[Nature Communications] The official codes for "Towards Building Multilingual Language Model for Medicine".
Models: MMedLM-7B, MMedLM 2-7B, MMedLM 2-1.8B, MMed-Llama 3-8B, MMed-Llama3-8B-EnIns, MMed-Llama3.1-70B
In this paper, we aim to develop an open-source, multilingual language model for medicine. In general, we present the contribution from the following aspects:

[2025.3.7]
We release MMed-Llama3.1-70B, a new 70B medical multilingual medical foundation model based on LLama3.1-70B. With an aoto-regressive continues training on the newest MMedC, this model(80.51) achieves superior performance compared to GPT-4(74.27) and supports 8 main languages.
[2024.9.27] Our paper has been accepted by Nature Communications!
[2024.5.24] We release MMed-Llama 3-8B and MMed-Llama3-8B-EnIns. MMed-Llama 3 is based on Llama 3 and futher pretrained on MMedC, and MMed-Llama 3 EnIns is a fine-tuned version with additional English instructions (from PMC-LLaMA).
[2024.3.1] We release MMedLM 2-1.8B, a 1.8B light-weight model based on InternLM 2-1.8B. With an auto-regressive continues training on MMedC, MMedLM 2-1.8B can exceed the performance of most 7B models, including InternLM and LLaMA 2.
[2024.2.21] Our leaderboard web can be found here. We look forward to more superior efforts in multilingual medical LLMs!.
[2024.2.21] Our pre-print paper is released ArXiv. Dive into our findings here.
[2024.2.20] We release MMedLM and MMedLM 2. With an auto-regressive continues training on MMedC, these models achieves superior performance compared to all other open-source models, even rivaling GPT-4 on MMedBench.
[2023.2.20] We release MMedC, a multilingual medical corpus containing 25.5B tokens.
[2023.2.20] We release MMedBench, a new multilingual medical multi-choice question-answering benchmark with rationale.
In our experiments, we used A100 80 GB GPUs and the Slurm scheduling system. We provide a Slurm script to launch training. You can also remove the Slurm commands to run the code on a single machine.
For dependencies, we used Pytorch 1.13 and Transformers 4.37. For LoRA fine-tune, it is also necessary to install the corresponding PEFT library.
We provide all the code used for further training on MMedC. The codes are in the pretrain folder. You can check the documentation in the folder for how to use the codes.
We provide all the code used for fine-tuning. We support 2 fine-tuning methods: Full-Model Fine-tuning and PEFT Fine-Tuning. Both codes are in the finetune folder. You can check the documentation in the folder for how to use the codes.
We provide the code used for inference on MMedBench Testset. The codes are in the pretrain folder. You can check the documentation in the folder for how to use the codes.
We also release our Data Collection Pipeline, including codes of data filtering and Textbooks OCR. For OCR, you may need to install some extra dependencies. Please check out the data_collection folder for more details.
Here, we incorporate the additional English instructions (from PMC-LLaMA) into MMed-Llama\ 3 finetuning, and present a comparison between our model and other existing LLMs on various English benchmarks.
