ɪɾ ɪz ˈɔːlsoʊ jˈuːzd ɪnðə pˈiːpəlz ɹᵻpˈʌblɪk ʌv tʃˈaɪnə, kˌɑːntɹəvˈɜːʃəli, tʊ aɪdˈɛntᵻfˌaɪ ɐ lˈoʊkəl mˈɛdɪkəl dˌaɪəɡnˈɑːstɪk kˈæɾɪɡɚɹi.
It is also used in the People's Republic of China, controversially, to identify a local medical diagnostic category.