〔娄〕产后疟疾，多由污血挟寒热而作。大法宜柴胡四物汤调之。热多者草果饮子，寒
多者生熟饮子。
〔薛〕产后疟疾，因脾胃虚弱，饮食停滞，或因外邪所感，或郁怒伤脾，或暑邪所
伏。审系饮食，用六君加桔梗、苍术、藿香。如外邪多而饮食少，用藿香正气散。如外邪
少而饮食多，用人参养胃汤。饮食劳役，用补中益气汤。气血虚弱，用十全大补加炮姜。
虚寒，用六君加姜、桂。元气脱陷，急加附子。大凡久疟多属元气虚寒，盖气虚则寒，血
虚则热，胃虚则恶寒，阴火下流则寒热交作，或吐泻不食，腹痛烦渴，发热谵语，或手足
逆冷，寒战如栗。虽见百证，当峻温补，其病自退。若误用清脾、截疟之类，多致不起。
一产妇患疟，发热作渴，胸膈胀满，遍身作痛，三日不食，咽酸呕气，此是饮食所伤，
脾胃不能消化，用六君加神曲、山楂，四剂而不作酸，乃去神曲、山楂，又数剂而饮食
进。其大便不通，至三十五日，计进饮食七十余碗，腹始闷，令用猎胆汁导而通之，其
粪且不甚燥。一产妇患疟久不愈，百病蜂起，其脉或洪大，或微细，或弦紧，或沉伏，
难以名状。用六君加炮姜，二十余剂，脉证稍得，又用参、术煎膏，佐以归脾汤百余剂
而瘥。一产妇朝寒暮热，或不时寒热，久不愈。用六君子、补中益气兼服，百余剂而
寻愈。
草果饮子 治妇人产后疟疾，寒热相半者，或多热者宜此。
半夏（汤泡） 赤茯苓 甘草（炙） 草果（炮去皮） 川芎 陈皮 白芷（各二钱） 青皮（去白）
良姜 紫苏（各二钱半） 干葛（四钱）
上 咀，每服三钱，水一大盏，姜三片，枣二个，同煎至七分，去渣，当发日侵早，连
进三服，无有不安。
生熟饮子 治产后疟疾多寒者。
肉豆蔻 草果仁 浓朴（生去粗皮） 半夏 陈皮 甘草 大枣（去核） 生姜
上八味，等分细锉和匀，一半生，一半用湿绵纸裹煨令香熟，去纸，与一半生者和
匀，每服秤五钱重，水二盏，煎至七分，食前一服，食后一服。
《补遗》产后疟疾，热多寒少者，清脾汤。寒多热少者，养胃汤。久而不已者，七宝饮
截之。（方并见杂病疟）
【娄全善】产后疟疾，多由恶露不尽的瘀血夹杂寒热邪气而发作。治疗大法适宜用柴胡四物汤来调理。若热象偏重者，使用草果饮子；寒象偏重者，使用生熟饮子。
【薛己】产后疟疾，是因为脾胃虚弱，饮食停滞，或因感受外邪，或因郁怒损伤脾气，或暑邪潜伏体内所致。如果确认为饮食所伤，使用六君子汤加桔梗、苍术、藿香。如果是外邪较重而饮食停滞较轻，使用藿香正气散。如果是外邪较轻而饮食停滞较重，使用人参养胃汤。因饮食和劳累过度所致者，使用补中益气汤。气血虚弱者，使用十全大补汤加炮姜。虚寒证者，使用六君子汤加干姜、肉桂。元气脱陷者，紧急加入附子。大凡久患疟疾多属于元气虚寒，因为气虚则生寒，血虚则生热，胃虚则厌恶寒冷，阴火下流则导致寒热交替发作，或者出现呕吐腹泻、不能进食、腹痛烦渴、发热说胡话，或者手足逆冷、寒战如栗。虽然见到各种症状，应当采用峻猛的温补法，疾病自然消退。如果误用清脾、截疟之类的药物，大多会导致病情恶化无法挽回。
有一位产妇患疟疾，发热口渴，胸膈胀满，全身疼痛，三天未进食，咽部泛酸，嗳气呕吐，这是饮食所伤，脾胃不能消化食物，使用六君子汤加神曲、山楂，服用四剂后不再泛酸，于是去掉神曲、山楂，又服用数剂后饮食逐渐恢复。该产妇大便不通，直到第三十五天，共计进食七十多碗，腹部才开始感到闷胀，让人用猪胆汁灌肠导便从而通便，其粪便并不十分干燥。
另一位产妇患疟疾日久不愈，百病丛生，其脉象有的洪大，有的微细，有的弦紧，有的沉伏，难以形容。使用六君子汤加炮姜，服用二十余剂后，脉象和症状稍有好转，接着用人参、白术煎膏，配合归脾汤服用一百多剂后痊愈。
还有一位产妇早晨怕冷傍晚发热，或者不时出现寒热往来，久治不愈。使用六君子汤、补中益气汤兼服，服用一百多剂后不久痊愈。
草果饮子：治疗妇人产后疟疾，寒热各半者，或多热者适宜使用此方。
半夏（汤泡） 赤茯苓 甘草（炙） 草果（炮制去皮） 川芎 陈皮 白芷（各二钱） 青皮（去白） 良姜 紫苏（各二钱半） 干葛（四钱）
以上药材切碎，每次服用三钱，用水一大盏，生姜三片，大枣二个，同煎至七分，去渣，在疟疾发作当天的清晨，连续服用三次，没有不安稳的。
生熟饮子：治疗产后疟疾寒象较多者。
肉豆蔻 草果仁 浓朴（生用去粗皮） 半夏 陈皮 甘草 大枣（去核） 生姜
以上八味药，等分细切混合均匀，一半生用，一半用湿绵纸包裹煨至香熟，去掉纸，与另一半生药混合均匀，每次称五钱重，用水二盏，煎至七分，饭前服一次，饭后服一次。
