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The first part of "Reluctant to Leave the Yellow River Flows East" "Youth on the University Campus" takes the first batch of college students enrolled in the Yellow River Medical College as a carrier, and introduces the campus life of college students of that era in detail from a certain aspect. The male protagonist in the book, Gao Dahe, is smart, handsome, upright, upright, and loyal. During his four and a half years of university campus life, he has formed deep friendships with his classmates. The heroine of the story, Zhong Weiwei, has the style and temperament of a lady due to her good tutoring. She is the goddess in the hearts of her classmates. She and Gao Dahe have known each other since they were studying hard in the cold window. They admire each other and eventually fall in love. After many twists and turns, Zhong Weiwei breaks through the secular world and finally comes together with Gao Dahe. They originally hoped to be assigned to each other after graduation, build a happy love nest, work together for the common medical ideal, and grow old together. To this end, they tried their best, but in the face of strong social rules, they failed miserably and had to go their separate ways.

The second part of "Reluctant to Leave the Yellow River Flows East", "Mountains and Rivers Come Again", is based on the social background of the early 1980s, and the theme of Gao Dahe's work, study and life when he was assigned to the Southwest Branch of Nanshan District People's Hospital after graduating from University. It depicts Gao Dahe, Dean Wang, Ma Guihua, Gao Lian'an and other characters in detail, and truly depicts the ups and downs, joys, sorrows and joys of real life. Through the interaction and communication between the protagonists in the book, the novel illustrates the true state of incompatibility between justice and evil from a certain aspect.