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Anorexia in China – Same, But Different

What’s on Weibo gives an overview of how anorexia nervosa is discussed in China and on Chinese social media.

Manya Koetse

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Image by Sohu.com

Although discussions on anorexia nervosa are limited in Chinese (online) media, anorexia does in fact exist in Chinese patients; some studies even suggest that levels of occurrence are not much different from Western countries. There are big differences, however, in the way anorexia is experienced and/or described in China.

“Does anorexia exist in China?” is one amongst the millions of questions recently posted on the Chinese Quora-like platform Zhihu.com. It is a question that pops up on Chinese social media every now and then, as the eating disorder is not often discussed in a Chinese context.

The empty dialogue page on Zhihu.com is telling for the general discussion of anorexia in China today. Anorexia nervosa, commonly called anorexia, is an eating disorder characterized by low weight that receives relatively little attention on Chinese online and social media compared to the English-language online environment, where there are countless support groups, discussion forums, and even the so-called unhealthy ‘Pro Ana’ communities where the behaviors related to anorexia are promoted.

Both anorexia in general, and the pro-ana communities in specific, received ample attention from Western media over the past few years. ITV recently reported about an “alarming rise in social media sites encouraging anorexic sufferers to starve themselves,” and that social media worsens the condition of people with anorexia who flock to these kinds of websites.

How come that on Chinese social media platforms, which see a different ‘skinny hype’ every year (from the ‘iPhone6 legs‘ to ‘A4 waist‘), there are few online discussions about anorexia nervosa?

 

A “WESTERN” PHENOMENON

“Eating disorders seem to be an exotic phenomenon to many Chinese, but it actually is not.”

 

General discussions of anorexia nervosa on Weibo, China’s biggest social media platform, mostly relate to cases of the disease in Western, Caucasian women. The young Australian model and performer Phoebe Combes attracted some attention on Weibo in 2017 for suffering from anorexia. “How come every time I read about [this disease] it concerns foreign women?”, one netizen wondered.

Sporadically, speculative discussions do arise on social media about Chinese celebrities who may or may not be suffering from anorexia. Talk show host Chen Luyu (陈鲁豫), for example, became a topic of discussion when netizens started worrying about her frail appearance and said she was “too thin.”

Online commenters often call talk show host Chen Luyu (陈鲁豫) “too thin.”

Talk show host Chen Luyu.

For many netizens, however, the issue is often simplified to a mere “they should just eat more.” Despite general public unawareness about anorexia in China, more doctors and specialists are stepping forward to talk about the issue.

“When a Chinese doctor raised the issue of anorexia in China some twenty years ago at an international conference, foreign experts doubted if eating disorders existed in China,” one professional support site dedicated to anorexia and bulimia in China says: “We now want to promote awareness about eating disorders to patients and their families.”

In 2017, deputy director Ma Yongchun (马永春) of a hospital in Tongde, Zhejiang, spoke out to Chinese media website AcFun.com, saying that although eating disorders seem to be an exotic phenomenon to many Chinese, it actually is not. She also warned about the negative effects of social media platforms promoting unhealthy body images or unhealthy eating patterns.

 

THE STORY OF YUN

“Her condition spiraled out of control when she spent days on end watching live streams on Chinese social media that promote unhealthy eating habits.”

 

The AcFun article featured the story of one of Ma’s patients named Yun (alias), a 33-year-old former athlete from Zhejiang who weighed only 36 pounds with a height of 160 cm when she was at her lowest point – and on the verge of death.

She told AcFun that she became anorexic after being forced to eat a restrictive diet by her grandparents during her teens. When her entire athlete team suffered from gastroenteritis, her grandmother only allowed to her to eat bean curds and rice for months on end.

The story of ‘Yun’ who suffered from severe anorexia was featured in Chinese media.

Unable to continue eating her forced diet and not allowed to eat anything else, the young Yun developed an eating disorder. At the age of 19, she was diagnosed with anorexia by doctors at the Tongde hospital – a diagnosis that was followed by years of ups and downs. Yun’s condition spiraled out of control when she spent days on end watching live streams on Chinese social media that promote unhealthy eating habits.

Weighing only 36 pounds at her low point, Yun was barely able to move. One day, when she was alone with her sister’s small baby, she found herself too weak to pick up the infant went it was desperately crying. For Yun, it was a turning point in her decision to beat the illness.