| Method | Size | Year | MedQA | MedMCQA | PubMedQA | MMLU_CK | MMLU_MG | MMLU_AN | MMLU_PM | MMLU_CB | MMLU_CM | Avg. |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedAlpaca | 7B | 2023.3 | 41.7 | 37.5 | 72.8 | 57.4 | 69.0 | 57.0 | 67.3 | 65.3 | 54.3 | 58.03 |
| PMC-LLaMA | 13B | 2023.9 | 56.4 | 56.0 | 77.9 | - | - | - | - | - | - | - |
| MEDITRON | 7B | 2023.11 | 57.2 | 59.2 | 74.4 | 64.6 | 59.9 | 49.3 | 55.4 | 53.8 | 44.8 | 57.62 |
| Mistral | 7B | 2023.12 | 50.8 | 48.2 | 75.4 | 68.7 | 71.0 | 55.6 | 68.4 | 68.1 | 59.5 | 62.97 |
| Gemma | 7B | 2024.2 | 47.2 | 49.0 | 76.2 | 69.8 | 70.0 | 59.3 | 66.2 | 79.9 | 60.1 | 64.19 |
| BioMistral | 7B | 2024.2 | 50.6 | 48.1 | 77.5 | 59.9 | 64.0 | 56.5 | 60.4 | 59.0 | 54.7 | 58.97 |
| Llama 3 | 8B | 2024.4 | 60.9 | 50.7 | 73.0 | 72.1 | 76.0 | 63.0 | 77.2 | 79.9 | 64.2 | 68.56 |
| MMed-Llama 3~(Ours) | 8B | - | 65.4 | 63.5 | 80.1 | 71.3 | 85.0 | 69.6 | 77.6 | 74.3 | 66.5 | 72.59 |
Here we show the main results of models' performance on MMedBench. For more details, please check out our paper.
| Method | Size | Year | MMedC | MMedBench | English | Chinese | Japanese | French | Russian | Spanish | Avg. |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GPT-3.5 | - | 2022.12 | ✗ | ✗ | 56.88 | 52.29 | 34.63 | 32.48 | 66.36 | 66.06 | 51.47 |
| GPT-4 | - | 2023.3 | ✗ | ✗ | 78.00 | 75.07 | 72.91 | 56.59 | 83.62 | 85.67 | 74.27 |
| Gemini-1.0 pro | - | 2024.1 | ✗ | ✗ | 53.73 | 60.19 | 44.22 | 29.90 | 73.44 | 69.69 | 55.20 |
| BLOOMZ | 7B | 2023.5 | ✗ | trainset | 43.28 | 58.06 | 32.66 | 26.37 | 62.89 | 47.34 | 45.10 |
| InternLM | 7B | 2023.7 | ✗ | trainset | 44.07 | 64.62 | 37.19 | 24.92 | 58.20 | 44.97 | 45.67 |
| Llama 2 | 7B | 2023.7 | ✗ | trainset | 43.36 | 50.29 | 25.13 | 20.90 | 66.80 | 47.10 | 42.26 |
| MedAlpaca | 7B | 2023.3 | ✗ | trainset | 46.74 | 44.80 | 29.64 | 21.06 | 59.38 | 45.00 | 41.11 |
| ChatDoctor | 7B | 2023.4 | ✗ | trainset | 43.52 | 43.26 | 25.63 | 18.81 | 62.50 | 43.44 | 39.53 |
| PMC-LLaMA | 7B | 2023.4 | ✗ | trainset | 47.53 | 42.44 | 24.12 | 20.74 | 62.11 | 43.29 | 40.04 |
| Mistral | 7B | 2023.10 | ✗ | trainset | 61.74 | 71.10 | 44.72 | 48.71 | 74.22 | 63.86 | 60.73 |
| MEDITRON | 7B | 2023.11 | ✗ | trainset | 55.46 | 61.88 | 40.20 | 35.05 | 67.58 | 53.28 | 52.24 |
| InternLM 2 | 1.8B | 2024.2 | ✗ | trainset | 38.49 | 64.1 | 32.16 | 18.01 | 53.91 | 36.83 | 40.58 |
| InternLM 2 | 7B | 2024.2 | ✗ | trainset | 57.27 | 77.55 | 47.74 | 41.00 | 68.36 | 59.59 | 58.59 |
| BioMistral | 7B | 2024.2 | ✗ | trainset | 57.82 | 71.54 | 37.19 | 47.27 | 69.92 | 60.98 | 57.45 |
