夫胆热多睡者。由荣卫气涩。阴阳不和。胸膈多痰。脏腑壅滞。致使精神昏浊。昼夜耽
眠。此皆积热不除。肝胆气实。故令多睡也。
治胆热。心胸烦壅。多睡。头目昏重。宜服羚羊角散方。
羚羊角屑（三分） 麦门冬（三分去心） 川大黄（半两锉碎微炒） 木通（三分锉） 甘
草（
半两
（半两汤
浸七
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食后
温服。忌羊血。
治胆热。神思不爽。昏闷如睡（醉）。多睡少起。宜服茯神散方。
茯神（一两） 麦门冬（一两去心） 白藓皮（半两） 地骨皮（一两） 黄芩（一两）
酸枣仁
（半两生用） 沙参（半两去芦头） 羚羊角屑（半两） 甘草（半两炙微赤锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服。
治胆热。心神昏闷。多睡。宜服人参散方。
人参（三分去芦头） 赤茯苓（一两） 牛黄（一分细研如粉） 羌活〔三（一）分〕 远
志（三
分去心） 川升麻（半两） 麦门冬（一两去心焙） 犀角屑（半两）
上件药。捣细罗为散。每于食后。薄荷温水。调下一钱。忌猪肉温（湿）面等。
治胆热多睡。远志丸方。
远志（三分去心） 人参（一两去芦头） 苦参（三分锉） 马头骨灰（三分） 茯神
（三分）
菖蒲（半两） 朱砂（半两细研水飞过） 铁粉（半两）
上件药。捣罗为末。入朱砂等令匀。炼蜜和捣一二百杵。丸如梧桐子大。每于食后。煎
木通汤下十丸。
又方。
马头骨灰（一两） 铁粉（一两） 朱砂（半两研水飞过） 龙脑（半分）
上件药。同研令匀。炼蜜和为丸。如梧桐子大。每服五丸。以竹叶温汤下。食后服。
The condition of excessive sleepiness due to Gallbladder Heat arises from the sluggish flow of Ying and Wei Qi (Nutritive and Defensive Qi), disharmony between Yin and Yang, accumulation of phlegm in the chest and diaphragm, and stagnation within the Zang-Fu organs. This results in mental confusion and turbidity, causing drowsiness day and night. These are all caused by uneliminated accumulated heat and excess Qi in the Liver and Gallbladder, leading to excessive sleep.
For treating Gallbladder Heat with vexation and oppression in the chest and heart, excessive sleepiness, and heaviness and dizziness of the head and eyes, Lingyangjiao San (Antelope Horn Powder) is appropriate.
Lingyangjiao Xie (Antelope Horn Shavings) (3 fen) Maidong (Ophiopogonis Radix, 3 fen, remove the heart) Dahuang (Rhei Radix et Rhizoma, 0.5 liang, cut into pieces and lightly stir-fried) Mutong (Akebiae Caulis, 3 fen, cut) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and cut).
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhuan, strain, and take warm after meals. Avoid mutton blood.
For treating Gallbladder Heat with unclear spirit, drowsiness resembling drunkenness, excessive sleepiness with little rising, Fushen San (Poria Spirit Powder) is appropriate.
Fushen (Poria Cum Radice Pinus, 1 liang) Maidong (Ophiopogonis Radix, 1 liang, remove the heart) Baixianpi (Dictamni Cortex, 0.5 liang) Digupi (Lycii Cortex, 1 liang) Huangqin (Scutellariae Radix, 1 liang) Szaoren (Ziziphi Spinosae Semen, 0.5 liang, raw) Shashen (Adenophorae Radix or Glehniae Radix, 0.5 liang, remove the rhizome head) Lingyangjiao Xie (Antelope Horn Shavings, 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and cut).
Coarsely sieve the crushed above ingredients to make a powder. Take 3 qian per dose. Add 1 zhuan of water, decoct until reduced to 0.6 zhuan, strain, and take warm after meals.
For treating Gallbladder Heat with mental confusion and drowsiness, Renshen San (Ginseng Powder) is appropriate.
Renshen (Panacis Ginseng Radix, 3 fen, remove the rhizome head) Chifuling (Polyporus with Red Hosta Root, 1 liang) Niuhuang (Bovaris Calculus, 1 fen, finely ground like powder) Qianghuo (Notopterygii Rhizoma et Radix, 3 fen) Yuanzhi (Polygalae Radix, 3 fen, remove the heart) Chuishengma (Bupleuri Radix or Cimicifugae Rhizoma, 0.5 liang) Maidong (Ophiopogonis Radix, 1 liang, remove the heart and dry-bake) Xijiao Xie (Rhino Cerios Shavings, 0.5 liang).
Finely sieve the crushed above ingredients to make a powder. After meals, mix 1 qian with warm water containing mint and take. Avoid pork and wet noodles.
For treating excessive sleepiness due to Gallbladder Heat, Yuanzhi Wan (Polygalae Pill) formula.
Yuanzhi (Polygalae Radix, 3 fen, remove the heart) Renshen (Panacis Ginseng Radix, 1 liang, remove the rhizome head) Kushen (Sophorae Flavescentis Radix, 3 fen, cut) Matou Guhui (Ash of Horse Skull, 3 fen) Fushen (Poria Cum Radice Pinus, 3 fen) Changpu (Acori Tatarinowii Rhizoma, 0.5 liang) Zhusha (Cinnabar, 0.5 liang, finely ground and water-suspended) Tielfen (Iron Powder, 0.5 liang).
Sieve the above ingredients into powder, mix evenly with Zhusha, etc., knead with refined honey for 100-200 pestings, and form pills the size of paulownia seeds. After meals, take 10 pills with Mutong Tang (Akebia Decoction).
Another formula.
Matou Guhui (Ash of Horse Skull, 1 liang) Tielfen (Iron Powder, 1 liang) Zhusha (Cinnabar, 0.5 liang, finely ground and water-suspended) Longnao (Borneolum Syntheticum, 0.5 fen).
Grind the above ingredients together until uniform, knead with refined honey to form pills the size of paulownia seeds. Take 5 pills per dose with warm water infused with bamboo leaves, after meals.