Although many doctors gave Yun low chance of survival, a team of doctors including Ma Yongchun eventually were able to give Yun the help she needed. She now maintains a healthy weight.

 

UNHEALTHY ONLINE TRENDS

“Vomit Bars are online forums where netizens nicknamed ‘Rabbits’ encourage each other to vomit after eating.”

 

Doctors such as Ma Yongchun are part of a growing group of specialists in China raising awareness on eating disorders in China and warning against unhealthy online trends – which are on the rise.

Over the last years, online discussion boards such as Baidu Tieba have seen the phenomenon of ‘Vomit Bars’ (催吐吧) – a phenomenon somewhat comparable to the online ‘pro-ana’ movement on English-language internet sites.

‘Vomit Bars’ are online forums where netizens nicknamed ‘Rabbits’ (兔子) encourage each other to vomit after eating. Several live streaming sites also have people promoting weird or unhealthy eating habits, such as eating non-food products or binge eating – something Dr. Ma strongly condemns.

A girl binge eating on a live stream.

On Chinese social media, organizations helping those suffering from anorexia or other eating disorders are present, but not popular.

Although the Chinese Eating Disorder Recovery Web (@进食障碍康复网) only has a weak following online, their offline mission is strong: “China’s health care system can no longer ignore the growing group of eating disorder patients in China.”

 

ANOREXIA ON THE RISE OR NOT?

“There are no official statistics on the occurrence of anorexia nervosa or other eating disorders in China in the past and present.”

 

The topic of anorexia in China has also received more attention in international media and academic publications over the past decade.

Some English-language media, such as the LA Times, suggest that with changing beauty standards, skinny trends, and more influence from Western popular culture, eating disorders are “on the rise” in China.

Whether or not this is actually true is hard to say; there are no official statistics on the occurrence of anorexia nervosa or other eating disorders in China in the past and present. A study from 2013 among Chinese female college students in Wuhan, considered one of the best estimates of national rates, however, found levels similar to Western countries (Tong et al 2014).

In Fat China: How Expanding Waistlines are Changing a Nation, the authors (French & Crabbe 2010) also suggest that eating disorders such as anorexia are indeed present in society and that an increasing number of urban Chinese, mainly young women, are suffering from it (171).

Even if anorexia were to occur as much in China as in the West – which has neither been refuted nor confirmed – the way in which the disease is described and/or experienced seems to be significantly different.

 

SAME DISEASE, DIFFERENT MANIFESTATIONS

“Chinese patients showed few, if any, of the classical concerns associated with anorexia.”

 

Various studies over the past years have established that there are differences between Western countries and China in how anorexia develops with regards to patients’ preoccupations concerning appearance and body image.

In “The Myth of Chinese Barbies: Eating Disorders in China including Hong Kong” (2014), researcher M. Getz writes that eating disorders are traditionally conceptualized as a Western mental health issue, specifically because the ‘fat phobia’ aspects of the illness are often stressed the most. According to study, this attention towards appearance seems to be less important to Chinese patients (746-747).

This idea is further strengthened by Sing Lee, an expert in eating disorders in Chinese communities, who argues that Chinese patients “showed few, if any, of the classical concerns associated with anorexia” (747).

A major way in how anorexia in China is often different than in other (Western) countries is that it is somaticized. This relates to the fact that mental illnesses in China still carry a stigma and often go undiagnosed due to the lack of mental health care institutions.

Since physical problems are more socially accepted in China than mental health issues, people who suffer from anorexia in China are more prone to talk about their problems in the form of somatic symptoms such as distaste for food and not being hungry, or abdominal problems (Getz 2014, 750).

Levels of industrialization, media influence, eating habits, societal pressure to be thin, family pressure to succeed, etc., all may play a role in the occurrence of anorexia. Especially One-Child Policy generation children allegedly experience more pressure in their lives to perform.

As the development of anorexia in China goes hand in hand with social stigmas and superstitions regarding mental health issues, a traditionally strong food culture, a general unawareness on eating disorders, and many other cultural factors that may influence the manifestation of the disease, one can see why studies have found that “eating disorders are not culture-bound or culture-specific, but rather culture-reactive.” The reasons why patients develop anorexia and how it is manifested can, therefore, radically differ per culture (Pike & Dunne 2015).

 

ONLINE DISCUSSIONS

“I simply can’t eat any food. I have no interest in food. Even if I am starving I still do not want to eat.”

