The status of women in the Middle Ages was ambiguous, because although
they had great responsibility and expertise in practical affairs they
were viewed as chattel and inferior to men. They were skilled in cook
ery, often of highly spiced dishes using a variety of ingredients and
flavorings, and they were taught the use of medicinal herbs. They were
often skilled in simple first aid, though they were not allowed to pr
actise outside the home. An important exception to this was Hildegarde
von Bingen, whose Physica brought her great renown. In it she became
the first woman to discuss plants in relation to their medicinal prope
rties. For most people in the Middle Ages, treatment revolved around h
erbs and diet, together with faith and holy relies and the use of(forb
idden) pagan incantation and ritual. Astrology was often a necessary a
djunct to treatment. In Salerno, however, medicine had been practised
from classical times, and medical training could last for 7 years or m
ore. One of the greatest medieval medical texts is the Tacuinum Sanita
tis, which describes in detail the 6 essentials for the preservation o
f man's health. Several vegetables and herbs are mentioned in connecti
on with the kidneys, the picking and preparation of which are imbued w
ith magic.