Large Language Models (LLMs) have grown exponentially since the release of ChatGPT. These models have gained attention due to their robust performance on various tasks, including language processing tasks. These models achieve understanding and comprehension of tasks by training billions of parameters. The development of these models is a transformative force in enhancing natural language understanding and has taken a significant step towards artificial general intelligence (AGI). In this study, we aim to present the DKG-LLM framework. The DKG-LLM framework introduces a groundbreaking approach to medical diagnosis and personalized treatment recommendations by integrating a dynamic knowledge graph (DKG) with the Grok 3 large language model. Using the Adaptive Semantic Fusion Algorithm (ASFA), heterogeneous medical data (including clinical reports and PubMed articles) and patient records dynamically generate a knowledge graph consisting of 15,964 nodes in 13 distinct types (e.g., diseases, symptoms, treatments, patient profiles) and 127,392 edges in 26 relationship types (e.g., causal, therapeutic, association). ASFA utilizes advanced probabilistic models, Bayesian inference, and graph optimization to extract semantic information, dynamically updating the graph with approximately 150 new nodes and edges in each data category while maintaining scalability with up to 987,654 edges. Real-world datasets, including MIMIC-III and PubMed, were utilized to evaluate the proposed architecture. The evaluation results show that DKG-LLM achieves a diagnostic accuracy of 84.19%. The model also has a treatment recommendation accuracy of 89.63% and a semantic coverage of 93.48%. DKG-LLM is a reliable and transformative tool that handles noisy data and complex multi-symptom diseases, along with feedback-based learning from physician input.