糖尿病穴診儀病例對照研究以探討三焦與內分泌關係

To Investigate The Relationship Between Sanjiao And Endocrine Through Tthe Case-Control Study Of Diabetes Mellitus With Electrodermal Screening Device

本研究的目的，從穴診儀測量糖尿病患者生物能的偏墜現象探討中醫經絡穴位訊息，並評估三焦經與糖尿病內分泌的關係。材料與方法：以單盲式病例對照研究法，使用血糖檢測和穴診儀測量糖尿病患者與其年齡、性別相匹配健康自願者。結果：本實驗收錄44位第二型糖尿病患者與44位年齡，性別與之匹配的對照組。兩組男女人數各為27與17人，年齡分布在35-75歲。糖尿病患者第二象限測量的平均值皆比對照組低，風險比Odds ratio的95%信賴區間（0.935，0.995），糖尿病患者單一經穴穴診儀測量偏墜值較對照組大，包括雙側三焦經、左側心包經、右側大腸經、雙側小腸經、左側脾經、雙側胃經、左側肝經共10條經絡的風險比具有統計學上的差異性。若以左側三焦經偏墜值最大卡方值8.727及最小誤歸率0.364相應的偏墜值5為診斷的標準，與血糖診斷做一致性的檢定，P值0.0016具有統計學上的意義。討論：穴診儀可從生物物理的角度偵測經絡穴位的訊息，糖尿病消耗患者體內的能量，導致左側血分的異常，以及與糖尿病本身或是併發症有關的穴位點因生物能不足而有測量值偏墜極化的現象。另外，本研究結果支持傳統中醫學三焦類同於現代西方醫學內分泌系統的論點。

The aim of this study was to explore the signal of the meridian and acupoints through measuring the partial fall of bioenergy in Diabetes mellitus (DM) with electrodermal screening device(ESD). In addition , we would evaluate the relationship between san jiao and endocrine. Material and methods: single blind , age and sex matched case-control study of DM and health volunteers with blood sugar test and ESD. Results:Each 44 DM and volunteers(women 17/men 27)with the ages ranged from 35-75 years old were included. We found the measuring value in the second quadrant of the diabetic patients were lower than in the control group . Its 95 % confidence interval of odds ratio was (0.935, 0.995) . The partial falling value of the former were larger than the latter . They showed the statistical significant differences of odds ratio in the 10 acupoints of bilateral sanjiao , small intestine , stomach , left circulation , spleen , liver , and right large intestine. Based on cutpoint 5 of partial falling value on left sanjiao (Chisquare 8.727 , misclassification rate 0.364) , P value of agreement test between electrodermal screening and blood sugar test is 0.0016 .Discussion: ESD could detect the message of acupoints through the biophysical view. DM consumed the energy of the patients , leading to the abnormality of blood and polarization of acupoints related to the complication of DM or disease itself. In addition , the results of this study supported the argument about sanjiao system of traditional Chinese medicine would be the equivalent for the endocrine system of modern western medicine.