JC is talking about the medal that was posted in the other thread devoted to Chinese Red Cross medals (medal with Manchu flag on reverse) http://gmic.co.uk/index.php/topic/54899-red-cross-medals-and-orders-of-chinese-republic/page__st__40
He think that this medal was issued by Nanking government too.
Manchu flag on reverse was used because Nanking government was reluctant to recognize Manchu as a separate independent state.
Well, if it was indeed issued by Nanking government, then why so many differences in obverse design?
Not to mention that this puppet government was under complete control of Japanese ...
They couldn't even made an extra breath without special permission from "their brothers with liberating mission"...
But certainly this is one of the possibilities