夫积热多睡者胆实。清净决断所自出。今肝胆俱实。营卫壅塞。则清净者浊而扰。故阴
阳不
茯神散（出圣惠方）治胆热多睡。神思不安。昏闷。
茯神（去木） 麦门冬 地骨皮 茯苓（各一两一方用黄芩） 白藓皮 酸枣仁 沙参
（
五钱） 甘草（炙五钱） 上为末。每服三钱。水一盏。煎六分去滓。食后服。（一方有羚
羊
屑）
麦门冬汤（出圣惠方）治营卫气滞。精神不足。胆热多睡。头目昏眩。
麦门冬（去心） 天门冬（去心） 羚羊角（镑各三分） 木通 前胡（去芦） 大黄
（各四两）
半
去滓。
食
远志丸 治气昏多睡。昼夜不足。
远志（去心） 人参 山芋 防风 玄参（各二两五钱） 苦参 铁粉（细研） 乌头
（烧灰
存性
人参散（出圣惠方）治胆热。心神昏闷。多睡。
牛黄（一分研） 羌活（三分） 远志（去心三分） 升麻（五钱） 麦门冬（去心二
两） 人参
（三
湿面
等。
远志丸（出圣惠方）治胆热多睡。
远志（去心三分） 人参（一两） 马头骨（三分） 茯神（三分） 菖蒲（五钱） 朱
砂（研飞
过五
服。
木
半夏汤 治胆热精神不守。昏闷多睡。
黄连汤（杨子建护命汤）治胆热口苦。神昏多睡。左手关脉实大。宜服此方。
黄连（去须） 黄芩 赤茯苓（去皮） 麦门冬（去心） 升麻（各一钱） 上捣筛。
每服三
钱。水
治胆热多睡（出圣惠方）
马头骨灰（一两） 铁粉（一两） 朱砂（研水飞过五钱） 龙骨（五分） 上为末。
炼蜜丸如
梧桐
酸枣仁汤 治胆风毒瓦斯虚不调。昏困多睡。
酸枣仁（研生用一两） 腊茶（生姜汁涂炙焦二两） 上捣筛。每服二钱。水一盏。煎
七分
去滓
治多睡（本草）
取白马头骨作枕枕之。
治人嗜眠喜睡（本草）
天鼠目一枚烧作屑。鱼骨和。取二物纱袋子盛贮之。熏床外则不眠。
大凡体内积热导致嗜睡，是因为胆腑实证。胆主司清净与决断。如今肝胆均呈实证，导致营气与卫气壅塞不通，使得原本清净的状态变得浑浊并受到干扰，因此出现阴阳失调而嗜睡的情况。
茯神散（出自《圣惠方》）：治疗胆热引起的嗜睡、心神不安、头昏闷胀。
药材组成：茯神（去除木质部分）、麦门冬、地骨皮、茯苓（各一两，另一版本用黄芩）、白鲜皮、酸枣仁、沙参（各五钱）、甘草（炙制五钱）。
用法：将上述药材研为细末。每次服用三钱，加水一盏，煎煮至六分满，去渣滓，饭后服用。（另一版本含有羚羊屑。）
麦门冬汤（出自《圣惠方》）：治疗营卫之气滞涩、精神不足、胆热嗜睡、头目昏眩。
药材组成：麦门冬（去除心）、天门冬（去除心）、羚羊角（镑片，各三分）、木通、前胡（去除芦头）、大黄（各四两）。
用法：[原文此处缺失具体煎服法描述，仅保留药材]。
远志丸：治疗气机昏沉导致的嗜睡、昼夜精神不足。
药材组成：远志（去除心）、人参、山芋（即山药）、防风、玄参（各二两五钱）、苦参、铁粉（细研）、乌头（烧成灰存性）。
[原文此处缺失具体剂量与用法]。
人参散（出自《圣惠方》）：治疗胆热、心神昏闷、嗜睡。
药材组成：牛黄（一分，研碎）、羌活（三分）、远志（去除心，三分）、升麻（五钱）、麦门冬（去除心，二两）、人参（三两）。
[原文此处缺失具体用法，夹杂“湿面”等字，疑为排版错乱]。
远志丸（出自《圣惠方》）：治疗胆热嗜睡。
药材组成：远志（去除心，三分）、人参（一两）、马头骨（三分）、茯神（三分）、菖蒲（五钱）、朱砂（研飞过，五钱）。
用法：[原文此处缺失具体剂型与服用方法]。
黄连汤（杨子建《护命汤》）：治疗胆热口苦、神志昏蒙嗜睡、左手关脉实大。适宜服用此方。
药材组成：黄连（去除须）、黄芩、赤茯苓（去皮）、麦门冬（去除心）、升麻（各一钱）。
用法：将上述药材捣碎筛匀。每次服用三钱，加水[原文缺失水量与煎煮时间]。
治胆热嗜睡（出自《圣惠方》）：
药材组成：马头骨灰（一两）、铁粉（一两）、朱砂（研水飞过，五钱）、龙骨（五分）。
用法：研为细末，炼蜜制成梧桐子大小的丸药。
[原文此处缺失服用方法]。
酸枣仁汤：治疗胆受风毒之气、虚损不调导致的昏困嗜睡。
药材组成：酸枣仁（研碎，生用，一两）、腊茶（用生姜汁涂抹后炙焦，二两）。
用法：捣碎筛匀。每次服用二钱，加水一盏，煎煮至七分满，去渣滓。
治多睡（出自《本草》）：
取白马的头骨做成枕头枕着它。
治人嗜眠喜睡（出自《本草》）：
取天鼠的一只眼睛烧成粉末，与鱼骨混合。将这两种东西装在纱布袋里，放在床外熏蒸，则不会想睡觉。
Generally speaking, excessive sleepiness caused by accumulated heat is due to a fullness syndrome of the Gallbladder. The Gallbladder is the source of clarity and decision-making. When both the Liver and Gallbladder are in a state of excess, Ying (Nutritive) Qi and Wei (Defensive) Qi become obstructed and blocked. This causes the originally clear state to become turbid and disturbed, leading to an imbalance of Yin and Yang and resulting in hypersomnia.
