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Ascension of the Immortal of Medicine

Ashenimmortal
7
chs / week
The average realized release rate over the past 30 days is 7 chs / week.
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Synopsis
In the city of Yunhe, Lin Xuan is just another young doctor in a hospital where hierarchy weighs more than talent and a delayed decision can cost a life. Exhausted, underestimated, and forced to obey mediocre superiors, he witnesses the death of a patient who still could have been saved. That night, as regret and fury consume him, something impossible awakens within him: the Celestial Medical Dao System. The system does not hand him fame or miracles. It imposes a cruel law: incompetence kills. From that moment on, Lin Xuan must rise through medical realms, complete missions, sharpen his hands, his mind, and his clinical judgment, and forever conceal the secret that drives him. No one can know it exists. With every shift, every diagnosis, and every cut of the scalpel, Lin Xuan moves one step closer to his supreme ambition: becoming the best surgeon in the world. But on that road he will face hospitals that function like sects, arrogant rivals, powerful families, beauties who once dismissed him, and a mysterious patient whose condition may alter his destiny. Ascension of the Immortal of Medicine is a medical xianxia light novel of systems, rising power, surgery, prestige, slow-burn romance, and relentless ambition.
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Chapter 1 - Chapter 1: The Night of Failure

Rain battered the windows of Yunhe Central Hospital with a persistence that felt personal. In the emergency department, the air smelled of disinfectant, sweat, hot plastic, and human exhaustion. Monitors beeped without mercy. A stretcher wheel shrieked around a corner. A nurse shouted for a central line. A resident dropped a folder and cursed under his breath.

Lin Xuan had been awake for twenty-two hours.

His eyelids felt heavy, his neck stiff, his fingers cold inside his gloves. Even so, his eyes remained sharp. He had learned long ago that in a hospital, it did not matter how tired you were; illness respected no shift, no hunger, no sleep, no pride. It only advanced.

"Doctor Lin, bed twelve. Abdominal pain, blood pressure dropping," a nurse said as she handed him the chart.

Lin Xuan took it and stepped toward the patient. Male, forty-seven. Cold sweat. Pale lips. Breathing faster than normal. The abdomen looked tense. Too tense.

"How long has the pain been this bad?" he asked.

"For... a few hours... got worse all at once," the man muttered through clenched teeth.

Lin Xuan placed two fingers against the patient's wrist, then palpated the abdomen carefully. The rigidity sent an alarm through his mind. He checked the blood pressure again. Lower than it had been twenty minutes ago.

He did not like it at all.

"We need a FAST ultrasound and urgent labs. Prepare blood as well, just in case."

The nurse hesitated.

"Doctor Zhou said acute gastritis with severe irritation. He ordered painkillers and observation."

Lin Xuan looked up. On the other side of the room, Doctor Zhou was discussing a minor case with a calmness that offended him.

"This isn't gastritis," Lin Xuan said, already moving.

Zhou barely turned his head when Lin Xuan approached.

"What is it now?"

"Bed twelve. Rigid abdomen, progressive hypotension, marked pallor. I think it may be internal bleeding or a perforation. We need imaging now."

Zhou clicked his tongue.

"You think too many things for someone with your level of seniority, Doctor Lin."

"It isn't empty intuition. His signs are worsening."

"And he is also anxious, dehydrated, and overreacting to pain. We are not going to waste resources every time you have a bad feeling."

Lin Xuan tightened his jaw.

"If we wait and I'm wrong, we lose a test. If we wait and you're wrong, we lose the patient."

Zhou's eyes hardened.

"Watch your tone."

For one instant, Lin Xuan wanted to keep arguing. He wanted to raise his voice, drag the patient to imaging himself, ignore hierarchy and accept the punishment later. But the hospital did not work that way. A young doctor who defied a superior was not brave; he was a problem to be removed quickly.

Zhou dismissed him with a flick of his hand.

"Observation. Analgesics. Re-evaluate in one hour."

One hour.

Lin Xuan returned to bed twelve with a metallic taste in his mouth. The patient looked at him with hope, as though he were the one who could decide everything in that moment.

What a cruel lie that look was.

For the next twenty minutes, Lin Xuan kept handling other cases, but his attention returned to the man in bed twelve again and again. Every time he looked, the patient seemed worse. Paler. Sweating more. Sinking inward.

Then the alarm sounded.

He ran.

