While reasoning-enhanced large language models perform strongly on English medical tasks, a persistent multilingual gap remains, with substantially weaker reasoning in local languages, limiting equitable global medical deployment. To bridge this gap, we introduce Med-CoReasoner, a language-informed co-reasoning framework that elicits parallel English and local-language reasoning, abstracts them into structured concepts, and integrates local clinical knowledge into an English logical scaffold via concept-level alignment and retrieval. This design combines the structural robustness of English reasoning with the practice-grounded expertise encoded in local languages. To evaluate multilingual medical reasoning beyond multiple-choice settings, we construct MultiMed-X, a benchmark covering seven languages with expert-annotated long-form question answering and natural language inference tasks, comprising 350 instances per language. Experiments across three benchmarks show that Med-CoReasoner improves multilingual reasoning performance by an average of 5%, with particularly substantial gains in low-resource languages. Moreover, model distillation and expert evaluation analysis further confirm that Med-CoReasoner produces clinically sound and culturally grounded reasoning traces.

Limited low-resource language corpora in professional domains like medicine hinder cross-lingual domain adaptation of pre-trained large language models (PLMs). While abundant English medical corpora could complement this scarcity, the effective mixture of English and target language, including machine-translated content, remains underexplored. We examined how linguistic features (e.g., token sizes and language proportions) affect performance on a Japanese–English medical knowledge benchmark. Through continued pre-training of a bilingual PLM on multilingual corpora with varying proportions of English and Japanese texts (both original and machine-translated), we analyzed correlations between linguistic features and fine-grained task performance. Our findings suggest a practical approach to optimizing multilingual corpora for cross-lingual domain adaptation, which requires leveraging specialized knowledge from English corpora while ensuring sufficient coverage of language-specific expressions in a target language (Japanese). Such insights will contribute to the development of multilingual models that effectively leverage English-language resources in various professional domains with low-resource languages.