 

These findings are also apparent on the various anorexia support message boards in China, where people suffering from the disease share their experiences. Rather than talking about fear of being fat, many commenters only discuss their loss of appetite and stressful lives.

One netizen on Zhihu.com writes:

I am suffering from anorexia right now. The pressure at school is too much for me. I don’t have any time to relax. It’s all about studying. I simply can’t eat any food. I have no interest in food. Even if I am starving I still do not want to eat.”

Another person writes:

I think I have anorexia. But I am not sure. (..) I simply do not want to eat. If I see food, I have no desire to eat it. I only eat some breakfast and some dinner, an egg at 7.30 and some rice at 17.30.”

A new study on anorexia in China by Zaida Aguera et al (2017) confirms the idea that anorexia in Chinese patients is often experienced or communicated physical rather than psychological, as they are “culturally encouraged to use denial and minimization to cope with conditions deemed taboo” (9).

Because the way anorexia presents itself is different, researchers argue that its treatment also requires a different approach in China than in other countries that have developed own national standards on treating eating disorders.

The treatment options in China, however, are still limited. The first and only closed ward for eating disorders opened in Beijing six years ago. But the recent increased media attention raised by doctors such as Ma Yongchun and heightened focus on mental health care in China indicate that there will be more options for Chinese anorexia patients in the future.

As for the Zhihu poster who asked about anorexia in China – they are still waiting for an answer. In the meantime, they have suggested an own solution in the underline, writing: “There just is so much tasty food in China, that  anorexia in China is probably is much rarer here than in any other country in the world.” No one else responded.

By Manya Koetse

References

Agüera, Z., Brewin, N., Chen, J., Granero, R., Kang, Q., Fernandez-Aranda, F., & Arcelus, J. 2017. “Eating Symptomatology and General Psychopathology in Patients with Anorexia Nervosa from China, UK and Spain: A Crosscultural Study Examining the Role of Social Attitudes.” PLoS ONE, 12(3), 1–13.

French, Paul, and ‎Matthew Crabbe. 2010. Fat China: How Expanding Waistlines are Changing a Nation. Imprint: Anthem Press.

Getz, M.J. 2014. “The Myth of Chinese Barbies: Eating Disorders in China including Hong Kong.” Journal of Psychiatric and Mental Health Nursing 21: 746-754.

Pike, Kathleen M., and Patricia E. Dunne. 2015. “The Rise of Eating Disorders in Asia: a Review.” Journal of Eating Disorders 3:33. Available online https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-015-0070-2 [17.1.18].

Tong, J., Miao, S., Wang, J. et al. 2014. “A Two-stage Epidemiologic Study on Prevalence of Eating Disorders in Female University Students in Wuhan, China.” Social Psychiatry and Psychiatric Epidemiology 49(3): 499-505.

Are you suffering from an eating disorder and need help? For information on eating disorders and how to help if you are worried about someone, Beat (UK) or ANAD (US) has advice for sufferers, friends and family.

Spotted a mistake or want to add something? Please let us know in comments below or email us.

©2018 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

Manya Koetse is the editor-in-chief of www.whatsonweibo.com. She is a writer and consultant (Sinologist, MPhil) on social trends in China, with a focus on social media and digital developments, popular culture, and gender issues. Contact at manya@whatsonweibo.com, or follow on Twitter.

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Backgrounder

‘Good Doctor’, Digital Hospitals: How Mobile Apps Are Alleviating China’s Healthcare Problems

With the rapid digitalization of China’s healthcare, Chinese patients now have more ways than one to receive medical assistance.

Manya Koetse

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China’s healthcare industry is facing some serious challenges. As Chinese society is rapidly digitalizing, mobile apps now provide innovative solutions to alleviate pressing problems in the country’s health services sector.

 
This is the “WE…WEI…WHAT?” column by Manya Koetse, originally published in German by Goethe Institut China on Goethe.de: “Good-Doctor Apps und Digitale Krankenhäuser.” 
 

Social Credit System, artificial intelligence, surveillance cameras; these are some of the hottest topics making headlines in mainstream Western media when discussing China-related developments recently.

With the rapid digitalization of Chinese society, these topics certainly have come to play a more important role in social media discussions within the People’s Republic of China (PRC). But if there is one issue that seems to concern Chinese social media users the most, it is not facial recognition nor their ‘Sesame score’: it is the topic of healthcare.

