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Medicine is closely related to human life; therefore, in the *Rites of Zhou* (Zhou Li), physicians and their subordinates were under the jurisdiction of the Minister of State (Zhongzai). At the end of each year, their performance was reviewed to determine their salary. During the reign of Emperor Shenzong of Song, internal and external medical schools were established, with positions for professors and students, all undergoing examination by specialty for promotion or appointment. The Yuan Dynasty also followed this practice. The examination essays had fixed formats and procedures; it is unknown how successful the selection of talent was at that time. However, the intention to treat the medical profession with caution remained unchanged. Consequently, the formulation of prescriptions and treatment of diseases during that period still adhered to standards. In later generations, most physicians were those who failed in scholarly pursuits, lacked capital for commerce, and resorted to medicine as a means of livelihood. Some casually browsed books in markets, plagiarizing medical texts; others falsely claimed apprenticeship under local renowned doctors. Initially intending to deceive others, they eventually came to believe their own medical skills were mediocre. This error became entrenched, causing endless harm, and the profound essence of Qibo and Huangdi (the legendary founders of Traditional Chinese Medicine) was nearly lost! If one wishes to deliberate upon ancient and modern examination methods, it is essential to seek out physicians who genuinely possess lineage transmission, extensive learning, and upright character. Similar to the Song Dynasty's professors, they should strictly examine other physicians, selecting only those permitted to hang up a sign and practice. Once practicing, monthly rigorous assessments should be conducted. Those whose knowledge becomes dilapidated or whose treatment methods are erroneous shall, in minor cases, have their signs removed to study again, and in major cases, be ordered to change professions. Positions above professor, like the hierarchy of physicians in the *Rites of Zhou*, should have distinct ranks. Those with outstanding scholarship and miraculous therapeutic effects may serve as reserve professors. The examination method is divided into six specialties: Acupuncture and Moxibustion, Internal Medicine (Da Fang), Gynecology, Pediatrics including Smallpox, Ophthalmology, and Surgery. Those proficient in all specialties are called Generalists (Quan Ke); those proficient in one or two are called Dualists (Jian Ke); and those proficient in only one are called Specialists (Zhuan Ke). There are three types of examination questions: First, theoretical topics drawn from the *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions), aiming to elucidate the principles of meridians and zang-fu organs, the Five Movements and Six Qi, cold and heat, deficiency and excess, tonification and sedation, and reversal and compliance. Second, explanatory topics drawn from the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), *Shanghan Lun* (Treatise on Cold Damage), and *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet), testing knowledge of drug properties, disease variations, and prescription formulation. Third, case reports, where candidates describe the efficacy of their usual treatments and the rationale behind using specific prescriptions for specific diseases. Through such examinations, it is natural that speech will be based on sacred classics, treatment will follow ancient methods, learning will have a source, and lineage transmission will continue. How can we allow those who dabble superficially, fabricate without basis, and lack any foundation to treat human life as a game?