Entity recognition is a key technology for information extraction. Compared with ordinary text, the entity recognition of Chinese medical text is often faced with a large number of nested entities. Previous methods of entity recognition often ignore the entity nesting rules unique to medical text and directly use sequence annotation methods. Therefore, a Chinese entity recognition method that incorporates entity nesting rules is proposed. This method transforms the entity recognition task into a joint training task of entity boundary recognition and boundary first-tail relationship recognition in the training process and filters the results by combining the entity nesting rules summarized from actual medical text in the decoding process. In this way, the recognition results are in line with the composition law of the nested combinations of inner and outer entities in the actual text. Good results have been achieved in public experiments on entity recognition of medical text. Experiments on the dataset show that the proposed method is significantly superior to the existing methods in terms of nested-type entity recognition performance, and the overall accuracy is increased by 0.5% compared with the state-of-the-art methods.