In Medieval music, the Guidonian hand was a mnemonic device used to assist singers in learning to sight-sing. Some form of the device may have been used by Guido of Arezzo, a medieval music theorist who wrote a number of treatises, including one instructing singers in sightreading. The hand occurs in some manuscripts before Guido's time as a tool to find the semitone; it does not have the depicted form until the 12th century. Sigebertus Gemblacensis in c. 1105–10 did describe Guido using the joints of the hand to aid in teaching his hexachord. The Guidonian hand is closely linked with Guido's new ideas about how to learn music, including the use of hexachords, and the first western known use of solfege.
The idea of the Guidonian hand is that each portion of the hand represents a specific note within the hexachord system, which spans nearly three octaves from "Γ ut" (that is, "Gamma ut") (the contraction of which is "Gamut", which can refer to the entire span) to "E la" (in other words, from the G at the bottom of the modern bass clef to the E at the top of the treble clef). In teaching, an instructor would indicate a series of notes by pointing to them on their hand, and the students would sing them. This is similar to the system of hand signals sometimes used in conjunction with solfege.
There have been a number of variations in the position of the notes on the hand, and no one variation is definitive but, as in the example below the notes of the gamut were mentally superimposed onto the joints and tips of the fingers of the left hand. Thus "gamma ut" (two Gs below middle C) was the tip of the thumb, A ("A re") was the inside of the thumb knuckle, B ("B mi") was the joint at the base of the thumb, C ("C fa ut") was the joint at the base of the index finger, and so on, spiraling around the hand counterclockwise past middle C ("C sol fa ut") until the D a ninth above middle C ("D la sol") (the middle joint of the middle finger) and the E above that ("E la") (the back of that joint, the only note on the back of the hand) were reached.