The article presents the author's response to a commentary about their study of the effectiveness of acupuncture in treating functional dyspepsia. It indicates that the sham acupuncture provide an active therapeutic effect, but was inferior to the acupuncture groups in terms of improvement in symptoms and quality of life. It notes that no difference was detected in relieving the epigastric pain syndrome subcategory symptoms between sham acupuncture and the other acupuncture groups.