Kui Chen

Ziwen Chen, Zhendong Wang, Chongjing Wang et al.

Dermatologic diseases impose a large and growing global burden, affecting billions and substantially reducing quality of life. While modern therapies can rapidly control acute symptoms, long-term outcomes are often limited by single-target paradigms, recurrent courses, and insufficient attention to systemic comorbidities. Traditional Chinese medicine (TCM) provides a complementary holistic approach via syndrome differentiation and individualized treatment, but practice is hindered by non-standardized knowledge, incomplete multimodal records, and poor scalability of expert reasoning. We propose DERM-3R, a resource-efficient multimodal agent framework to model TCM dermatologic diagnosis and treatment under limited data and compute. Based on real-world workflows, we reformulate decision-making into three core issues: fine-grained lesion recognition, multi-view lesion representation with specialist-level pathogenesis modeling, and holistic reasoning for syndrome differentiation and treatment planning. DERM-3R comprises three collaborative agents: DERM-Rec, DERM-Rep, and DERM-Reason, each targeting one component of this pipeline. Built on a lightweight multimodal LLM and partially fine-tuned on 103 real-world TCM psoriasis cases, DERM-3R performs strongly across dermatologic reasoning tasks. Evaluations using automatic metrics, LLM-as-a-judge, and physician assessment show that despite minimal data and parameter updates, DERM-3R matches or surpasses large general-purpose multimodal models. These results suggest structured, domain-aware multi-agent modeling can be a practical alternative to brute-force scaling for complex clinical tasks in dermatology and integrative medicine.

Zhonghua Jiang, Kui Chen, Kunxi Li et al.

Recent advancements in Audio-Video Large Language Models (AV-LLMs) have enhanced their capabilities in tasks like audio-visual question answering and multimodal dialog systems. Video and audio introduce an extended temporal dimension, resulting in a larger key-value (KV) cache compared to static image embedding. A naive optimization strategy is to selectively focus on and retain KV caches of audio or video based on task. However, in the experiment, we observed that the attention of AV-LLMs to various modalities in the high layers is not strictly dependent on the task. In higher layers, the attention of AV-LLMs shifts more towards the video modality. In addition, we also found that directly integrating temporal KV of audio and spatial-temporal KV of video may lead to information confusion and significant performance degradation of AV-LLMs. If audio and video are processed indiscriminately, it may also lead to excessive compression or reservation of a certain modality, thereby disrupting the alignment between modalities. To address these challenges, we propose AccKV, an Adaptive-Focusing and Cross-Calibration KV cache optimization framework designed specifically for efficient AV-LLMs inference. Our method is based on layer adaptive focusing technology, selectively focusing on key modalities according to the characteristics of different layers, and enhances the recognition of heavy hitter tokens through attention redistribution. In addition, we propose a Cross-Calibration technique that first integrates inefficient KV caches within the audio and video modalities, and then aligns low-priority modalities with high-priority modalities to selectively evict KV cache of low-priority modalities. The experimental results show that AccKV can significantly improve the computational efficiency of AV-LLMs while maintaining accuracy.

Chanyong Luo, Jirui Dai, Zhendong Wang et al.

Medicine is an empirical discipline refined through long-term observation and the messy, high-variance reality of clinical practice. Physicians build diagnostic and therapeutic competence through repeated cycles of application, reflection, and improvement, forming individualized methodologies. Yet outcomes vary widely, and master physicians' knowledge systems are slow to develop and hard to transmit at scale, contributing to the scarcity of high-quality clinical expertise. To address this, we propose Med-Shicheng, a general framework that enables large language models to systematically learn and transfer distinguished physicians' diagnostic-and-therapeutic philosophy and case-dependent adaptation rules in a standardized way. Built on Tianyi, Med-Shicheng consists of five stages. We target five National Masters of Chinese Medicine or distinguished TCM physicians, curate multi-source materials, and train a single model to internalize all five knowledge systems across seven tasks, including etiology-pathogenesis analysis, syndrome diagnosis, treatment principle selection, prescription generation, prescription explanation, symptom evolution with regimen adjustment, and clinical advice. Implemented on Qwen2.5-1.5B-Base, Med-Shicheng runs on resource-constrained GPUs while achieving performance comparable to DeepSeek-R1 and GPT-5. We also examine the reliability of LLM-as-a-judge versus physician evaluation: automated judging tracks overall trends but shows bias on fine-grained individualized distinctions, highlighting the need for physician involvement when ground truth is unavailable and for domain-adapted judge models.

Hanyi Hu, Qiao Han, Kui Chen et al.

To mitigate the susceptibility of neural networks to adversarial attacks, adversarial training has emerged as a prevalent and effective defense strategy. Intrinsically, this countermeasure incurs a trade-off, as it sacrifices the model's accuracy in processing normal samples. To reconcile the trade-off, we pioneer the incorporation of null-space projection into adversarial training and propose two innovative Null-space Projection based Adversarial Training(NPAT) algorithms tackling sample generation and gradient optimization, named Null-space Projected Data Augmentation (NPDA) and Null-space Projected Gradient Descent (NPGD), to search for an overarching optimal solutions, which enhance robustness with almost zero deterioration in generalization performance. Adversarial samples and perturbations are constrained within the null-space of the decision boundary utilizing a closed-form null-space projector, effectively mitigating threat of attack stemming from unreliable features. Subsequently, we conducted experiments on the CIFAR10 and SVHN datasets and reveal that our methodology can seamlessly combine with adversarial training methods and obtain comparable robustness while keeping generalization close to a high-accuracy model.

Zhi Liu, Tao Yang, Jing Wang et al.

Natural medicines, particularly Traditional Chinese Medicine (TCM), are gaining global recognition for their therapeutic potential in addressing human symptoms and diseases. TCM, with its systematic theories and extensive practical experience, provides abundant resources for healthcare. However, the effective application of TCM requires precise syndrome diagnosis, determination of treatment principles, and prescription formulation, which demand decades of clinical expertise. Despite advancements in TCM-based decision systems, machine learning, and deep learning research, limitations in data and single-objective constraints hinder their practical application. In recent years, large language models (LLMs) have demonstrated potential in complex tasks, but lack specialization in TCM and face significant challenges, such as too big model scale to deploy and issues with hallucination. To address these challenges, we introduce Tianyi with 7.6-billion-parameter LLM, a model scale proper and specifically designed for TCM, pre-trained and fine-tuned on diverse TCM corpora, including classical texts, expert treatises, clinical records, and knowledge graphs. Tianyi is designed to assimilate interconnected and systematic TCM knowledge through a progressive learning manner. Additionally, we establish TCMEval, a comprehensive evaluation benchmark, to assess LLMs in TCM examinations, clinical tasks, domain-specific question-answering, and real-world trials. The extensive evaluations demonstrate the significant potential of Tianyi as an AI assistant in TCM clinical practice and research, bridging the gap between TCM knowledge and practical application.