清朝末年，慈禧（斯琴高娃 飾）突然身染怪病，御醫(yī)們一批批來了又走，都沒能開出藥方治好太后的病。慈溪大怒，命人將御醫(yī)們?nèi)繑厥?。斬首這天，刑場旁邊放著豐盛的酒席，好讓御醫(yī)們死前飽餐一頓。一個江湖郎中湯元元（陳佩斯 飾）因饑腸轆轆，不知就里就坐上席間大吃大喝。主斬官洪祿以為湯元元是問斬的御醫(yī)，喝人將他捉了上來。湯元元發(fā)現(xiàn)洪祿正不停打嗝，隨口說了個藥方竟治好了他的病。太后得知此事，忙命人暗中吩咐洪祿帶湯元元入宮為她看病。湯元元最終命運(yùn)如何？
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