MTCMB: A Multi-Task Benchmark Framework for Evaluating LLMs on Knowledge, Reasoning, and Safety in Traditional Chinese Medicine

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Hauptverfasser: Kong, Shufeng, Yang, Xingru, Wei, Yuanyuan, Wang, Zijie, Tang, Hao, Qin, Jiuqi, Lan, Shuting, Wang, Yingheng, Bai, Junwen, Chen, Zhuangbin, Zheng, Zibin, Liu, Caihua, Liang, Hao
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Veröffentlicht: 2025
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author Kong, Shufeng
Yang, Xingru
Wei, Yuanyuan
Wang, Zijie
Tang, Hao
Qin, Jiuqi
Lan, Shuting
Wang, Yingheng
Bai, Junwen
Chen, Zhuangbin
Zheng, Zibin
Liu, Caihua
Liang, Hao
author_facet Kong, Shufeng
Yang, Xingru
Wei, Yuanyuan
Wang, Zijie
Tang, Hao
Qin, Jiuqi
Lan, Shuting
Wang, Yingheng
Bai, Junwen
Chen, Zhuangbin
Zheng, Zibin
Liu, Caihua
Liang, Hao
contents Traditional Chinese Medicine (TCM) is a holistic medical system with millennia of accumulated clinical experience, playing a vital role in global healthcare-particularly across East Asia. However, the implicit reasoning, diverse textual forms, and lack of standardization in TCM pose major challenges for computational modeling and evaluation. Large Language Models (LLMs) have demonstrated remarkable potential in processing natural language across diverse domains, including general medicine. Yet, their systematic evaluation in the TCM domain remains underdeveloped. Existing benchmarks either focus narrowly on factual question answering or lack domain-specific tasks and clinical realism. To fill this gap, we introduce MTCMB-a Multi-Task Benchmark for Evaluating LLMs on TCM Knowledge, Reasoning, and Safety. Developed in collaboration with certified TCM experts, MTCMB comprises 12 sub-datasets spanning five major categories: knowledge QA, language understanding, diagnostic reasoning, prescription generation, and safety evaluation. The benchmark integrates real-world case records, national licensing exams, and classical texts, providing an authentic and comprehensive testbed for TCM-capable models. Preliminary results indicate that current LLMs perform well on foundational knowledge but fall short in clinical reasoning, prescription planning, and safety compliance. These findings highlight the urgent need for domain-aligned benchmarks like MTCMB to guide the development of more competent and trustworthy medical AI systems. All datasets, code, and evaluation tools are publicly available at: https://github.com/Wayyuanyuan/MTCMB.
format Preprint
id arxiv_https___arxiv_org_abs_2506_01252
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MTCMB: A Multi-Task Benchmark Framework for Evaluating LLMs on Knowledge, Reasoning, and Safety in Traditional Chinese Medicine
Kong, Shufeng
Yang, Xingru
Wei, Yuanyuan
Wang, Zijie
Tang, Hao
Qin, Jiuqi
Lan, Shuting
Wang, Yingheng
Bai, Junwen
Chen, Zhuangbin
Zheng, Zibin
Liu, Caihua
Liang, Hao
Computation and Language
Artificial Intelligence
Traditional Chinese Medicine (TCM) is a holistic medical system with millennia of accumulated clinical experience, playing a vital role in global healthcare-particularly across East Asia. However, the implicit reasoning, diverse textual forms, and lack of standardization in TCM pose major challenges for computational modeling and evaluation. Large Language Models (LLMs) have demonstrated remarkable potential in processing natural language across diverse domains, including general medicine. Yet, their systematic evaluation in the TCM domain remains underdeveloped. Existing benchmarks either focus narrowly on factual question answering or lack domain-specific tasks and clinical realism. To fill this gap, we introduce MTCMB-a Multi-Task Benchmark for Evaluating LLMs on TCM Knowledge, Reasoning, and Safety. Developed in collaboration with certified TCM experts, MTCMB comprises 12 sub-datasets spanning five major categories: knowledge QA, language understanding, diagnostic reasoning, prescription generation, and safety evaluation. The benchmark integrates real-world case records, national licensing exams, and classical texts, providing an authentic and comprehensive testbed for TCM-capable models. Preliminary results indicate that current LLMs perform well on foundational knowledge but fall short in clinical reasoning, prescription planning, and safety compliance. These findings highlight the urgent need for domain-aligned benchmarks like MTCMB to guide the development of more competent and trustworthy medical AI systems. All datasets, code, and evaluation tools are publicly available at: https://github.com/Wayyuanyuan/MTCMB.
title MTCMB: A Multi-Task Benchmark Framework for Evaluating LLMs on Knowledge, Reasoning, and Safety in Traditional Chinese Medicine
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2506.01252