MAIN POINTS FOR DIAGNOSIS
Syndrome of Injury of the Spleen Due to Food Stagnation 
It is manifested by emaciation, non-increased body weight, distension and fullness in the stomach and the abdomen, poor appetite, listlessness, restlessness in sleep, irregular bowel movements with fetid odor, thick and greasy tongue fur, purple and unsmooth finger veins.
    
Syndrome of Deficiency of Both Qi and Blood
The manifested symptoms are sallow or pallor complexion, sparse and withered hairs, skinny physique, listlessness or irritability, restless sleep, weak and low cry, cold limbs, retarded development, depressed abdomen, loose stools, light tongue with thin fur, light finger veins.

Ganji (malnutrition and food stagnation in infants) is the general term of malnutrition (Ganzheng) and food stagnation (Jizhi). Malnutrition and food stagnation differ from each other in severity.
    
TCM holds that milk and food stagnation and splenogastric asthenia mutually have the cause and effect relationship. Namely, milk stagnation may injure the spleen and the stomach, on the other hand, weakness of the spleen and stomach may induce food stagnation. Clinically, Ganji (malnutrition and food stagnation) can be classified as type of injury of the spleen due to food stagnation. and type of deficiency of both qi and blood.

Food stagnation refers to infantile milk and food stagnation, which injures the spleen and the stomach, and further causes distension and fullness in the stomach and indigestion, emaciation, disturbed sleep, persistent crying, sour and stinky stools, and other symptoms. Malnutrition is the advanced phase of food stagnation. In other words, long-term functional disturbance of the stomach and the spleen in transportation and transformation, and failure of generation of blood and qi lead to emaciation, pallor complexion, cold limbs, sparse and withered hairs, listlessness, weak and lower cry, abdominal distension with visible superficial veins, and loose stools in infants. Generally, Ganji is similar to infantile malnutrition in modern medicine.