| Llama 3 | 8B | 2024.4 | ✗ | trainset | 63.86 | 78.23 | 48.24 | 50.80 | 71.48 | 64.15 | 62.79 |
| MMedLM (Ours) | 7B | - | ✓ | trainset | 49.88 | 70.49 | 46.23 | 36.66 | 72.27 | 54.52 | 55.01 |
| MMedLM 2(Ours) | 7B | - | ✓ | trainset | 61.74 | 80.01 | 61.81 | 52.09 | 80.47 | 67.65 | 67.30 |
| MMedLM 2(Ours) | 1.8B | - | ✓ | trainset | 45.40 | 66.78 | 42.21 | 25.56 | 69.14 | 43.40 | 48.75 |
| MMed-Llama 3(Ours) | 8B | - | ✓ | trainset | 66.06 | 79.25 | 61.81 | 55.63 | 75.39 | 68.38 | 67.75 |
| MMed-Llama 3.1(Ours) | 70B | - | ✓ | trainset | 80.60 | 87.71 | 76.88 | 73.47 | 82.03 | 82.35 | 80.51 |
| Method | English | Chinese | Japanese | French | Russian | Spanish | Avg. |
|---|---|---|---|---|---|---|---|
| BLOOMZ | 45.94/ 40.51 | 48.37/ 48.26 | 44.71/ 48.61 | 44.47/ 41.05 | 29.95/ 21.50 | 45.91/ 40.77 | 43.22/ 40.12 |
| InternLM | 46.53/ 41.86 | 48.24/ 48.64 | 44.89/ 49.83 | 41.80/ 37.95 | 27.87/ 21.20 | 43.42/ 38.59 | 42.12/ 39.68 |
| Llama 2 | 46.87/ 41.39 | 46.62/ 46.57 | 48.53/ 51.21 | 44.43/ 40.38 | 33.05/ 23.24 | 45.96/ 40.37 | 44.24/ 40.53 |
| MedAlpaca | 47.33/ 42.31 | 45.72/ 46.49 | 45.35/ 49.12 | 43.78/ 40.41 | 32.80/ 23.15 | 45.99/ 40.57 | 43.49/ 40.34 |
| ChatDoctor | 47.22/ 41.97 | 44.66/ 45.81 | 38.87/ 47.95 | 44.64/ 40.25 | 32.19/ 23.37 | 45.68/ 40.71 | 42.21/ 40.01 |
| PMC-LLaMA | 47.33/ 42.87 | 45.87/ 46.18 | 44.52/ 48.44 | 43.80/ 40.23 | 31.14/ 22.28 | 46.30/ 40.68 | 43.16/ 40.12 |
| Mistral | 47.16/ 41.82 | 48.34/ 47.91 | 48.80/ 50.60 | 45.83/ 40.88 | 34.52/ 24.68 | 47.55/ 41.41 | 45.37/ 41.22 |
| InternLM2 | 49.48/ 44.12 | 51.38/ 51.58 | 50.64/ 53.46 | 46.73/ 42.00 | 32.93/ 24.05 | 47.94/ 41.96 | 46.52/ 42.86 |
| MMedLM | 47.37/ 41.98 | 48.68/ 49.28 | 48.95/ 52.34 | 45.39/ 41.41 | 33.24/ 24.67 | 46.68/ 41.35 | 45.05/ 41.84 |
| MMedLM 2 | 50.02/ 44.77 | 51.39/ 51.78 | 54.79/ 57.10 | 49.04/ 45.30 | 37.49/ 28.18 | 50.14/ 44.59 | 48.81/ 45.29 |

PMC-LLaMA -- https://github.com/chaoyi-wu/PMC-LLaMA
InternLM -- https://github.com/InternLM/InternLM
Llama 3 -- https://llama.meta.com/llama3/
If you have any question, please feel free to contact qiupengcheng@pjlab.org.cn.
@misc{qiu2024building,
title={Towards Building Multilingual Language Model for Medicine},
author={Pengcheng Qiu and Chaoyi Wu and Xiaoman Zhang and Weixiong Lin and Haicheng Wang and Ya Zhang and Yanfeng Wang and Weidi Xie},
year={2024},
eprint={2402.13963},
archivePrefix={arXiv},
primaryClass={cs.CL}
}
Python
93.1%
Shell
6.9%
[Nature Communications] The official codes for "Towards Building Multilingual Language Model for Medicine".
