Choongan Caralluma is a medicinal plant, used in Ayurveda traditional medicine. This plant has purgative action, anti-inflammatory and protein digestive action-proteolytic action of latex. The medicated thread Ksharsutra is prepared by coating the thread with latex along with turmeric and alkali of acyranthes aspera plant. Such thread is used in Hemorrhoids and mainly in Fistulous tract for slow cutting action, this Technic is now more or less universal as minimum invasive para surgical method.