[Lou] Postpartum malaria is mostly caused by lochia stasis (blood stasis) mixed with cold and heat pathogens. The general treatment principle is to regulate with Chaihu Siwu Tang (Bupleurum and Four Substances Decoction). If heat predominates, Caoguo Yinzi (Tsaoko Drink) should be used; if cold predominates, Shengshu Yinzi (Raw and Cooked Drink) should be used.
[Xue] Postpartum malaria arises from spleen and stomach deficiency, food stagnation, external pathogenic invasion, emotional depression injuring the spleen, or latent summerheat pathogens. If confirmed as food injury, Liu Jun Zi Tang (Six Gentlemen Decoction) with Jiegeng (Platycodon Root), Cangzhu (Atractylodis Rhizoma), and Huoxiang (Patchouli Herb) is used. If external pathogens are heavy and food stagnation is light, Huoxiang Zhengqi San (Patchouli Powder for Rectifying the Qi) is used. If external pathogens are light and food stagnation is heavy, Renshen Yangwei Tang (Ginseng Stomach-Nourishing Decoction) is used. For cases due to diet and overexertion, Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) is used. For qi and blood deficiency, Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) with Paojiang (Prepared Ginger) is used. For deficiency-cold, Liu Jun Zi Tang (Six Gentlemen Decoction) with Jiang (Ginger) and Gui (Cinnamon Twig) is used. For collapse of yuan qi (original qi), Fuzi (Aconite Lateral Root) is urgently added. Generally, chronic malaria belongs to deficiency-cold of yuan qi (original qi); qi deficiency generates cold, blood deficiency generates heat, stomach deficiency causes aversion to cold, and downward flow of yin fire leads to alternating chills and fever, or vomiting, diarrhea, anorexia, abdominal pain, irritability, thirst, fever with delirium, or cold extremities and shivering like a millet panicle. Although various symptoms appear, vigorous warming and tonification should be employed, and the disease will recede spontaneously. If mistakenly treated with drugs for clearing spleen-heat or arresting malaria, it often leads to death.