Models: MMedLM-7B, MMedLM 2-7B, MMedLM 2-1.8B, MMed-Llama 3-8B, MMed-Llama3-8B-EnIns, MMed-Llama3.1-70B
In this paper, we aim to develop an open-source, multilingual language model for medicine. In general, we present the contribution from the following aspects:

[2025.3.7]
We release MMed-Llama3.1-70B, a new 70B medical multilingual medical foundation model based on LLama3.1-70B. With an aoto-regressive continues training on the newest MMedC, this model(80.51) achieves superior performance compared to GPT-4(74.27) and supports 8 main languages.
[2024.9.27] Our paper has been accepted by Nature Communications!
[2024.5.24] We release MMed-Llama 3-8B and MMed-Llama3-8B-EnIns. MMed-Llama 3 is based on Llama 3 and futher pretrained on MMedC, and MMed-Llama 3 EnIns is a fine-tuned version with additional English instructions (from PMC-LLaMA).
[2024.3.1] We release MMedLM 2-1.8B, a 1.8B light-weight model based on InternLM 2-1.8B. With an auto-regressive continues training on MMedC, MMedLM 2-1.8B can exceed the performance of most 7B models, including InternLM and LLaMA 2.
[2024.2.21] Our leaderboard web can be found here. We look forward to more superior efforts in multilingual medical LLMs!.
[2024.2.21] Our pre-print paper is released ArXiv. Dive into our findings here.
[2024.2.20] We release MMedLM and MMedLM 2. With an auto-regressive continues training on MMedC, these models achieves superior performance compared to all other open-source models, even rivaling GPT-4 on MMedBench.
[2023.2.20] We release MMedC, a multilingual medical corpus containing 25.5B tokens.
[2023.2.20] We release MMedBench, a new multilingual medical multi-choice question-answering benchmark with rationale.
In our experiments, we used A100 80 GB GPUs and the Slurm scheduling system. We provide a Slurm script to launch training. You can also remove the Slurm commands to run the code on a single machine.
For dependencies, we used Pytorch 1.13 and Transformers 4.37. For LoRA fine-tune, it is also necessary to install the corresponding PEFT library.
We provide all the code used for further training on MMedC. The codes are in the pretrain folder. You can check the documentation in the folder for how to use the codes.
We provide all the code used for fine-tuning. We support 2 fine-tuning methods: Full-Model Fine-tuning and PEFT Fine-Tuning. Both codes are in the finetune folder. You can check the documentation in the folder for how to use the codes.
We provide the code used for inference on MMedBench Testset. The codes are in the pretrain folder. You can check the documentation in the folder for how to use the codes.
We also release our Data Collection Pipeline, including codes of data filtering and Textbooks OCR. For OCR, you may need to install some extra dependencies. Please check out the data_collection folder for more details.
Here, we incorporate the additional English instructions (from PMC-LLaMA) into MMed-Llama\ 3 finetuning, and present a comparison between our model and other existing LLMs on various English benchmarks.
