故事发生在明朝中叶。锦衣卫杨傲（彭敬慈 饰）与御医李鹤龄（黄志忠 饰）本是同门师兄弟，因杨傲爱上师兄鹤龄未婚妻霓裳（吕一 饰），便嫁祸师兄奸杀慧妃，为救李鹤龄，霓裳被迫嫁给杨傲。李鹤龄无奈远走他乡，逃至山西原仓县开了家医馆谋生。多年后，因一桩离奇案件，他与原仓县令刘福星（张卫健 饰）相识相交，联手破获许多疑案。在一桩杀人案中，查获杨傲手下范泰（房振华 饰）的情妇，从其口中得知当年杨傲陷害自已的真相。鹤龄上京求皇帝（宗峰岩 饰）为自己平反，得到了旧爱霓裳的鼎力相助，杨傲一怒之下杀死霓裳。鹤龄联手福星除掉杨傲这颗灾...
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