Spotting 10 Days before period - Case Study

Female

37

37 year old female
CC - 10 days spotting in luteal phase.

spotting would occur within a few days post ovulation over the last 4+ years (since going off the Birth Control Pill). Blood would either be dark red or pale and generally in small amounts continuously until full flow of period began.

Other Signs and Symptoms:
PMS - bloating, breast tenderness, moodiness, Extreme fatigue
Period - cramping with "heavy" pain, dime sized clots, dark blood, 5 day bleed
Headaches - 3-4x per week, stabbing-throbbing
Digest - bloating, alternate Constip-Diarrhea
bruises easily
Tongue - slight dark body, Teeth Marks, pale sides
Pulse - choppy

My diagnosis:
Liver and Spleen Disharmony, Liver Blood insufficiency, Blood Stagnation, Spleen Qi deficiency

Treatment: Primarily Herbal treatment modifications of -
Follicular Formula - Ba Zhen Tang + Huang Qi, Tao Ren, Wu Yao
Luteal Phase Formula - Tao Hong Si Wu Tang + Mu Dan Pi, Chai Hu, Xiang Fu

After first month:
longer spotting but smaller amount, less fatigue
After 3 months:
spotting only 3 days, small amount, Period - less pain, better flow, almost no clots
PMS - much milder, Fatigue much improved