| Method | Size | Year | MedQA | MedMCQA | PubMedQA | MMLU_CK | MMLU_MG | MMLU_AN | MMLU_PM | MMLU_CB | MMLU_CM | Avg. |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedAlpaca | 7B | 2023.3 | 41.7 | 37.5 | 72.8 | 57.4 | 69.0 | 57.0 | 67.3 | 65.3 | 54.3 | 58.03 |
| PMC-LLaMA | 13B | 2023.9 | 56.4 | 56.0 | 77.9 | - | - | - | - | - | - | - |
| MEDITRON | 7B | 2023.11 | 57.2 | 59.2 | 74.4 | 64.6 | 59.9 | 49.3 | 55.4 | 53.8 | 44.8 | 57.62 |
| Mistral | 7B | 2023.12 | 50.8 | 48.2 | 75.4 | 68.7 | 71.0 | 55.6 | 68.4 | 68.1 | 59.5 | 62.97 |
| Gemma | 7B | 2024.2 | 47.2 | 49.0 | 76.2 | 69.8 | 70.0 | 59.3 | 66.2 | 79.9 | 60.1 | 64.19 |
| BioMistral | 7B | 2024.2 | 50.6 | 48.1 | 77.5 | 59.9 | 64.0 | 56.5 | 60.4 | 59.0 | 54.7 | 58.97 |
| Llama 3 | 8B | 2024.4 | 60.9 | 50.7 | 73.0 | 72.1 | 76.0 | 63.0 | 77.2 | 79.9 | 64.2 | 68.56 |
| MMed-Llama 3~(Ours) | 8B | - | 65.4 | 63.5 | 80.1 | 71.3 | 85.0 | 69.6 | 77.6 | 74.3 | 66.5 | 72.59 |
Here we show the main results of models' performance on MMedBench. For more details, please check out our paper.
| Method | Size | Year | MMedC | MMedBench | English | Chinese | Japanese | French | Russian | Spanish | Avg. |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GPT-3.5 | - | 2022.12 | ✗ | ✗ | 56.88 | 52.29 | 34.63 | 32.48 | 66.36 | 66.06 | 51.47 |
| GPT-4 | - | 2023.3 | ✗ | ✗ | 78.00 | 75.07 | 72.91 | 56.59 | 83.62 | 85.67 | 74.27 |
| Gemini-1.0 pro | - | 2024.1 | ✗ | ✗ | 53.73 | 60.19 | 44.22 | 29.90 | 73.44 | 69.69 | 55.20 |
| BLOOMZ | 7B | 2023.5 | ✗ | trainset | 43.28 | 58.06 | 32.66 | 26.37 | 62.89 | 47.34 | 45.10 |
| InternLM | 7B | 2023.7 | ✗ | trainset | 44.07 | 64.62 | 37.19 | 24.92 | 58.20 | 44.97 | 45.67 |
| Llama 2 | 7B | 2023.7 | ✗ | trainset | 43.36 | 50.29 | 25.13 | 20.90 | 66.80 | 47.10 | 42.26 |
| MedAlpaca | 7B | 2023.3 | ✗ | trainset | 46.74 | 44.80 | 29.64 | 21.06 | 59.38 | 45.00 | 41.11 |
| ChatDoctor | 7B | 2023.4 | ✗ | trainset | 43.52 | 43.26 | 25.63 | 18.81 | 62.50 | 43.44 | 39.53 |
| PMC-LLaMA | 7B | 2023.4 | ✗ | trainset | 47.53 | 42.44 | 24.12 | 20.74 | 62.11 | 43.29 | 40.04 |
| Mistral | 7B | 2023.10 | ✗ | trainset | 61.74 | 71.10 | 44.72 | 48.71 | 74.22 | 63.86 | 60.73 |
| MEDITRON | 7B | 2023.11 | ✗ | trainset | 55.46 | 61.88 | 40.20 | 35.05 | 67.58 | 53.28 | 52.24 |
| InternLM 2 | 1.8B | 2024.2 | ✗ | trainset | 38.49 | 64.1 | 32.16 | 18.01 | 53.91 | 36.83 | 40.58 |
| InternLM 2 | 7B | 2024.2 | ✗ | trainset | 57.27 | 77.55 | 47.74 | 41.00 | 68.36 | 59.59 | 58.59 |
