Phet Sangkhat (Abhaibubeshr) — a traditional Thai herbal remedy that relieves hemorrhoid symptoms naturally.
💊 Active ingredient: Cissus quadrangularis powder ⏱️ How to use: Take 3 capsules, 3 times daily 🍽️ Timing: Immediately after meals 📦 Pack: 70 capsules/bottle ⚡ Highlight: Abhaibubeshr formula, GMP-certified, great value 🌡️ Storage: Room temperature, below 30°C, away from sunlight and moisture
Shipping
Discreet shipping within Thailand — packaging does not identify the product. Customers can review shipping and return conditions per our store policy. Contact our team for any questions.
Product Description
A herbal remedy for hemorrhoids, Phet Sangkhat (เพชรสังฆาต) by Abhaibubeshr is a traditional Thai herbal capsule made from Cissus quadrangularis powder, listed on Thailand's National List of Essential Medicines (Herbal). It relieves hemorrhoid symptoms and is produced by the Jaopraya Abhaibubeshr Hospital Foundation.
📊 Research-backed information
A systematic review of 9 studies (1,108 patients) found Cissus quadrangularis as effective as conventional treatment for hemorrhoid relief (Isan Journal of Pharmaceutical Sciences)
A clinical pilot study (eCAM 2021, PMID 34765003) showed Cissus quadrangularis extract performed comparably to commercial suppositories for acute hemorrhoids, with fewer adverse events
🏭 Manufactured by the Jaopraya Abhaibubeshr Hospital Foundation, Prachinburi, Thailand. Traditional medicine registration no. G 175/46.
⚠️ Pregnant women, breastfeeding mothers, and those with liver or kidney conditions should consult a pharmacist before use.
Medically reviewed by
Supatcheree A., Pharmacist | Sources: eCAM, PubMed, IJPS, อภัยภูเบศร
Last reviewed: 2026-07-03
About Phet Sangkhat
What is Phet Sangkhat (Abhaibubeshr)?
Phet Sangkhat (เพชรสังฆาต) by Abhaibubeshr is a traditional Thai herbal capsule for hemorrhoids, containing 280 mg of Cissus quadrangularis powder per capsule, with a total weight of 400 mg per capsule including other herbal components. Its registered indication is the relief of hemorrhoid symptoms according to traditional medicine registration no. G 175/46.
Cissus quadrangularis — commonly known in Thailand as Phet Sangkhat — is a vine in the grape family (Vitaceae) native to tropical Asia and Africa. It has been used for centuries in Ayurvedic and Thai traditional medicine for hemorrhoids. Its active compounds include ketosteroids with anti-inflammatory properties and vascular-wall strengthening effects.
This product is manufactured by the Jaopraya Abhaibubeshr Hospital Foundation in Prachinburi — one of Thailand's leading traditional medicine institutions — under herbal GMP standards.
Phet Sangkhat Benefits — What Symptoms Does It Relieve?
According to its traditional medicine registration, Phet Sangkhat by Abhaibubeshr is indicated to relieve hemorrhoid symptoms, including:
Internal hemorrhoids — helps relieve bleeding, pain, and rectal discomfort
External hemorrhoids — helps reduce swelling, itching, and perianal pain
Venous inflammation — active compounds help strengthen vein walls
Important: This herbal medicine is registered to "relieve symptoms," not to cure. Those with severe symptoms — such as heavy bleeding or prolapsed tissue that cannot be reduced — should consult a physician.
How to take Phet Sangkhat — dosage
Dosage of Phet Sangkhat (Abhaibubeshr) as per label:
Dose: 3 capsules per dose (1,200 mg total)
Frequency: 3 times daily
Timing: Immediately after meals (morning, noon, evening)
Daily capsule count: 9 capsules per day
Duration per bottle: One 70-capsule bottle lasts approximately 7–8 days
Tips: Drink plenty of water — at least 8 glasses a day — and eat a high-fibre diet to maximise effectiveness. If loose stools occur, reduce the dose or consult a pharmacist.
If you take modern medicines, allow at least 1–2 hours between Phet Sangkhat and other medications to avoid absorption interference.
Side effects of Phet Sangkhat
Phet Sangkhat (Abhaibubeshr) is generally considered safe when taken as directed. Possible side effects in some users include:
Gastrointestinal: mild diarrhoea, stomach discomfort, or nausea — especially when first starting
Loose stools: Cissus quadrangularis has mild laxative properties that may cause loose stools in some people
Allergic reactions: Rare, but if rash, swelling, or breathing difficulty occur, stop immediately and seek medical attention
If loose stools are excessive, reduce the dose to 2 capsules three times daily and adjust upward gradually as tolerated.
Contraindications and precautions
Avoid or use with caution in the following situations:
Pregnant women — safety data are insufficient; consult a doctor or pharmacist first
Breastfeeding mothers — unknown whether active compounds pass into breast milk; seek advice first
Liver or kidney disease — use cautiously and under medical supervision
Children under 12 — insufficient safety data for this age group
Stop use and consult a doctor if heavy bleeding, severe lower abdominal pain, or no improvement after 4 weeks of use occurs.
