The performance of existing traditional Chinese medicine (TCM) recommendation models is generally poor because of their weak generalization ability, overfitting, and inability to use known biological networks. Therefore, building a TCM recommendation model based on artificial intelligence has currently become an important bioinformatics task. This study aimed to design a multitask meta-learning model with good biological interpretation for TCM formula recommendation (MBI-TCMR) for deep learning regularization. This method was based on the known biological network structure to sparse the deep learning network, solve the overfitting problem of the model, and enhance the biological interpretability of the model. Furthermore, a multi-learning framework based on meta-learning was also proposed. The framework allowed the MBI-TCMR model to mine knowledge of TCM formulas and quickly adapt to different types of TCM formula recommendation tasks. Finally, we used a gradient-based deep learning feature backtracking method to calculate the feature weight for each neuron. This weight could provide valuable explanatory information for researchers to study how the model made its medicine recommendations. We designed three independent experiments. The experimental results showed that the hit ratio (HR), AUC, and recall and precision value of the MBI-TCMR model outperformed the existing TCM formula recommendation models. The MBI-TCMR model’s HR of top 1–10 reached 0.15–0.9 (Gynecologic Disease Dataset). HR was 10 for the MBI-TCMR model, which was an improvement of 11.1% compared with the best baseline model. The bio-enrichment analysis showed that the model exhibited good bio-interpretation. In summary, this study proposed a novel TCM formula recommendation model, which expanded the application of the artificial intelligence model and achieved good results.
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