arXiv AI

Lingdan-V2: Large language models for clinically grounded reasoning in traditional Chinese medicine

arXiv AI
Jun 30

An AI agent for treatment reasoning over a biomedical tool universe

arXiv:2606. 28692v1 Announce Type: new Abstract: Treatment reasoning underpins every therapeutic decision, integrating disease context, comorbidities, medications, contraindications, and evolving biomedical knowledge to select an appropriate therapy.

By Shanghua Gao, Ayush Noori, Richard Zhu, Curtis Ginder, Zhenglun Kong, Xiaorui Su, Justin Kauffman, Benjamin S. Glicksberg, Joshua Lampert, Ankit Sakhuja, Ashwin Sawant, ATHENA-R1 Evaluation Consortium, David A. Clifton, Noa Dagan, Ran Balicer, Marinka Zitnik
arXiv AI
Aug 20

DeepTCM1.0: A Multi-Expert AI Agent for Deciphering Mechanisms of Chinese Herbal Formulae Based on General Large Language Models

DeepTCM1.0 is a multi‑expert AI agent built on the DeepSeek V3.2 large language model, designed to integrate classical traditional Chinese medicine (TCM) theory with modern life sciences for mechanistic analysis of TCM compound formulas. The framework employs a three‑tier collaborative architecture and a three‑round iterative quality‑control workflow, simulating 11 interdisciplinary intelligent agents. It was validated on the Guizhi Decoction, with performance evaluated through double‑blind five‑dimensional scoring, ICC reliability testing, Mann‑Whitney U tests, and effect size analysis across 100 independent assessments by four large language models.

By Wenxin Duan, Hanwei Wang, Zhongying Peng, Zhonghua Lu, Jiayi An, Fan Song, Yong Liang
arXiv AI
Oct 9

AyurParam: A State-of-the-Art Bilingual Language Model for Ayurveda

The paper introduces AyurParam-2.9B, a bilingual language model fine‑tuned for Ayurveda using a curated dataset of classical texts and clinical guidance in English and Hindi. It outperforms other open‑source instruction‑tuned models of similar size on the BhashaBench‑Ayur benchmark and rivals larger models in performance. The work demonstrates that authentic domain adaptation and high‑quality supervision are essential for reliable, culturally congruent AI in specialized medical fields.

By Sravan Gorugantu, Mohd Nauman, Vijay Devane, Shyam Pawar, Viraj Thakur, Kundeshwar Pundalik, Piyush Sawarkar, Rohit Saluja, Maunendra Desarkar, Ganesh Ramakrishnan
arXiv AI
Aug 25

Teaching LLMs How ICU Physicians Approach Clinical Reasoning Through OMOP-Aligned Retrieval Improves Reasoning Across Clinical Domains

arXiv:2608.22622v1 Announce Type: cross Abstract: Clinical decision-making relies on identifying relevant patient information to guide diagnosis and treatment, a challenge that is especially difficul...

By Miguel Contreras, Scott Siegel, Subhash Nerella, Jessica Sena, Jiaqing Zhang, Heng Sun, Hruday Tej Akkaladevi, Peiyu Lu, Jordan Rosen, Sumit Kapoor, Sasank Desaraju, Grace R. Thompson, Jacob Purcell, Michael Petrauskis, Philip KW. Hong, Meghan Brennan, Sarah Chrabaszcz, Tierra Smith, Ronnie Ren, Michel S. Kabbash, Ceyhun Haziroglu, Rushi Patel, Gabriel Gomez, Charlotte Chaiklin, Randy Leung, Kenneth N. John, Whitman Wiggins, Philip Kayser, Vincent Bird, Maria Bruzzone, Tyler J. Loftus, Azra Bihorac, Parisa Rashidi
arXiv Computation and Language
Sep 23

Syndrome, Synergy, and Safety: Structured Reasoning and Knowledge-Driven Alignment for TCM Prescription Generation

The paper introduces a four‑stage framework—SFT, PG‑CoT, Dynamic, and K‑RL—to improve large language models for Traditional Chinese Medicine prescription generation. It addresses three key gaps: lack of auditable reasoning (SR Gap), failure to adjust prescriptions over time (LA Gap), and non‑enforcement of absolute contraindication rules (SC Gap). Experiments on 12 fine‑tuned models and 6 zero‑shot baselines show that the framework, particularly a 7B Mistral model, outperforms zero‑shot GPT‑5 on all three TCM evaluation metrics.

By Zheng Chen, ZhiCheng Du, Haoxuan Li, Peiwu Qin
arXiv Computation and Language
Sep 4

Gaokerena: A Small Persian Medical Language Model Family

Gaokerena is a family of compact Persian medical language models designed for consumer‑grade hardware. The first variant, Gaokerena‑V, was trained on a 90‑million‑token Persian medical corpus and 20,000 physician Q&A pairs, raising a translated medical MMLU benchmark score from 46.28% to 49.31%. A second variant, Gaokerena‑R, adds a Chain‑of‑Thought approach and two Reinforcement Learning with AI Feedback frameworks, achieving a higher benchmark score of 52.98% while also providing uncertainty estimates based on internal hidden states.

By Mehrdad Ghassabi, Hamidreza Baradaran Kashani, Pedram Rostami, Sadra Hakim, Zahra Kazemi, Amirhossein Poursina, Milad Tavakoli, Audrina Ebrahimi
arXiv Computation and Language
Aug 28

CARE: Causally-Aligned Reasoning Exploration for Medical Large Language Models

CARE: Causally-Aligned Reasoning Exploration for Medical Large Language Models proposes a new framework to improve medical reasoning in LLMs. It introduces two key conditions—Causal Sufficiency and Proximal Learnability—to curate high-quality training trajectories, using agreement-based self-verification and dynamic entropy bounds. Experiments on medical multimodal and text-only benchmarks show that CARE outperforms competitors, reducing incorrect reasoning and enhancing training stability.

By Yucheng Zhou, Peng Luo, Qianning Wang, Chengzhong Xu, Jianbing Shen