In December of 2017, a photo showing a crying mother kneeling down beside a toddler on the sidewalk in front of a Shanghai hospital went viral overnight. The moment was captured on camera by a reporter who was visiting Shanghai’s Children’s Hospital.

The photo of Guo Yinzhen and her son that went viral in China (image via NetEase, source: https://3g.163.com).

The mother, Guo Yinzhen, is a single parent who had traveled from a remote village to seek medical help for her 3-old-son, who was suffering from congenital hydrocephalus or ‘water on the brain.’ Already having traveled to the city multiple times and spending all her money on medical bills, Guo could not afford the additional 100.000 yuan (€ 12.600) for medical procedures needed to save her son’s life.

Guo’s story struck a chord with Chinese netizens, who continue to share the heartbreaking photo on social media to this day. It has become emblematic of China’s healthcare problems.

 

Crowded Hospitals and ‘Healthcare Disturbance’

 

The key to an adequate healthcare system, no matter where in the world, is that there is a right balancing in the “iron triangle” of efficiency/cost containment, high quality care, and patient access.[1] China, however, struggles with all three sides of this triangle.

Guo’s case is an extreme example, but many people in China dealing with less serious health issues and needing basic medical services also struggle to afford and access the healthcare they need.

Over 95% of people in China have health insurance, but people from different regions do not enjoy the same benefits and their out-of-pocket expenses can vary greatly. Uncovered medical costs can sometimes be catastrophic and simply unaffordable for patients and their families.

As more money flows are going to healthcare facilities in China’s cities, there is also the issue of varying levels of providers’ medical education and the overall healthcare quality, with the substantial majority of modern hospitals still existing in urban areas.

Easy access to the right kind of healthcare can be especially problematic for China’s rural population, as people often need to travel long distances and have to go through the lengthy process of registering and waiting for their doctor’s appointment, which sometimes requires them to stay in the city overnight.

For all of these reasons, China’s bigger public hospitals can get super crowded, sometimes resembling shopping malls on an end-of-season sales day. On social media, both patients and medical workers often complain about the stress brought about by the huge crowds and the shortage of doctors in hospitals across the country.

Perhaps it is no wonder that China even has a word to describe outbursts of violence between patients and doctors: ‘Yī nào’ (医闹, literally: “healthcare disturbance”).

Weibo user ‘Sunscreen’ complains about the crowds at Huashan Hospital.

One major problem within China’s healthcare conundrum is the lack of local family or primary-care doctors, which often makes bigger hospitals the first stop to any kind of medical treatment for Chinese patients.

The reasons for this issue are manifold. There is a general lack of trust in private and smaller local healthcare clinics, for example, and patients often choose to go directly to a bigger hospital to avoid making extra costs.

This makes it extra difficult for many community health care centers – that are already struggling – to make enough money and to retain qualified staff. In a society that is rapidly aging, the challenges facing China’s healthcare industry are only becoming more pressing.

 

A Doctor Today, Just an App Away

 

As China’s online environment is thriving, new innovative online apps are popping up on a daily basis. Some of these apps, that have found their ways into China’s most popular app rankings, are offering solutions to some of the country’s most pressing healthcare problems.

One of these apps is Ping’an Good Doctor (平安好医生), which was developed by health insurance provider Ping’an in 2015 and calls itself China’s “one-stop healthcare ecosystem.”

“Ping’an Good Doctor” promotional image by Ping’an.

Employing some 1000 medical staff in its in-house team, contracting over 5,200 external doctors, and collaborating with 3000 hospitals and thousands of pharmacy outlets across the country, the app is somewhat of an “online hospital.”

Through the app, users can look through an online database of medical professionals, order medicine at nearby pharmacies, get 24/7 online medical consultancy, search for information about both Western and Chinese Traditional Medicine, etc., but they can also use Ping’an Good Doctor as a fitness app to track their own health.

Screenshot of Ping’an app screen, by author.

When looking for a specific doctor for a one-on-one consult, the app first lets users select an area of expertise (e.g. dermatology or gynecology), and then offers a list of different specialists in various price categories.

Doctors from well-known hospitals, for example, or those with excellent ratings, have a one-time consultation fee of 100 yuan (€ 12,60). Other doctors can be consulted starting from 30 yuan (€3,70). All costs can be paid efficiently via online payment apps.

Doctors to pick from within the app’s various price categories.

Ping’an Good Doctor uses an AI-driven system to ask patients various questions about their symptoms and to automatically create a user’s medical record to save time. Based on the AI-generated record and the conversation with the patients – files such as photos can also be uploaded to the app -, the doctors can prescribe medicine or refer the patient to a hospital for an offline appointment if needed.

