# Enhancing the Traditional Chinese Medicine Capabilities of Large Language Model through Reinforcement Learning from AI Feedback

arXiv: https://arxiv.org/abs/2411.00897 · HTML: https://mlsanity.com/paper/2411.00897/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Medical LLM alignment, one of 10 directions in LLM alignment / RLHF / preference optimisation.
- Builds on 22 of its 31 references that are in the map.
- First posted on arXiv 1 Nov 2024.

## Placed in

- LLM alignment / RLHF / preference optimisation / [Medical LLM alignment](https://mlsanity.com/alignment/medical-llm-alignment/)

## Builds on (most cited first, 22 of 22)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Direct Preference Optimization: Your Language Model is Secretly a Reward Model](https://mlsanity.com/paper/2305.18290/) (2023)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Deep reinforcement learning from human preferences](https://mlsanity.com/paper/1706.03741/) (2017)
- [Qwen Technical Report](https://mlsanity.com/paper/2309.16609/) (2023)
- [BLOOM: A 176B-Parameter Open-Access Multilingual Language Model](https://mlsanity.com/paper/2211.05100/) (2022)
- [SciBERT: A Pretrained Language Model for Scientific Text](https://mlsanity.com/paper/1903.10676/) (2019)
- [DeepSeek-V2: A Strong, Economical, and Efficient Mixture-of-Experts Language Model](https://mlsanity.com/paper/2405.04434/) (2024)
- [ChatGLM: A Family of Large Language Models from GLM-130B to GLM-4 All Tools](https://mlsanity.com/paper/2406.12793/) (2024)
- [GLM: General Language Model Pretraining with Autoregressive Blank Infilling](https://mlsanity.com/paper/2103.10360/) (2021)
- [DeepSeekMoE: Towards Ultimate Expert Specialization in Mixture-of-Experts Language Models](https://mlsanity.com/paper/2401.06066/) (2024)
- [Baichuan 2: Open Large-scale Language Models](https://mlsanity.com/paper/2309.10305/) (2023)
- [Textbooks Are All You Need](https://mlsanity.com/paper/2306.11644/) (2023)
- [ERNIE 3.0: Large-scale Knowledge Enhanced Pre-training for Language Understanding and Generation](https://mlsanity.com/paper/2107.02137/) (2021)
- [HuatuoGPT, towards Taming Language Model to Be a Doctor](https://mlsanity.com/paper/2305.15075/) (2023)
- [DoctorGLM: Fine-tuning your Chinese Doctor is not a Herculean Task](https://mlsanity.com/paper/2304.01097/) (2023)
- [Zhongjing: Enhancing the Chinese Medical Capabilities of Large Language Model through Expert Feedback and Real-world Multi-turn Dialogue](https://mlsanity.com/paper/2308.03549/) (2023)
- [ChineseBERT: Chinese Pretraining Enhanced by Glyph and Pinyin Information](https://mlsanity.com/paper/2106.16038/) (2021)

## Built on by (most cited first, 1 of 1)

- [TCM-3CEval: A Triaxial Benchmark for Assessing Responses from Large Language Models in Traditional Chinese Medicine](https://mlsanity.com/paper/2503.07041/) (2025)

## Abstract (arXiv)

Although large language models perform well in understanding and responding to user intent, their performance in specialized domains such as Traditional Chinese Medicine (TCM) remains limited due to lack of expertise. In addition, high-quality data related to TCM is scarce and difficult to obtain, making large language models ineffective in handling TCM tasks. In this work, we propose a framework to improve the performance of large language models for TCM tasks using only a small amount of data. First, we use medical case data for supervised fine-tuning of the large model, making it initially capable of performing TCM tasks. Subsequently, we further optimize the model's performance using reinforcement learning from AI feedback (RLAIF) to align it with the preference data. The ablation study also demonstrated the performance gain is attributed to both supervised fine-tuning and the direct policy optimization. The experimental results show that the model trained with a small amount of data achieves a significant performance improvement on a representative TCM task.