# HiMed: Incentivizing Hindi Reasoning in Medical LLMs

arXiv: https://arxiv.org/abs/2605.24635 · HTML: https://mlsanity.com/paper/2605.24635/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 54 of its 126 references that are in the map.
- First posted on arXiv 23 May 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 30 of 54)

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- [DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models](https://mlsanity.com/paper/2402.03300/) (2024)
- [Sentence-BERT: Sentence Embeddings using Siamese BERT-Networks](https://mlsanity.com/paper/1908.10084/) (2019)
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- [Let's Verify Step by Step](https://mlsanity.com/paper/2305.20050/) (2023)
- [GPQA: A Graduate-Level Google-Proof Q&A Benchmark](https://mlsanity.com/paper/2311.12022/) (2023)
- [G-Eval: NLG Evaluation using GPT-4 with Better Human Alignment](https://mlsanity.com/paper/2303.16634/) (2023)
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- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [MiniLM: Deep Self-Attention Distillation for Task-Agnostic Compression of Pre-Trained Transformers](https://mlsanity.com/paper/2002.10957/) (2020)
- [What Disease does this Patient Have? A Large-scale Open Domain Question Answering Dataset from Medical Exams](https://mlsanity.com/paper/2009.13081/) (2020)
- [PubMedQA: A Dataset for Biomedical Research Question Answering](https://mlsanity.com/paper/1909.06146/) (2019)
- [Encouraging Divergent Thinking in Large Language Models through Multi-Agent Debate](https://mlsanity.com/paper/2305.19118/) (2023)
- [Personalizing Dialogue Agents: I have a dog, do you have pets too?](https://mlsanity.com/paper/1801.07243/) (2018)
- [DailyDialog: A Manually Labelled Multi-turn Dialogue Dataset](https://mlsanity.com/paper/1710.03957/) (2017)
- [BioGPT: Generative Pre-trained Transformer for Biomedical Text Generation and Mining](https://mlsanity.com/paper/2210.10341/) (2022)
- [Humanity's Last Exam](https://mlsanity.com/paper/2501.14249/) (2025)
- [HealthBench: Evaluating Large Language Models Towards Improved Human Health](https://mlsanity.com/paper/2505.08775/) (2025)
- [JudgeLM: Fine-tuned Large Language Models are Scalable Judges](https://mlsanity.com/paper/2310.17631/) (2023)
- [Selection-Inference: Exploiting Large Language Models for Interpretable Logical Reasoning](https://mlsanity.com/paper/2205.09712/) (2022)
- [Humans or LLMs as the Judge? A Study on Judgement Biases](https://mlsanity.com/paper/2402.10669/) (2024)
- [BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domains](https://mlsanity.com/paper/2402.10373/) (2024)
- [ReFT: Reasoning with Reinforced Fine-Tuning](https://mlsanity.com/paper/2401.08967/) (2024)
- [MedXpertQA: Benchmarking Expert-Level Medical Reasoning and Understanding](https://mlsanity.com/paper/2501.18362/) (2025)
- [Lessons from Natural Language Inference in the Clinical Domain](https://mlsanity.com/paper/1808.06752/) (2018)
- [A Question-Entailment Approach to Question Answering](https://mlsanity.com/paper/1901.08079/) (2019)
- [MedReason: Eliciting Factual Medical Reasoning Steps in LLMs via Knowledge Graphs](https://mlsanity.com/paper/2504.00993/) (2025)
- [Let's reward step by step: Step-Level reward model as the Navigators for Reasoning](https://mlsanity.com/paper/2310.10080/) (2023)

## Abstract (arXiv)

Medical large language models hold promise for reducing healthcare disparities, yet Hindi remains severely underrepresented. While medical LLMs excel in high-resource languages, their performance degrades sharply in Hindi, particularly on Indian systems of medicine. We argue that robust cross-lingual medical transfer requires Hindi reasoning. To this end, we introduce HiMed, a Hindi reasoning medical corpus and benchmark suite covering both Western and Indian medicine. We further propose HiMed-8B, a Hindi-form medical reasoning LLM, through the design of decaying scaffolding reward. Extensive experiments demonstrate improvement in Hindi medical reasoning performance and a reduction in the English-Hindi accuracy gap. Ablation studies validate the contribution of each training stage and reward component. All code, data, and weights are available