Objectives: Horizontal wells can effectively improve the economic benefits of shale oil and gas development. However, as the horizontal section extends, the rock debris transport efficiency of the PDC drill bit gradually decreases, which can lead to bit balling in severe cases. Consequently, it is costly to directly improve the hydraulic structure of PDC bits. This paper uses a multi-physics field coupling numerical simulation method to analyze the influence of the coupling of different drilling process parameters and drill bit structure parameters on the bottom hole flow field and improves the drill bit hydraulic structure to enhance the rock debris transport efficiency of the PDC drill bit. Methods: Using COMSOL multi-physics field coupling simulation software, a geometric model of the bottom hole flow field of the horizontal well was established. The low Reynolds number k-ԑ model was employed to simulate the coupling of fluid flow and particle motion in the fluid, and iterative calculations were performed. The low Reynolds number k-ԑ model could adapt to different Reynolds number regions, especially the influence of molecular viscosity in the viscous bottom layer in the low Reynolds number region on the mixed phase flow. Parameters close to the actual drilling conditions were used to set the boundary conditions of the coupling model, and the grid independence of the coupling model was verified to reduce simulation error. Changes in the bottom hole flow field and the movement of rock debris by the PDC bit in a horizontal well under different drilling fluid displacement, PDC bit rotation speeds, and rock debris particle sizes were analyzed. Results: In the numerical simulation results of the coupling model, the following findings were observed: (1) From the flow velocity distribution diagram on the bottom hole wall, it was observed that the hydraulic energy distribution on the bottom hole wall became more uniform with an increase in displacement. When the displacement is 35 L/s, the flow velocity distribution effect on the bottom hole wall is optimal. However, the low-speed flow area of drilling fluid at the bottom hole cannot be completely eliminated by increasing displacement. In the comparative analysis of the retention of bottom hole rock debris at different displacements, an increase in displacement can reduce the impact of gravity on the cleaning of bottom hole rock debris. However, once the displacement reaches a certain level, the degree of cleaning of bottom hole rock debris changes relatively little. (2) In the lateral drilling fluid flow line at different rotation speeds, the flow rate gradually increases with an increase in rotation speed, causing a significant deviation in the flow state of the drilling fluid. When comparing and analyzing the accumulation of rock debris particles and the average velocity of rock debris particles, it was found that as the drill bit rotation speed increases, the fluctuation of the average velocity of rock debris particles also gradually increases. Although increasing drill rotation speed raises the average velocity of rock debris particles, it does not improve the migration efficiency of rock debris beyond a certain rotation speed. When the rotation speed is 240 r/min, the rock debris migration efficiency is the lowest. (3) In the comparative analysis of the average speeds of different rock debris particles, the farther they are from the bottom of the well, the faster the speed of large-size rock debris decays due to gravity. The speed change of small-size particles is relatively stable, but the average speed of rock debris particles with mixed particle sizes falls in the middle. (4) With roughly the same displacement area, increasing the number of drill bit nozzles from six to eight significantly reduces the amount of rock debris retention. (5) Compared with the equal diameter nozzle combination, the combination of a large inside and small outside nozzle reduces the transport efficiency of large particle rock debris due to the weakening of the drilling fluid flow rate. However, the flow rate in the central area of the combination of a small inside and large outside nozzle is reduced, which fails to form a strong pressure difference, resulting in an overall reduction in rock debris migration efficiency. Conclusions: Increasing the drilling fluid displacement improves the hydraulic energy and the rock debris transport efficiency at the bottom hole wall, but after the displacement increases to a certain level, it has little effect on the change in the degree of rock debris cleanliness at the bottom of the well. The mismatch between the high speed of the drill bit and displacement increases the average speed of the rock debris, but does not improve rock debris transport efficiency. Within a certain range of rock debris particle sizes, gravity has a relatively small impact on larger-size rock debris due to the influence of rotational force and turbulent kinetic energy. The transport efficiency of larger-size rock debris is higher than that of smaller-size rock debris. However, the farther away from the bottom of the well, the greater the impact of gravity on larger-size rock debris, resulting in greater velocity attenuation than that of smaller-size rock debris. According to the bottom hole flow field state under different drilling process parameters, the number of drill bit nozzles increase from six to eight under roughly the same nozzle displacement area, the hydraulic energy distribution is more uniform and the transport efficiency of rock debris improves. Meanwhile, compared to non-equal diameter nozzle combinations, equal diameter nozzle combinations perform more balancedly.