Cao Gio (coin rubbing). Vietnamese attitudes toward health care

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Abstract
Cao gio is the Vietnamese practice of rubbing the skin with a coin to alleviate various common symptoms of illness. The back, neck, head, shoulders and chest are common sites of application. Although mimicking the lesions of trauma, it is not a harmful procedure, and no complications are known. A survey of 50 Vietnamese living in the USA since 1975 and 1976 showed marked distrust of American physicians, owing largely to actual or perceived criticism of cao gio. Acceptance of cao gio as a valid cultural practice will facilitate compliance and adequate medical follow-up.

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