One postpartum woman suffered from malaria with fever, thirst, chest and diaphragm fullness, generalized body pain, no food intake for three days, sour regurgitation, and belching/vomiting. This was food injury where the spleen and stomach failed to digest food. Liu Jun Zi Tang (Six Gentlemen Decoction) with Shenqu (Massa Medicata Fermentata) and Shanzha (Crataegi Fructus) was administered. After four doses, sourness ceased. Shenqu and Shanzha were then removed, and after several more doses, appetite returned. Her bowel movement remained unobstructed until the thirty-fifth day. Having consumed over seventy bowls of food, her abdomen finally felt stuffy. Pig bile enema was used to induce defecation, and the stool was not very dry.
Another postpartum woman suffered from prolonged malaria that did not heal, with myriad diseases arising. Her pulse was sometimes surging and large, sometimes minute and fine, sometimes wiry and tight, sometimes deep and hidden, difficult to describe. Liu Jun Zi Tang (Six Gentlemen Decoction) with Paojiang (Prepared Ginger) was used for over twenty doses, after which the pulse and symptoms slightly improved. Then, a paste made from Renshen (Ginseng Root) and Baizhu (Atractylodis Macrocephalae Rhizoma) was used, assisted by Guipi Tang (Restore the Spleen Decoction) for over one hundred doses, leading to recovery.
Yet another postpartum woman experienced morning chills and evening fevers, or intermittent chills and fevers, which persisted for a long time. Liu Jun Zi Tang (Six Gentlemen Decoction) and Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) were taken concurrently. After over one hundred doses, she recovered shortly thereafter.
Caoguo Yinzi (Tsaoko Drink): Treats postpartum malaria in women with equal amounts of chills and fever, or those with predominant heat.
Banxia (Pinelliae Rhizoma, soaked in water) Chifuling (Poria with Red Coir) Gancao (Licorice Root, honey-fried) Caoguo (Tsaoko Cardamom Fruit, processed and peeled) Chuanxiong (Ligusticum Rhizome) Chenpi (Citrus Reticulatae Pericarpium) Baizhi (Angelicae Dahuricae Radix) [each 2 qian] Qingpi (Citrus Reticulatae Viride Pericarpium, white pith removed) Liangjiang (Alpiniae Officinarum Rhizoma) Zisu (Perillae Folium) [each 2.5 qian] Gange (Puerariae Lobatae Radix) [4 qian]
The above herbs are chopped. Take 3 qian per dose, add one large cup of water, three slices of ginger, and two dates. Decoct together to 70% volume, remove dregs. On the day of malaria onset, early in the morning, take three consecutive doses without fail.
Shengshu Yinzi (Raw and Cooked Drink): Treats postpartum malaria with predominant cold.
Roudoukou (Myristica Seed) Caoguoren (Tsaoko Cardamom Seed) Houpo (Magnolia Bark, raw, coarse skin removed) Banxia (Pinelliae Rhizoma) Chenpi (Citrus Reticulatae Pericarpium) Gancao (Licorice Root) Dazao (Jujube Fruit, pitted) Shengjiang (Fresh Ginger)
The above eight ingredients are finely chopped and mixed equally. Half are used raw, half are wrapped in wet cotton paper and baked until fragrant and cooked. Remove the paper and mix with the raw half. Weigh 5 qian per dose, add two cups of water, decoct to 70% volume. Take one dose before meals and one dose after meals.
[Supplement] For postpartum malaria with more heat than chills, use Qingspi Tang (Clear the Spleen Decoction). For more chills than heat, use Yangwei Tang (Nourish the Stomach Decoction). For persistent cases, use Qibao Yin (Seven Treasures Drink) to arrest the malaria. (Formulas are found in the section on miscellaneous diseases: malaria.)