This paper explores the application of fine-tuning methods based on 7B large language models (LLMs) for named entity recognition (NER) tasks in Chinese ancient texts. Targeting the complex semantics and domain-specific characteristics of ancient texts, particularly in Traditional Chinese Medicine (TCM) texts, we propose a comprehensive fine-tuning and pre-training strategy. By introducing multi-task learning, domain-specific pre-training, and efficient fine-tuning techniques based on LoRA, we achieved significant performance improvements in ancient text NER tasks. Experimental results show that the pre-trained and fine-tuned 7B model achieved an F1 score of 0.93, significantly outperforming general-purpose large language models.