The history of mediaeval medicine started roughly around the year 1000 with the school of medicine in Salerno, which combined elements of Latin, Greek, Arabic, and Jewish medicine. Galen and Dioscorides (who had used the Graeco-Roman weight system) were among the most important authorities, but also Arabic physicians, whose works were systematically translated into Latin.
According to , a famous 13th-century text that exists in numerous variations and is often ascribed to Dino di Garbo, the system of weights used in Salerno was different from the systems used in Padua and Bologna. As can be seen from the table, it was also different from the Roman weight system used by Galenus and Dioscorides and from all modern apothecaries' systems: The ounce was divided into 9 drachms, rather than 8 drachms.
Centuries later, the region around Salerno was the only exception to the rule that (except for skipping units that had regionally fallen out of use) the apothecaries' ounce was subdivided down to the scruple in exactly the same way as in the Roman system: It divided the ounce into 10 drachms.