| BioMistral | 7B | 2024.2 | ✗ | trainset | 57.82 | 71.54 | 37.19 | 47.27 | 69.92 | 60.98 | 57.45 |
| Llama 3 | 8B | 2024.4 | ✗ | trainset | 63.86 | 78.23 | 48.24 | 50.80 | 71.48 | 64.15 | 62.79 |
| MMedLM (Ours) | 7B | - | ✓ | trainset | 49.88 | 70.49 | 46.23 | 36.66 | 72.27 | 54.52 | 55.01 |
| MMedLM 2(Ours) | 7B | - | ✓ | trainset | 61.74 | 80.01 | 61.81 | 52.09 | 80.47 | 67.65 | 67.30 |
| MMedLM 2(Ours) | 1.8B | - | ✓ | trainset | 45.40 | 66.78 | 42.21 | 25.56 | 69.14 | 43.40 | 48.75 |
| MMed-Llama 3(Ours) | 8B | - | ✓ | trainset | 66.06 | 79.25 | 61.81 | 55.63 | 75.39 | 68.38 | 67.75 |
| MMed-Llama 3.1(Ours) | 70B | - | ✓ | trainset | 80.60 | 87.71 | 76.88 | 73.47 | 82.03 | 82.35 | 80.51 |
| Method | English | Chinese | Japanese | French | Russian | Spanish | Avg. |
|---|---|---|---|---|---|---|---|
| BLOOMZ | 45.94/ 40.51 | 48.37/ 48.26 | 44.71/ 48.61 | 44.47/ 41.05 | 29.95/ 21.50 | 45.91/ 40.77 | 43.22/ 40.12 |
| InternLM | 46.53/ 41.86 | 48.24/ 48.64 | 44.89/ 49.83 | 41.80/ 37.95 | 27.87/ 21.20 | 43.42/ 38.59 | 42.12/ 39.68 |
| Llama 2 | 46.87/ 41.39 | 46.62/ 46.57 | 48.53/ 51.21 | 44.43/ 40.38 | 33.05/ 23.24 | 45.96/ 40.37 | 44.24/ 40.53 |
| MedAlpaca | 47.33/ 42.31 | 45.72/ 46.49 | 45.35/ 49.12 | 43.78/ 40.41 | 32.80/ 23.15 | 45.99/ 40.57 | 43.49/ 40.34 |
| ChatDoctor | 47.22/ 41.97 | 44.66/ 45.81 | 38.87/ 47.95 | 44.64/ 40.25 | 32.19/ 23.37 | 45.68/ 40.71 | 42.21/ 40.01 |
| PMC-LLaMA | 47.33/ 42.87 | 45.87/ 46.18 | 44.52/ 48.44 | 43.80/ 40.23 | 31.14/ 22.28 | 46.30/ 40.68 | 43.16/ 40.12 |
| Mistral | 47.16/ 41.82 | 48.34/ 47.91 | 48.80/ 50.60 | 45.83/ 40.88 | 34.52/ 24.68 | 47.55/ 41.41 | 45.37/ 41.22 |
| InternLM2 | 49.48/ 44.12 | 51.38/ 51.58 | 50.64/ 53.46 | 46.73/ 42.00 | 32.93/ 24.05 | 47.94/ 41.96 | 46.52/ 42.86 |
| MMedLM | 47.37/ 41.98 | 48.68/ 49.28 | 48.95/ 52.34 | 45.39/ 41.41 | 33.24/ 24.67 | 46.68/ 41.35 | 45.05/ 41.84 |
| MMedLM 2 | 50.02/ 44.77 | 51.39/ 51.78 | 54.79/ 57.10 | 49.04/ 45.30 | 37.49/ 28.18 | 50.14/ 44.59 | 48.81/ 45.29 |

PMC-LLaMA -- https://github.com/chaoyi-wu/PMC-LLaMA
InternLM -- https://github.com/InternLM/InternLM
Llama 3 -- https://llama.meta.com/llama3/
If you have any question, please feel free to contact qiupengcheng@pjlab.org.cn.
@misc{qiu2024building,
title={Towards Building Multilingual Language Model for Medicine},
author={Pengcheng Qiu and Chaoyi Wu and Xiaoman Zhang and Weixiong Lin and Haicheng Wang and Ya Zhang and Yanfeng Wang and Weidi Xie},
year={2024},
eprint={2402.13963},
archivePrefix={arXiv},
primaryClass={cs.CL}
}
Python
93.1%
Shell
6.9%