Welcome! Levels 40+ are kind of a weird place for Shamans until they get Torpor. Slow Tanking starts to become less efficient on mobs that are level 40+ due to the big boost in stats all level 40+ mobs get. You will be hit harder, and and will hit less hard with your own melee in turn.
Spectres can't get to level 40, I am simply pointing out you are getting to the transitional phase where you will want to do more root rotting. If you were twinked enough (Fungi Staff + Fungi Tunic + Jaundiced Bone Bracer + Black Dire Boots), then Slow Tanking is still a great strategy up until 60, as you are saving a lot of mana/hp with those items. But that isn't the case for you it sounds like.
Without any of the twink items mentioned above or Epic, you are going to have to settle for killing lower level blues that aren't very resistant if you want to solo efficiently. If the mob is resisting your spells too much or root breaking too much, you should probably find something easier to kill instead of trying to improve the fight with malaise/malaisement. Any time you can avoid using malaise/malaisement in a fight, you are saving mana. Try experimenting on the mobs you are killing by killing them with and without malaise/malaisement. If you don't notice a huge difference, then you can simply avoid casting it.
One general strategy you can try is to summon your pet, haste your pet, root the mob, slow the mob, /pet attack the mob, and DoT as you can. Meditate/Canni dance as much as possible in-between doing those things. Back the pet off when it's HP is low so it can recover. You don't want your pet to die, as it costs a lot of mana to resummon.
It has been a long time since I was a Shaman of that level, so I can only give suggestions as to which DoT combinations you should use. You will need to experiment to find which are most efficient for the specific fights you are going into. This is going to be based on the time it takes to complete the fight.
Envenomed Breath + Venom of the Snake (Shaman Poison and Disease DoTs do stack with each other if they are different spells) will give you the same DPS as Scourge + Venom of the Snake, but for 260 mana instead of 330 mana. For fights that only last a minute, this is probably the better combination, as Scourge takes 2 minutes to deal it's full damage, and you are spending less mana.
If the fight consistently lasts for roughly 2 minutes, then Scourge + 2x Venom of the Snake will be better. Scourge + 2x Venom of the Snake is a total of 1450 damage for 490 mana. 2x Envenomed Breath + 2x Venom of the Snake is 1344 damage for 520 mana. The difference between the two combinations isn't huge, but that 30 mana difference adds up over time if you are playing for a while.
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