Ping’an recently announced that its number of registered users exceeded 300 million users, with 62 million monthly active users. Because the app keeps building on its AI-driven system, Ping’an Good Doctor can be expected to only become a ‘smarter’ smart health app the more popular it gets.

Although Ping’an is now leading within China’s medical app category, there are many other apps providing similar services, such as Chunyu Yisheng (春雨医生), Haodafu Online (好大夫在线), or DingXiang Doctor (丁香医生).

The emergence of these apps is just one of the many ways in which China’s digital developments, online media, and tech giants are impacting the healthcare industry, profoundly changing how patients receive healthcare information and access medical services now and in the future.

List of recommended medical apps in the Tencent app store.

In a way, China’s medical consultation apps fill the void in offline primary care. Patients who would otherwise turn to hospital care as their first stop can now  access medical consultations any time, any day, at a relatively low cost. Those who suffer from relatively harmless conditions could be diagnosed by a medical specialist via the app and get the medicine they need within a matter of minutes. With the growing popularity of these kinds of apps, many patients no longer need to visit a hospital at all.

Are smart health apps such as Ping’an Good Doctor the solution to China’s healthcare problems? No, they’re not. Struggling mums like Guo Yinzhen will not find the help they need there. But they do contribute to a more efficient healthcare environment where crowd flows in hospitals can be reduced, and patients do not need to spend a lot of time and money to stand in hour-long queues to get five minutes of their doctor’s time.

Although smart health apps could not help Guo Yinzhen and her son, social media apps could. As soon as their story went viral in late 2017, Shanghai Children’s Welfare Foundation Xiaoxingxin offered to cover medical treatments for the little boy, with a notable pediatric neurosurgeon operating the child. According to the latest updates, the boy’s situation was “looking good.”

Hopefully, the same holds true for the challenging sides of China’s healthcare industry.

By Manya Koetse
Follow @whatsonweibo

[1] Burns & Liu, 2017: 3-4.

References/Linked Sources

Burns, Lawton Robert, and Gordon G. Liu. 2017. “Introduction.” In China’s Healthcare Industry: A System Perspective, Lawton Robert Burns and Gordon G. Liu (eds), pp-1-116. Cambridge: Cambridge University Press.

Economist, 2017. “China needs many more primary-care doctors.” The Economist, May 11 https://www.economist.com/china/2017/05/11/china-needs-many-more-primary-care-doctors [20.10.19].

Zhou, Viola. 2018. “Does China Have Universal Healthcare? A Long (And Better) Answer.” Inkstone, Oct 10 https://www.inkstonenews.com/health/china-translated-does-china-have-universal-health-care/article/2167579

This text was first published by Goethe-Institut China under a CC-BY-NC-ND-4.0-DE license (Creative Commons) as part of a monthly column in collaboration with What’s On Weibo.

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Backgrounder

How Chinese Kuaishou Rebel ‘Pangzai’ Became a Twitter King

He’s been called a ‘Twitter king’, but how did the unexpected online fame of this ‘Hebei Pangzai’ start?

Jessica Colwell

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Twitter has fallen in love with a Chinese farmer after his drinking videos on Kuaishou were cross-posted abroad and went viral. He has embraced his new fans and Western social media, arguably becoming one of China’s most successful cultural ambassadors of the year.

He describes himself as the “inventor of tornado beer drinking style” and as an “ordinary peasant from China.” ‘Hebei Pangzai’ only joined Twitter in August of 2019, but he already has a Twitter following of more than 111.6K.

Although his account is temporarily restricted by Twitter at time of writing (“due to suspicious activity”), his popularity is only growing. Some Twitterers, such as the China twitterer Carl Zha (@CarlZha), are even initiating a “#FreePangzai campaign” to restore the account of the “one true King.”

But where and when did the online fame of ‘Hebei Pangzai’ start?

Let’s begin our introduction to Pangzai with one tweet from March of this year, when Twitter user ‘Hunnaban Trenchboss’ posted a video from Chinese short video app Kuaishou (快手) showing a man – ‘Pangzai’ – wearing sunglasses and smoking a cigarette while preparing an incredible mixed drink.

The man in the video smoothly pops the cap off a bottle of beer with a chopstick, pours some in a large jar, then twirls the bottle and propels the rest of the beer in a tornado of force down his throat.

