The moment sleepiness attacked his mind, Hou Yuxiao's blood qi activated the Gangsha within, without his own volition flowing into his eyes like an instinctual reaction, instantly dispelling the drowsiness, and he gradually became fully awake.
There's a ghost...
Definitely a ghost!
There's a saying among the common folk that martial artists with a cultivation below the Gathering Evil Phase shouldn't take shortcuts, as it's only when they reach the Gathering Evil Phase and generate blood evil in their bodies that they can identify, deter, or even harm demons and evil spirits.
That wave of sleepiness was scattered by his own blood evil. In other words, that fatigue must have been caused by something nefarious. Fourth Elder encountered the same thing earlier, but because his cultivation was only at the Coagulate Gang Phase, he couldn't resist the sleepiness.