Public statement in relation to Mr Hong Chi Xiao

20 Dec 2019

The NSW Health Care Complaints Commission conducted an investigation into the professional conduct of Mr Hong Chi Xiao (aged 56 years) in his capacity as a Paida Lajin (a.k.a, slapping therapy) practitioner as a result of a charge and his subsequent conviction at the Downing Centre District Court on 18 October 2019 for:

  • Manslaughter, an offence under section 18(1)(b) of the Crimes Act 1900

Between 8.45 p.m. and 9.52 p.m. on 27 April 2015 at Hurstville, Hong Chi Xiao on the 27th day of April 2015, at Hurstville, in the State of New South Wales, did feloniously slay [Patient A].

The Commission’s investigation established that between 22 and 27 April 2015 Mr Xiao asserted to Patient A’s parents that Paida and Lajin could heal all diseases, including diabetes, and that no medication was required because insulin could be generated using Paida and Lajin. Mr Xiao’s recommended treatment for Patient A’s type 1 diabetes included the immediate cessation of insulin injections on 22 April 2015, fasting for three days from 24 April 2015 while only being allowed to drink water or a ginger date drink, and the use of Paida Lajin techinques on Patient A. Mr Xiao’s treatment of Patient A was found by the Coroner to have directly caused his death from Diabetic Ketoacidosis on 27 April 2015. 

The investigation found that Mr Xiao breached clauses 3(1), 3(2)(d),(f),(g) & (i), 7, 11, 12(1) and 12(3) of the Code of Conduct for Unregistered Health Practitioners under Schedule 3 of the Public Health Regulation 2012 in the following respects:

  • Provided a health service in an unsafe and unethical manner in that he provided treatment advice with no clinical basis and which directly caused the death of Patient A.
  • Used his possession of particular qualifications in Paida and Lajin techniques to mislead or deceive Patient A’s parents as to his competence in his ability to provide treatment for Patient A’s type 1 diabetes.
  • Failed to recognise the limitations of the treatment he could provide for Patient A and failed to refer Patient A to other competent health practitioners.
  • Failed to recommend to Patient A’s parents that additional opinions and services be sought.
  • Failed to encourage Patient A’s parents to inform Patient A’s treating health practitioner of the treatments Patient A was receiving.
  • Dissuaded Patient A’s parents from seeking or continuing with treatment for Patient A by a registered medical practitioner.
  • Treated Patient A’s condition (type 1 diabetes) without an adequate clinical basis.
  • Engaged in misrepresentation in relation to the services he provided.
  • Made claims about the efficacy of the treatment he provided when those claims could not be substantiated.

The Commission is satisfied that Mr Xiao poses a risk to the health or safety of members of the public.

Prohibition order

As a consequence of the findings that Mr Hong Chi Xiao breached the Code of Conduct and poses a risk to the health or safety of members of the public, the Commission makes the following prohibition order pursuant to section 41A(2)(a) of the Health Care Complaints Act 1993:

  • Mr Hong Chi Xiao, a Paida Lajin (a.k.a, slapping therapy) practitioner, is permanently prohibited from providing any health services, either in paid employment or voluntarily, to any person. For the purpose of this order, ‘health service’ is given the meaning as defined under section 4 of the Health Care Complaints Act 1993.   


Further Information

Access the related media release.

For further information, contact the Executive Officer of the Health Care Complaints Commission, on 9219 7444 or send an email to

The information in this media release is correct at the time of publication. Orders may change; for example, conditions may no longer apply. For current information regarding the status of a registered health practitioner, including any conditions that currently apply, please check the National Register at