvasive technique used by doctors. Many years passed, the Meridian Energy Analysis Device, shortened to M.E.A.D., was improved and connected with computer, so the stability and accuracy are better. Because the variation of the Ryodoraku values of one person in different time is large, and the normal range is not yet standardized in Taiman, so it’s not easy to read the data of Ryodoraku values.
This study was designed to investigate the influences of the change of Ryodoraku values by time, age, or acupuncture, moxibustion, and ice stimulation. We used M.E.A.D.
ME-PRO type as measured tool. There were two sample populations were recruited. One is 300 patients from clinic, we measured only one time of each person, and to analyse the mean values and distribution in five age layers. At the same time, to compare the difference of sex, left from right meridians, and upper from lower meridians. Another is 30 volunteers of healthy students from university, we measured one time every week ,and twice of each time in the interval of 30 minutes. First week, we measured twice and the 30 subjects sat and rested during the 30 minutes interval, which served as their own control(comparison) group. We compared these two measurements for the reliability analysis. Second week, we stimulated the both Zusanli acupoints for 20 minutes by using acupuncture during the interval, which acted as acupuncture group. Third week, we stimulated the same acupoints by ice as ice group. Fourth week, we stimulated them by moxibustion as moxibustion group. We analysed and compared the change of Ryodoraku values between four groups. Furthermore, the value divided by the mean value of that time called derived variable, and we analysed the relationship of the derived variables between these four groups. We also compared the mean values between the healthy volunteers and the clinical patients with the same age layer.
The following is a summary of our conclusions：
(1). The Ryodoraku values significantly decreased when the age increased in total or individual measured acupoints. The mean value of TE meridian is the highest, and the
Gall bladder meridian is the lowest. The left side is significantly more than the right side, and the upper is significantly more than the lower.
(2). The correlation coefficients are between 0.79854 to 0.93207 in the reliability analysis.
There are 96% have good to excellent consistency significantly in the test-retest reliability in the interval of 30 minutes (p<0.0001).
(3). The mean values measured in the afternoon are higher than in the morning. In the comparison group (except right heart meridian) and moxibustion group (except left TE and left gall bladder meridians) reach significant level statiscally. But the average changes of Ryodoraku values measured in the afternoon or morning have no difference significantly.
(4). The average changes of the comparison group significantly dropped mostly. The average changes of the acupuncture group both raised and dropped. The average changes of the ice group dropped in all meridians, especially stomach meridians. The changes of the moxibustion group raised in all meridians, especially urinary bladder meridians.
(5). The change values retested after 30 minutes showed that: left liver, left gall bladder, left stomach, right liver, and right stomach meridians: acupuncture and moxibustion group are higher than ice group significantly. Left stomach, right gall bladder meridians:
acupuncture group is higher than comparison group significantly. Right kidney, and right gall bladder meridians: acupuncture group is higher than ice group significantly. Right urinary bladder meridian: moxibustion group is higher than ice group significantly.
(6). There are 88.2% of the derived variables have more than moderate relationship, and 82.6% reach significant level statiscally.
(6). There are 88.2% of the derived variables have more than moderate relationship, and 82.6% reach significant level statiscally.