鲍某，男，48岁。患者因急性胃痛来诊。李医生认为其病不重刺激无以祛其邪，不留针不能达其效，故行重刺留针法。病人仰卧位针刺20分钟后，起针时发现针下涩滞，捻转、提插、出针均感困难，病人自觉痛剧，四肢症状未解，起针时症状益甚。

本患者出现此现象的最可能原因是（）

A.患者精神紧张

B.行针手法不当

C.病人肌肉强烈收缩

D.留针时间过长

E.体位不当

When people have no will to live, people are often very difficult to help.

A．you are

B．they are

C．it is

D．the other is