TCM-DiagCommit: A TCM-SD-Derived Benchmark for Evidence-Conditioned Syndrome Selection and Commitment· TCM-DiagCommit:中医证候选择与确认的证据条件基准
Traditional Chinese Medicine (TCM) syndrome differentiation is usually evaluated as static final-label selection over complete clinical records. This setting hides three diagnostic behaviors: whether a model distinguishes semantic-neighbor syndrome labels from easy random distractors, whether it updates predictions as evidence fields are revealed, and whether it should commit under uncertainty. We introduce TCM-DiagCommit, a benchmark derived from the public TCM-SD/ZY-BERT resource while retaining its source syndrome labels; it converts 1,834 source cases into 23,842 task rows over 148 syndrome labels. The benchmark combines random, profile-neighbor, and full-vocabulary candidate ladders with staged t1/t2/t3 evidence. It also includes fixed-label tongue/pulse perturbations and insufficient