Acupuncture points are frequently described as having distinct electrical properties. These properties include increased conductance, reduced impedance and resistance, increased capacitance, and elevated electrical potential compared to adjacent nonacupuncture points. Commercial electrodiagnostic devices have used this assertion as a means to localize and analyze acupuncture points for diagnostic purposes. Yet, the electrical characterization of acupuncture points is associated with important technical issues that are often overlooked. Electrode polarizability, stratum corneum impedance, presence of sweat glands, choice of contact medium, electrode geometry, and other factors contribute to the final electrodermal reading and may cause doubts about the validity of available electrodiagnostic devices. The goal of this review is to help researchers and clinicians understand these factors affecting electrodermal readings, to make apparent the difficulties and challenges confronting electrodermal readings, and to increase understanding about how these possible associations can be interpreted and understood from the perspective of biology.

In this paper, we characterize the polarization impedance behavior of several common metals in diluted NaCl solution operated at low current densities. The objective was to provide a useful reference for those wishing to calculate the electrode polarization impedance in diluted NaCl solutions. Serial equivalent resistance (R) and capacitance (C) for silver, aluminum, gold, platinum, and medical stainless-steel were measured as a function of frequency (10/sup -2/-10/sup 3/ Hz) and NaCl concentration (2.4-77.0 mmol/L). The ratio of electrode polarization impedance with respect to the bulk resistance was calculated and plotted against concentration for each metal. Such a ratio shows the effect of the electrode polarization contribution as a function of electrolyte concentration when the bulk resistance of the solution changes. All metals showed a decrease of serial resistance R/sub p/ and capacitance C/sub p/ as a function of frequency. The medical stainless-steel electrode showed largest impedance values at lower frequencies compared to the other electrodes, and was concentration independent at all frequencies. Aluminum had smallest polarization impedance at low frequencies. Pure gold and platinum behaved similar with the exception that the serial resistance for gold showed a lower value at higher frequencies.

The Cole single-dispersion impedance model is based upon a constant phase element (CPE), a conductance parameter as a dependent parameter and a characteristic time constant as an independent parameter. Usually however, the time constant of tissue or cell suspensions is conductance dependent, and so the Cole model is incompatible with general relaxation theory and not a model of first choice. An alternative model with conductance as a free parameter influencing the characteristic time constant of the biomaterial has been analyzed. With this free-conductance model it is possible to separately follow CPE and conductive processes, and the nominal time constant no longer corresponds to the apex of the circular arc in the complex plane.

Low-frequency skin conductance is used within several clinical applications and is mainly sensitive to sweating and the moisture content of the stratum corneum, but also how electrodes introduce changes in the electrical properties. Four electrode gels were investigated with regard to sorption characteristics and electrical properties. Skin conductance time series were collected from 18 test subjects during relaxation, exercise and recovery, wearing different pairs of electrodes contralaterally on the hypothenar and the T9 dermatome. Pressure test was applied on the T9 electrodes. Impedance frequency sweeps were taken on the T9 electrodes the same day and the next, parameterized to the Cole model. ANOVA on the initial skin conductance level change, exercise response amplitude, recovery offset and pressure-induced changes revealed significant differences among gel types. The wetter gels caused a higher positive level change, a greater response amplitude, larger recovery offset and greater pressure-induced artifacts compared to the solid gels. Sweating on the T9 site led to negative skin conductance responses for the wetter gels. Correlations were found between the desorption measurements and the initial skin conductance level change (hypothenar: R = 0.988 T9: R = 0.901) RM-ANOVA on the Cole parameters revealed a significant decrease in R(s) of the most resistive gel. Clinical implications are discussed.