论曰胆热多睡者，胆腑清净，决断所自出。今肝胆俱实，营卫壅塞，则清净者浊而扰，
故精神昏愦，常欲寝卧也。
治胆热精神不守，昏困多睡。半夏汤方
半夏（汤洗七遍去滑焙三两） 生地黄（五两） 远志（去心） 赤茯苓（去黑皮各
二两） 黄芩（去黑心一两） 酸枣仁（生用一两半）
上六味。锉如麻豆，每服先以长流水三盏，入秫米半合，煎取一盏半，去米扬之千遍，
入药五钱匕，煎取八分，去滓温服。
治营卫气涩，精神不爽，胆热多睡，头目昏塞。麦门冬汤方
麦门冬（去心焙） 天门冬（去心焙） 羚羊角（镑各三分） 木通（锉） 前胡（去
芦头） 大黄（锉炒各四钱） 半夏（汤洗七遍去滑焙干） 甘草（炙锉） 防风（去叉各
半两）
上九味。粗捣筛，每服三钱匕，以水一盏，入生姜三片，煎至六分，去滓温服，食后。
治胆气昏多睡，昼夜不足。远志丸方
远志（去心） 人参 山芋 防风（去叉 玄参（各二两半） 苦参 铁粉（细研） 乌
头（存性烧灰各
上八味。捣罗为末，炼蜜为丸，如梧桐子大。食后米饮下二十丸，日再，渐加至三十丸
治胆热口苦，神昏多睡。黄连汤方
黄连（去须） 黄芩（去黑心） 赤茯苓（去黑皮） 麦门冬（去心焙） 升麻（各一
分）
上五味。粗捣筛，每服三钱匕，水一盏，煎至七分，去滓放温，食后服。
治胆风毒瓦斯，虚实不调，昏困多睡。酸枣仁汤方
酸枣仁（研生用一两） 腊茶（以生姜汁涂炙令微黄二两）
上二味。粗捣筛，每服二钱匕，水一盏，煎至七分，去滓温服，不计时候。
Commentary states: The reason for excessive sleepiness due to Gallbladder Heat lies in the fact that the Gallbladder organ is inherently pure and clear, serving as the source of decision-making. Currently, both the Liver and Gallbladder present with Excess patterns, causing the circulation of Ying (Nutritive Qi) and Wei (Defensive Qi) to become obstructed and stagnant. Consequently, what was originally pure becomes turbid and disturbed, leading to mental confusion and drowsiness, resulting in a constant desire to sleep or lie down.
Formula for treating Gallbladder Heat causing mental instability, lethargy, and excessive sleepiness: Banxia Tang (Pinellia Decoction).
Herbs: Pinelliae Rhizoma Preparatum (Banxia, 半夏) [washed seven times in hot water to remove slipperiness, dried by roasting, 3 liang], Rehmanniae Radix Recens (Shengdihuang, 生地黄) [5 liang], Polygalae Radix (Yuanzhi, 远志) [core removed], Poria Cocos with Red Bark (Chifuling, 赤茯苓) [black skin removed, each 2 liang], Scutellariae Radix (Huangqin, 黄芩) [black heart removed, 1 liang], Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁) [used raw, 1.5 liang].
The above six herbs. Crushed to the size of hemp seeds. For each dose, first take three cups of running water, add half he of Shumi (Sorghum vulgare), decoct until one and a half cups remain. Remove the grain and agitate the liquid a thousand times. Add five qianbi (approx. 5-7 grams depending on era/measure) of the herbal powder, decoct until eight-tenths remains. Strain and take warm.
Formula for treating stagnation of Ying and Wei Qi, lack of mental clarity, Gallbladder Heat with excessive sleepiness, and heaviness/obstruction in the head and eyes: Maimendong Tang (Ophiopogon Decoction).
Herbs: Ophiopogonis Radix (Maimendong, 麦门冬) [core removed, dried by roasting], Asparagi Radix (Tianmendong, 天门冬) [core removed, dried by roasting], Cornu Saigae Tataricae (Lingyangjiao, 羚羊角) [sliced, each 3 fen], Akebiae Caulis (Mutong, 木通) [crushed], Peucedani Radix (Qianhu, 前胡) [rhizome removed], Rhei Radix et Rhizoma (Dahuang, 大黄) [crushed and stir-fried, each 4 qian], Pinelliae Rhizoma Preparatum (Banxia, 半夏) [washed seven times in hot water to remove slipperiness, dried], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and crushed], Saposhnikoviae Radix (Fangfeng, 防风) [forks removed, each 0.5 liang].
The above nine herbs. Coarsely crushed and sieved. For each dose, take 3 qianbi, add one cup of water and three slices of fresh ginger. Decoct until six-tenths remains. Strain and take warm after meals.
Pill for treating dullness of Gallbladder Qi with excessive sleepiness and insufficient sleep day and night: Yuanzhi Wan (Polygala Pill).
Herbs: Polygalae Radix (Yuanzhi, 远志) [core removed], Ginseng Radix et Rhizoma (Renshen, 人参), Dioscoreae Rhizoma (Shanyu/Shanyao, 山芋), Saposhnikoviae Radix (Fangfeng, 防风) [forks removed], Scrophulariae Radix (Xuanshen, 玄参) [each 2.5 liang], Sophorae Flavescentis Radix (Kushen, 苦参), Ferrum (Tiefen, 铁粉) [finely ground], Aconiti Lateralis Radix Praeparata (Wutou, 乌头) [processed to retain nature, burned to ash, dosage implied equal or specific but text truncated].
The above eight herbs. Pulverized and sieved. Form pills with refined honey, sized like wutong tree seeds. Take 20 pills with rice broth after meals, twice daily, gradually increasing to 30 pills.
Formula for treating Gallbladder Heat causing bitter taste in the mouth, mental confusion, and excessive sleepiness: Huanglian Tang (Coptis Decoction).
Herbs: Coptidis Rhizoma (Huanglian, 黄连) [fibers removed], Scutellariae Radix (Huangqin, 黄芩) [black heart removed], Poria Cocos with Red Bark (Chifuling, 赤茯苓) [black skin removed], Ophiopogonis Radix (Maimendong, 麦门冬) [core removed, dried by roasting], Cimicifugae Rhizoma (Shengma, 升麻) [each 1 fen].
The above five herbs. Coarsely crushed and sieved. For each dose, take 3 qianbi, add one cup of water. Decoct until seven-tenths remains. Strain, let cool to warm, and take after meals.
Formula for treating Wind-toxin affecting the Gallbladder, imbalance of Deficiency and Excess, lethargy, and excessive sleepiness: Suanzaoren Tang (Ziziphus Decoction).
Herbs: Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁) [ground, used raw, 1 liang], Lac Tea (Lachá, 腊茶) [coated with fresh ginger juice, roasted until slightly yellow, 2 liang].
The above two herbs. Coarsely crushed and sieved. For each dose, take 2 qianbi, add one cup of water. Decoct until seven-tenths remains. Strain and take warm at any time.