He follows that up by pouring in more beer, some blue liquor, an egg, some Pepsi, and a hefty glass of baijiu – which he dumps in only after lighting it on fire, igniting his finger, and coolly lighting his cigarette. He then chugs the entire concoction in a matter of seconds.

“How do I become as cool as this guy, The Coolest Guy?”, the tweet said.

The same video was shared again in August by a few Russian accounts, was retweeted by an American account, and then went completely viral, racking up millions of views and tens of thousands of retweets.

That video has now been viewed almost 12 million times on Twitter, and has inspired tens of thousands of fans who herald him as ‘king.’

The man in the video referred to as ‘Pangzai’ (胖仔, ‘chubby dude’) is Liu Shichao (刘世超), a 33-year-old farmer and small-time Chinese internet celebrity from a city called Xingtai in Hebei Province.

According to an interview with Technode, he found out about the video on Twitter when some of his new foreign fans opened Chinese social media accounts to find him and tell him about his overnight online fame.

“One message told me that I was a celebrity now in America,” he told Technode: “So I chatted with the person [who sent the message] for a whole day, with the help of translation software.”

Within two days of his video going viral, Pangzai had figured out how to use a VPN, opened his own Twitter account and started uploading videos.

He even posted a reply on the original viral video to alert everybody to his account.

Liu’s early response to his viral video on Twitter.

Since then, Liu ‘Pangzai’ has amassed over 111,000 followers and has posted many more videos of everything from drinking, to cooking, to exploring his countryside hometown.

But it was the drinking videos specifically that earned him his following, both abroad and in China.

 

IT STARTED ON KUAISHOU

“Pangzai epitomizes the typical Kuaishou account.”

 

Liu began his internet career three years ago on Kuaishou, a Chinese short video app massively popular among China’s lower-tier cities and countryside.

In contrast to the polished, celeb-heavy platform Douyin, which is most popular among urban youths, Kuaishou is a platform for the masses. Its users are known for their crazy antics and general disregard for personal safety.

Liu Shichao’s Kuaishou account has 354,000 followers, but the majority of his videos have been removed.

Pangzai epitomizes the typical Kuaishou account. Posting under the handle “Chubby Dude from Hebei” (@河北胖仔), he uploads videos of himself eating and drinking in eye-popping combinations, or sometimes smashing things – from bricks to unopened water bottles – with his bare hands.

Liu’s video of breaking bricks with his hands was also popular on Twitter.

Liu also gained notoriety, and a couple hundred thousand followers, from his mastery of the so-called ‘beer tornado technique’ (小旋风 xiǎo xuànfēng).

According to an interview with the BBC, he peaked at 470,000 followers on Kuaishou and was monetizing his online fame with some 10,000 RMB ($1420) per month.

Liu’s signature beer tornado technique features in the first video he posted to Twitter.

Unfortunately for Liu, China’s Cyberspace Administration announced a crackdown on vulgar and illegal content across multiple social media platforms in spring of 2018, with a focus on Douyin, Kuaishou, and its sister news company Jinri Toutiao. Kuaishou was pulled from app stores until it cleaned up its act.

It is unclear just how many videos and accounts have been removed as a result of the cleanup. We can get a rough idea from an announcement by Kuaishou earlier this year that in March of 2019 alone, it removed an average of over 11,000 videos and blocked almost 1,000 accounts every day.

The result for Liu was that his account was suspended for four months and the majority of his most popular videos, including the one that went viral abroad, were removed for promoting ‘unhealthy drinking habits.’

When you look at his Kuaishou account today, you won’t see many videos focused solely on baijiu and beer chugging.

The videos that remain on his account do include drinking (and his signature tornado move) but it is always accompanied by eating food or some other activity (such as sitting deep in a field of corn, munching on roast duck and dribbling baijiu down a corn leaf into a glass.)

In a video posted to Kuaishou, Liu pours baijiu into a glass from a corn leaf, before then lighting it on fire and chugging it.

Liu still has 354,000 followers on Kuaishou. His Chinese fans, like his foreign ones, marvel at his cool and collected manner as he eats and drinks all sorts of disgusting things.

Canned herring features heavily in his most popular recent videos, where he can be seen sipping the juice directly from the can.

In one of his videos on Kuaishou, Liu eating herring directly from the can, to the disgust of his fans.

