薛立斋治一妊妇，疟久不已，嗳气下气，胸腹膨胀，食少欲呕，便血少寤寐，此属肝脾郁怒。用归脾汤加
柴胡、山栀渐愈。又用六君子汤加柴胡、山栀、升麻而愈。
一妊妇患疟已愈，但寒热少食，头痛，晡热内热，此脾虚血弱。用补中益气汤加蔓荆子头痛顿止。又用
六君子汤加芎、归，饮食顿进。再用逍遥散加白术而寒热愈。
陈良甫治一妊妇，六七个月而疟疾，先寒后热，六脉浮紧，众医用柴胡、桂枝无效。陈言此疾非常山不愈，
众医不肯，因循数日，病甚无计，勉强听之，遂用七宝散一服愈。（《良方》。）
薛立斋治一妊妇，三月，饮食后因怒患疟，连吐三次，用藿香正气散二剂，随用安胎饮一剂而愈。后因怒
痰甚，狂言发热，胸胀，手按少得，此肝脾气滞。用加味逍遥散加川芎，二剂顿退，四剂而安。
蒋仲芳治一孕妇，疟疾大作，脉得弦数，用知母四钱，柴胡三钱，陈皮二钱，甘草一钱，井、河水各一碗，
煎至一碗，露一夜，明早隔汤顿服而愈。不愈，加生首乌五钱；自盗汗甚，加黑豆三钱；食多，加枳壳二钱。
此方热多者宜之。
一孕妇疟疾，右脉微滑，左脉微弦，曰∶脾虚生痰也。以白术五钱，生姜三钱，井、河水煎，露一夜，温
服而愈。此方寒多者宜之。
Xue Lizhai treated a pregnant woman whose malaria had persisted for a long time without resolution, accompanied by belching, excessive flatulence, distension of the chest and abdomen, poor appetite with nausea, hematochezia (blood in stool), and severe insomnia. This was diagnosed as Liver-Spleen Qi stagnation due to depression and anger. He prescribed Guipi Tang (Restore the Spleen Decoction) added with Chai Hu (Bupleuri Radix) and Shan Zhi (Gardeniae Fructus), leading to gradual improvement. Subsequently, Liu Jun Zi Tang (Six Gentlemen Decoction) added with Chai Hu, Shan Zhi, and Sheng Ma (Cimicifugae Rhizoma) was used, resulting in complete recovery.
Another pregnant woman had recovered from malaria but still experienced chills and fever, poor appetite, headache, and afternoon/evening internal heat. This was identified as Spleen deficiency and Blood weakness. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Man Jing Zi (Vittateni Fructus) stopped the headache immediately. Then, Liu Jun Zi Tang added with Xiong (Chuanxiong Rhizoma) and Gui Dang (Danggui Radix Sinensis) improved her appetite significantly. Finally, Xiao Yao San (Free Wanderer Powder) added with Bai Zhu (Atractylodis Macrocephalae Rhizoma) cured the chills and fever.
Chen Liangfu treated a pregnant woman at six or seven months gestation who contracted malaria, presenting with initial chills followed by fever and floating-tight pulses in all six positions. Other physicians failed to cure her using Chai Hu and Gui Zhi (Cinnamomi Ramulus). Chen stated that this condition could not be cured without Chang Shan (Daphnes Genkwa Bark). The other doctors refused, causing a delay of several days until the condition worsened severely. Reluctantly, they agreed to his advice, and one dose of Qi Bao San (Seven Treasures Powder) resulted in a cure. (From *Liang Fang*.)
Xue Lizhai treated a pregnant woman at three months gestation who developed malaria after eating and becoming angry, vomiting three times consecutively. He prescribed Huo Xiang Zheng Qi San (Agastache Powder to Rectify the Qi) for two doses, followed by one dose of An Tai Yin (Fetus-Calming Decoction), leading to recovery. Later, due to anger, she suffered from excessive phlegm, delirium, fever, and chest distension, which felt slightly better upon pressure. This was diagnosed as Liver-Spleen Qi stagnation. Jia Wei Xiao Yao San (Modified Free Wanderer Powder) added with Chuan Xiong was administered; symptoms receded rapidly after two doses and stabilized after four doses.
Jiang Zhongfang treated a pregnant woman with severe malaria attacks, presenting with wiry-rapid pulses. He prescribed Zhi Mu (Anemarrhenae Rhizoma) 4 qian, Chai Hu 3 qian, Chen Pi (Citri Reticulatae Pericarpium) 2 qian, and Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian. These were decocted with one bowl of well water and one bowl of river water until reduced to one bowl. The mixture was exposed overnight and taken in one dose the next morning after being warmed in a water bath, resulting in a cure. If ineffective, add Sheng Shou Wu (Polygoni Multiflori Preparatus Radix) 5 qian; if night sweats are severe, add Hei Dou (Sojae Semen Nigrum) 3 qian; if appetite is excessive, add Zhi Ke (Aurantii Fructus Immaturus) 2 qian. This formula is suitable for cases with predominant heat.
In another case of a pregnant woman with malaria, the right pulse was slightly slippery and the left pulse was slightly wiry. Jiang stated: "This is phlegm generated due to Spleen deficiency." He prescribed Bai Zhu 5 qian and Sheng Jiang (Zingiberis Rhizoma Recens) 3 qian, decocted with well and river water, exposed overnight, and taken warm, resulting in a cure. This formula is suitable for cases with predominant cold.