Medical dialogue systems (MDS) have emerged as crucial online platforms for enabling multi-turn, context-aware conversations with patients. However, existing MDS often struggle to (1) identify relevant medical knowledge and (2) generate personalized, medically accurate responses. To address these challenges, we propose MedRef, a novel MDS that incorporates knowledge refining and dynamic prompt adjustment. First, we employ a knowledge refining mechanism to filter out irrelevant medical data, improving predictions of critical medical entities in responses. Additionally, we design a comprehensive prompt structure that incorporates historical details and evident details. To enable real-time adaptability to diverse patient conditions, we implement two key modules, Triplet Filter and Demo Selector, providing appropriate knowledge and demonstrations equipped in the system prompt.Extensive experiments on MedDG and KaMed benchmarks show that MedRef outperforms state-of-the-art baselines in both generation quality and medical entity accuracy, underscoring its effectiveness and reliability for real-world healthcare applications.

Chinese Spell Checking (CSC) aims to detect and correct spelling errors in sentences. Despite Large Language Models (LLMs) exhibit robust capabilities and are widely applied in various tasks, their performance on CSC is often unsatisfactory. We find that LLMs fail to meet the Chinese character-level constraints of the CSC task, namely equal length and phonetic similarity, leading to a performance bottleneck. Further analysis reveals that this issue stems from the granularity of tokenization, as current mixed character-word tokenization struggles to satisfy these character-level constraints. To address this issue, we propose C-LLM, a Large Language Model-based Chinese Spell Checking method that learns to check errors Character by Character. Character-level tokenization enables the model to learn character-level alignment, effectively mitigating issues related to character-level constraints. Furthermore, CSC is simplified to replication-dominated and substitution-supplemented tasks. Experiments on two CSC benchmarks demonstrate that C-LLM achieves a 2.1% enhancement in general scenarios and a significant 12% improvement in vertical domain scenarios compared to existing methods, establishing state-of-the-art performance.