“This has to be the most unaffected anyone has ever been by eating canned herring,” says one fan. “The flavor is disgusting! 99.9% of people who try this would vomit,” another online commenter replies.

 

AN UNEXPECTED TWITTER KING

“Liu is like many young men from the countryside of Northern China: open, friendly, humble, and genuinely excited to share his life.”

 

This year, Liu seems to have embraced his newfound international stardom with grace and savvy.

He uses Twitter’s in-app translation to help him communicate with fans and has been highly interactive on the platform.

Liu ‘Pangzai’ was also quick to open up a Paypal account and share it with followers, and has recently made YouTube and Instagram accounts to prevent scams pretending to be him. He has also collaborated with a Twitter fan to sell T-shirts online in America.

Many online fans have dubbed him ‘king’, perhaps the highest praise one can receive on the internet today.

But in contrast to the sunglasses and chill demeanor of his videos, Liu does not appear to be an internet celebrity overly obsessed with being cool.

Instead, he is like many young men from the countryside of Northern China: open, friendly, humble, and genuinely excited to share his life (and drinking habits) with the rest of the world.

Liu began using translation software to communicate with fans soon after joining Twitter.

After reposting all of his old drinking videos from Kuaishou, Liu started asking Twitter fans what they would like to see from him. Many responded that they wanted more about his life in rural China.

He has since followed up with videos showing him fixing a pipe with his friends, exploring his local market, cooking sweet potatoes, and, of course, a tutorial on how to master the ‘tornado beer’ technique.

Liu explaining on Twitter how to perform the tornado beer technique that helped make him famous.

Many have expressed concern for his health in light of his drinking habits, but he has assured everybody that everything he does is “within his ability” and that he doesn’t drink like that very often.

Liu is grateful for all the support and praise he has received from abroad. “It’s crazy to have all of these foreign friends all of a sudden,” he recently said in an interview with Deadspin: “I really have to thank them a lot. If I have a chance I will find them and we can drink together.”

Seemingly to that end, Liu has recently organized a party to be held near his hometown in China, exciting fans all over the world and spurring many to apply for passports and visas.

Once Liu began inviting people to his party, he changed the date and location in order to accommodate more attendees.

The date is set for December 14, 2019 in Zhuamadian City, Hebei Province; too soon for many to make it, but he promises another party in the spring. There is talk also of organizing a visit for Liu ‘Pangzai’ to go to America.

 

WINDOW INTO CHINESE SOCIAL MEDIA

“Liu’s growing notoriety abroad seems to have flown completely under the radar of the Chinese internet.”

 

Although there are many vloggers like Pangzai in China, he stands out on Twitter as some sort of window into Chinese social media, especially because this online world is usually so separate from the Western realms of social media.

The recent explosive growth of Chinese social media apps such as TikTok has not done much to facilitate this kind of cultural interaction between China and the West.

Although Tiktok is, in fact, a Chinese app (called Douyin 抖音 in China), there are actually two different versions of the same app in mainland China and abroad, meaning that the other ‘Pangzais’ of the Chinese internet still remain within the social media spheres of the PRC, rarely gaining fame outside of the Great Firewall.

In China, aside from his fans on Kuaishou, Liu’s growing notoriety abroad seems to have flown completely under the radar of the Chinese internet. He is mentioned only one or two times across Weibo, and searches for his name and handle on WeChat, Baidu, and various Chinese tech news sites bring up nothing.

Liu is a rare example of genuine soft power coming out of China. A pure, grassroots man of the people with strong cultural appeal who sincerely enjoys sharing his life and his culture with the rest of the world. His tweets are full of affection and appreciation for his fans, as well as frequent prompts for followers to share their own lives and customs of their home countries.

To watch his introduction to Twitter and rise to fame is to see the best of the internet: cultural interaction, genuinely shared delight, and mutual admiration inspired by hilarious antics caught on camera.

His Twitter fans express their hope that Twitter Support will soon lift the temporary ban on their ‘Twitter king.’ To them, it’s perfectly clear: this online king is nowhere near dead, long live Pangzai!

Follow the #FreePangzai hashtag on Twitter.

Update: Panghaizi is out of Twitter jail!

 
Want to read more about unexpected online celebrities from China? Also see:
The Story of Two Farmers Who Became Internet Celebrities;
The “Vagrant Shanghai Professor”;
From Farmgirl to Fashionista: Weibo Celebrity Fairy Wang.

 

By Jessica Colwell
Follow @whatsonweibo

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