Mr Hong Chi Xiao - Permanent prohibition on delivering any health services

20 Dec 2019

The NSW Health Care Complaints Commission investigated a complaint about Mr Hong Chi Xiao, an unregistered health practitioner who provided Paida Lajin (aka “slapping therapy”) services in Hurstville.

Mr Xiao has been convicted of manslaughter under section 18(1)(b) of the Crimes Act 1900 in relation to his mistreatment and the subsequent death of a six year old diabetic boy (Patient A.)   

The Commission’s investigation established that between 22 and 27 April 2015 Mr Xiao asserted to Patient A’s parents that his treatment could heal all diseases, including diabetes, and that no medication was required because insulin could be generated using his slapping therapy. Mr Xiao recommended immediate cessation of insulin injections on 22 April 2015, fasting for three days from 24 April 2015, and fluid intake to be limited to drinking water or a ginger date drink.  He also used Paida Lajin techniques on Patient A.  Mr Xiao’s treatment was found by the Coroner to have directly caused Patient A’s death from diabetic ketoacidosis on 27 April 2015.

The Commission’s investigation confirmed that Mr Xiao’s treatment regime for Patient A was: unsafe and unethical; had no clinical basis; carried a risk of significant harm; and directly caused his death. Mr Xiao acted with complete disregard for Patient A’s health and wellbeing.

The Commission has found that Mr Xiao breached the Code of Conduct for Unregistered Practitioners and poses a serious risk to the health or safety of members of the public. The Commission therefore makes the following prohibition order under section 41A(2)(a) of the Act:

  • Mr Hong Chi Xiao, a Paida Lajin (aka ‘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

The full decision is available here.

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