The novel takes the heroine Shen Lianhua's journey of revenge as the core driving force. In the opening chapter, she is an abandoned queen who was relegated to the cold palace, her family was ruined, and she was burdened with the blood feud of more than 300 members of the Shen family; through her own medical skills, she grasped the life-saving straw of the power eunuch Li Dequan, and returned to the center of power step by step. Eventually, she exposed the crimes of her enemies, subverted the structure of the old dynasty, and completed a counterattack from "hell" to the top.
The entire story revolves around the power struggle in the palace, from the Cold Palace to the Imperial Hospital, from the Qianqing Palace to the Queen Mother's birthday banquet. All conflicts occur in the palace shrouded by imperial power, and the fate of the characters is also deeply bound to the power game between the emperor, concubines, and princes.