Phet Sangkhat vs other oral hemorrhoid medicines
For those who prefer an oral hemorrhoid medicine, two main options are available at Intimo Life, depending on your preference and budget:
Daflon 500 (MPFF) — a French-origin modern medicine with a clear dosing protocol backed by documented clinical research.
Phet Sangkhat (Abhaibubeshr) (Cissus quadrangularis) — a traditional Thai herbal hemorrhoid medicine at a lower price, ideal for those who prefer a natural approach.
In short: Natural and budget-friendly → Phet Sangkhat | Clear pharmaceutical protocol → Daflon 500
Pair with topical options such as Doproct Ointment or Doproct Suppository for additional localised relief, especially during acute episodes of pain or itching around the anal area.
Can Phet Sangkhat be taken with other medicines?
No clearly documented drug interactions with Phet Sangkhat (Cissus quadrangularis) are currently established in major medical databases. However, exercise caution in these situations:
Anticoagulants/blood thinners (e.g. warfarin, aspirin) — some herbs may affect blood clotting; consult a pharmacist or doctor
Blood glucose-lowering medicines — some studies suggest Cissus quadrangularis may influence blood sugar levels
General medications — as a precaution, space Phet Sangkhat at least 1–2 hours apart from other medicines
If you take regular medication for chronic conditions, always inform your pharmacist before adding any new herbal supplement, and always read the product label carefully before combining it with any other medicine.
How quickly does Phet Sangkhat work?
The time to noticeable relief from Phet Sangkhat varies between individuals. General expectations:
Bleeding and pain — some users notice changes within 3–7 days
Swelling and inflammation — may take 2–4 weeks or more
Sustained relief — recommended to take continuously for 4–8 weeks for best results, combined with lifestyle changes such as high fluid intake, fibre-rich diet, and regular exercise
Herbal medicines generally act more gradually than pharmaceutical options. If symptoms do not improve after 4 weeks, consult a doctor to discuss alternatives.
Where to buy Phet Sangkhat (Abhaibubeshr)?
Where to buy Phet Sangkhat (Abhaibubeshr)?
Order online at Intimo Life with delivery across Thailand in 1–3 business days. All orders are packed discreetly with no product name on the parcel.
⚠️ Disclaimer
The content in this article is for general educational purposes only. It is not intended to replace professional advice, diagnosis, or treatment from a doctor or pharmacist. If you have any questions about symptoms or medication use, always consult a doctor or pharmacist first.
No — Phet Sangkhat (Abhaibubeshr) does not need to be taken indefinitely. It is generally recommended to take it continuously until hemorrhoid symptoms improve, which usually takes at least 4 weeks. Once symptoms improve, you can stop and resume only during flare-ups. Those prone to recurring hemorrhoids — for example, from frequent constipation or prolonged sitting — may continue longer term for prevention, but should consult a pharmacist if using it continuously beyond 2–3 months.
There is no direct evidence that tea or coffee interacts with Phet Sangkhat (Abhaibubeshr), but caffeine may make diarrhoea more likely when combined with an herb that has mild laxative effects. Alcohol is best avoided while you have active hemorrhoid symptoms, as it can harden stools or increase irritation around the anal area. Drink plenty of plain water instead while taking this medicine.
Taking more than the recommended dose — over 9 capsules per day — may increase the risk of loose stools and gastrointestinal irritation, since it has mild laxative properties. A single accidental overdose is usually not seriously harmful; simply return to the normal dose at the next scheduled time and drink more water. Seek medical attention if you experience severe abdominal pain or persistent diarrhoea.
Mild grade 1–2 hemorrhoids may resolve with lifestyle changes: more fluids, a high-fibre diet, less prolonged sitting, and regular exercise. For pain, bleeding, or prolapse, an herbal option like Phet Sangkhat or a modern medicine like Daflon can help speed up relief. See a doctor if there is no improvement after 4–6 weeks.
Avoid very spicy foods, fried or fatty foods, alcohol, coffee, and low-fibre processed foods — these can harden stools or irritate the anal area. Instead, increase vegetables, fruit, whole grains, and fluid intake. Combining these dietary changes with an herbal option like Phet Sangkhat improves overall outcomes.
Phet Sangkhat is registered to relieve hemorrhoid symptoms, including bleeding. Research on Cissus quadrangularis reports that its extracts help strengthen vein walls, which may help reduce bleeding. However, if bleeding is heavy, dark-coloured, or forceful, see a doctor immediately to rule out other underlying causes.
Best suited for grade 1–2 hemorrhoids (no prolapse, or prolapse that reduces on its own), or for ongoing maintenance after treatment to prevent recurrence. For grade 3–4, where the prolapse is significant or requires manual reduction, herbal medicine alone may not be enough — consult a doctor about options such as rubber band ligation or surgery.
Store at room temperature (below 30°C), away from direct sunlight and moisture. Close the bottle tightly after every use, and keep it out of reach of children. Avoid storing it in bathrooms or in a hot vehicle, and always check the expiry date on the label before use.
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