The monitor showed a sharp drop. The patient gasped, one hand clutching the sheet, the other pressed to his abdomen.

"He's crashing!" a nurse shouted.

Lin Xuan was already at his side.

"Pressure, now. Push fluids. Call Doctor Zhou. Now!"

He palpated the abdomen again. Harder now. The man opened his mouth, but no words came out.

Zhou arrived late and visibly annoyed. He looked at the patient, looked at the monitor, and for the first time some color drained from his face.

"Take him to imaging," he said.

Too late, Lin Xuan thought, though he kept moving.

The ultrasound confirmed what he had feared. Free fluid. A lot of it. The transfer to surgery happened at brutal speed, but between the delayed decision, the internal blood loss, and the rapid deterioration, the margin was already absurdly thin.

Lin Xuan took part in everything they allowed. He passed instruments, applied pressure where ordered, answered commands in a clear voice. He looked into the open cavity and felt the world narrow into a single white and merciless line.

For one brief, unbearable moment, he believed they still might save him.

Then he saw the expression on the lead surgeon's face.

An empty expression.

Resuscitation continued for several more minutes, not because real hope remained, but because no one wanted to be the first to stop. In the end the monitor offered a flat, indifferent line.

Silence followed.

Not the real silence of a hospital, which never existed, but the inner silence that falls when a life ends in front of you and your mind needs one second to accept the violence of the irreversible.

Zhou avoided looking at Lin Xuan.

"Time of death, 01:17."

Lin Xuan lowered his head. His hands were stained with someone else's blood. He felt something like rage, but heavier. Darker. It was not only anger toward Zhou. It was anger toward himself. Toward his weakness. Toward the fact that he had seen the abyss coming and still had not been able to drag anyone away from it.

He left the operating room when he was allowed to. At the sink, he turned on the water and let it run over his fingers for too long. The blood washed away. The feeling did not.

In the fogged reflection of the mirror, his face looked older.

He heard footsteps behind him. Mu Qingli. Impeccable even at that hour, her coat fastened to the collar, her eyes cold.

"I heard you arguing with Zhou," she said.

Lin Xuan shut off the water.

"Then you know he was wrong."

"No," she said. "I know you were right."

The sentence brought him no relief.

"It didn't matter."

Mu Qingli was silent for a moment.

"In this hospital, being right doesn't mean being allowed to decide."

"Then this hospital is a tomb with white lights."

She looked at him with something that might have been surprise, or disapproval.

"Get some rest before exhaustion makes you make a mistake."

She left without waiting for an answer.

Lin Xuan remained alone in front of the mirror.

A tomb with white lights.

When his shift finally ended and he stepped outside, the rain was still falling. Yunhe slept half-awake under blurred neon. Lin Xuan walked without an umbrella to an empty bus stop and sat on the cold bench. His shirt clung to his skin. Water ran down his forehead and neck. He did not move.

He replayed the sequence again and again.

The first palpation. The dropping pressure. The argument. The delay. The collapse. The final line.

If he had had more authority...

If he had been better...

If he had been the lead surgeon...

If he had been someone no one dared ignore...

A siren wailed in the distance. Lin Xuan closed his eyes.

He did not want to remain the doctor who could see disaster coming and do nothing except argue with someone more powerful. He did not want to be the man who understood too late, or the one who was right without enough weight to change anything. He wanted hands that no one could question. He wanted judgment that forced others to listen. He wanted to enter an operating room and decide whether someone lived or died with enough precision to win.

He wanted to become the best surgeon in the world.

The thought rose in his mind with brutal clarity, almost obscene in its scale. For a second it felt ridiculous. A soaked, exhausted young doctor with no money and no powerful surname, sitting under the rain and dreaming of the peak of medicine.

But the thought did not fade.

It drove deeper.

Lin Xuan stood. He took two steps. Fatigue pierced his skull like a burning nail. The world tilted. The avenue lights stretched into blurred threads.

Then he fell.

He never felt the impact.

Only darkness. A deep, motionless darkness, too clean to feel like sleep.

Then, inside that void, a cold clear voice rang out as though it were speaking directly into his marrow.

[Compatibility confirmed.]

[Initial activation complete.]

[Welcome, bearer.]

[The Celestial Medical Dao System has been bound.]

The darkness trembled.

Lin Xuan opened his eyes, or believed he did, though there was no rain, no street, no sky.

Only the voice.

And an impossible certainty awakening beside the beat of his heart.

His life had just changed forever.