In China, the middle finger is considered a rude gesture and is used to show disrespect when people are really angry. It is not associated with any positive connotations in Chinese culture. While some people believe that holding up a pinky finger in China is the same as showing someone the middle finger in the United States, this is not true. The middle finger is not used as often in China as it is in Western culture, where it is sometimes used as a mild insult or to express annoyance. In Chinese medicine, the middle finger is linked to the heart meridian and is believed to have deep spiritual meanings. However, this does not change the fact that showing the middle finger is considered extremely disrespectful and offensive in China.