Fushen San (Spirit Calming Powder) (from *Shenghui Fang*): Treats hypersomnia due to Gallbladder heat, restlessness of the mind, and mental confusion or oppression.
Ingredients: Fushen (Poria with Hostwood, removed woody part), Maidong (Ophiopogonis Radix), Digupi (Lycii Cortex), Fuling (Poria, one tael each; another version uses Huangqin); Baixianpi (Dictamni Cortex), Suanzaoren (Ziziphi Spinosae Semen), Shashen (Glehniae Radix, five qian each), Gancao (Licorice Root, roasted, five qian).
Usage: Grind the above ingredients into fine powder. Take three qian per dose, add one cup of water, decoct until reduced to six-tenths, remove the dregs, and take after meals. (Another version includes Lingyangxiao [Antelope Horn Powder].)
Maidong Tang (Ophiopogon Decoction) (from *Shenghui Fang*): Treats stagnation of Ying and Wei Qi, deficiency of spirit, hypersomnia due to Gallbladder heat, and dizziness of the head and eyes.
Ingredients: Maidong (Ophiopogonis Radix, heart removed), Tiandong (Asparagi Radix, heart removed), Lingyangjiao (Saiga Tataricae Cornu, shaved, three fen each), Mutong (Akebiae Caulis), Qianhu (Peucedani Radix, radix removed), Dahuang (Rhei Radix et Rhizoma, four liang each).
Usage: [The original text lacks specific decoction and administration instructions here.]
Yuanzhi Wan (Polygala Pill): Treats hypersomnia caused by turbid Qi and insufficiency of spirit day and night.
Ingredients: Yuanzhi (Polygalae Radix, heart removed), Renshen (Ginseng Radix), Shanyu (Dioscoreae Rhizoma), Fangfeng (Saposhnikoviae Radix), Xuanshen (Scrophulariae Radix, two liang five qian each), Kushen (Sophorae Flavescentis Radix), Tiefen (Ferrum Oxidatum, finely ground), Wutou (Aconiti Lateralis Radix Praeparata, burnt to ash retaining nature).
[Specific dosage and usage are missing in the original text.]
Renshen San (Ginseng Powder) (from *Shenghui Fang*): Treats Gallbladder heat, mental confusion and oppression, and hypersomnia.
Ingredients: Niuhuang (Bovaris Calculus, one fen, ground), Qianghuo (Notopterygii Rhizoma et Radix, three fen), Yuanzhi (Polygalae Radix, heart removed, three fen), Shengma (Cimicifugae Rhizoma, five qian), Maidong (Ophiopogonis Radix, heart removed, two liang), Renshen (Ginseng Radix, three liang).
[Usage is missing; characters like "Shimian" (wet flour) appear, likely due to typesetting errors.]
Yuanzhi Wan (Polygala Pill) (from *Shenghui Fang*): Treats hypersomnia due to Gallbladder heat.
Ingredients: Yuanzhi (Polygalae Radix, heart removed, three fen), Renshen (Ginseng Radix, one liang), Matougu (Equi Capitis Os, three fen), Fushen (Poria with Hostwood, three fen), Changpu (Acori Tatarinowii Rhizoma, five qian), Zhusha (Cinnabar, refined, five qian).
Usage: [Specific dosage form and administration method are missing in the original text.]
Banxia Tang (Pinellia Decoction): Treats loss of mental control due to Gallbladder heat, mental confusion, and hypersomnia.
Huanglian Tang (Coptis Decoction) (from Yang Zijian's *Huming Tang*): Treats bitter taste in the mouth due to Gallbladder heat, mental confusion with hypersomnia, and a full-large pulse at the left Guan position. This formula is suitable for use.
Ingredients: Huanglian (Coptidis Rhizoma, whiskers removed), Huangqin (Scutellariae Radix), Chifuling (Poria, skin removed), Maidong (Ophiopogonis Radix, heart removed), Shengma (Cimicifugae Rhizoma, one qian each).
Usage: Pound and sieve the above ingredients. Take three qian per dose, add water [water volume and decoction time are missing].
Treatment for Hypersomnia due to Gallbladder Heat (from *Shenghui Fang*):
Ingredients: Matougu Hui (Ash of Equine Skull, one liang), Tiefen (Ferrum Oxidatum, one liang), Zhusha (Cinnabar, water-refined, five qian), Longgu (Fossilized Bones, five fen).
Usage: Grind into powder, refine honey, and make pills the size of paulownia seeds.
[Administration method is missing.]
Suanzaoren Tang (Ziziphus Decoction): Treats drowsiness and hypersomnia due to Wind-toxin affecting the Gallbladder and disharmony from deficiency.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, ground, raw, one liang), Latie (Preserved Tea, coated with fresh ginger juice and roasted until scorched, two liang).
Usage: Pound and sieve. Take two qian per dose, add one cup of water, decoct until seven-tenths remain, and remove dregs.
Treatment for Hypersomnia (from *Bencao*):
Take the skull bone of a white horse to make a pillow to sleep on.
Treatment for Excessive Sleepiness and Preference for Sleep (from *Bencao*):
Take one eye of a field mouse (Tianshu), burn it into powder, and mix it with fish bone. Place these two substances in a gauze bag and fumigate outside the bed; this will prevent sleepiness.