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Auteurs principaux: Li, Kunning, Guo, Jianbin, Shang, Zhaoyang, Liu, Yiqing, Du, Hongmin, Liu, Lingling, Zhao, Yuping, Dong, Lifeng
Format: Preprint
Publié: 2025
Sujets:
Accès en ligne:https://arxiv.org/abs/2512.02816
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author Li, Kunning
Guo, Jianbin
Shang, Zhaoyang
Liu, Yiqing
Du, Hongmin
Liu, Lingling
Zhao, Yuping
Dong, Lifeng
author_facet Li, Kunning
Guo, Jianbin
Shang, Zhaoyang
Liu, Yiqing
Du, Hongmin
Liu, Lingling
Zhao, Yuping
Dong, Lifeng
contents The emergence of Large Language Models (LLMs) within the Traditional Chinese Medicine (TCM) domain presents an urgent need to assess their clinical application capabilities. However, such evaluations are challenged by the individualized, holistic, and diverse nature of TCM's "Syndrome Differentiation and Treatment" (SDT). Existing benchmarks are confined to knowledge-based question-answering or the accuracy of syndrome differentiation, often neglecting assessment of treatment decision-making. Here, we propose a comprehensive, clinical case-based benchmark spearheaded by TCM experts, and a specialized reward model employed to quantify prescription-syndrome congruence. Data annotation follows a rigorous pipeline. This benchmark, designated TCM-BEST4SDT, encompasses four tasks, including TCM Basic Knowledge, Medical Ethics, LLM Content Safety, and SDT. The evaluation framework integrates three mechanisms, namely selected-response evaluation, judge model evaluation, and reward model evaluation. The effectiveness of TCM-BEST4SDT was corroborated through experiments on 15 mainstream LLMs, spanning both general and TCM domains. To foster the development of intelligent TCM research, TCM-BEST4SDT is now publicly available.
format Preprint
id arxiv_https___arxiv_org_abs_2512_02816
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A benchmark dataset for evaluating Syndrome Differentiation and Treatment in large language models
Li, Kunning
Guo, Jianbin
Shang, Zhaoyang
Liu, Yiqing
Du, Hongmin
Liu, Lingling
Zhao, Yuping
Dong, Lifeng
Computation and Language
The emergence of Large Language Models (LLMs) within the Traditional Chinese Medicine (TCM) domain presents an urgent need to assess their clinical application capabilities. However, such evaluations are challenged by the individualized, holistic, and diverse nature of TCM's "Syndrome Differentiation and Treatment" (SDT). Existing benchmarks are confined to knowledge-based question-answering or the accuracy of syndrome differentiation, often neglecting assessment of treatment decision-making. Here, we propose a comprehensive, clinical case-based benchmark spearheaded by TCM experts, and a specialized reward model employed to quantify prescription-syndrome congruence. Data annotation follows a rigorous pipeline. This benchmark, designated TCM-BEST4SDT, encompasses four tasks, including TCM Basic Knowledge, Medical Ethics, LLM Content Safety, and SDT. The evaluation framework integrates three mechanisms, namely selected-response evaluation, judge model evaluation, and reward model evaluation. The effectiveness of TCM-BEST4SDT was corroborated through experiments on 15 mainstream LLMs, spanning both general and TCM domains. To foster the development of intelligent TCM research, TCM-BEST4SDT is now publicly available.
title A benchmark dataset for evaluating Syndrome Differentiation and Treatment in large language models
topic Computation and Language
url https://arxiv.org/abs/2512.02816